I know that low-dose isotretinoin (accutane) 5mg-20mg daily helps treat rosacea. But, I've also heard but never saw any study that high-dose accutane can actually cause rosacea? Is this true? If so, what would be considered high-dose, 2mg/kg or more daily? I'm meaning high-dose as in potentially causing rosacea.
Answers (2)
From board-certified doctors and trusted medical professionals
Accutane is a synthetic form of Vitamin A and too much Vitamin A can be toxic. I generally advise patients to avoid supplements with Vitamin A while taking Accutane. If you eat very large amounts of Vitamin A containing foods (like carrots), you should discuss this issue with your doctor...
Accutane has the highest "cure" rate for severe acne, but there can be reasons why patients look for an alternative. Isolaz, Cooltouch and Smoothbeam are often very effective, but they require a series, not just one treatment. So, I'd say Accutane is best, but laser series do...
Doctors often refer to the dryness that occurs with isotretinoin and retinoids like Retin-A as the retinoid reaction. Although normal, the dryness can lead to a feeling of discomfort that can ultimately compromise your compliance. Retinoid reaction...