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I'm taking Isotretinoin 20 mg a day and have Erectile dysfunction. Is this normal?

October 20, 2014
Asked By:houston1984khi in Houston, TX

I have been taking Roaccutane for my acne for over two months now. I am taking a very low dose of 20 mg a day over a 6 month period. My body weight is 92 Kgs and I am male 6'0 I have been having extreme difficulty getting an erection and maintaining one. My sex drive also seems lost entirely. Could this be due to Accutane?

Answers (1)

From board-certified doctors and trusted medical professionals
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January 21, 2016

Answer: Erectile dysfunction and Accutane

Melanie Hecker, MD
MOST RECENT
January 21, 2016

Answer: Erectile dysfunction and Accutane

Melanie Hecker, MD

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How come Accutane is so expensive?
Melanie Hecker, MD says:

Yes, unfortunately Accutane can be very expensive.  Talk to your dermatologist to see if they know of specialty pharmacies in your area that can get it for you at the best price.

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I used accutane 20 mg for 3 months for wt 48 kg 2 yrs ago. Now I have acne again. Do I need another course of accutane? (Photo)
Melanie Hecker, MD says:

I think you should have been on Accutane for at least 20 weeks to get the maximum benefit.  You were also on a very low dose, and maximum efficacy of Accutane is 20 weeks of 0.5 - 1 mg/kg per day.

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Usually the only time I put people on long-term, low doses is if they have already completed a full regimen. So I would do as your derm suggests and go with the 6 month regimen and then maybe go on a long-term dosage after that as a form of "maintenance". "This answer has been solicited without...

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