I'm currently on my 8 week of taking roaccutane. Why is my skin getting worse.

Accutane is a go-to medication for patients with recalcitrant cystic acne. It can reduce pore size and also reduce sebum production in your skin, making it less oily; and in turn, dryer. Accutane can be used to control acne, but patients receiving the medication should be carefully monitored. In terms of skincare, always wear an appropriate sunscreen and reduce direct sun exposure. In my patients, I recommend a good ceramide moisturizer such as Elevase whenever they are on Accutane. This will keep the skin hydrated and reduce the oiliness of the skin that is associated with oil-based moisturizers.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for your question. I'm sorry to hear about your struggles with acne. It is not uncommon to have breakouts while taking Accutane. Usually the flare-up lasts a few weeks, but in some individuals, the flare-up can be very severe and persist for several months. Please be patient with the treatment because acne tends to get worse before it gets better.The dry and cracking lips you are experiencing is a very common side effect and usually managed with vaseline or lip balms. However, if the dryness and cracking is intolerable, the dose may need to be decreased or prescription topical medications may need to be given. I highly recommend you consult with your prescribing physician to have your lips evaluated and to discuss your questions and concerns while on Accutane. Take care and good luck.