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Can isotretinoin trigger alopecia areata?

Steven_gqAug 18, 2023

Hello, can being on isotretinoin for acne trigger Alopecia areata on someone who is predisposed to alopecia areata?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Anna Chacon, MD, FAAD
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Dr. Anna Chacon, MD, FAAD
Board Certified Dermatologist
4.6 | 21 Reviews
Answered on Oct 6, 2023
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Derm is switching me from generic Accutane to Absorica LD. How long should I be on it if I've already hit my target dose?

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Anna Chacon, MD, FAAD

The duration of your treatment with Absorica LD will depend on your individual clinical situation and should be decided by your dermatologist. While it's true that Absorica LD is typically prescribed for a course of 16-20 weeks, this can vary based on your personal medical history, how well you...

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Anna Chacon, MD, FAAD

The cumulative dose approach is the traditional method of prescribing isotretinoin. It suggests a total dose of 120-150 mg/kg over a treatment duration of 20 weeks. Studies have shown this approach to be effective in long-term remission of acne. The treat-to-clear method involves treating the...

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Accumulative Dose Query

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Anna Chacon, MD, FAAD

Hello, It's understandable to be concerned about reaching the cumulative dose of Accutane (isotretinoin), as this can impact the long-term effectiveness of the treatment. Here's some information that might help clarify your situation: Cumulative Dose: The effectiveness of isotretinoin is often...

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Raffy Karamanoukian, MD, FACS

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...

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Steroids after Accutane?

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Anna Chacon, MD, FAAD

The relationship between steroid use and acne is complex. Steroids, particularly anabolic-androgenic steroids, are known to cause or exacerbate acne in some people. If you're considering using steroids after your Accutane (isotretinoin) treatment, it's important to discuss this with your...

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Can a combination of accutane and spironolactone be effective for patients with hormonal acne who have relapsed after accutane?

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Anna Chacon, MD, FAAD

When addressing the combination of Accutane (isotretinoin) and spironolactone for hormonal acne, it's important to consider the unique mechanisms and benefits each medication offers. Accutane is typically used for severe acne and works by reducing oil production, unclogging pores, and offering...

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