Will it diffuse the process of Accutane if I’m also on 100mg spironolactone? 21 yr old female.

Question

My mild acne is persistent and nothing has helped. I want to start Accutane but I also don't want to explode with acne if I get off of spiro. My question is: Is it safe to take both together? Will Accutane be as effective if I'm on spiro as well? Should I taper off spiro while on Accutane? And when I finish my Accutane treatment, will it diffuse the long term results of accutane when I get off the spiro too? What should I do since I’m already taking spiro and starting accutane soon?

Jason Emer, MD · Answer

spironolactone helpa accutane and can be used at the same time together.

All of my accutane/isotretinoin/acne patients do our accutane protocol from emeragecosmetics and peels like aerify/cosmelan/enlighten.

Acne requires a combination approach to get long term improvement.  For all patients on isotretinoin, we require them to be on skin care such as vitamin C (Skinceuticals Phloretin CF, EmerageSkin AOX-C), glycolic cream (jan Marini bioclear, EmerageSkin enzymatic polish) , kojic acid serums (Skinceuticals phytoplus) and hyaluronic acid serum (IS clinical hydra cool serum, Skinceuticals B5, EmerageSkin hyla B) in the morning and retinols  (reve skin 1.0 and sente biocomplete serum) and salicylic acid (reveskin acne purifying enhancer), growth factors and peptides (anetageMD, EmerageSkin Re-Fit Face/Eye) night.

All of our patients get clear+brilliant non ablative laser along with a microsecond YAG laser such as aerolase or laser genesis and microneedling with PRP or microneelding RF like intensif or fractora monthly to help improve breakouts, speed the healing process, and improve scarring and facial redness while on the isotretinoin/accutane.  LED light therapy, cosmelan/enlighten/AERIFY peels, salt facial or dermalinfusion can be done as well to speed up the improvement. I suggest tyou go to an expert who combines skin care, lasers, microneedling, PRP, and facials while on oral medications for acne.  Best, Dr. Emer.

Barry Ginsburg, MD · Answer

I frequently use both spironolactone with accutane especially if you also have excess facial hair.  I start women on spironolactone when they come in for their first visit . if I think you will need accutane I get a pregnancy test.. When you return for your one month follow up and I prescribe accutane, I often keep you on spironolactone until you acne improves which can take one or several months.

Will it diffuse the process of Accutane if I’m also on 100mg spironolactone? 21 yr old female.

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Will it diffuse the process of Accutane if I’m also on 100mg spironolactone? 21 yr old female.

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Everything you need to know about Accutane

Our mission is to create a world where every investment in modern beauty is Worth It.