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Ongoing Accutane. I finished my 4th course of Accutane at the beginning of Dec & this week a couple of whiteheads have appeared

holdo1Jan 23, 2016
My dermatologist said that after my 6 month course, we could try 20mg a day on an ongoing basis to keep my acne under control . My questions are: 1)If i begin 20mg over a month after I finished my course, do you think that it will be sufficient enough to keep it under control or did I miss that boat when I didn't immediately drop to 20mg a day 2)Do you think 20mg on an ongoing basis would do harm? My liver results have always come back fine.

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Dr. Anna Chacon, MD, FAAD
Board Certified Dermatologist
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Answered on Apr 1, 2025
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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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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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Viktoryia Kazlouskaya, MD

Erythema after accutane can persist for some time. It is expectable. Moisturizers and sunscreens should be used daily. If erythema persists more than 3-4 weeks and is bothersome, vascular lasers may be used to treat it. Good luck!

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Reuel Aspacio, MD, FAAD - Account Suspended

Thank you for your question. Oratane, also known as isotretinoin, is one of the best medications on the market to treat acne. During therapy and up to 6 months after completing isotretinoin, your skin is highly sensitive and chances of scarring are high. Hair removal can be done via shaving,...

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Jason Emer, MD

If you son has had a growth spurt there is no reason isotretinoin should stunt his growth. you can do plate testing with X Rays prior to treatment. I have not see this happen to anyone I have treated but it is reported in very rare cases.  Best, Dr. Emer.

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Lydia Parker, MD

Waxing will be tolerated poorly and the skin will be more fragile, getting overly irritated and traumatized while on Accutane. This occurs due to the extreme dryness while on Accutane. Normal skin oils return after about a month off Accutane and waxing may resume then. Laser hair removal is...

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