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While on Accutane or isotretinoin, your liver enzymes my elevate. Many meds can do this.Infections such as viral hepatitis can do this as well. If you consume excessive or chronic alcohol your liver may also become inflamed and your liver enzymes my subsequently elevate. Therefore, while on any med that can potentially inflame your liver ,it is a good idea to avoid excessive alochol. If your liver enzymes are within normal limits, you can drink some alcohol just be responsible. After you complete isotretinoin and if you have a normal liver and if you are of age, you may drink alcohol-just do so responsibly.
Accutane shouldn't have any severe affects on your liver even when alcohol is consumed, as long as you do it in moderation. If you have a drink or two, even for several days, it's ok. It is more of a problem when your drink excessively all the time.
With your Accutane course, you frankly may not have been on it long enough especially if you described your acne as "severe for years". The purpose of a course of Accutane is to get the proper mg of the medication into your system to combat the type and severity of your acne, taking...
Do not be alarmed about the rise in liver enzymes. In my practice, I have only seen one instance in which the liver enzymes went "through the roof" and that was in a woman who I suspected went on an alcohol binge. LIver enzyme elevation occurs in about 10-15% of patients and not only...
You can stop your Accutane but you should definitely realize that taking it for only one month isn't going to have much of an effect on your acne, at all, and you shouldn't expect any change in your acne. As long as you understand that, you can stop taking it.