Should I still go on Accutane if salicylic acid in face washes are burning my skin?

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

Since the salicylic acid gave you a rash just use moisturizer and over the counter cortisone twice a day for a few days to calm that reaction down. You can still go on Accuatne but you may experience excessive dryness during your treatment. When starting Accutane I would switch to a mild cleanser such as Cetaphil or Cerave to avoid irritating your skin. 
Best, 
Alex Khadavi M.D.