Would a low dose of Accutane eliminate the risk of purging?

Question

I've been on dianette for acne for a very long time but due to my age my GP has said I've got less than a year left on it. I still get cystic acne but it's not too bad. Every time I've tried coming off it my skin has been terrible with cystic acne and I've had some bad scarring as a result. I think I'll have to give in and take accutane but as I've spend 1000s on treatments for my indented scars I really don't want to purge. Would a very low dose over a long period of time eliminate the risk?.

Dima Ali, MD · Answer

Thank you for the great question! There are actually studies that show at the very low doses, meaning 10mg every 1 to 3 times a week, has such reduced side effects while still getting the same benefits of Accutane at the high doses long term. In some countries, such as Brazil, women and men often take Accutane at low doses long term just for beautification purposes too! That being said, it does not guarantee that you won't purge, but just that it may not be as intense as it would be if you took a high dose. I would recommend that you speak with your dermatologist to see what they can do to help you.

Raffy Karamanoukian, MD, FACS · Answer

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

Would a low dose of Accutane eliminate the risk of purging?

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Would a low dose of Accutane eliminate the risk of purging?

Answers (2)

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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.