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I am on the end of fifth month of Roaccutane (20mg). Have 5 pimples on my left cheek is this normal?

LindaWongOct 29, 2016
The white heads are not clearing up and it increased since then. I found that some huge pimples are from the inflammation of these white heads which cause them to line up (4 in a row).Some pimples which are filled with pus just burst when i washed my face so i had to clear them up by just gently pushing the pus out but it always ended up with blood coming out. Like really, oozing blood.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Estee Williams, MD
Board Certified Dermatologist
Answered on Nov 1, 2016
Answer
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Estee Williams, MD

Yes, this is very normal.  During the first 1-2 months of treatment, as the skin adjust to the medication, flares are not uncommon. Be patient.  Results will pay off. 

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Sherry L.H. Maragh, MD

The medication is out of your bloodstream in 30 days from last dose.  Your pregnancy should be fine if you did not get pregnant during this window.  Please be sure to address this issue with your Dermatologist. Thank you,

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Elizabeth Damstetter, MD

This is an expected side effect from isotretinoin. It should resolve within 1 week of completing your course. Emollient lip balms are generally the most helpful for addressing dryness. Best of luck!

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Reuel Aspacio, MD, FAAD - Account Suspended

Thank you for your question. It is not uncommon to have breakouts when starting any acne treatment, especially Accutane. Usually the flare-up lasts a couple of weeks, but in some individuals, the flare-up can be very severe and occur for several months. Breakouts also vary depending on the dose...

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Jacquelyn Dosal, MD

Back pain is a fairly common complaint with isotretinoin.  If you can do some symptomatic treatment like advil, tylenol, or heating pads to treat the back pain, that is best.  You will be the most successful if you stay on the highest dose that you can tolerate.  The back pain...

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Shobhan Manoharan, MBBS, FACD

Your acne has been going on for many years, and you appear to be developing some scarring, and hence you are definitely an Isotretinoin candidate.  When prescribed and monitored properly, it is an exceedingly safe and successful medication that may give you the long-term results you are...

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