2 1/2 months in still “purging” how long will it take until I see improvement! I’m having doubts if accutane works for me.

Question

Started on 60mg I was having to many side effects so she put me on 30mg for the remaining 3 weeks. Towards the end of my 1st month going into my 2nd month OMG my face was BAD! She put me on 40mg for the second month, & I purged so bad. Now 2 weeks away from being in my 3rd month I’m on 60mg and still breaking out! Every week it’s at least 3-4 new pimples! How long does this “purge” stage last I’m sick of these new break outs! Once it looks like it’s getting better, then BOOM another sworm of pimples

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

Estee Williams, MD · Answer

The medicine is dosed by your weight and if you had sides effects, the doctor is likely trying to keep the dose low even though it sounds like you could take a higher dose. But, although the course will take longer now that you’re on a lower dose, in the end, you should still have a great result.  The purging is not a scientific phase.  It just means you still have acne and your oil glands haven’t been shut down yet! It takes time. Best.

2 1/2 months in still “purging” how long will it take until I see improvement! I’m having doubts if accutane works for me.

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2 1/2 months in still “purging” how long will it take until I see improvement! I’m having doubts if accutane works for me.

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Everything you need to know about Accutane

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