I have done Accutane in the past, my acne is back after I stop the pill, should I take it again?

Question

have taken it 2 times 10 mg,6months / 20 mg 3months. My skin was wonderful but it's back.I would like to know the risks associated with taking it again. I have IBS & history of depression would take it again be dangerous for my long-term health? Could it aggravate my stomach issues and my mental health issues, it there something else I should try something else first( try doxycycline for 3 months but didn't work) my current medications: Vyvanse, Synthroid, Effexor, dexilant.

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

Vanessa Richardson, MD · Answer

It sounds like you have not been on oral isotreinoin (Accutane, old name no longer used) for an adequate treatment period. I usually treat patients for at least 6-9 months at 40mg daily on average. The time period and dose may increase or decrease depending on patient tolerability to the medicine and response to treatment. You may need to speak with your dermatologist about longer treatment times with higher doses so that your chances of relapse will be lower.

I have done Accutane in the past, my acne is back after I stop the pill, should I take it again?

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Everything you need to know about Accutane

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I have done Accutane in the past, my acne is back after I stop the pill, should I take it again?

Answers (2)

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Recommended reading

Everything you need to know about Accutane

Our mission is to create a world where every investment in modern beauty is Worth It.