Does acne get itchy when on isotretinoin?

Question

This is my 3rd week on isotretinoin, my skin is getting darker, my acne is coming out more with visible pores. The acne is also very itchy.

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

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hello and thank you for your question. A common side effect of isotretinoin is dryness of the skin, and thus may cause the acne to feel itchy. In addition, with any acne treatment you may experience worsening of acne, especially during the first month. I recommend following up with your board certified dermatologist as scheduled, for re-evaluation of your skin. Best of luck.

Does acne get itchy when on isotretinoin?

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