Can I prevent Accutane purge by getting it first more controlled with Spironalactone and the Pill?

Question

Ive had cystic acne for 15 years. I have PCOS,not sure its the cause.My parents never cared to take me to dermatologist and now Im left with terrible scarring and still getting inflammed pimples and cysts. Im on Arankele and its not working.Im Avoiding accutane for now because I know that the purging will anyhilate the rest of my skin and leave me coverd in more scars... If I use Spiro and a pill like Diane,and Differin, and acne gets more controled, can I use Iso preventatively with no purge?

Anna Chacon, MD, FAAD · Answer

Your situation sounds challenging and I understand your concerns about the potential for an Accutane (isotretinoin) purge, which can sometimes exacerbate acne before it gets better.
Spironolactone, combined with oral contraceptives like Diane-35, can be an effective treatment for many patients with hormonal acne, especially in women with PCOS. They may help control your acne and potentially lessen the severity of an isotretinoin purge. However, it's important to note that each person's response to medication can be different and there's no guaranteed way to completely prevent a purge.
Differin (adapalene) is a topical retinoid that can also help manage acne. It's generally recommended to stop using other retinoids while on isotretinoin due to the increased risk of skin irritation, but your dermatologist can provide guidance based on your specific situation.
Remember that isotretinoin is a powerful medication with potential side effects, so it's important to discuss this thoroughly with your dermatologist. They can assess your skin condition, medical history, and current medications to provide the best treatment plan for you.

Can I prevent Accutane purge by getting it first more controlled with Spironalactone and the Pill?

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Can I prevent Accutane purge by getting it first more controlled with Spironalactone and the Pill?

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Everything you need to know about Spironolactone For Acne

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