Sclerotherapy While on Accutane?

Question

Is it okay to have Sclerotherapy performed on red spider or varicose veins on my legs while on Accutane?

Sam Naficy, MD, FACS · Answer

Accutane will slow down wound healing, but it should not have any affect on the sclerotherapy treatment.

Raffy Karamanoukian, MD, FACS · Answer

Accutane will slow the rate of wound healing, but should not affect sclerotherapy treatments.  Always go to a diplomate of the American Board of Phlebology (Vein Surgery) for your treatments.

John Landi, MD · Answer

I would not expect any contraindication to doing a closure procedure or microphlebectomies while on accutane.  For sclerotherapy and topiclal laser most likely there should be no problem, but perhaps, a small area of trial treatment would be beneficial.

Hratch Karamanoukian, MD, FACS · Answer

I have never seen a problem with sclerotherapy or laser vein ablation or VNUS CLosure in patients who are on Accutane.

Joel Gotvald, MD, FACS · Answer

There is not any contraindication for undergoing sclerotherapy while on Accutane.  It should be safe and it should not increase your risks of complicatoins.  I would not advise any form of thermal or laser treatments of your veins while on Accutane, though, as you would have a higher chance of abnormal and sometimes permanent skin reactions with those treatments.

	 

	I hope that info was helpful for you.

Timothy Mountcastle, MD · Answer

no issues with combining accutane and sclero unless you have tissue breakdown.  

	definitely dont use accutane and  lasers together.

Bruce E. Katz, MD · Answer

It&rsquo;s not a problem getting injections for sclerotherapy while on Accutane but you cannot get any form of laser treatments while you&rsquo;re on Accutane. In fact, we ask that you are off of Accutane for atleast 6 months before getting any type of laser treatments.

Scott E. Kasden, MD, FACS · Answer

I perform a lot of sclerotherapy.  The big concern is that some of the solution may leak out of the vein, and result in a wound.  Accutane will not affect the vein or the injection, but may have some potential to inhibit healing should a wound develop.
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Mary P. Lupo, MD · Answer

Rarely, sclerotherapy can cause an ulcer if the sclerosant liquid leaks into the skin rather than stay in the vessel. If that happens, the healing would be significantly delayed if on Accutane. For certain, laser is a definite "no", but I'd say if the doctor has done it before for you, and is very experienced, the chances of a problem are very small.

Bryan K. Chen, MD · Answer

I agree fully with Dr. Oppenheim, that injection sclerotherapy should not be a problem in patients on accutane, while laser sclerotherapy is best avoided for 6 months after discontinuation of Accutane because of the increased risk of scarring.

Sclerotherapy While on Accutane?

Answers (11)

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