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I am 1.5-2 months post Accutane and am developing small bumps or closed comedones on my forehead, what should I do? (Photo)

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brigmaherJul 24, 2018
I was on isotretinoin for just over a year and had gone from cystic acne on my face and back to nothing. However post accutane, small closed comedones very deep within the skin which almost look rash like, have formed only on my forehead and I am very worried. Should I revisit my dermatologist and try accutane again or should I look into benzoyl peroxide creams or other topical creams? At the moment I am using a mild organic exfoliator, witch hazel and tea tree facial moisturiser.

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From board-certified doctors and trusted medical professionals
Dr. Daniel Navi, MD, FAAD
Board Certified Dermatologist
Answered on Nov 29, 2018
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Daniel Navi, MD, FAAD

Angular cheilitis is very common while on Accutane. I generally advised keeping the lips and surrounding areas lubricated with Aquaphor ointment (available OTC) several times daily. You may also use low dose topical steroid such as prescription Hydrocortisone 2.5% or Desonide ointment twice...

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Reuel Aspacio, MD, FAAD - Account Suspended

Thank you for your question. Accutane is processed through the liver, and a side effect of the medication is elevated liver enzymes. I generally recommend to avoid other liver toxic substances such as alcohol, certain vitamins and protein supplements, and Tylenol or acetaminophen because it,...

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Amy Y. Paul, DO, FAAD

Thank you for your question.  It is very unlikely the accutane is causing your abdominal discomfort, but you should call your prescribing dermatologist and speak to them about it.  I would have my patients take a break from the accutane and see if the discomfort improves.  Hope...

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