I have IBS and anxiety and depression, my derm wants me on accutane. Should I? (photos)

Question

I’m 24 and have been dealing with what I would consider “mild” acne since my mid teens. I’ve just switched to a new dermatologist since my old one retired. Prior to this derm, I’ve used differin, benzoyl peroxide, and duac spot treatment, which generally helped. I even did a stint on doxycycline. But when I turned 23 my acne came back and nothing works. This is the worst it’s ever been. Forehead, shoulders, even scalp and scalp line. I’m just unsure if accutane is worth the risks?

Morgan Rabach, MD · Answer

I'm sorry you are dealing with this. Accutane is generally not recommended for those with a history of depression because there is a chance it may increase depressive symptoms. Since your skin did respond to topical treatments previously, I would recommend consulting with your new dermatologist about chemical peels. Done in a sequence, these can often help treat stubborn acne and even help with any scarring you may have from previous blemishes. Your physician will evaluate your skin and recommend the best peels for your skin.

Matt Tahsini, MD · Answer

Hello and thank you for your question. I’m sorry you’re having to deal with this, I know how frustrating it can be. Rather than go the medication route, why don’t you try going to a med spa for a consultation. There are many options and I’m sure one could help you. Best wishes.
Dr. T

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

I think that might not be a good idea with your underlying conditions.
Perhaps you should try a series Laser Genesis and Chemical peels.
Get on a good routine with topicals as well.  Discuss other options with your Dermatologist.      
Best of luck...

I have IBS and anxiety and depression, my derm wants me on accutane. Should I? (photos)

Answers (3)