Accutane four month in - Is the constant breakout normal?

Question

I’ve been on Accutane now for four months, first 20mg for a month, 30mg for a month, 40mg for 2 months and now been upped to 60mg. I’ve had a constant run of breakouts since starting and there are some blocked pores(seemingly blackheads) since starting and they still haven’t cleared. Is the constant breakout normal? As most people say their ‘purge’ only lasted a couple of weeks and will these pesky pores eventually clear?

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

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hello and thank you for your question. Acne flares are common during Accutane treatment, especially with increases in dose. I recommend a consultation with a board certified dermatologist for evaluation of your progress and discussion of appropriate treatment. Best of luck.

Accutane four month in - Is the constant breakout normal?

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Accutane four month in - Is the constant breakout normal?

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Everything you need to know about Accutane

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