Oral Retinoid
Reviews
3.9
2791 Reviews
Oral Retinoid
Efficacy
87%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Note: Use with EXTREME CAUTION: Causes severe birth defects and fetal death.
Oral Retinoid
Side Effects
High
Oral Retinoid
Acne.org’s Real World Take
The nuclear option. It works reliably and provides long-term remission of acne, and even severe acne, in about ⅔ of people who properly take an adequate dosage. However, it permanently and irreversibly changes the skin and the body forever and users may experience long-term side effects for the rest of their lives. It’ll nuke it, but there is no going back.
Oral Retinoid
How to Get It
Have a dermatologist? Make an appointment to get this medication. Don't have a dermatologist? See The American Academy of Dermatology Physician Database to find one.
Read All About Isotretinoin (Accutane®)
Compare To Other Treatments
5
37.1%
4
33.4%
3
15.5%
2
7.3%
1
6.6%

Used Isotretinoin (Accutane®)? Rate It:

Choose from 1 to 5 stars
May 6, 2008

Pros:

Definitely cleared my skin. it works great! im completely clear and staying clear with little effort. its certainly the final solution to acne if you just want to be done with it.

Cons:

dryness,(not that bad though), stomach ache, sunburn, (not to mention some other pretty extreme side effects on the warning label) and for people who have eczema or rashes- it make them worse

A good solution for ance, no more daily face regiment, just clear skin! worth it all the way.
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April 28, 2008

Pros:

Cleared up my face in 2 months, smaller pores and less breakouts fair complextion.

Cons:

At the beggining of the treatment the breakouts are bad, sever drying of the lips and face, mainly on the jaw line.

all in all the treatment has been going good no miracles though, it's a slow process so far still have a few months to go, most of the side effects are manageble,(moisterize) i definitely recommend this to anyone that has acne or has tried other medications that have not worked, it will really bring your confidence back and be less stressed out, try it!
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April 26, 2008

Pros:

It clears acne really fast and none of this "it gonna get worse before it gets better" garbage.

Cons:

Blood work is an incovenience. Dry skin, lips and scalp. Unable to do outside activities. The sun becomes triple the time dangerous when on this medication.

This stuff works. It works if you follow strict dr's instructions. Stay on the plan and get the blood work done so the Dr knows the dose you need.
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April 20, 2008

Pros:

clears skin up nicely and keeps it clear even after you stop taking the pills. If you have bad acne just take it and don't worry about being depressed and all that jazz, i was never depressed. just take it!

Cons:

Very dry skin! i got really red as well. acne came back 7 months after finished taking accutane.

It is good and powerful. It will clear you up no matter what but in a small percent of cases it comes back which sucks. If it comes back I wouldn't advice taking it again.I went 4 months without seeing much improvement the second time. IF YOU HAVE BAD ACNE MAN UP AND TAKE IT. Don't avoid the issue that it is the best treatment out there that lasts because of the idea you may get depressed and whatever. It really is nothing to be scarred of and you get blood drawn which isn't that bad.
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April 10, 2008

Pros:

Couldn't stay on it long enought to see the pros.

Cons:

Destroyed my intestinal tract in two week.

I've never had an adverse reaction to a drug but this one nearly killed me (literally). After being on it for 2 weeks I got sever diarrhea that didn't go away for nearly 6 months. I'm a 5'10" female and I dropped to about 110 pounds. I've been working with a naturopath for 2 years and am finally able to eat normally and maintain a near heathly weight. Acne continues to be a problem but obviously I should have taken the lable warnings more seriously.
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March 30, 2008

Pros:

Cleared up my moderate acne completely when no other medication or treatment could. Very low side effects. I loved it.

Cons:

Had to put on chapstick all the time and lotion after I showered. Had slightly pink face and dry skin.

I had slight to moderate acne that was just really annoying and was not fixed by any type of treatment, so I finally gave in and went on Accutane. After reading all the online horror stories I was scared out of my mind. However, I had a great experience on it. I took 80mg/day and weigh 200 lbs (90 kgs) so it was about 1 mg/day/kg, which is a moderate to high dose I was told. My lips were pretty dry and cracked if I didn't put on chapstick all the time. I also had really dry skin if I didn't put lotion on my shoulders, arms, back, and face after showering. Everything else was 100% fine though. These horror stories are overblown and rare, and tons of people have great results on it. My acne is gone 100% from all over my body and it is such a relief to not have to deal with it. On completion, my dermatologist told me he has prescribed it for 10 years and has never once had a case of depression and only 2 people have had bad blood tests. If you're tired of acne, give Accutane a shot.
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March 28, 2008

Pros:

Clear skin is finnaly here.

Cons:

dry eyes, nose, lips, face, arms (especially arms and lips), horrible joint pain, had to stop wearing contacts while on it.

I've ad acne since i was 13. I never had bad acne until right before i was 16. I had tried everything on store shellves including proactive(whichsucks) to no avail. All the standard Rx drugs never helped they just made it worse. It took me so long to try accutane because of how slowly the acne crept up on me. small patches at a time before it was finally all over my face. I never thought it was bad until my 10th grade picture when i was so embarrased by it not a single relative saw it that year. As soon as i heard about accutane i got on it. First four months were not good. Acne didn't improve at all and yet i put up with almost all the side effects you can have other than depresion. I thought being young i'd be spared the negative effects (wrong). Finallly in the fifth month witch is where i'm currently at about o be on sixth the acne has dissapeared leaveing nothing other than red marks on my face that will heal with time. Even with all the negative side effects i would recomed this
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March 26, 2008

Pros:

IT WORKS!!!

Cons:

Dry Lips, skin, rash, headaches, and minor joint pain

This is my last month on Accutane, my skin is very smooth and clear, I still have some bumps here and there, but nothing like it used to be. This is the best product I have ever used and I will recommend it to anyone with acne.
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March 4, 2008

Pros:

Works.

Cons:

Dry skin, and it gets way worse before it gets better.

Ok i have no joke tryed every thing they sell for acne. I went on accutane last year as a last resort. it was horrible at first but after a few months i had the best skin i had ever had in my life. i swear by this drug it is a miracale.
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February 17, 2008

Pros:

It cleared my skin 50 percent in a month. I only have to be on it for 3 more months.

Cons:

Drys the!@$% out your lips,face and body. I dont like needles for bloodwork.

Its worth and brought self esteem back to me. I not afraid to talk to girls anymore. I can live with the side affects. Only reccomended for serious cystic acne tho.
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Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
  4. Listen to what your gut feeling tells you once you see a dermatologist in person. If you are not completely comfortable, try a different dermatologist.

Finding a Doctor

Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

  • Look at before and after photos, the more the better, especially patients with similar scarring to your own.
  • Be realistic about results. Look for improvement, not a cure.

Questions to ask a potential scar revision specialist:

  • Are you board certified? Be certain that they are board certified.
  • How long have you been performing these procedures? Normally, the more experience the better, however, some younger surgeons may be more on top of the latest procedures.
  • Can I speak to some of your other patients? Ask for references for several patients who had similar scarring and speak to them about the process and their satisfaction with results.

Red flags:

  • Their story changes: As you discuss different treatment options, if they tend to change their mind easily, or agree with whatever you say, consider this a red flag. A confident, experienced surgeon will possess strong, unwavering opinions.
  • Your gut tells you "no": Trust your gut. If you just don't feel that the doctor is the right fit, trust that and move on. On the other hand, if you feel they are the perfect specialist for you, trust that feeling.