Isotretinoin (Accutane®)
5
37.1%
4
34.1%
3
15.3%
2
7.3%
1
6.2%

Used Isotretinoin (Accutane®)? Rate It:

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October 29, 2013
Dont let negative reviews scare you!

Pros:

amazing
clears skin fast
amazing

Cons:

chapped lips? big deal
still amazing
amazing..i have no cons.

Okay, so I will make this short. I am 27 year old female. I have oily acne prone skin. Like you, im sure I have tired every single product from proactive, to bacterium. Everything my dermatologist prescribed I took and it did nothing. I was so scared about Accutane. 2 doctors told me I should try it and I let the negative reviews scare me away. Finally I have tried it. I am just finishing up month 2. I don't understand what all the fuss is about, this stuff is fantastic! Right now I am on 40mg a day. The only side effect I have is chapped lips. As other reviewers have noted the cracking and bleeding in the lips...but that would happen to anyone with dry lips that doesn't apply chapstick. Seriously there is so much bad about this medicine out there its crazy. A person has one bad symptom and they shoot the medication down to a zero. Try it for your self. My skin looks almost flawless and im not even half way done with the treatment.
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October 20, 2013
LIFE SAVING

Pros:

Clears you of all acne, everywhere
Brings back confidence
Works well

Cons:

Expensive
Dry lips
Dry face, and extreme sensitivity to sun

I was so depressed. Let's start with my whole life story. I was always that cool kid in middle school, tons of friends, every girl liked me, barely home cause I was always with friends. My freshman year I was the same, totally fine. Then sophomore year came, I started to get acne. My brothers had it too in their high school years, so I was like well crap, I better start treating this stuff. I was put on bactrim. That never did anything. Finally summer after freshman year my face was SOOOO bad I knew I had to do something. I never left the house all summer except for vacations, and only with certain friends I knew wouldn't judge. I had people always calling to hangout and I couldn't. ACNE RUINED MY LIFE. Then I took accutane.... First 2 months were extreme dryness, and my face would hurt. Then month 3 and 4 came along and I couldn't be happier to this day. I am literally 100% clear of acne, all I have is scars left over, and even those are about gone! I am so happy !! I reccomend to everyone, if you have bad acne, the results outweigh the side effects!!!!
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October 16, 2013
Nervous
I am a 35 year old female and about to start Accutane for the first time. I have had cystic acne for as long as I can remember. Some years have been ok and some have been miserable. This past year was the worst, my acne is unending. I have tried everything...EVERYTHING. Finally my derm said she had nothing left to offer except Accutane. I am so nervous for the side effects...any have any thoughts on this?
October 11, 2013
My experience with Roaccutane, 2 days away from finishing treatment.

Pros:

It works
Side effects are durational

Cons:

Side Effects
Price

I'm a 20 y/o girl and I've dealt with severe acne since I was 12. Eight years of antibiotics, topical treatments, hormones, all got me nowhere. I did go on the pill for about 2 years (Dianette) which worked for the duration, but when I had to stop taking it due to stroke risk, the acne returned worse than ever. This is when I decided to go for roaccutane, as my dad suffered with acne until he was about 25, and I wasn't keen on another 5 years of hating the way I looked. I'm now at the end of my treatment (two days left) and I thought it would be a good time to post the diary of notes that I wrote up throughout my treatment to track my progression. I kept it so that I could keep an eye on how I was changing, and also as I thought it could help people who are looking into taking the drug, or those who are already on it and were wondering if their side effects are normal, etc. The 'diary' contains my progression as well as side effects and how I worked out dealing with them. Without further ado: PRE MEDICATION Very bad acne over all of back. Cystic acne over shoulders and across chest. Pimples and blackheads over all of chest and back. Bad blackheads on face. Depressed moods whenever I would look at my skin. Quite intense scarring from eight years of wounding. I also experience keloid scarring so a few of my scars from cystic spots have formed permanent raised scars. Because of all this my dermatologist has prescribed me isotreinoin (accutane/roaccutane). MONTH 1 (20mg daily) I started on 20mg. Throughout the month I did not experience much change. After a few days I did notice that my lips felt more dry, but nothing too uncomfortable. My spots started to get a little bit worse, mainly in the form of cystic acne. I also had a little trouble sleeping, which I had never experienced before but, after researching, found out to be one of the many side effects. This only happened once or twice during the first month and hardly at all after that. MONTH 2 (20mg daily) My dermatologist kept me on 20mg to make sure that I was still coping okay on the drug and not suffering too many side effects. This is the month where my spots became really awful. I was prepared for roaccutane to make my skin worse before it got better, but it was still unpleasant to experience. I found that the spots I was getting were like a new breed, cystic and incredibly painful to touch. If my bra strap pinged against one or I leant against the corner of something by accident, I would be close to tears with the pain. However, towards the end of the month I noticed that I no longer had any blackheads. I was so happy about this and saw it as a possible sneak preview of my future skin. My lips got really bad this month, particularly towards the end. The regular vaseline that I had been using no longer worked at all on my chapped lips, but I worked out a way to manage them with BLISTEX MEDI PLUS. Blistex Medi Plus saved my life, it repaired and rehydrated my lips, and I only had to apply it morning and night. Pre treatment I had quite greasy hair, normally needed washing every other day, with dry shampoo top ups. But at this point in the treatment, I found my hair not needing to be washed for about 4 days, which was handy. MONTH 3 (30mg daily) I had my dosage upped to 30mg. The cystic acne I experienced the previous month was starting to dwindle (or at least coming less frequently). My lips were becoming very dry, my top lip was now chapping too which was hadn't happened yet. My hair wouldn't get greasy for 5 days without washing it now. The inside of my nose would also become painfully dry and flaky, and would sometimes bleed. During this time I went on holiday to a very sunny place and didn't bother to stay out of the sun like it's advised you do on this medication, but didn't burn at all. You're supposed to burn and blister and all sorts on this medication if you go out in the sun but I didn't experience any of this. Month 4 (40mg daily) Dosage upped again. The dry lips became even worse in this month. I discovered that the environment had a big part to play in how painful they were. If it had been raining recently or if the air was more humid my lips would be fine, but if it was very dry out, or if I was in a closed off air conditioned area (such as a car), they would become unbearable. I also started to suffer from angular chelitis, which I found would heal if I put coconut oil on the cuts. If I used my beloved Blistex Medi Plus on them it would aggravate it, for some reason. Angular chelitis would flare up if I were in the dry environments without applying my lipbalm frequently enough. The dryness inside of my nose was also affected in the same sort of was I found. I began to notice that my eyes were drying up this month. When lying in bed before sleep my eyelids would almost glue together due to the lacking of their usual lubrication. I also swam underwater in a chlorinated swimming pool with my eyes open and the next day my eyes were bloodshot and stinging. It cleared up after a few days but was very uncomfortable whilst it lasted. DO NOT WAX YOUR SKIN ON ACCUTANE. I hadn't read that you weren't supposed to do this and waxed my eyebrows this month. Afterwards, I'd thought that they felt a little more raw than usual, and woke myself up in the night several times when I rolled over and the fabric of my pillow case touched the waxed area and stung so much. Over 24 hours later the skin was still bright red and looked a little wet. Turns out that without the usual protective oils in your skin, the top layer of skin comes right off when you wax on this medication. I could have had permanent scarring, thankfully I healed okay, but for about 10 days I had scabs on my eyebrows whilst the skin grew back, which wasn't too pretty. Month 5 (40mg) My Blistex Medi Plus stopped working for me this month, not sure why. My lips got drier and sorer than they ever have been. I tried using Vitamin E oil on my lips, as apparently it's the oil most similar to human sebum (what roaccutane dries you out of), which worked at first but then didn't really do anything after the first time. This is when I started using Blistex Moisture Max with Hydrating Pearls, and Palmers Cocoa Butter Lipbalm in conjunction with each other, which worked a treat if applied every hour or so. I found I was getting quite moody if I hadn't drank much water recently, but downing a pint of it when I noticed the feeling would sort me out straight away. Month 6 (50mg-60mg) During this final month I was upped to 50mg, and halfway through I upped it again to 60mg as I felt that I was handling the side effects okay and I wanted to be off it sooner rather than later. 60mg is the maximum dosage allowed for a female of my weight. Spots were very infrequent by this point. Hair doesn't get greasy at all, longest I'd gone without washing it was a week and even then it looked as fresh as if I'd washed it earlier that day. Currently, I have 120mg left to take, so 2 days! I have very dry lips, eyes, and hair, but I have no spots at all! My skin is so clear, other than scarring which will fade with time. I feel so much more comfortable and confident, and am in less pain. I didn't experience many of the major side effects that I thought I would, such as dry skin or depression. I think I owe the dry skin one to using Body Shop shea butter and cocoa butter shower washes. I did get slightly moody but I think that was due to dehydration which makes sense with the premise of the drug. My side effects will be different to yours but I thought it'd be useful to give my experience. Everyone reacts differently to this, and the list of side effects does look scary but you shouldn't be afraid, as you can treat them as they come. You will know if they are becoming too much for you, and if you feel you are no longer benefitting your body you can stop at any point. Best of luck to all of you!
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August 14, 2013
Really helps but take as a last resort

Pros:

Lasting clear skin

Cons:

dries lips out
multiple blood tests
expensive if you don't have good insurance

Accutane is for people with severe acne that have tried everything else including other oral and topical prescribed medications. I did not have a lot of acne but I would get nodular cists under the skin on my face, which were very painful and couldn't be popped. I tried every medication but I still kept getting them. Accutane was the only thing that got rid of them and I have only had one or two since I stopped the medicine 5 years ago. I loved taking the medicine because my face was NEVER oily like it always was, even today. This medicine is a pain though because it dries your lips out severly. At my local drug store I found a chapstick called "Dr. Dan's" and it was the ONLY thing that worked to quench the thirst of my lips and keep them from cracking. It tasted awful but I couldn't live without it. Accutane is also a pain because you have to get a lot of blood work done so they can make sure your body is staying normal, and females also have to take a pregnancy test every time before you getting a new prescription as well as take an online quiz about pregnancy prevention before you can fill it. Also the medicine can have side effects that make people depressed or have bad thoughts, but that never happened to me, not even a little bit! It must do that to people with low self-esteem or who already aren't the happiest in life. I also am a very active and competitive horseback rider, which is really hard on your leg and shoulder joints, but I had no joint pain at all which is another possible side effect.
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July 25, 2013
Accutane Amnesteem

Pros:

clear skin
no oil

Cons:

joint pain
headaches
nose bleeds

I just got off this medication about a month ago.. i took it for 7months straight.. it is a very difficult drug to get, especially in the pharmacy trying to look for a ipledge registered pharmacy... It made my skin very clear but dry everything.. I had some side effects such as Headaches, Rash's, Aching bones, Blur Vision, Impaired Hearing, Lost of breath bcuz it makes your white blood cell count low.. but over all i hope to recover from my treatment
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July 18, 2013
Amazing. It works.

Pros:

no more oily skin!
clears acne

Cons:

dry eyes
blood tests

For years I had pretty bad cystic acne, the big pimples that hurt. After trying all the OTC systems, Clean & Clear, Proactiv, etc. Then I finally turned to a dermatologist. After trying all the topicals, and antibiotics, which didn't help, I was left with only Accutane to try. The side effects weren't too bad, the worst part was the monthly blood tests haha. I took really good care of my skin with a lot of creams and moisturizers to combat the dry skin. The worst part for me was dry eyes. I was unable to wear my contacts after the first month because accutane just dried them out too much. Overall, if you can put up with constantly needing moisturizer for 5-6 months, I recommend accutane. I haven't had a breakout since the beginning of my second month!
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July 17, 2013
It worked, wish the treatment lasted longer!

Pros:

oily skin dried up, pores got smaller, blackheads went
spots, cysts went
got my self esteem back

Cons:

dry lips, itchy scalp, some joint pain

I've always had spots and oily skin, since I was 12 years old. I was put on many oral and topical prescriptions and nothing worked. I live in the UK so got the treatment on NHS, I paid £7.65 for each prescription for which I got 2 months supply of Roaccutane. I took 20mg twice a day for six months, from september 2012 to march 2013. I had to be reffered by my GP, I saw the Derm every 2 months, I had to have a pregnacy test every month so that I could get my next months supply. I also had to have blood tests every 2 months. I loved the effects of the treatment, the oil dried up within a month the spots/cysts took longer to go. I had wasted so much time in head on worrying about the oil and the spots on my skin. It was amazing to be so confident and not ashamed of my face and skin and not to have to blot my skin every chance I got. I'm disappointed however in the fact that for me the effects wore off very quickly, I got the oil back within 3 weeks of ending treatment and the spots soon followed, they are currently around my hair line and chin. The spots are growing up my face I also have a couple on my chest, no cysts yet. I told myself during treatment that my DNA will out, I should have tried harder to engrain that in brain so that I would'nt be disappointed that my skin bounced back to what it was before. So to everyone else, popping a pill for a few months will not change your DNA, it is what is.
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June 24, 2013
This Stuff Really Works!

Pros:

Clears Acne

Cons:

Risks for birth defect ( no big deal use protection or control)
Expensive

Accutane is a miracle product! I've suffered from acne since age 15. I started using Accutane at the age of 28 after begging my doctor after I spend 1,000's of dollars on products and laser treatments. After 4 months of taking Accutane and I had to get on birth control while using it to avoid getting pregnant due to the possibility of having a baby with a birth defect. This stuff cleared my acne and acne scars! I'm now 34 and I no longer suffer from acne!!!!! Every now and then when it's time for my monthly cycle I will get a pimple or two but nothing major. I'm a advocate for Acctuane now. This product save my self esteem and confidence!!!
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June 14, 2013
Until this...

Pros:

Clear skin
Smaller pores
Natural looking complexion

Cons:

Weight Loss (nothing to complain too much about) ;)
Body aches
Gaunt Face (maybe or maybe not related to accutane?)

I've broken out since I was ten years old, and throughout high school I was stuck with cysts and basically a full on pizza face. I decided to write this review because out of everything, this has been the number one. I'm not all the way complete with my treatment but I'm close enough to say that it was 100% worth it and then some. Feel free to follow my little blog I have going as well as my picture I posted. I'm pretty impressed.
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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.