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
June 5, 2008

Pros:

Chance of clear skin.

Cons:

Possible side affects

I started "Isotretinoin (Accutane)" three weeks ago. After a few days of taking it I noticed my skin was clearing up and my oil was decreasing. I also noticed a few days ago I had a small break out( due to my cycle) and the accutane took control of the pimples right away. I mostly have bad break outs right before and during my womanly cyle. It can take weeks for those break outs to go away and by then I am left with scarring and one week of clear skin (with scars) before it happens all over again. Its a nightmare! I have tried all the programs such as proactive and other over the counter creams for 6 years. I am grateful that there is hope out there. The side efects I have right now are dry lips and skin. I use Dr. Dans lip balm, it works pretty good and Crevex lotion for my face. I am still a bit scared to be on accutune but I am trying to stay as positve as possible and just get throught this time in my life. I will keep everyone updated on my journey! Thank you
February 8, 2008

Pros:

This medicine is great. It gave me a ton of confidence iv only been on it for a month and my skin is almost completely clear.

Cons:

dry skin and lips,tiredness, costly

If you have moderate to severe acne i wouldnt waste time with anything else i wish i would have done it sooner
August 26, 2012

Cons:

BE VERY VERY

Did the job like a champ! Simply a miracle!
January 30, 2012

Pros:

helps temporarily

Cons:

didn't give me long term help and the side effects were extremely hard to deal with

i think this is dangerous medication the side effects aren't worth it
September 18, 2009

Pros:

Works AMAZINGLY. All acne (body, face) gone! And usually stays away for a long time.

Cons:

Dry Lips, Suicidal thoughts (depression), Dry Skin. Unfortunatly, it's been about a year since I've last taken accutane and my back has broken out... I get pimples on my hairline too, but I don't worry about those.
Leaves scars!

If you really want to get rid of acne and it's ruining your life, I recommend this medication. But if you don't care that much, and your acne isn't severe, don't take it.
April 17, 2009

Pros:

None

Cons:

Too many

Didnt help and burned like f**k
September 10, 2009

Pros:

NONE!

Cons:

I was on it for over NINE months, it did nothing but enflame my acne even worse. I have found other products since. I had to suffer through side effects with no results at all.

If it doesnt' work after a month, move on. Increasing the dose will only make things worse.
February 18, 2009

Pros:

Dries up your acne relativley fast.
You can see improvement
Face appears smoother and you dont look all oily and shiny

Cons:

Horrid side effects, EXPENSIVE!makes your skin look scaley and way too dry!

My brother uses accuane. his skin looks better, but it looks like he constantly has sunburn, Also his lips are always cracked because accutane kills ALL of your oil glands in your face. So you will age much much faster! i would not use accutane! it is just wrong and i highly do not recomend it! try the Urine Treatment! It is like 1000 dollars less than Accutane and it works 100 times better!!
March 6, 2008

Pros:

No initial breakout so far (1 month in), smoothe skin, I think it's working

Cons:

If you wear contact lenses and are prone to dry eyes, this is going to be a nightmare as it is for me right now. I got extremely inflamed eyes, had to go to eye doctor. Red irritated eyes is more worse than having dry skin and lips.

It's only been a month so far and I haven't had a bad breakout, I just have tons of redmarks everywhere still. The worst thing so far is that my insurance doesn't cover it and it's $150 a month. My eyes are so irritated, I'm scared there might be some permanent damage to it as I am prone to dry eyes. Since it's only been a month my derm or my eye doctor has not seen such bad reaction to eyes from accutane. ugh. It's worth it if you're willing to sacrifice other important things like your vision.
May 7, 2007

Pros:

does a decent job clearing acne

Cons:

side effects: joint pain, chapped lips, Erectile dysfunction,

STAY AWAY... NOT WORTH THE RISK.. PEOPLE HAVE ALSO COMMITED SUICIDE ON IT

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.