Isotretinoin (Accutane®)
5
37.1%
4
34%
3
15.3%
2
7.3%
1
6.2%

Used Isotretinoin (Accutane®)? Rate It:

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February 15, 2017
Unexpected comeback
I started breaking out ever since puberty hit me. As far as I can remember, I started getting light to mild acne during my tenth standard. I didn't resort to any medication as such, but I simply started a course of some antibiotic that my father had advised to me. The results were okayish, since the severity of my acne did alleviate but they again came back after a few weeks. My skin remained clear for quite a while after that. I was in my twelth standard when these monstrous zits made their came back in my life leaving me uncertain about my appearance and confidence. I sought medical advice from a reputed skin doctor, but didn't see a considerable change in my skin. I changed doctors only to face disappointment and despair. Acne started taking its emotional toll on me. I started wearing tons of make up which invited mockery from my classmates. Every second aunty would give me a piece of her unsolicited advice just to make me feel worse about my skin and appearance. After a few months, I resorted to Accutane with great hope and expectations. Thank to Accutane, I wasn't let down this time. It's been a while since I have a clear skin, but since last week, these stubborn zits have been attacking my face at different spots. I am really depressed and worried about my skin... I feel really low when I see my cheeks covered with pimples.
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November 22, 2016
Worked but didn't last
Started working immediately, no initial breakout, minimum side effects beyond chapped lips and dry eyes at times. I was taking 30 mg for 10 months. Acne stayed away for 10 months after I finished the course, started coming back slowly. Now it is back, not a severe as before but still not great. I am 31 year old female and had acne when I was younger. Managed to keep it under control with Yasmine over some 14 years but it came back pretty strongly after I got off of it which is when I went on accutane. I read that unfortunately for woman in their 30s the results of accutane usually don't stick. I am currently taking Vitex. It seems to be managing my acne somewhat but not completely- still have bad days, but not life ruining. I have been on it for two months. Going to try pairing it with Estroblock and see what happens.
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July 14, 2017
Your dose seemed low. And is common for low doses that acne will come back after treatment
June 30, 2016
Didn't cure my acne, but did make it more manageable.
I was on Accutane for about 8 months, from 2013-2014. Like many others, I had a terrible initial breakout that pushed a bunch of gunk to the surface of my face over the span of 2-3 weeks. I would wake up in the morning, and my breakouts would look completely different from the night before, because of the rapid rate at which Accutane was working. After the first three weeks, the breakouts slowed, and I started dealing with bigger, deeper cysts that would take about from a couple weeks to a month to go away. At some point, my derm put me on bactrim to help with the cysts that were still lingering. Once my course was over, my skin was pretty close to perfect. I had no more oil, no more breakouts - good times! My skin stayed clear for about three months, and after that it gradually began reverting to its previous state. At the time of this review, it's been about two years since my accutane course... my skin is super-oily and I have about 5-10 cystic types and 10-20 comedonal pimples on my face at any given time. Accutane did have some positives for me. It managed to clear my back for the most part, and I'm still at the point where I don't really need to worry about bacne. My facial breakouts are also not as bad as they were pre-accutane. Unfortunately... given how much the course cost me, how much I had to put up with over 8 months (eczema, constant dryness and itchiness, headaches, flushing, etc), and how quickly my skin reverted back to being oily and breakout-prone, I'd say my first round of accutane was a bust. I'm still open to going on a second course, but not anytime soon.
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July 3, 2016
Often 2nd courses of accutane yield the worst side effects. Please research thoroughly if you decide to try again.
June 18, 2016
Works for acne but makes you gain weight
I have been taking Roaccutane for 3 months now and it has certainly helped my acne significantly - mine is hormonally related (started in my 30's after coming off the pill) and can give nasty cysts on my neck and jaw area but I have had none since starting. I am in my mid 40's (female) and also have low progesterone - handled with non-synthetic progesterone and hypothyroidism treated with Novothyral . Each work brilliantly in their own right. However, I have, since starting Roaccutane. gained 4 - 5 kilos (already) - this is probably down to the fact that my digestive system does not seem to be working very well (pellet like stool and not very regular). However, this frustrates me. I am doing as much exercise (and the same type) as before I started. I follow a pretty strict food regime because of my slow metabolism (5/2 or 4/3 - more the latter) although on my days off, i do enjoya little wine (is this the culprit?). Can someone please advise whether this is normal? I don't want to hear that I am 'eating more', 'eating the wrong things', doing less exercise - as this is not the case. Nothing in my diet or regime has changed and I was happily around 65 kgs for years (I am 1.75) Weight gain is not stipulated anywhere as a side-effect.....but it certainly is and should be. I just hope when I've finished my 5 month course that I will not be 10 kgs heavier!! - then I'm really not sure it's worth taking the Roaccutane, as my skin was only moderately bad when I started. Any tips on what to do?
June 13, 2016
Ugh
I hope my review will be helpful to anyone. So I have been on 30 mg per day dose, which is the minimal dose for my weight, I am 58 kg, it makes about 0.5mg/kg. I have stubborn acne on my jaw that would never leave no matter what I tried. I have been on isotretinoin for 1 months- I have lots of break outs, since the begining of treatment, the whole month, it is very depressing. I am trying to stay positive and patient, but I didnt have a break from increased zits since I started the drug. If it is an IB, how long does it usually lasts?
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June 22, 2016
My lasted 3months. Worst initial breakout. Worse than my acne before i started.
May 18, 2016
Very strong drug, but does the job!!!
I have just finished my first month on accutane. The symptoms I have had include: fatigue (like seriously exhausted ALL the time!!), some nausea, a little grouchy (due to fatigue I think), dry lips, dry nose, dry skin, random rashes that pop up and go away overnight after moisturising, sensitivity to the sun, dry scalp, little head aches here and there, a bit of an achy body and if I don't drink enough water my chest hurts due to dehydration. But all of these effects are so small. I travelled to London from Australia on this drug and got a blood nose, not sure if from the plane or the drug, probably the drug lol. But my skin is amazing!!!!!!!! I had an initial break out that was 2 giant pimples and after that my skin just got clearer and clearer. I've only been on the drug a month and I've gone from 30 pimples to 2. I still have redness and scarring but I am feeling positive in time they will go also. If you are unsure whether or not to go on this drug, just do it! I didn't want to take it because I was scared off from everyone's negativity towards it, but really the positives outweigh the negatives. It is a very strong drug-yes, but you are only on it for 3-6 months and then you are free from acne!! 3-6 months of dry skin and feeling weird with an end result of clear skin is much better then never ending depression because of acne. Take the risk, take accutane, but listen to your body, if the drug is too strong for you-stop. but give it a go I'm telling you it works! xxxxxxxxxxxxx
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May 15, 2016
Accutane two months in
Hi, I've just started on Accutane in April I started my first month on 20mg and now I've got up too 40mg not really seen much of a difference if anything my skin has more spots and bumps under my skin :( and I'm suffering from dry lips and inside of my nose is dry too. I hope I see an improvement in my skin after these 6 months and the spots that have came out now will they stay till the end because I can't take any more bumps on my skin? I've been using clinque anti blemish moisturiser it's brill for the dry patches and cetaphil cleanser as its gentle on my face and so my skin doesn't flake too much and blistex for my lips it really does help.. If there is anymore tips to help me along this Accutane journey please let me know. And another question I take my tablets at ten clock every night but sometimes I'm ten or 15 minutes late taking them but I read you have to take them on time will it affect my treatment if I'm late by 15 minutes. Many thanks Melissa
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April 16, 2016
The side effects are awful!
In 2008, I took Accutane for 7 months, 3 pills/day, After 2 months, my skin was indeed clear, but it was incredibly dry, red and irritated. So my dermatologist reccomended Bioderma Sensibio moisturizer while taking Accutane. It did saved me a bit but I had to apply it like 3-4 times a day. Now, the side effects were awful... I was anxious, aggressive with people around me, angry, depressed and I became an antisocial kind of person. After stopping it, my face was great..for almost 4 months. Then I started breaking out again, badly. I really think that the dosage & time are really important. For instance, my bestfriend took only 1 pill/day for 1 year and she is acne-free for almost 8 years now :) And if you have hormonal acne(jawline and chin), Accutane is not a long-term solution.
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March 20, 2016
Accutane Day 70
Hello Folks! So here I am on my accutane day 70. I started accutane on 10 Jan this Year. And today, I am feeling severely depressed because I have got a major zit on the right side of my cheek and I do not know if it is due to me being on my menses. What I know is that one more zit=more dark marks on my face that I will have to deal with for months. My dark marks are my biggest insecurity. Everyday I have to cover them with makeup and have everyone stare at me like why I am wearing tons of makeup in Summer when you are bound to sweat like a horse during the whole day. So, for last two weeks I did not have any zit. I stopped breaking out since week 8 but the zits I had beforehand are taking ages to go down. They are lingering on my face and turning real dark at the same time. At times, I feel that my face will always remain like that with zits popping out and leaving behind their dark shadows. And you see around people with clear skin, free, living their lives at 100% while I am just avoiding any social gathering. Even at work, I cannot talk to people by looking in their eyes. I try to isolate myself as much as I can so much my face looks hideous with all those marks and my lame makeup. It is one of the most difficult phase of my life. I have been through alot at 27. But, in this world where everything turns around looks, appearance, skin..every day becomes a struggle. To keep going, I watch other accutane users' videos on you tube or I roam in here to get some support and comfort. But it is not easy. At the point I am, I doubt I will ever be able to enjoy a clear skin. Even if I won't get any zits thanks to accutane, the dark marks will remain. I have been using multiple topical creams but nothing seem to fade them away. I used 4% hydroquinone, melano-expert, la roche posay hyperpigmentation lotion and so many more before being on tane..I even talked to my derm about it and he always seem to be prescribing me with more creams that I already know will not bring any difference. Lastly, I would say that it's been one and a half year I cannot go out without makeup and I wished I could go back to the time when I used to have clear skin just to feel again what it is to not have any zit or dark mark on your face. From a desperate tane user!
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March 28, 2016
Sad to hear how your acne is affecting your mental health - I just wanted to offer some hope. Your story sounds a lot like mine, I would worry about the post-inflammatory hyperpigmentation left behind after a breakout - these marks were often a lot worse than the acne itself. Once my acne was under control with accutane, the marks faded much faster - a year after my course of accutane they were completely gone. Accutane didn't just clear up my acne, it improved the actual quality of my skin (softer, brighter, less inflamed, less oily, less red) so these marks were finally able to heal. I'd recommend a mild gentle AHA face wash and a good moisturiser to help speed up the healing process. Also, maybe ask your derm about azelaic acid and V Beam laser. Hope this helps :)
April 10, 2016
Thanks for your comment dear..Sorry for popping here so late! I am today on day 91 and I was pretty happy yesterday. Then, I saw a small blackhead on my face and I tried picking it up! Today I woke up with a huge big red scar!!! So hard to cover even with with concealer and foundation on..I do not know what to do. I am feeling desperate.
March 1, 2016
1 month in....
been on isotretinoin for about 1 month now and my skin started to have less redness although no actual acne was gone then another cyst on my left cheek and one under another on my right cheek so that sucks. my blackheads have been more prone to coming out for example before i could squeeze them and they woudlnt budge now if i squeexe them they come out...at least the ones on my cheeks not my nose... wihtin the first 3 days my lips were really dry and i started applying aquaphor which is a life savor btw.... 2 weeks in it looked like i was sunburnt and all my skin was peeling. IB is settling down..which happening by the 10 day mark i think...im not yet sure wether or not i would reccomend or if my current rating fits my experience but for now...we shall see.....
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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.