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

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January 29, 2014
23 years old and finally acne free!

Pros:

relatively short process (5 months)
cheap with insurance
perfectly clear skin

Cons:

dry face and lips (lots of peeling)
remember to take it with a meal twice daily
nosebleeds

I first got acne in my early teens, 13-14 years old. My older brother had it badly and tried all sorts of things before he finally got on an oral antibiotic that helped him. I used topicals like Differin through my teen years, and my acne eventually subsided to a few here and there. It got much better in the summer when I was outdoors more, and sometimes I'd go for months at a time with no creams at all. When I graduated college, my acne began to come back. Like I said, I always had a few here and there, but nothing that made me too self-conscious. Oily skin is genetic in my family, so I simply accepted that I'd always have a few breakouts. But it got to the point where I'd have several on my face at once, and I started to get a lot of the cystic kind. I began going back to my dermatologist and she got me on Solodyn, which was an oral antibiotic. It worked wonders and my face cleared up in a matter of months to the point I literally had no breakouts aside from one every week or two. I would have gladly stayed on this, but my dermatologist told me 1) It would never actually cure my acne, so if I wanted to stay clear-skinned, I was going to have to continue to take this pill daily. Not a huge deal, but an annoyance none the less. More importantly to me, it was an antibiotic which can have an adverse affect on birth control. This can be said of all antibiotics taken alongside birth control, and I just didn't like that risk. After 6 months on Solodyn, I ran out and decided to see if my acne was still bad or if finally at age 23, it would subside. It came back worse than ever, almost an entirely different kind of acne. It was cystic and red and many of them would hurt. My cheeks and jawline were covered almost nonstop, regardless of what I did. I had enough and went back to my dermatologist, where she told me I was a prime candidate for Accutane. I was hoping for another oral medication that wasn't an antibiotic, but apparently nothing like that exists yet. When she gave me the iPledge booklet and told me all the risks and possible side-effects that come along with Accutane, I was obviously a bit afraid. I went home right away and read the entire booklet. Most of it stated the same side-effects that come with almost every medication, even simple over the counter cold medicines. But some of the bigger ones, like depression and the onset of colitis really scared me. It seems a bit ridiculous to risk your most vital internal organs to clear up your face, something that has no direct effect on your health. Obviously, the other risk women have to worry about is the horrible birth defects that can result if you get pregnant while on Accutane. My family was split on the medication, but I ultimately decided I wanted to try it. With the requirements of the pregnancy tests and blood work monthly just to get the refill, I figured my doctor would stop me on the medication immediately if it was having adverse effects on my health, and I'd recognize if I was feeling differently as well and would stop if I felt like the medication was making me feel different. I got put on a kind of accutane called Absorica, and I had to take it twice daily with a meal. I ended up having to stay on the medication for 5 months total. After just the first month, my blackheads literally dried up and disappeared. I couldn't remember ever seeing my skin like that, as I had blackheads since 11-12 years old as I mentioned earlier. Initially, my nodular acne got worse. It was coming out on my shoulders and chest too, where I never even had a problem. My doctor assured me that this is how the medication works, drying the pores out from inside and pushing out everything bad, so to speak. After this initial flare up, it increasingly got better day after day, finally yielding a clear face after about 3 months. I truly couldn't believe it. For the final 2 months, I could honestly count on one hand the number of zits I've had, and I account those mostly to my time of the month when many women experience breakouts. Not only is my skin clear all over, but I almost feel as though the medication has evened out my entire complexion. I never had much acne scarring like some people experience, but I've read that it can actually help lessen the appearance of scarring, too. Most importantly, I didn't experience a single health change. All of my vitals remained the same during themedication, I've had no gastrointestinal problems, no signs of depression, no nothing. The smaller side-effects that I did experience throughout were chapped lips, dry skin/hair, and nosebleeds. All of these are nuisances, but worth the annoyance in my opinion for the end result. I simply had Aquaphor with me everywhere I went and reapplied it to my lips nonstop, put Vaseline in my nostrils with a q-tip before bed, and washed my hair every other day instead of daily. Small prices to pay for a clear face. I'm a contact wearer and dry eyes are another common side-effect, but I didn't even experience that. Other common small side-effects included decreased night vision and frequent headaches, but I didn't experience either of these. My insurance also covered my prescription wonderfully, making the medication under $10 a month. I went to the same lab for bloodwork every month and that was free, and I only paid a few office visit fees during my 5 month stint on Absorica. Obviously, this will differ depending on your insurance, so that's also something to make sure you look in to. My advice to anyone considering taking a form of accutane would be to first and foremost read all information your doctor gives you and do your own research, especially if you are a woman, as the iPledge comes into play and you really have to think about the side effects that could harm a fetus were you to get pregnant while on the medication. I would also advise anyone considering trying the medication to truly think about what you personally feel comfortable with. Even after reading the info my doctor gave me that scared me a little at first, I thought it was worth trying because of the close monitoring while on the drug. However, so many of the online reviews and articles are negative, and it made me step back and reevaluate a little. What ultimately made me decide to go with my own gut was that in general, I think people are more likely to get online and leave a review when they've had a negative experience with any product, especially a drug like accutane. When people are satisfied with a product, they're just happy with it and usually don't think to get on and leave positive comments. This is why I wanted to make sure to share my positive story. There might be someone out there with a similar acne story to mine, and my long-winded advice here would be to do your research, make the decision for you and you alone, and give it a try. If your doctor says you're a candidate for accutane, your acne is obviously serious enough. We all know that appearance has a large impact on how we present ourselves and feel about our image, and I couldn't be more pleased with how Absorica has cleared up my face because I finally feel like I can be myself and not worry that everyone I talk to is staring at my acne.
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January 28, 2014
Regret using this.

Cons:

Leaves red patches all over
Burns and stings

- I used the gel version - I've had bad acne on my back for about 3 years now but recently it's started to get a lot worse, not sure why. I've tried practically everything you can name for acne, all the spot lotions, zineryt, proactiv etc and nothing has worked. I got isotretinoin (isotrex) from the doctor and thought this would finally take my acne away but I couldn't have been more disappointed. I left this on over night but when I woke up my skin was peeling terribly, but that didn't bother me that much as long as I moisturised it. Then after a few days my skin started to feel really dry and itchy and was burning and then I saw loads of red burn patches which are still there a week after stopping using this and still burn and sting whenever my coat collar touches it or even a mild soap is used on it. I heard calomine lotion is helpful for acne and burns so I'm going to try that out tonight and hope for the best. Whatever you do, do NOT put this on any delicate skin such as your neck/chest.
January 25, 2014
This product changed my life.

Pros:

Made me So Happy
Totally cured the problem
My skin is flawless

Cons:

dry eyes and lips

As a 15yr. old girl (this was 16yrs. ago) I started Accutane. After the initial 30 days of my acne getting worse I started to notice that day by day the acne lessened and the pores on my face became smaller and I didn't have to constantly blot the oil off my face. I had some dryness but it was a small sacrifice to look in the mirror and not see these big ugly zits causing me to feel ugly and self conscious. I also started to look people in the eyes and not constantly worry that they were staring at the state of my skin, or to go outside in the bright light and have people thinking negative things about me. After 3 mos. my skin was beautiful, without a single blemish, and the pores shrunk back to normal. Although I had the dryness that everyone experiences, it was SO WORTH IT. People talk about depression as a side effect, but honestly I was so deliriously happy with the results that I can say I was never depressed for even one day. After 1 yr. of being off the drug I started to get a few pimples and went back to the dermatologist. She started me on a second course immediately. That was 17yrs. ago. My skin has been perfect and flawless ever since. I never get a breakout. I shudder to think how my life would have been if it wasn't for this wonder drug. I would recommend it in a heartbeat. It changed my life.
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January 24, 2014
An Honest Review of Accutane

Pros:

Closest thing to a cure for acne
It actually works, unlike hit-and-miss face washes
Long-lasting clear skin

Cons:

You'll die without Chapstick. Never be without it for more than five minutes.
It gets worse before it gets better, but it DOES get better.
Other side effects—muscle pain, any random pain you have, you can blame on accutane

Here's the deal. My experience on accutane was rough, but it was SO worth it. I'll tell you straight up how it was and what to expect. I started getting bad acne when I was 14, all over my neck, back, chest and face. The worst part was the big inflamed zits that would pump out pus like factories and wouldn't leave for weeks, sometimes months. And even when they did leave they left scars in their place. It was maddening. Acne had destroyed my self-esteem and confidence. I finally went to my dermatologist and asked what we could do. He suggested antibiotics, but my mom and I pushed for accutane. Skip the weak stuff and go for the hardcore acne drug. It's the closest thing to a CURE for acne, and its effect is almost permanent. Here's something you'll want to keep in mind: the higher the dose you're on, the less likely your acne is to relapse. Thankfully I had an aggressive-treatment dermatologist who knew this. I was on the pills for 6 months'"the last three months I was taking 120mg a day. If you don't have any experience with accutane doses, that's a mother-freaking high dose. The point is my acne never came back. I have occasional mini-breakouts now and then, but they're here and gone within a week. Now for the side effects. The best part of accutane is that it gets the job done, and you probably won't have to deal with stuff like proactive once it's over (which takes FOREVER to put on and rinse off.) All you have to do with accutane is pop a pill. Because I was on such a high dose I had some intense side effects: chapped lips (use Chapstick), dry eyes (use eye drops), random red patches on my skin (use lotion), muscle pain and a greater tendency to pull muscles (can't do anything about that, just wait until your time is up), bad breakouts for the first two months, etc. It got worse before it got better for me, as it does with lots of people. But it DID get better by the end of my treatment. And it stayed that way. Overall, accutane IS DEFINITELY WORTH IT. it saved my confidence, saved my life. Just be willing to go through hell for several months to get your prize of clear skin.
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January 20, 2014
A dream product.. in general

Pros:

Clears skin.. eventually Fixes oily skin/hair

Cons:

Dry skin Initial breakouts

I was put on Accutane by a dermatologist at the age of 13 after a struggle with severe acne for 3 years. I started getting acne in 5th grade, and it continuously got worse up until 7th grade, where I started to get cystic acne *sigh*. Acne was making me depressed, and my self esteem was absolutely nonexistent. I was made fun of all the time, and if you've never been "the kid with acne", I can assure you it's the worst feeling in the world. When I was put on Accutane I followed normal protocol, which meant taking the pregnancy test, waiting a month, and then getting my prescription. Every month I had to get my blood tested, take a pregnancy test, and then answer the iPledge questions to get my prescription cleared. When I first started taking Accutane, the first thing I noticed were the extremely dry lips. These came in on even my second day, and even to this day my lips are never as moist as they used to be, but I use carmex. I also got lower back pain in my first two weeks, but that went away. And about a month in, I started to develop eczema patches on my arms and legs which I treated with Cetaphil. Also.. my face became extremely flaky and dry, especially up at my temples, but I covered the dry skin in bag balm each night. As far as results go, I didn't see any positive signs until my fourth (out of 5) month. In the first month, nothing really happened. Second month, I developed the worst acne of my life. I broke out in 8 cystic pimples on my chin, along with countless other around my face. I still have the scars for those today. Also, my skin became so thin that simply running a fingernail across it would tear the skin and it would bleed, which happened to me on the very tip of my nose, fun! Anyways, The acne kept coming until the end of the third month, and then it began to subside. Instead of developing acne constantly, I was only getting one pimple about every 3 weeks, which actually seemed much worse than it was because I still had a full face of scarring. Fourth month, like I said, I broke out about 2 times, and fifth month the same. My skin looked 10000000x times better though, and i only break out once a month now. It has made a world of a difference in my life, and my skin has NEVER been this good. Here's some other weird things, in the first 3 weeks it cleansed my skin of blackheads, by literally shoving them out. I could run my finger over my nose and feel a hundred little bumps, and after that my blackheads diminished dramatically. Also, in the 3rd month when some of my acne was healing, once the pimples were dead they flaked off in weird sheets. If you are going for Accutane, it will probably not be the flawless product they tell you, but DO NOT LOSE HOPE, even after what feels like forever. Going on Accutane was one of the best decision I ever made and I wouldn't change a thing. Oh and by the way, when I was on accutane I had flawless hair because I could go 7 days without washing it and it would still look fresh out of the shower.
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January 16, 2014
Clear Skin! The oil is gone!

Pros:

Skin no longer oily
Breakouts much smaller and less painful

Cons:

Dry, Chapped Lips, Sensitive Skin
Muscle Pain
Monthly blood tests for females

Prior to starting the medication I had extremely oily skin - I was blotting/reapplying powder all the time and it was very frustrating and gross! I did not have horrible acne, but i had issues with the deep painful nodules that would build up under my skin and never break the surface. These would popup and last for several weeks, and once they would finally go back down they'd leave a dark scar. I took accutance for a little over 5 months, I first started off with 30mg, increased to 60mg, then finished off at 80mg. After about 12 days, I started to notice the chapped lips and sadly the chapping just got worse from there. But as many others have mentioned, Aquaphor is a lifesaver!! After about a month, the oil on my face started to diminish and my face was matte all the time! I no longer needed to blot or reapply makeup several times throughout the day. My breakouts remained at bay for about 2 months, and I bumped up to 60mg but soon after I started getting blemishes in my usual trouble spots. Although they were much smaller, it was still a bit discouraging. Around this time I also experienced my worst side effect which was muscle pain! Throughout my treatment, I was playing volleyball and softball 3-4 days per week and it was absolutely brutal! My body hurt everywhere! During this time I started taking pain meds prior to my games so that I wouldn't feed the effects as much. I also started to notice my skin becoming extremely fragile - like paper thin! If i bumped into anything or even scratched myself too hard I would immediately get a cut or a bruise. When these wounds healed, they healed much lighter than my normal skin tone. I also started to develop a rash on my arms. I had several round, itchy patches on my upper arms. I used aquaphor cream on them as well as ointment prescribed by the doctor. These also healed much lighter than my skin tone. Around 3.5-4 months, my doctor upped my dosage to 80 mg. By this time, my skin was consistently clear and I had no active breakouts. With just a few weeks to go, I did experience a few more blemishes, but again they were very small and went away without leaving any dark marks! I've been off accutane for 1.5 months now and I'm excited to say my skin is still clear and not at all oily. My pores are so tiny, I have no blackheads, and I feel confident that I can go out in public without makeup! My chapped lips are returning to normal and I don't need to use aquaphor very much! My muscle pain is completely gone and I am back to my normal self! I can workout and play sports without the additional pain or the need for medication! Unfortunately I still have the light colored patches on my arm from the rash, but I'm hoping these will start to clear up in the summer once they get some sun! Overall, my experience on accutane was worth it, but the side effects were a pain! The costs weren't too outrageous either - I only paid $10/month for my medication, plus an additional $50 per month for the required blood tests. I would recommend accutane to others, but would definitely advise them to think long and hard about it due to the side effects.
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January 13, 2014
destroyed my teeth and didn't work

Pros:

temporarily cleared up acne

Cons:

destroyed teeth
damaged eyes
general dryness

I took accutane twice when I was a sophmore in high school about five years ago. While it temporarily worked wonders, my acne has come back exactly the same as it had before. Much worse though was the effect that it had on my teeth and eyes. Because both were dried out, my eyes became infected and I have never since been able to wear contacts and I have to use a special ointment at night. As for my teeth, because my mouth wasn't producing enough saliva which helps clean out the mouth, I developed 13 cavities at once. I don't drink soda, I brush my teeth and floss daily, and rarely eat sweets. When I told my dentist this he asked if I had taken accutane recently and I told him yes. He said that was the problem and ever since I've had to use prescription strength toothpaste and a special mouthwash. If this is your last option then go for it, but understand that any medication which forces you to take monthly blood tests runs the risk of really f*cking you up. And for christ's sake don't take it when you're only 16. It really isn't worth it.
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January 13, 2014
the best decision i have ever made

Pros:

clear skin
happiness!!!

Cons:

dry lips, dry skin, dry hair

i am 21 year old girl and have been suffering from acne since i was 13. by the time i was 17 cystic acne had covered most of my face. those of you who suffer from cystic acne know how painful and upsetting this can be. i tried everything, doxycycline, solodyn, azithromycin, monocycline, clindamycin, epiduo, tazorac, aczone, benzaclin you name it. nothing seemed to work for me at all. my dermatologist had always encouraged me to try accutane, saying it would work wonders for me, but because of all the negative things i had heard about accutane i was too afraid to try it. finally last spring in my junior year of college i lost all hope. when i came home for summer i decided accutane was my only option. I started accutane this august and am almost 5 months in ( i will be done in February). I take 50 mg per day and weigh about 115 lbs. this was the BEST choice i have ever made. my skin is clear of cystic bumps for the first time in my life!! i do have a little scarring left over but nothing too serious (i was afraid i would have terrible scarring). i have never been happier! i suffered some side effects, like chapped lips and dry skin and hair but these were all easily fixable with lotion, lots of aquaphor (for my lips) and deep conditioning treatments for my hair. if you suffer acne like i did CONSIDER ACCUTANE. don't let the negative things push you away from this amazing cure, i seriously wish i took this years ago!
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January 13, 2014
Made me lose hope

Pros:

I was clear when it was over for a short amount of time
Cheap with insurance

Cons:

Severly chapped lips & dry skin
Joint Pains & Headaches
Reoccurring acne after Accutane

So I tried A LOT of different oral anti-biotics and many different topical creams for my acne and nothing was working. I have moderate inflammatory acne and I told my dermatologist I would take anything at this point to get rid of it. She told me that Accutane is my best bet so of course I agreed. I'm only 14 and my mom was very unsure but she allowed me because she thought I wouldn't have to see the dermatologist ever again after accutane. Well, she was wrong. The side effects were awful. I had joint pain, headaches, and my lips were so chapped that people were asking me how I had crazy chapped lips in the summer.. By my last month (month 5 or 6), I was clear and all i had left were scars but that didn't last long. I do live a healthy lifestyle and work out at least 4 times a week and I have to say I do everything in power everyday to try to get rid of these nasty pimples on my forehead and they don't budge no matter what I do. My acne came back harder than I've ever had it. I have bigger cysts all over my forehead and pimples in places I've never had them in before. I wanted to get clear before my birthday in March but clearly that's not possible anymore.. Right now I'm on no pills but do use Acanya in the morning and Atralin at night, which don't work for me anymore. Seeing my dermatologist at the end of this month, praying there's something out there for me that'll actually clear my skin and keep it clear. I've been starting a dairy-free, wheat-free diet with water as my only drinking option and no junkfood. I've tried everything and I'm starting to think I'm going to have acne forever.
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January 12, 2014
Clears up skin but side effects can be v. severe

Pros:

Clears your skin up
Your skin doesn't even have blocked pores

Cons:

Side effects are severe
Can cause depression, irrational/suicidal thoughts
Sore joints (I couldn't run)

I went on Oratane (Accutane) for my stubborn, moderate acne. It cleared up my skin in 3 months (with an occasional pimple) and my skin's redness faded. Apart from the usual side effects, Accutane caused me to have suicidal/irrational thoughts and (being a sprinter this was awful) I was unable to exercise because my joints where so sore. I have been off it for a week and I feel much better. So, in conclusion, Accutane clears your skin up but you just have to think about if the side effects are worth it. Oh and I suggest going on Accutane only if you have tried every other method.
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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.