Isotretinoin (Accutane®)
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Side Effects

Isotretinoin is a vitamin A derivative called a retinoid that is taken orally and is approved only for severe acne. It is thought...

Isotretinoin is a vitamin A derivative called a retinoid that is taken orally and is approved only for severe acne. It is thought to clear acne primarily through its ability to permanently reduce skin oil (sebum) production.

Isotretinoin is available in capsule form and is usually taken twice a day. Your physician will prescribe an initial dose, and this dose may increase or decrease depending on the response to treatment and side effects.

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October 24, 2008

Pros:

My oily skin is gone! My oily hair is gone! And no more blackheads!

I could'nt fit this anywhere else. Has anyone else had alot of ringing in there ears? This happens to me once or twice everyday. I dunno about it.

Cons:

I know there is a lot of side effects to Accutane but I really have'nt had any, all except the dry lips and a lil flaky skin.

If your afraid to try Accutane, just DO IT. Don't freak about the stuff you read. Just trust your doctor.

I've been on Sotret (a generic brand of Accutane) for 1 Month, 1 week and 1 day :]] so i don't think that my review would be helpful or not. But, if i've only been on it that long and my oily skin is GONE, then just think how pretty my skin will be once my treatment is over. I'm on 20 mg per day, but i'm going to ask my doctor if she'll up it to about 30. I have pretty moderately severe acne. I get cysts every now and then but i'm not breaking out as much as i was since i started and i'm only 15 years old so it was a real social killer to have bad skin like mine since i'm in highschool. I've had two friends who have taken it and there skin looks awesome. I don't pay a butt load for Sotret, its 409$ with out insurance but i only pay 5$ for it YAY! If your thinking about taking Accutane or a generic of it, DO IT! Its working for me so far! What to use? Buy Aquaphor Healing Oinment it really helps my lips. Use Purpose gentle cleansing face was :]] Good luc
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October 23, 2008

Pros:

It will clear your skin!

Cons:

can have sever side affects, (nosebleeds, dry skin, SEVERELY dry lips, depression, anger, liver problems, etc...) but not everyone will experience all the side affects. i just got the nosebleeds and dry lips.

accutane will work (at least it did for me) if you stay on it for the time you are perscribed to it. My friend cut it off after the 4th month of his 6 month treatment and it came back. i stuck it out and stayed on my treatment, and my face is perfect. bottom line....its a tough treatment, but i think its worth it to have your face FINALLY clear of acne.
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October 23, 2008

Pros:

It works...

Cons:

dry lips, nosebleed

i wish i had taken this medication much earlier.. my prescription is 20mg a day for a year... i'm nearly on my 5th month now... those cystic acne is finally coming out... it looks like this med pushes the junks out of the skin... and those white heads and blacks heads stopped forming.. very happy with the results.. doctor said.. it's gonna get rid of my acne forever.. i doubt it.. but i hope for it
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October 23, 2008

Pros:

did clear acne !!finsihed course,, a few days ago!!skin looks better compared before acne.

Cons:

Leaves red marks behind!!great memeories of the acne torment.Mood swings , depressed a lot !!chapped lips

works quite well, leaves red marks, leaves you with attitude problem for a while !!worth it I suppoose
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October 18, 2008

Pros:

I have been on it for twenty days now and have definitely noticed a huge improvement. I've had acne off and on for over fifteen years and am hoping that this fixes it for good...So far it's looking promising...

Cons:

DRY lips (use Aquaphor) dry skin (use moisturizer), fatigue (minimal for me), dry eyes (use lubricating drops).

Too early for me to say for sure, but so far I'm seeing results and the side effects have been tolerable. I'll give additional feedback after I've been on it for a few months. I pray that I don't get the deep cystic acne that others reported as they progressed through....
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October 18, 2008

Pros:

Very affective on my acne. It took a good 4 months before I saw the benefits but now my skin is great. I've only been off for about 2 months so I'm not sure how long it'll last. but over all a great product, I wish I had tried along time ago.

Cons:

definately makes the skin dry, however, I had no big problems, other than carrying chapstick 24/7 it wasn't that bad.

I've seen alot of bad reviews, but in my experience it worked great.
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October 13, 2008

Pros:

My skin is usually extremely oily, but after 2 month of treatment it is dry and no longer appears shiny. My acne reduced noticeably in the first month but I am having a large breakout currently, hopefully this will go down soon.

Cons:

Dry cracking lips and dry skin on hands and feet

This product is definitely having an impact so far and I'm excited to see where it goes in the future. I'm on 100mg a day and my doctor's going to boost it to 120mg's a day at the next appointment as long as there are no severe side effects.
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October 8, 2008

Pros:

works, but be patient even when breakouts occur and feeling/thinking it won't ever clear up

Cons:

dry skin/nosebleeds/pain in back

i had a massive breakout in my 3rd month and now in the 4th month all clears up very slowly, just little red marks waiting to clear up which my derm has told me it will, but will take another 6-8 weeks pls be patient and carry on with treatmeat.
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October 7, 2008

Pros:

Hopefully acne will go. No oil on face. Black heads have dissapeared.

Cons:

Very sore lips, skin prone to bleed with minor abraisons, facial hair.. soft but still there.

Ive been on the drug for 3 months and after the first month I saw a difference. Its the 3rd month and my face has been having a big breakout of very deep, very painful acne. Perhpas i need to drink more water! Not to sure about slight fuzzy face either and have been having lower back pain. Also some chest pains... Putting it down to isotretinoin. Im on 60mg a day. Have been since day one. On a four month course. Really hope it goes away... probably doesnt help from picking/sweezing... bad bad habit. If anyones had a relapse/breackout after being on it Id be inteerested in knowing. Got to prepare for the worst right?
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October 5, 2008

Pros:

immense , if you wnat to get rid of acne take this !! wonder drug.Gives you so much confidence, thanx for accuatne!!

Cons:

minor efects , dry lips, you can live withis easily.

comoing to the end of a 6 month course , on 40mg a day and I am the happiest I have ever been. CLEAR SKIN YES!!!
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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.
Find a Doctor Using The American Acacemy of Dermatology Website

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.
Find a Doctor Using the American Society of Plastic Surgeons Website