Isotretinoin (Accutane®)
Read All About Isotretinoin (Accutane®)
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5
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4
34.1%
3
15.3%
2
7.3%
1
6.2%

Used Isotretinoin (Accutane®)? Rate It:

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March 4, 2018
Accutane and initial breakout
My doctor prescribe me accutane 20mg a day as i am having severe acne, its an end of 2nd week and i am experiencing initial breakouts dnt know why my doctor prescribe me this for 20 days and call me again for checkup, Is really accutane works?? coz m still having breakouts every new fay with a new pimple on face
March 2, 2018
Accutane
what are side effects if taking cold medicines or drinking alcohol ocassionally?
April 29, 2018
From what I have read, cold medicines and alcohol are metabolized in your liver and so is Accutane. So you're just making it work harder. Many people have also said they get drunk faster and on less alcohol while on Accutane. I honestly would say it's ill-advised to drink while on Accutane but you do you. I personally decided not to drink while on Accutane. I also figure most drugs have some metabolic process in the kidneys too and I want my liver to work with my kidneys as much as possible. My liver and I have this loving relationship because I want it to stick around and it has more documented medical functions than the human brain.
February 24, 2018
Changed my life
I live in the UK and went on Roaccutane 30mg for 5 months in early 2016. Did LOTS of research and convinced my doctor that i wanted to try it. Now February 2018 and i don't know why I spent 10 years of my life dealing with acne when I could have changed my life so much earlier.. Best decision I ever made and I pray that the effects last. In terms of health, I am quite sensitive and was worried about the side effects, but after watching lots of youtube videos I decided the risks were worth it for me. The only side effects I got were: 2 nosebleeds and dry lips (to the extent that i couldn't wear lipstick for 5 months) - these are side effects I was grateful for as I know it could have been a lot worse. All I have to say is, don't let everyone's reviews below discourage you from trying it, because lets be honest no one has the exact same experience. if after a few weeks you aren't feeling it you can always stop and tell your doctor. I say it's worth a shot, especially if you end up feeling as happy as i do now.
February 19, 2018
If I could give it zero stars, I would
Taking Accutane was a HUGE mistake! I took it because I had been battling acne for over a decade. I did not have cystic acne but my face was always full of pimples and some were quite painful. The entire month and a half I took it, I was severely sick to my stomach. I missed several days of work and could not keep any food down. I also developed the largest pustules I have ever had in my life. The only acne scars I have on my face are from the breakouts I had while on Accutane. It still upsets me, over a decade later, that i could have been scar free if I hadn't taken this drug. I also believe my immune system was severely compromised from taking Accutane. I got terrible colds the following 2 winters in a row that I had a terrible time fighting off. Prior to taking Accutane, I would only get minor colds in the winter. If you are a female with hormonal acne, I highly recommend trying Spironolactone first. 50mg 2x a day has kept my skin clear for 9 years now. Absolutely nothing else worked for me except Spironolactone. I know that some people with cystic acne do have success with Accutane. But it was a horrible nightmare for me. I recommend females try Spiro first before resorting to such a damaging drug as Accutane. Unfortunately, guys cannot take Spiro due to side effects in the male body.
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April 6, 2018
I’m doing great on low dose Accutane! It has cleared my skin with few side effects. It has also reduced my sebaceous hyperplasia. Maybe you were dosed too high...
January 14, 2018
Side effects were manageable for me
180lb male age 23 duration: 214 days (~7months) dose: 40mg for 2 months, 60mg for 1 month then 80mg for the remaining months, respectively. I paid about $20 a month after bcbs insurance covered most of it. before isotretinoin: applied chapstick 2-3 times daily applied lotions only to elbows and feet during the winter eyes almost never dry easily complete an hour weight lifting workout with energy to spare during isotretinoin: -apply lip moisturizer up to 10 times a day, and even waking up in the middle of the night to do so -apply lotion at least once a day or get rashes -dry eyes in the evening sometimes made it difficult to read -nose was very dry, almost never had any moisture -my face flaked dead skin -any minor cut seemed to be redder than normal and take longer to heal -lifting weights became a little more difficult due to some joint pain, and feeling fatigued more easily; cut workouts to 30-40 min -**i got probably 50% more acne than i originally had during the first 4 months of my treatment** When it finally got into the summer time all the dryness related side effects reduced and made me significantly more comfortable I never got any sunburn, but only because i put on LOADS of sunscreen and avoided the sun whenever possible. i stopped treatment 8 months ago and i've had maybe a dozen pimples since. i still have some light acne scarring but i am treating it successfully with hydroquinone. all the side effects are back to normal. Thankfully nothing has been permanent. Overall I'd say it was worth it
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April 6, 2018
This med works! I use low dose.
December 25, 2017
Roaccutane UK 2017 May - Dec, male.
Male 34 Roaccutane 20mg x 2 months, 30 mg x 2 months, 40mg x 4 months. Ok, just the facts. Had very oily and skin and custic acne. I tried benzoyl peroxide 10%, differin, treclin, isoxtrein, tetralysal, epiduo, and most of the over the counter medicines Side effects. 2nd day very bad headache, though it went away and never had one agiain I cried at work once when my tablets went up to 30mg on the beginning of month 3, I wasn't sad at all. Just stared crying, I was totally fine after about 5 minutes... and I never got that again. I got slight eczema on my forearms but that went away instantly with moisturizer. That's it. Nothing else happened, my cholesterol went up a bit, but not a problem. My skin started to get better straight away no real initial breakout. My skin got dry and looked not very good for about 10 days on week 2 but then it just got better and better. At the end of the course I look almost perfect and havent had any spots for like half a year, I have been on it for 8 months. No hair loss, no depression, no suicidal thoughts, no blood in toilet, no bowel problems All this is purely my experience. Please make your decision carefully. I am happy to answer any and all questions X
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December 23, 2017
Definitely worked but with side effects.
I started isotretinon when my whole face, especially cheeks were full of very painful, large cystic acne. I noticed difference in 30 days itself. And in the next 20 days, I had only small pimples that would last 3-4 days and then go away. I did not use it more than 50 days. Reason: it damaged my liver. It increased my ALT/AST levels by almost 8-10 times the normal. Before I got the liver function test done, I was going through a horrible condition. I would sleep almost 14 hours a day, and yet I felt tired and struggled to stay awake in the remaining hours. I had started dreaming excessively, could barely concentrate while studying and felt depressed too. I was able to make the connection when I stopped the pills and within 4-5 days I felt very active, would sleep 7-8 hours, and felt lighter and happier. These pills are no joke. They work, but if you must use them, then educate yourself about the side effects and ask your doctor how you can minimise the side effects. I do not think there has been any long term side effect for me (my liver test came normal after a month of quitting the pills).
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April 29, 2018
Did you take it with fatty foods? or drink alcohol while taking it? Were you on other medications? Did you drink enough water while on it? Do you have a family history of liver or kidney problems?
December 14, 2017
Accutane Will Change Your Life!!
I'm going to write a very detailed review, but I'll summarize quickly: Accutane worked for me, but there were lasting side effects. I would encourage anyone considering the medication to do their research and really weigh out whether their acne is bad enough that risking long term side effects would be worth it. For me, I was 32 and my cystic acne had been ruining my confidence for over a decade. It was so worth it. The first month or so on Accutane, I experienced "flushing," i.e. redness and heat of my face, and a rough texture. Everything started to get dry, especially my lips. My acne began to clear almost immediately, which is NOT typical, and in fact I've read that some people don't see results until well AFTER they've completed their treatment! The second month, these side effects continued, as well as new ones: I'm really active in strength training and mountain biking, and I noticed a lot of pain in my lower body joints, especially my right hip. My hips were popping a lot. This was really discouraging, I didn't want to stop working out, but I really had to tone it down. When I had minor crashes on my mountain bike, they HURT and I bruised badly. My lips peeled constantly, I sweat more than usual and had hot flashes. Third month, I had blood with a bowel movement. Bright red, horrifying blood. I saw a doctor immediately, as is indicated by the warnings on this medication, because intestinal diseases are a potential side effect. Luckily, it turned out to be an internal hemorrhoid, and the tissue thinning that happens with Accutane just exacerbated the condition, so I was able to continue my course safely with no recurrence after I finished my course. I finished about five and a half months of the treatment, and here's the end result: I rarely break out, and when I do it's nothing compared to my old acne. My skin and hair are less oily. It's wonderful. The downside is that the flushing I experienced early in my treatment turned out to be a long term effect of Accutane; I now have mild rosacea that needs to be treated with a topical to keep my skin clear and smooth. No big deal. The worst of my lasting problems is my hip: Both hips still pop frequently and I think I caused a chronic hip injury by continuing to stay active through the discomfort while I was on the drug, though it's not anything that keeps me from physical activity. BUT it's important to note that I have had issues with my lower body joints for years, so I do not believe this would have happened if I weren't prone to such problems to begin with. I have read lots of reviews from people blaming Accutane for conditions as severe as fibromyalgia, and I'm not buying it; based on my personal experience, I believe that Accutane can exacerbate pre-existing conditions, but I don't think it's likely to cause new ones. Most of the complaints about Accutane "causing" new conditions that I have read are from people who began Accutane as a teenager, so I think it just seemed like the drug "caused" their condition, but in reality they were probably just asymptomatic at that time because of their age. Which brings me to my second disclaimer: I would personally not recommend this drug for anyone who isn't fully grown. I'm frankly shocked that a drug with such severe potential side effects is prescribed to kids who may very well grow out of their acne in a few years! So again: I urge you to find a doctor who isn't willing to used Accutane until you've exhausted all other options, and who seems knowledgeable about potential side effects. Even then, do your own research and decide if it's worth the risk. If you do start Accutane, STICK WITH IT even if you don't see immediate results! It was worth every miserable second for me to be rid of my embarrassing acne for good.
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December 5, 2017
Meh so far... help?
I'm on my 45th day of accutane treatment of 30mg a day. My acne has been breaking out worse than it ever was before, but otherwise I am experiencing basically negligible side effects. Slightly dry lips, but that's it. Is my dosage too low? Is that why my breakout is so prolonged? I'm 19, 60kgs.
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January 23, 2018
Breakout should completely stop by month 3. Yes you need 60 mg for a full recovery. Good luck
November 25, 2017
Accutane changed my life :))
Have read so many reviews on Acne.org and visited the site so many times with the hope of finding a cure to Acne. I had promised myself that if I did find something that worked I would definitely post a review, so here it is! I had suffered from moderate to mild but persistent acne for 3 years. It started when I was around 16. It was such a confidence killer for me and made me extremely concious. I tried everything there was to try- from all sorts of cream to face washes, home cures, face packs. But nothing just seemed to work. 3 years later I decided to go see the dermatoligist for the second time. That's when he prescribed me accutane. Another dermatoligist had prescribed me accutane a year back but I did not take it then as the huge list side effects scared me. My biggest regret would be not taking it then. :( So I started Accutane with a lot of enthusiasm and optimism. My skin was pretty much the same for 2 weeks then it detoriated a little for the next 2 weeks. My face was all red and disgusting. And then everything changed completely. Waking up every morning and seeing my skin get better everyday was the best feeling in the world. My skin was mostly clear after a months time and now after taking accutane for 6 months, it is completely flawless. People really underestimate how good a clear skin feels. I feel confident and happy. I feel like myself after such a long period of time. Not worrying about your skin and how you look all the time is so liberating. I remember when I had acne, I would constantly keep looking myself at the mirror to see some progress and try a thousand things everyday. Accutane changed my life and I really would reccomemd it to everyone. I had my apprehensions, but now that I have seen the results I only have one regret- I wish I had taken it before! Nevertheless grateful... So if there is anyone with Acne who has lost all hope and is reading this, please please please give Accutane a try, it is worth it. As happy as I am with my skin, there is this one big fear- what if my acne returns when I stop with the medication.. One can only hope it doesn't ! :)
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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.