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
November 16, 2008

Pros:

its KILLZ! your acne.

Cons:

dry skin and hair and i had a little rash but nothing serious.
chap stick=life for your lips.
if u dont hav insurance its expensive.

AMAZING!!!!
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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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September 29, 2008

Pros:

I had this a few years ago, I took it for the entire length prescribed by my dermatologist. It completely got rid of my acne

Cons:

Had to get regular lab tests for liver and see my dermatologist regularly. Also noticed some dryness

If i had acne, i'd recommened everyone to try this as I believe this is a miracle worker :)
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August 12, 2008

Pros:

Got rid of acne -- for most part.

Cons:

Extremely dry lips. I wear contacts so I got dry eyes somtimes as well. Can't drink alcohol. Still get decent amount of facial acne.

Stuff is great. I had horrible acne on my back and shoulders -- whiteheads all over. I had some pretty bad acne on my face as well. I took acutane and it was great. I have no more bacne or acne anywhere except face. I didn't get any of those crazy side effects. The only problem is that I still get acne on my face a decent amount. Most of that is from laziness though, as I don't follow the greatest cream treatment (SA-BP). When I do though, I hardly get anything. I totally reccommed this product as long as your healthy (not depressed). I don't know where I would be without it.
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July 28, 2008

Pros:

i had mild acne but either way :
gets rid of pimples
reduces sebum oil production, inexpensive.

Cons:

dry skin and lips
sensitive skin and im on a second dose now because my skin became very oily and i got TINY pimples so yeah im taking a second dose of sotret for another 2 months

i had a mild case of acne but and started using it in october 07 till december 07, benefited , but like i said skin became oily again, i dont know why that happened but yes :S , so now its end of july 08 and i will continue treatment till september 08. hopefully ill be oil.pimple.scar freee , cant waiiiiiit :D ! Oh and in india since everything is like super cheap i am paying only 3.8 dollars for 10 pills. so yeah thats pretty insane :D
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July 20, 2008

Pros:

-Clears skin up within 6 months for most
-Acne usualy never comes back
-Confidence

Cons:

-I have had one nose bleed so far
-Cost
-More moody

150 per month for derm visits, I dont have to go every month. The pills costed me like 10 bucks though. I have been using for almost 2 months and a half now and there my acne is now very mild, though there is a lot of scarring. Mederma should solve that though xD. It's VERY good I recomend this. You will be good looking again.
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June 9, 2008

Pros:

been on a month , skin looking a lot lot better, hope to have clear skin by end of month

Cons:

dry lips and eyes, well worth it

take it if you have acne!!!
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May 8, 2008

Pros:

Takes about 2 months 2 c results kickin in.

Cons:

Chapped lips. Dry skin. Soreness in knees and middle of back. U can scar easier and takes a while 2 heal.

Best acne killer available. Been on it 4 4 mos. Ok. I'm a guy and b4 I started my acne was horrible 2 the point where I couldn't look at myself in the mirror and had 2 put on concealer. Which isn't ez 2 say comin from a guy. But it didn't do much because they were huge, red, painful, and were impossible 2 cover up and I could tell ppl can notice and that's the worst feeling. When u try talkin 2 ppl and instead of lookin at u they're starin at ur zits. Its very depressing cuz I didn't feel normal. I felt like I was Quasimoto or sumthin. Well I'm happy 2 say that I no longer feel like that. Its such a great feeling goin out in public and not feelin insecure about urself. And I still got 2 more mos left of medication 2 take. And best of all. No more concealer! Here's my regimen: I take 1 pill once in the morning. I wash my skin with gentle cetaphil cleanser 4 all skin types. I then moisturize with spf 15. Cetaphil. I bathe with dove body wash 4 gentle skin. I use regular aveeno m
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May 2, 2008

Pros:

Fresh, bright, smooth - wonderful skin! Makes me feel like a "real person" one who isn't afraid to face people and talk.

Cons:

Dry lips, itchy skin, long course of medicine, multiple sets sometimes necessary. I get headaches, but they are manageable.

I'm middle aged, with very embarrassing cystic acne. This product helps me see how "grown ups" must feel - getting up every day without zits! Although this is my second session of Accutane in 5 years - I love the results. My son took it and hasn't had a recurrence in those 5 years. The hardest part for me? Not stopping every person with acne to convince them to use it!
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April 10, 2008

Pros:

- cleared up my skin, complexion amazing
- hair is not as greasy, can wash hair less often!
- more self confidence, less makeup

Cons:

- joint/heel pain/stiffness, not being able to go to the gym
- dry, peeling, red lips
- nasal dryness/bleeding

go for it...this is as close to a cure for acne that exists...there are some side effects...but it definitely works..i have general/annoying acne that is continuous from age 16 (I'm 25 now)...and nothing helped/worked...wasted so much time/money/grief/pain/stress over my acne...accutane took all that away...for ME the benefits totally outweight the risks.. :)
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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.