Treatment FAQ

after accutane treatment what do dermo reccomend doing

by Josiah Hickle MD Published 2 years ago Updated 2 years ago

While on Accutane, your skin becomes extremely sensitive, therefore limiting the types of products you can use within your skincare routine. Think: a gentle cleanser, hydrating moisturizer, and a facial sunscreen with at least SPF 50. Post-Accutane, your skin should be pretty low-maintenance, but it may take some time to adjust.

Full Answer

Why should I see a dermatologist before taking Accutane?

For these reasons, it’s essential that patients partner with a dermatologist when utilizing a treatment option like Accutane. Patients will be closely monitored when first starting the medication by their doctor, and they may need to adjust other medications to avoid complications.

Can acne come back after Accutane treatment?

Most patients are free of acne after 4 to 6 months of treatment. But can acne come back after accutane? The unfortunate answer is yes, some people will have a relapse after taking Accutane and the long term cure rate is actually a lot lower than what people expect.

Do I need a second course of Accutane?

So if you took Accutane and your skin cleared up, but then you still get regular pimples afterward - don't panic - it's probably just something in your diet or lifestyle that needs to be tweaked. You likely don't need a second course.

What skincare products can I use while on Accutane?

While on Accutane, your skin becomes extremely sensitive, therefore limiting the types of products you can use within your skincare routine. So or the past six months or so, I’ve been sticking to a gentle cleanser, hydrating moisturizer, and a facial sunscreen with 50 SPF.

What to use after finishing Accutane?

Zenovia: After getting off Accutane, it's very important to continue being diligent about skin care. Incorporating an effective spot treatment, lightweight moisturizer, sunscreen, and retinol into your routine will help keep the skin balanced and healthy.

How do you take care of your face after Accutane?

Maintaining Clear Skin After Treatment: Think: a gentle cleanser, hydrating moisturizer, and a facial sunscreen with at least SPF 50. Post-Accutane, your skin should be pretty low-maintenance, but it may take some time to adjust.

What to do if you get acne after Accutane?

For most people, acne does not return after Isotretinoin has been discontinued. However, you may still experience the occasional spot. Try to use skin cleansers and moisturisers that are non-oily. Use skin care products that are labelled 'non-comedogenic'.

How long does it take for skin to go back to normal after Accutane?

After 1-3 months, you should see your skin becoming clearer. From 4 months onwards, isotretinoin will continue to block acne formation. The usual duration of therapy is 4-6 months. Isotretinoin continues to work for up to 2 months after your last intake.

When do you start retinol after Accutane?

1-2 monthsAnswer: Accutane and Retin-A I typically restart topical tretinoin 1-2 months after a patient completes the Accutane treatment, if desired. Applying a pea-sized amount to the affected areas of the face every other night is a good way to start, increasing to nightly application as tolerated.

Do you still get pimples after Accutane?

In some cases hormonal acne does not even respond well to treatment with Isotretinoin (Isotretinoin/Accutane). Hormonal acne is more likely to come back after a course of Roaccutane (Accutane) has successfully cleared it.

What are the chances of acne coming back after Accutane?

A dermatologist's take: As Dr. Gohara said, very few (five percent, if she had to guess) of her patients go on Accutane a second time, while the vast majority never see a major breakout again. Again, your results will vary, but rest assured most patients see life-changing improvements with a course of isotretinoin.

Why do you have to wait 6 months after Accutane?

It is generally best to avoid any procedure that causes trauma to the skin while taking Isotretinoin. Therefore it is best to wait at least 3 to 6 months until after you have completed the course.

How do you prevent relapse after Accutane?

To prevent relapse in patients with acne using oral isotretinoin, it is of great importance to continue the treatment until complete clinical improvement, and extend the treatment for at least one more month regardless of the cumulative dose. Relapse may also occur with younger age and macrocomedone-type acne.

Does skin improve after Accutane?

Isotretinoin has a great advantage over antibiotics, in that four to five months of treatment usually leads to marked clearing of the acne and acne scarring. These improvements in the skin continue to occur, even after the Isotretinoin is stopped.

What are the long term side effects of Accutane?

The more serious side effects of isotretinoin can have long-term or permanent effects. However, apart from increased cholesterol and joint and muscle problems, these side effects are all quite rare....Joint and muscle problemsnew back pain.new joint pain.broken bone.

Does oily skin return after Accutane?

Usually the skin oiliness does return, but may not completely return to the degree it was before. Most patients find this is an additional benefit of the treatment.

How Does Acne Develop?

Acne is the inflammation of the pilosebaceous unit —the part of your skin made up of the hair follicle and oil (sebaceous) gland. Its most common triggers include stress, hormonal changes, medications, poor hygiene, bad food choices and many others. When any of them is present, the following chain of events may occur:

How Do BHSkin Dermatology Specialists Get Rid of Acne?

BHSkin Dermatology physicians have a vast anti-acne arsenal, which includes the following:

How Does Accutane Work?

Accutane is a brand name of oral isotretinoin. It works at the genetic level to:

What Should You Expect When Taking Accutane?

Oral isotretinoin treatment is highly effective against acne and a myriad of other skin problems. But many find the experience uncomfortable or too restrictive. Here, we rounded up the things that you can expect when taking this medication.

Will Your Acne Come Back After Accutane Treatment?

Acne disappears completely after one treatment course in about 85% of patients. The rest need a second course. The period of remission takes years for most.

Does Accutane Make You Gain Weight?

Accutane changes your body’s lipid composition, but there is no clear link between weight gain and intake of this drug.

Should You Take Isotretinoin for Mild Acne?

Some cases of mild acne may be treated right away with this medication. You may discuss it with your dermatologist. Generally, it will require a low-dose or alternate-day dosing regimen.

Registration in iPledge Program

Females – Registration occurs at your office visit, at the time of signing consent forms, taking a pregnancy test, and receiving contraceptive counseling.

Monthly Lab Tests

Obtain fasting labs (nothing by mouth except water for 8 hours prior to test) 1-2 days prior to monthly visits.

Filling Your Prescription

After notification of normal test results (including two pregnancy tests over 30 days for females), the first prescription is sent to your pharmacy. Insurance authorization may be required prior to filling your prescription.

What to Expect

Monthly labs and medical visits for an approximately six- month course Accutane treatment.

Tips for Improving Effectiveness and Minimizing Side Effects

Discontinue all other acne medications, including over-the-counter creams and washes.

What is the role of microbes in acne?

While a lot of factors contribute to acne formation, this microbe is thought to play a critical role by proliferating within your pores and producing a whole array of factors that cause tissue damage and inflammation.

Does Accutane help with acne?

But before you consider this treatment, it's important to understand what it does to the skin. "Accutane helps to reduce the number of C. acnes on skin, but they can creep back up over time,” microbiologist and scientific advisor at Ellis Day Skin Science Dr. Laura Marinelli shares with InStyle.

Does Accutane make acne worse?

And the thing about Accutane is that it typically purges everything out of your skin first before it begins to work, essentially meaning that your acne is going to get worse before it gets better.

How long does it take for Accutane to be removed from the body?

When taken in appropriate doses, Accutane is removed from the body within nine days and has no long-term health effects.

How long does it take for Accutane to work?

How Does Accutane Treatment Work? Accutane is an oral, prescription medication that is typically completed over a course of six to nine months, depending on the patient’s acne improvement and total dose of the medication administered over time.

What is the name of the medication that is used to treat acne?

What is Accutane (Isotretinoin)? Accutane is the brand name that most people use when referring to the oral acne medication isotretinoin. Isotretinoin is a derivative of vitamin A, which naturally occurs in our own bodies.

How many people see acne clearance after isotretinoin?

Studies indicate that about 95% of patients who complete their prescribed isotretinoin treatment will see clearance. Of the 5% who do not achieve their desired result after one course of treatment, 50% are able to achieve acne clearance after a second round of medication.

How long does it take for a patient to get their liver checked before taking Accutane?

It is currently recommended that patients who are initiating treatment with Accutane (isotretinoin) should have their liver and cholesterol numbers checked prior to starting, 1-2 months into starting, and anytime there is an increase in the dosage of the medication during their treatment course.

Is Accutane safe for long term?

Many patients have limited side effects from this medication, and your doctor will discuss those with you prior to treatment. Accutane is a safer and more effective long-term option compared to the use of antibiotics and other acne medications.

Is isotretinoin good for acne?

Fortunately, the physicians at U.S. Dermatology Partners commonly prescribe Accutane (isotretinoin) for the treatment of those patients with acne ...

Can you exercise while on Accutane?

Unless told otherwise by your physician, it is OK to exercise normally while on Accutane.

Can you give blood while on isotretinoin?

No, it is not advised to give blood while on Isotretinoin. When donating blood it is not certain where your blood will go. If a baby or pregnant woman receives your donated blood, they may be exposed to the isotretinoin and its potential adverse effects.

Can you use sunscreen while taking Accutane?

This is the best way to protect yourself from the sun and skin damage, regardless of Accutane use. Since your sensitivity to the sun can be heightened while taking Accutane, it is suggested that you use sunscreen consistently and correctly while taking this medication.

Can you take vitamin A while on Accutane?

In general, we recommend patients avoid Vitamin A while on Accutane therapy. Your body is already receiving a large amount of this vitamin with the medication, and too much Vitamin A can cause increase your chances of dry skin and other side effects.

How long does it take for acne to go away after accutane?

Most patients are free of acne after 4 to 6 months of treatment. But can acne come back after accutane?

What factors determine if you will relapse after taking Accutane?

The factors that determine if you will relapse after Accutane: The severity of acne. Age of the patient. What food or drink Accutane was taken with. Dosage size of Accutane and length of the treatment. The gender of the patient. Whether or not the patient was on anti androgen treatment.

How many relapses are there after taking isotretinoin?

Accutane relapse rates in patients with acne after treatment with oral isotretinoin vary between 10% and 60%. In lower-dose treatment groups the acne relapse rate is around 47% compared with 27% in the high-dose group. So, in some cases, relapse rates can be quite high, and in other cases, they are quite rare in a several-year period.

What is the best treatment for acne?

Accutane (isotretinoin, Roaccutane, Claravis, etc) is one of the world’s most commonly prescribed acne treatments. A lot of people have turned to Accutane to clear their severe acne or acne that has been resistant to other treatment methods.

Why is isotretinoin used for acne?

One explanation might be due to the fact that isotretinoin is now used to treat patients with less severe acne. These cases respond extremely well, and then patients expect to remain clear, whereas the initial cohorts of patients had severe disease and were less concerned by the resurgence of a few spots.

Can you relapse after taking Accutane?

However, while Accutane is not always a sure thing solution, and relapse after Accutane may occur (it is usually less severe), it does offer patients a much longer remission time than other treatment options available to them, sometimes several years.

Can isotretinoin be taken on an empty stomach?

As the oral bioavailability of oral isotretinoin is variable and highly dependent on administration with food, it's likely that earlier relapse may occur if patients often took isotretinoin on an empty stomach, thus leading to lesser actual cumulative drug exposure despite the daily dose administered.

Answer: No ablative procedure within 6 months of Accutane

Isotretinoin, or more popularly known as Accutane can make the wound healing process quite unpredictable and placing you at higher risk of hypertrophic scarring. Therefore no ablative procedure such as chemical peel, dermabrasion, laser resurfacing is advisable within 6 months of Accutane.

Answer: No, Dermaroller can't be used after Accutane

I do not believe there is anything in our Dermatology literature regarding the use of the Dermaroller after Accutane. However, I would wave a large yellow caution flag to this idea. Logically, this causes trauma to the skin and induces a healing process. Skin does not always heal normally for 6-12 months after Accutane treatment.

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