Accutane (Isotretinoin) comes under a group of drugs called Retinoids. It is a derivative of Vitamin A. It helps to treat acne that does not show a response to other treatment options. It works by preventing sebum production on the face, as increased sebum production causes acne. In untreated cases, it results in permanent scarring.

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I have had acne and blemishes on my face. Can I start using the tablet Accutane?

Query: Hi doctor, I have had acne since I was nine, and now I am 19 years old. I work as a lab assistant, and it is embarrassing to have patients comment on my skin or turn me away because the blemishes on my face make me look even younger than I already am. My acne is not severe, but I have not responded...  Read Full »

Dr. Ashwini. V. Swamy

Answer: Hi, Welcome back to If you are still having acne breakouts, the tablet Accutane (Isotretinoin) would definitely help to control it. Accutane (Isotretinoin) can be started at any age. You need to have some blood work done before taking the tablet Accutane (Isotretinoin). You should do ...  Read Full »

Why do I get small pimples after using Tretinoin cream?

Query: Hi doctor, I was put on a low-dose course of Accutane, and I took it for about 13 months (20 mg). My dermatologist was always going to prescribe cream Tretinoin after the course to help address my scarring or pigmentation. My question is that she prescribed the cream to be used after I have zero spo...  Read Full »

Dr. Barve Vaibhav Saidas

Answer: Hi, Welcome to Thanks for allowing me to treat your skin problem. Please attach good-quality photographs of lesions to make it easy to diagnose and treat the condition. What you are experiencing is normal. Pimples can come and go up to the age of 30 years. Everyone experiences pimples...  Read Full »

Does high-fat meal affect the absorption of Accutane?

Query: Hello doctor, It is said that "oral absorption of isotretinoin is enhanced when given with a high-fat meal." My meal, while on Accutane just has normal fat. Does it affect the absorption?  Read Full »

Dr. Divakara. P

Answer: Hi, Welcome to Yes, absorption of Accutane (Isotretinoin) is enhanced with a high-fat meal, but it does not keep increasing with an increase in the fat intake. So, if your diet contains a moderate amount of fat, it is enough for the absorption of Accutane.  Read Full »

Will Accutane help to treat acne breakouts?

Query: Hi doctor,I am currently on Accutane for adult acne. I am 30 years old and have been on low dose birth control since I was 16. I need to go off the pill, but I am so terrified of the post-pill acne. My skin is finally good after 30 years, and I do not want to go back to dealing with horrible skin. ...  Read Full »

Dr. Chaitra. P

Answer: Hi, Welcome to Accutane (Isotretinoin) alone can control your acne well. Birth control pills are given to avoid pregnancy while on Accutane treatment. If there is no sexual activity, contraceptive pills can be safely withheld. However, it is very important to understand that Accutane ca...  Read Full »

Why are there cyst-like bumps on my eyebrow?

Query: Hi doctor, I have an infection in my eyebrow, causing cyst-like bumps and redness. It was accompanied by dry skin and flakiness. It seems to come and go. It has been an ongoing issue for over a year now. This is the worst it has ever been, and I pretty much have no eyebrow, just red bumps instead. ...  Read Full »

Dr. Shama Naaz

Answer: Hi,Welcome to you have a greasy scalp?Is there any pain over the area of hair loss?Do you get pus-filled lesions, and after that, you experience hair loss from your eyebrow?  Read Full »

Can stopping Accutane cause hair sideefall?

Query: Hello doctor,I have been experiencing hair loss since I stopped Accutane 4 months ago. I feel my hair has reduced in thickness significantly. Will my hair grow back, or is it irreversible.  Read Full »

Dr. Suvina Attavar

Answer: Hello, Welcome to Hairfall and hair thinning are two different issues. If you see more than 100 hairs falling per day, then it requires treatment, and this kind of fall is usually reversible. With the right treatment, hair will regrow. The causes for this could be nutritional deficien...  Read Full »

Why is my skin bumpy after stopping Accutane three months back?

Query: Hi doctor, I was taking Accutane 40 mg for ten months. Now I have stopped taking it for three months. After stopping it, I seem to have some small elevated bumps in my skin.   Read Full »

Dr. Subhash Kashyap

Answer: Hi, Welcome to Isotretinoin is the best drug of choice for acne vulgaris. You have taken it for ten months and it is a too long time. Young-aged people are more prone to develop acne vulgaris. It is good to use Accutane 40 mg daily for three to four months. After that, it can be s...  Read Full »

I have a hard ball-like lesion on my skin. Please help.

Query: Hello doctor, For the last seven years, I have very hard round white balls type lesions on my skin. They spread and the area will not heal until the ball is extracted. It has ruined my face. I used to get regular acne whole of my life till about seven years ago. There used to be some cystic acne, bu...  Read Full »

Dr. Chaitra. P

Answer: Hi, Welcome to You seem to have a nodulocystic type of acne. Kindly provide more details of your treatment taken previously, especially of Accutane (Isotretinoin) and the duration. Revert back with the details to a dermatologist online -->  Read Full »

Whenever my wife took Ambien and Accutane together, she had alcohol-like breath. Why?

Query: Hello doctor, My wife has taken Ambien 5 mg, once or twice a week to get to sleep after a difficult day at work. She used to take the 5 mg without any problems, for almost a year. A couple of months ago, she started a course of Accutane. At first, she took 20 mg per day, now it is down to 10 mg per...  Read Full »

Dr. Saraswat Kumarshri Shriniwas

Answer: Hello, Welcome to The symptoms are most likely due to an interaction between Accutane (Isotretinoin) and Ambien (Zolpidem). This could increase the levels of Ambien in the blood immediately after taking it. The symptoms are highly suggestive of an allergic reaction. She could either be ...  Read Full »

Can Accutane cause scars on the skin?

Query: Hello doctor, I used Accutane from 17 till 25 years on and off, it was always good. So 6 months ago I tried for 12 days Accutane and I saw after 2 days appearing scars on the skin for no reason. I did not have acne. It was for my hair that was alway very shiny. So I stopped ofcourse the Accutane an...  Read Full »

Dr. K. Shanmuganandan

Answer: Hi, Welcome to I went through all the reports and the image (attachment removed to protect patient identity). I think you are correct. There is a high possibility of drug induced effect that is Accutane induced scarring. In addition there is evidence of drug induced lupus. Though the...  Read Full »

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