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

What are the benefits of using tablet Accutane for acne issues?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At October 13, 2022
Reviewed AtSeptember 22, 2023

Patient's 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 to any prescribed topical treatment, and I am getting tired of treatments breaking my face out even more. Would it be too far to start considering the tablet Accutane?

Hi,

Welcome back to icliniq.com.

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 prompt monthly monitoring with monthly blood work. Discuss tablet Accutane (Isotretinoin) with your Dermatologist. Let me give you some information regarding acne. Acne is a disorder of the pilosebaceous unit, pilo-hair, and sebaceous- oil-producing gland. These pilosebaceous glands are densely distributed over the face, neck, chest, back, shoulder, and arms. It also has a genetic component, meaning the appearance or severity of acne depends on the genes of the parents. Sebaceous gland produces oil that is expelled out through the duct, which opens on the skin surface. As long as this duct is intact, oil flows freely out onto the skin. If there is any blockage in the duct, the oil cannot come out, then it starts irritating the surrounding skin and causes comedone (black and white heads). Our skin has a commensal harmless bacteria called Propionibacterium acne (P acne). This bacteria acts on the oil collected inside and causes inflammation leading to red bumps, pustules, cysts, or nodules as it progresses. If acne is not treated on time, it will leave scars. Hormones have a strong effect on acne. Increased androgen hormone can cause thickening of the wall of the duct, leading to its blockage causing comedones (black and white heads). PCOD or PCOS - polycystic ovarian disease or syndrome is the most frequent hormonal disease causing acne in teenagers as well as adult women. Environmental or External or Emotional factors: Hot and humid climates, causing increased sweat, can clog the pores. The application of oil or oil-based cosmetics or steroid cream is another cause of acne. Psychological stress is one of the important factors in acne. Yet I would like to mention a few general acne skin care tips here. Face wash: Wash your face with mild cleansers like Cetaphil cleanser if your face is dry, or use Benzoyl peroxide face wash if your face is oily. Wash your face three times a day to remove excess oil and dust which accumulates over time on the face. Sunscreen: Use a good sunscreen with SPF (sun protection factor) 50, and apply it to the whole face 30 minutes before you step out, irrespective of the presence of sunlight. UV rays (ultraviolet rays) will always be there during day hours (even if cloudy). Apply every four hours for maximum benefits. This is because sunscreen can protect your skin from UV rays (ultraviolet rays) for four hours. Hence you need to repeat it every four hours. Always use noncomedogenic sunscreen. Do not pick or squeeze your acne: It will leave dark pigmentation and scars, which are even more difficult to treat. Regular physical exercise: Very much essential to keep hormones under check. Exercise for at least 40 minutes a day, six days a week. No oil massage: Avoid oil massage to the scalp; it will aggravate dandruff. If there is oil flow on the facial skin, it can clog the pores leading to comedones. Vitamin A and water: Eat vitamin A-rich fruits and vegetables like Papaya, Mango, Musk melon, Pumpkin, Carrot, and Beetroot. These have Beta carotene in them, a good antioxidant- very much helpful for healthy skin. Drink two to three liters of water daily, which keeps the skin hydrated. Cosmetics: Always use water-based cosmetics, which have a non-comedogenic label on it. Stress management: Stress (mental as well as physical) causes acne breakouts. Meditation is very helpful for controlling mental stress. No waxing of hairs on the face: Waxing irritates hair follicles and can aggravate pimples. However, threading to remove unwanted hairs over the face is fine. Threading has no effect on acne. Never use steroid creams: Steroid causes very bad acne. It makes the skin very thin and sensitive. Avoid Over The Counter (OTC) steroid creams like Betnovate and Panderm. Hope this piece of information is helpful to you. I hope you get rid of this problem soon. Take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ashwini. V. Swamy
Dr. Ashwini. V. Swamy

Venereology

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