Isotretinoin

Isotretinoin belongs to the group of drugs called Retinoids. It is commonly used to treat severe cystic acne, that is not getting better with other treatment methods. Isotretinoin reduces oil production on the face.

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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 icliniq.com. 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 »

How to reduce the pimples present on my mouth, chin, forehead, and nose?

Query: Hello doctor, Around a year ago, some red pimples started appearing around my mouth, chin, forehead, and my nose. These small red pimples create a red area when seen from far away because they are very small and inflamed. It never disappears. My skin always feels stuck and not flexible and with a mi...  Read Full »


Dr. Sampada Avinash Thakare

Answer: Hi, Welcome to icliniq.com. I have seen the attached image (attachment removed to protect patient identity). Do not apply Metronidazole gel, as there is also erythema over your face. I suggest you try doing the following. Consult your specialist doctor, discuss with him or her and start using the m...  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 Prakash

Answer: Hi, Welcome to icliniq.com. 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 »

How to reduce acne and acne scars?

Query: Hi doctor,Please tell me how to reduce acne and acne scars. I am 23 years old. I have oily skin and get acne every month one week before my periods for a year. My acne is a mild and not severe one. I have tried so much but cannot get over it. I drink lots of water, do not have any digestion issues, ...  Read Full »


Dr. Deepti Shukla

Answer: Hi, Welcome to icliniq.com. I understand acne can be bothersome and sometimes challenging to get rid of. I would love to provide satisfactory treatment. My first advice is to stop using neem, aloe vera, cider vinegar, etc., as first, we need to control your acne. Applying these creams and gel may ...  Read Full »

How to get rid of acne and acne scars?

Query: Hi doctor, I am asking questions on behalf of my son. Due to pandemics, we are not allowed to consult a dermatologist in person. But his skin has changed drastically. He is 16 years old and his face looks old. He has dark spots due to acne scarring and so he decided to use Ambi skincare fade crea...  Read Full »


Dr. Vikash Paudel

Answer: Hi, Welcome to icliniq.com. Acne occurs commonly in teenagers. They appear and disappear with age. They occur due to sebum production from the oil glands present in the face. It blocks the oil tract present on the surface of the skin. It gets aggravated by oily cosmetics and bacteria. Treatment de...  Read Full »

Why have I started to have lots of acne on my face, particularly on my forehead?

Query: Hi doctor,I use to have clear skin. Since moving to a new place, I start to have lots of acne on my face, particularly on my forehead. I thought that it would disappear soon but it has got worse. I did some research and assumed that it has caused due to drinking cow's milk. Even after stopping it, i...  Read Full »


Dr. Vikash Paudel

Answer: Hi, Welcome to icliniq.com. Acne has a multifactorial etiology. Acne soap does not help you if you have grade 2 acne or other types. You need to take oral and topical medications. For mild grade, you can take topical Clindamycin or Retinoid acid derivative. For higher grades of acne, you need ...  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 icliniq.com. 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 »

Do antibiotics help in treating acne?

Query: Hi doctor, Why do antibiotics clear acne? Is bacteria the cause of acne? Please explain.  Read Full »


Dr. Suvash Sahu

Answer: Hi, Welcome to icliniq.com. I have read your query. Yes, acne is caused by a bacteria called Propionibacterium acnes, but beside this other factors also play in forming acne. Change in keratinization pattern in pilosebaceous unit, which leads to a keratinous material to cause blocking of sebum secre...  Read Full »

Is there any vitamin supplement that can be used as an alternative to Accutane for treating acne?

Query: Hi doctor, I am on Isotretinoin for around 50 days. My face is now clear and it really improved my skin as I have oily skin. But, I have noticed clay colored stools. I am also having high fever and facing weakness. Now, my veins on hand started to swell. I am also having difficulty in breathing. But...  Read Full »


Dr. Sampada Avinash Thakare

Answer: Hi, Welcome to icliniq.com. You should visit your physician as soon as possible. All these can be symptoms of obstructive jaundice. To confirm get your blood tested for complete blood count and liver function test. Also, get a urine routine microscopic test and ultrasound abdomen. Stop oral Isotreti...  Read Full »

Would you recommend birth control pills for my acne?

Query: Hello doctor,I am a 33 year old female. As a teenager, I got acne on my face and back. In my 20's it mostly went away. I would get a pimple here and there on my face, but nothing too bad. My back cleared up completely. Now in my 30's, the acne has started to come back worse. I get breakouts on my fa...  Read Full »


Dr. Saira Mohsin

Answer: Hello, Welcome to icliniq.com. Please attach some good quality pictures of the affected area. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist  Read Full »

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