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Is there a treatment for my acne without using Isotretinoin?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have been 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 a high fever and facing weakness. Now, my veins on hand started to swell. I am also having difficulty breathing. But my acne will return if I stop Accutane. What should I do? Can you suggest any alternative to Accutane, like any vitamin supplement that will decrease my sebum and is safe as well? I have also heard that Isotretinoin will damage the liver.

Kindly advise..

Answered by Dr. Thakare Sampada Avinash

Education:

MD

Professional Bio:

Dr. Thakare Sampada Avinash is a Cosmetologist and Dermatologist with expertise in managing skin, hair, and nail disorders as well as providing advanced cosmetic treatments. She is passionate about enhancing both skin health and aesthetic outcomes through evidence-based practices. She is skilled in the diagnosis and treatment of skin, hair, and nail conditions. She is well-versed in doing cosmetic dermatology procedures such as chemical peels, laser therapies, botox, fillers, and microdermabrasion.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern.

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 an ultrasound. Stop oral Isotretinoin and continue applying topical medications like a combination (Clindamycin and Adapalene) gel at bedtime or any other creams or gel that you are using.

I hope this helps you.

Thank you.

Patient's Query

Hi doctor,

I used Deriva gel, but the effect was not fine for me. I did my blood test and the report was normal. My skin produces lots of sebum. How to control it?

Please help.

Answered by Dr. Thakare Sampada Avinash

Education:

MD

Professional Bio:

Dr. Thakare Sampada Avinash is a Cosmetologist and Dermatologist with expertise in managing skin, hair, and nail disorders as well as providing advanced cosmetic treatments. She is passionate about enhancing both skin health and aesthetic outcomes through evidence-based practices. She is skilled in the diagnosis and treatment of skin, hair, and nail conditions. She is well-versed in doing cosmetic dermatology procedures such as chemical peels, laser therapies, botox, fillers, and microdermabrasion.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I understand your concern.

No other oral medications will help to reduce sebum acne. You can safely opt peel procedure. Chemical peeling would help to reduce sebum production and acne. It is performed by a dermatologist once every two weeks.

I hope this helps you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At December 28, 2016
Reviewed At February 19, 2026

Education:

MD

Professional Bio:

Dr. Thakare Sampada Avinash is a Cosmetologist and Dermatologist with expertise in managing skin, hair, and nail disorders as well as providing advanced cosmetic treatments. She is passionate about enhancing both skin health and aesthetic outcomes through evidence-based practices. She is skilled in the diagnosis and treatment of skin, hair, and nail conditions. She is well-versed in doing cosmetic dermatology procedures such as chemical peels, laser therapies, botox, fillers, and microdermabrasion.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MD

Professional Bio:

Dr. Thakare Sampada Avinash is a Cosmetologist and Dermatologist with expertise in managing skin, hair, and nail disorders as well as providing advanced cosmetic treatments. She is passionate about enhancing both skin health and aesthetic outcomes through evidence-based practices. She is skilled in the diagnosis and treatment of skin, hair, and nail conditions. She is well-versed in doing cosmetic dermatology procedures such as chemical peels, laser therapies, botox, fillers, and microdermabrasion.

This doctor is not available for online consultations on the platform anymore.

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