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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..

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.

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 byiCliniq medical review team

Published At December 28, 2016
Reviewed AtFebruary 19, 2026

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