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Accutane is a form of vitamin A. It reduces the amount of sebum produced by the sebaceous glands, and also accelerates the natural regeneration of the skin. Accutane is used to treat strong acne manifestations that are not amenable to treatment with other drugs, including antibiotics. Accutane can also be used for other purposes that are not listed in the instructions for use.

How to start using Accutane

Accutane, or isotretinoin, is one of the most powerful and effective treatments for severe acne. However, this medicine has many side effects, and it presents a risk for people with congenital diseases. If you have unsuccessfully tried all methods of treating acne, consider the possibility of taking Accutane.

Talk with your doctor about severe acne. Only a dermatologist can determine if Accutane is right for you. Many dermatologists do not take without a referral from a doctor (it depends on your insurance), so you first have to visit your doctor.

Recognize the types of acne with which Accutane treatment will help. Accutane is used to treat severe acne, the so-called “severe recalcitrant nodular form of acne,” which is not amenable to treatment with other drugs.

  • Nodular acne (sometimes called cystic acne) is the most severe form of acne. Acne pops up on the skin in the form of hard painful cysts, which are usually larger than normal acne.
  • If untreated, this form can lead to scarring, as well as potential psychological problems associated with stress and self-esteem.
  • Consider other forms of treatment. If acne is a persistent problem, but not severe, you can consider various forms of treatment. Accutane is not used for mild or moderate forms of acne due to the large number of side effects.

  • Prescription antibiotics have been successfully used to treat moderate acne.
  • Other treatments include phototherapy (light therapy) and laser treatments. They are often used to treat moderate forms of acne and scars.
  • Discuss all risks with your doctor. Side effects can be different, ranging from mild discomfort and dryness of the skin, and ending with serious complications. About 80% of people taking Accutane can have several side effects.

  • In 1998, the FDA informed health professionals and the public that taking Accutane leads to an increase in depressive disorders, suicidal thoughts and suicidal attempts.
  • Recent studies show that users of Accutane have a higher risk of developing digestive disorders, ulcerative colitis, including Crohn's disease, and inflammatory bowel disease.
  • Many lawsuits were filed against the developers of the original prescription for Accutane, due to the many side effects when taking the drug.
  • Before you start taking the drug, tell your doctor your medical history. You should tell your doctor about any diseases of a physiological or psychological nature, taking medications and supplements, including vitamins. Also consult with your doctor if:

  • Are you allergic to drugs containing vitamin A (and other retinoids)
  • You or your family members have diabetes
  • You or someone in your family has high cholesterol
  • You or someone in your family has a psychological disorder (including a change of mood or depression)
  • You have liver disease
  • You are overweight or obese
  • You suffer from eating disorder
  • You abuse alcohol
  • You have bone problems (eg, osteoporosis)
  • Begin treatment. If you and your dermatologist are ready to begin treatment with Accutane, the doctor will ask you for consent with certain conditions.

    If you are a woman, take part in the iPLEDGE program. Due to the risk of congenital diseases, applications from women of childbearing age are accepted for participation in this program. The iPLEDGE program includes the usual pregnancy test and the obligation to avoid it using acceptable forms of birth control during treatment with Accutane.

    Acceptable forms of birth control include oral contraceptives, contraceptive injections, implanted devices, patches, physiological contraceptives such as condoms and diaphragms, or a solemn oath about abstinence (meaning no sexual contact) during the course of treatment with Accutane.

    Sign the agreement. It is necessary to sign an agreement on awareness and strict adherence to instructions before starting to use Accutane.

    Be prepared to follow additional security protocols. You can not donate blood while taking Accutane, as well as within a month after the end of the course of treatment. In addition, you should not give someone your recipe. Better advise people with a similar problem to visit a dermatologist and get his prescription for Accutane.

    Check the availability of medication in your pharmacy. A drug called Accutane is no longer produced, but some companies use the same compound called isotretinoin. Most insurances cover the cost of Accutane, so you can get tablets every month at a relatively inexpensive price.

    Get the recipe in a timely manner. For patients of childbearing age, the prescription must be filled out and collected within 7 days after confirming that you are not pregnant. For all others, the prescription must be filled out and collected within 30 days after visiting the doctor.

    Take Accutane as recommended by your doctor. Tablets are taken by mouth during meals, preferably daily at the same time. Food helps the absorption of the drug.

    Choose a mode and stick to it. You will be taking Accutane for several months. Do not forget to take Accutane every day. Set a reminder on your phone or an alarm clock to tell you when to take the pills. If you miss the time of taking the pill, take it as soon as you remember it, only if it is not yet time to take the next one. In this case, just skip it. Do not take a double dose at the same time.


    Do not neglect other obligations while taking Accutane. In addition to birth control, you must take a blood test every month to monitor changes and monitor cholesterol levels (in particular, triglyceride levels). Regular laboratory tests are necessary to prevent damage to the liver and kidneys while taking Accutane.

    Triglycerides are fatty acids found in the blood. They can be enhanced while eating fatty foods, such as fast food and other fried foods. Adhering to a healthy diet; the drug will be better absorbed into the bloodstream, and will help avoid high levels of fatty acids caused by eating fatty foods.

    Use the necessary forms of birth control. Taking Accutane during pregnancy significantly increases the risk of congenital diseases. The risk of congenital diseases while taking Accutane during pregnancy is 30%, while the usual risk is 3-5%.

    Do not use other treatments for acne. Remember that Accutane reduces the amount of sebum produced by the sebaceous glands. The use of additional funds only exacerbate the situation, overdrying your skin. Consult a dermatologist about using other drugs while taking Accutane. To avoid dry skin while using Accutane, use mild cleansers.

    Stay supervised by your dermatologist. As they say, knowledge is power. Keep your dermatologist informed if something unusual happens during treatment. Learn about specific side effects, such as loss of vision or severe back pain.

    Learn more about Accutane

    Accutane is isotretinoin. The drug is a derivative of vitamin A and belongs to a class of drugs known as retinoids. Accutane works in 4 directions. Accutane helps control the size of the sebaceous glands, which secrete sebum. It helps to reduce the amount of sebum secreted. At the same time, it reduces the amount of bacteria living in sebum. Accutane also slows down the development of certain cells, which contribute to the clogging of pores that cause skin inflammation.

    Know that the treatment with Accutane can be very long. Take Accutane during the entire course of treatment. One course of treatment can last from 4 to 5 months. In some cases, it will take more than 1 course of treatment. The effectiveness of treatment will be achieved when the total dose is taken over a certain period of time. Your doctor knows how to monitor your progress while keeping the total dose in order to get the best result from treatment with Accutane.

    Know how Accutane treatment can help. 85% of people taking Accutane within 4-5 months achieved good results after the first course of treatment. More than one course of treatment may be needed in order to avoid recurrences later. Although there is no guarantee that people around you will notice an improvement, for most people, acne disappears and never reappears.

    Consider problems with acne that have not been treated. Acne, as a rule, appears in adolescence and young age, but they can also appear later. If this problem is not treated, it can lead to physical injury and psychological problems in the future. According to the FDA and the main drug company, acne leads to a sense of inferiority and insecurity more than any other disease.


  • As with most acne treatments, you may notice that there are more of them during the first few weeks of treatment. This is normal.
  • At the beginning of treatment, the dermatologist usually prescribes a lower dosage of the drug in order to control the body's response to treatment. A dermatologist will monitor the dosage throughout the entire course of taking Accutane for safety and effectiveness.
  • Since Accutane affects the amount of sebum secreted, the most common side effects are dry skin, chapped lips, and dry eyes. You may need to buy a non-comedogenic (i.e. non-clogging) moisturizer to alleviate the symptoms.
  • Always carry a moisturizing lip balm. 90% of people taking Accutane have dry and cracked lips. Use a lip balm that reduces the appearance of this problem.
  • There are many other potentially dangerous side effects that occur infrequently. Be sure to discuss all side effects with your dermatologist.
  • If you are planning a pregnancy, you should wait at least 12 months after taking Accutane, to be sure that isotretinoin is completely eliminated from your body. Accutane is contraindicated in pregnant women.
  • As a rule, medical insurance covers the cost of Accutane, so you can get the medicine monthly at an affordable price. However, if your insurance contract contains a high deductible, the cost of the medicine will be somewhat more expensive.
  • Men who take Accutane should not worry about the risks associated with having children. Isotretinoin does not affect sperm.
  • Warnings before use

    Give up active sports while taking Accutane to avoid injuries. One of the side effects of taking Accutane is weakening of the bones.

    Accutane is a source of vitamin A, so avoid taking foods containing vitamin A while taking the drug. Combining foods with vitamin A and Accutane can lead to serious consequences.

    Accutane is a powerful tool to combat severe acne, but it has many serious side effects. Any changes in mood, depressive and suicidal thoughts should be discussed with your doctor. Stop taking the drug and consult your doctor.

    Do not become a blood donor while taking Accutane and at least a month after stopping taking it. By donating blood, you unintentionally can harm other people.

    The development of gastrointestinal problems, such as Crohn's disease, and ulcerative colitis are more common in people taking Accutane. Other side effects are also possible. Consult your doctor if you feel unusual symptoms while taking Accutane.

    Do not use other treatment methods for Anka while taking Accutane. There is a high risk of congenital diseases in women who take Accutane during pregnancy or become pregnant during the course of treatment. For this reason, use measures to prevent pregnancy while taking Accutane.

    Tell your doctor if you think you are pregnant or are experiencing unusual sensations while taking the drug.


    General rules for facial skin care

    Everyone wants a clean, acne-free face. But let's face it: not everyone wants to do all the necessary procedures to cleanse the face of dirt, sweat and irritation. However, there are ways to keep your face fresh by the end of the day. Read some helpful tips and learn how to do this.

    1. Do not squeeze acne. This is the number one rule! Acne contains bacteria that, when squeezed out, can get into other pores, causing new irritation. In addition, if you squeeze out acne, the skin around them becomes inflamed. Inflammation entails even greater redness and pain.

    2. Try not to touch your face. Your hands, no matter how often you wash them, contain a lot of fats and dirt that carry bacteria. If you are constantly rubbing these fats and dirt on your face, you can expect bad consequences.

    3. Drink plenty of water. Doctors recommend drinking between 9 and 12 glasses of water a day (about 2-3 liters), depending on your gender. Your skin is an organ of your body and, like the kidneys, it needs enough water to function well.

    4. Eliminate sweets, juices, soft drinks and smoothies from your diet. This item is quite controversial and for many decades, scientists can not reach a single solution, but recent studies still indicate that you will get rid of acne if you stop using sugar.

    5. Drink less milk. Milk has also been recently recognized as the causative agent of acne. It helps produce male hormones - testosterones and androgens, which interact with insulin, cause acne.

    6. Drink unsweetened green tea. It contains many antioxidants that help in the fight against free radicals, which have a bad effect on cells and age the skin. Hot and tasty green tea is a good alternative to water!

    7. Eat a balanced diet. Eat plenty of fruits and vegetables, healthy fats and probiotics. Your skin will be healthy and clean.

    8. Eat Omega-3 fatty acids. Although it is fat, they are useful. They help fight inflammation and generate healthy cells. Products containing Omega 3 are best consumed raw. You can also boil them or fry them over an open fire, boiled and fried foods lose their properties because fats are burned by the action of air.

    9. Do not wash your face more than twice a day. You can dry out your skin and it will start to produce more fat, which will cause acne.

    10. Get enough sleep. Why is sleep so important? Recent studies have shown that psychological stress increases by 14% with each hour of sleep loss. Try to sleep the number of hours your body needs. Do not forget to regularly change the pillowcase. You can also wrap your pillow with a towel so that it absorbs fats. Change your towel every night.


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