Oral Retinoid
Reviews
3.9
2791 Reviews
Oral Retinoid
Efficacy
87%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Note: Use with EXTREME CAUTION: Causes severe birth defects and fetal death.
Oral Retinoid
Side Effects
High
Oral Retinoid
Acne.org’s Real World Take
The nuclear option. It works reliably and provides long-term remission of acne, and even severe acne, in about ⅔ of people who properly take an adequate dosage. However, it permanently and irreversibly changes the skin and the body forever and users may experience long-term side effects for the rest of their lives. It’ll nuke it, but there is no going back.
Oral Retinoid
How to Get It
Have a dermatologist? Make an appointment to get this medication. Don't have a dermatologist? See The American Academy of Dermatology Physician Database to find one.
Read All About Isotretinoin (Accutane®)
Compare To Other Treatments
5
37.1%
4
33.4%
3
15.5%
2
7.3%
1
6.6%

Used Isotretinoin (Accutane®)? Rate It:

Choose from 1 to 5 stars
November 25, 2008

Pros:

It does work. My daughter has been on it for 3 months and her skin does look great. It also makes her hair less oily. I would definitely recommend Accutane.

Cons:

It does dry your skin out. She has had no major problems. Dry around the mouth area. Keep Aquaphor available at ALL times.

Accutane does work, but it will get worse before getting better. Be patient and be persistant with your daily regimen.
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November 4, 2008

Pros:

clears acne completely, no more oily skin, better complexion..CLEAR SKIN!! need i say more?

Cons:

(in my case, everyone reacts different to medications) extremely dry lips, moodiness, fatigue, it made me anxious, cuts took longer to heal, hair thinning, redness doesnt go away.. and last but not least EXPENSIVE if you dont have insurance.

i just finished my 6 month treatment yesterday.No matter how many cons I had, I would say every single one of them is worth it.. TAKE accutane! it will change your life...it will give you confidence...dont wait any longer, because one of my biggest regrets is waiting and spending money on lasers, topicals, and antibiotics that DO NOT work. So just do yourself the favor and take it. Don't be scared of all the horrible side effects you read about it, because a lot of those comments are the reasons why people are so scared to take such an effective drug that will only help you and make you happy. Oh yea and carry chapstick 24/7! Good luck!
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October 21, 2008

Pros:

after several months the drug became my miracle worker! and the dryness of the skin and lips clears up a week or two after you finish taking the drug

Cons:

dry lips, nose bleeds, dry skin...

WONDERFUL.... but now that i've been off the drug for 6 months, my acne is starting to catch up again...........................................................
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October 13, 2008

Pros:

My skin is usually extremely oily, but after 2 month of treatment it is dry and no longer appears shiny. My acne reduced noticeably in the first month but I am having a large breakout currently, hopefully this will go down soon.

Cons:

Dry cracking lips and dry skin on hands and feet

This product is definitely having an impact so far and I'm excited to see where it goes in the future. I'm on 100mg a day and my doctor's going to boost it to 120mg's a day at the next appointment as long as there are no severe side effects.
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October 8, 2008

Pros:

It WORKS!

Cons:

Common side effects, dry lips, little body ache, nosebleeds and lazyness... but can all be avoided with proper care such as chapstick, fish oils, nasal spray and LOTS of water!

My last resort for acne after trying everything, Ive been avoiding Accutane for a good 7 years, and finally gave into temptations after seeing good results for my cousin and I must say the best decision of my life! Other then the side affects, my self esteem and confidence has boosted a lot! My skin is a lot clearer and feels alot normal now, I rarely break out. Starting on my 3rd month...
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September 20, 2008

Pros:

So far so good. Nothing changed my face yet but its getting there

Cons:

Cost alot of money if you dont have insurance. My face is starting to get dry and itchy. I only had this product for 3 days.

I only used this product for 3 days. So far nothing has happened. I'm hoping it'll get better. Is there hope for me?
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September 7, 2008

Pros:

I don't have anymore breakouts. I don't have to worry about having a shiny, oily face. It has made my self - esteem so much better.

Cons:

Regular derm visits, blood work and it gets pricey after all is done.

If you have tried different products with little results, then I suggest you give accutane a try. I haven't been more pleased and happy in my life. I have struggled with acne for so long, and I am so glad that after years and years of trial and error, I decided to give it a try. It's been the best thing I have ever done. And to be completely honest, this is my 3rd month and the only side effect I've experienced is chapped lips, which really aren't even that bad. It's as simple as taking one pill, and the rest is history. I have been prescribed so many topicals, and it ended up being so expensive... especially if they didn't help your skin at all. If you're tired of acne, please give accutane a try. It's been well worth it for me.
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August 16, 2008

Pros:

Slowly and steadily clearing Acne (1 week in) :) Any spots i do get dry up and essentially fall off :s Free on prescription (under 18!)

Cons:

Red Face, Dry Peeling Skin, Dry Lips

Working so far!
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August 5, 2008

Pros:

- has taken away all the oil from my face
-generally zit free now

Cons:

-cant tan in the middle of summer cuz i just burn :(
-kinda chapped lips, not as bad as people say
- depression isn't that bad, it's bearable and generally only happens when you are alone or at night

I've been on accutane for about 3 months, i have 2 mothns left to go, and so far its pretty good. I occasionally get a zit or 2 but they usually arent that big, and i dont have an oily face anymore which is good I'd recommend it, it seems good so far and i can only pray that i never get acne again, and so far as for bad side effects, all of them are bearable you just have to suck it up think about it , acne=depressing, ruins social life, etc effects of accutane=no ance, so cancel all the stuff up there yea u get my point so the benefits far outweight the negatives, just forget about the bad side effects and you wont even realize them trust me Good luck, i recomend
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July 24, 2008

Pros:

Cleared me up. Was cheap with OHIP

Cons:

Dry everything, all acne lessions scared while on accutane, blood work and fasting, no sun, gave me sever facial flushing on and off course, back pain, and weird dreams.

You need to mentally prepare yourself. I was never depressed in my life till accutane. Trust me it's more common then you think. I don't mean to bash the tane but as it states only for severe or persistent inflammatory acne. I waited three years before I gave up. Yes, it did work and give it time. However, be prepared because it always gets worse before better. Good luck!
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Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
  4. Listen to what your gut feeling tells you once you see a dermatologist in person. If you are not completely comfortable, try a different dermatologist.

Finding a Doctor

Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

  • Look at before and after photos, the more the better, especially patients with similar scarring to your own.
  • Be realistic about results. Look for improvement, not a cure.

Questions to ask a potential scar revision specialist:

  • Are you board certified? Be certain that they are board certified.
  • How long have you been performing these procedures? Normally, the more experience the better, however, some younger surgeons may be more on top of the latest procedures.
  • Can I speak to some of your other patients? Ask for references for several patients who had similar scarring and speak to them about the process and their satisfaction with results.

Red flags:

  • Their story changes: As you discuss different treatment options, if they tend to change their mind easily, or agree with whatever you say, consider this a red flag. A confident, experienced surgeon will possess strong, unwavering opinions.
  • Your gut tells you "no": Trust your gut. If you just don't feel that the doctor is the right fit, trust that and move on. On the other hand, if you feel they are the perfect specialist for you, trust that feeling.