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The Doctors Lounge - Dermatology Answers

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Back to Dermatology Answers List

Forum Name: Dermatology Topics

Question: After taking Acutane


Cabalwars - Thu Dec 22, 2005 4:04 pm

I just got done going through a 5 month processs of Accutane, and it didnt clear me up much, but it did leave scaby looking textures on my face. I would like that to be healed and to go away. If there any medication I could use that would be good at healing these scabs/scars. I asked my doctor about Elicina, but he had never heard of it. I would also know if there are cases were accutane doesnt work, and if there is a further step I could take in clearing my skin.

Thanks,
John
lilysuzanne - Thu Dec 29, 2005 10:37 pm

you can use neosporin or there is another brand which is supposed to reduce scarring. Accutane is very dangerous, I heard, might want to look into that before having children.
Dr. Anthony Solomon - Thu Dec 29, 2005 11:58 pm

The drug ISOTRETINOIN is used for the systemic treatment of nodular and cystic Acne, severe Acne, scarring, Acne which has not responded to an adequate course of a systemic antibacterial, or Acne which is associated with psychological problems.

Isotretinoin may not work efficaciously if the recommended dosage was not used. What dosage of the drug were you prescribed, and what is your weight?

Dr Anthony Solomon
Consultant Physician, Tropical & Genitourinary Medicine
Roke - Tue Jan 03, 2006 8:14 am

Accutane gives me the creeps. It isn't natural to shut off oil glands.

I'm thinking using Retin-A should get rid of Acne.

The scabbnig may be due to dry skin, so trying supplementing with vitamin B5 to replinish the lost skin oils.

If you resort to skin healing ailments, might I suggest www. skinbiology. com ?
Dr. Anthony Solomon - Thu Jan 05, 2006 1:30 am

It is important to note that Isotretinoin (trade name Roaccutane) is an isomer of Tretinoin (trade name Retin-A) and not an entirely different category of drug. Both drugs have almost similar side-effects and contraindications. In particular, both are contraindicated in pregnancy and women of child-bearing age who are sexually active must take adequate contraceptive precautions.

Early treatment of Acne is desirable to prevent scarring and improvement may take a couple of months.

The treatment of Acne depends on its severity.
Mild to moderate Acne is generally treated with topical preparations.

Treatment with oral Antibiotics is generally used for moderate to severe Acne or where topical preparations are ineffective, intolerable or difficult to apply. Hormone treatment is also available as an oral preparation for women only.

Severe Acne, Acne not responding to prolonged courses of oral Antibiotics, Acne causing psychological problems or Acne causing scarring must be handled by a dermatologist.

Dr Anthony Solomon
Consultant Physician, Tropical & Genitourinary Medicine

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