EVERYTHING you need to know about ACCUTANE: Dermatologist Explains
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- Опубліковано 2 сер 2024
- Board-certified dermatologist Dr. Joyce Park explains what Accutane is, who it's for, and what to expect when using the medication, as well as reacts to popular Accutane videos. Leave any more questions about accutane down below!
Videos Included:
@daisyycbj: www.tiktok.com/@daisyycbj/vid...
@kianahawley: www.tiktok.com/@kianahawley/v...
@kchainzzzz: www.tiktok.com/@kchainzzzz/vi...
@anyaweitz: www.tiktok.com/@anyaweitz/vid...
KEEP WATCHING:
✨NEW✨A Simple Accutane Skincare Routine, Teen and early 20’s Friendly: • SIMPLE ACCUTANE SKINCA...
Reacting to Alix Earle's Accutane Journey: • Dermatologist Reacts t...
Spearmint tea for ACNE: • SPEARMINT TEA FOR ACNE...
Full ACNE playlist: • Acne and Acne Scars
Dr. Joyce's Recommended Accutane Skincare Routine:
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LA ROCHE-POSAY | Anthelios Ultra-Light Mineral Sunscreen Fluid SPF 50 - Non-Tinted go.shopmy.us/p-2596978
VASELINE | Original Pure Petroleum Jelly go.shopmy.us/p-2596970
VASELINE | All-Over Body Balm Stick go.shopmy.us/p-2596961
ISDIN | Eryfotona Actinica Ultralight Emulsion SPF 50+ Sunscreen go.shopmy.us/p-2596951
AQUAPHOR | Ointment Body Spray go.shopmy.us/p-2596946
AQUAPHOR | Lip Repair SPF 30 go.shopmy.us/p-2596944
AQUAPHOR | Healing Ointment go.shopmy.us/p-2596939
My Holy Grail Products: shopmy.us/teawithmd
Dr. Joyce Park is a board-certified dermatologist based in Seattle, WA, founder of Skin Refinery, a virtual dermatology practice, and content creator and skincare and beauty educator.
Follow Dr. Park for more science-backed, dermatologist-approved skin, beauty, and hair content!
Skin Refinery teledermatology practice: www.skinrefinery.com
Instagram: / teawithmd
TikTok: / teawithmd
Pinterest: / teawithmd
Blog: www.teawithMD.com
UA-cam: / teawithmd
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00:00 Intro
00:51 What is Accutane?
01:08 Common Accutane Side Effects
01:28 Potential Accutane Side Effects
03:59 Who is Accutane For?
06:17 Accutane Journey Video
11:07 Accutane Nose Bleeds Video
12:59 What to Eat with Accutane Video
14:51 Accutane Nose Job Video
15:44 Outro
DISCLAIMER: The information in this video is not intended as medical advice, diagnosis, or treatment. Always seek the advice of your physician. - Наука та технологія
Acne is hell.
I know
facts
@@GertR55 dang, I wish the best for you
@sakhay439 have you been diagnosed with the worst disease because of the use of roaccutane?
@sakhay439 I see, thank you for sharing your experience.
I don’t care if my nose bleeds or whatever. I just want it gone. I’ve tried EVERYTHING.
Fr even though my acne is considered mild im js so effing tired
me too. i have a consultation tomorrow and i’m so excited to get on it.
@@capyslay_guobahow did it go?
@@Nuriyennidk about him but I start my treatment tomorrow, I could start today but I prefer taking meds in the morning. I am a bit worried about the nose bleeds b/c I work and that’d be a major disruption
Update ???
I got acne as soon as I started puberty and it truly made me feel alone. No one in my family had acne, I got it way before other kids in school so I would constantly get asked why I had breakouts. I tried A LOT to get rid of my acne for a few years before giving up. I was honestly jealous of people with extreme acne (I know it’s terrible and extremely painful but I couldn’t help feeling that way)because they could be prescribed Accutane. I was never a candidate. Anyway, after a mental health battle that had me in hospital, I came home and just became obsessed with my skincare. I had never stuck to a skincare routine for more than 4-6 months because I was always unsatisfied with the lack of results. Finally after 2 years my skin has been the clearest it’s ever been in over 10 year. The UA-cam skincare community really helped with my feelings of loneliness and I think I was able to finally stick to a routine simply because I wasn’t focused on the end result, I just wanted to take care of myself. To anyone dealing with acne, you are beautiful, strong and one day I hope you can see that yourself. If not today then some day❤
Thank you so much for sharing your story. My heart goes out to you and I can understand and empathize with how difficult that experience must have been. My philosophy when it comes to acne and Accutane is if the patient's acne is not improving on anything else, and if we've tried everything else already, then Accutane becomes an option to discuss. No one should have to suffer and experience mental health decline due to acne when we do have many medications and treatments at our disposal. I am so so happy to hear that you have been helped by the UA-cam skincare community and thank you for that beautiful message at the end
I had mild acne and was prescribed accutane after a year of persistence. I’m surprised they didn’t offer it to you eventually
I was in very much the same boat. Talking with a derm friend about a year back, she recommended apostrophe since it’s kinda like curology on rx skincare steroids (not literally, that was a simile). Now I have a formula with 15% Azelaic acid and 5% niacinamide for the mornings and a 0.1% tretinoin formula for the evenings. Other than that I use a salicylic acid cleanser and a 4-terpiniol serum plus a nice barrier repairing moisturizer. There was never one single A grade active for acne that would work for me I needed to use all 3, a retinol product, azelaic acid, and salicylic acid. Therefore the one thing I have to add to your message is that even if you think you’ve tried everything, you probably haven’t because of combinations. Keep working towards loving your skin and getting it to a nice calm and happy place whatever that may look like for you and your skin.
@@Elyfairytbh a load of docs completely refuse prescribing it. I’m not super surprised considering they usually like to at least try other prescription retinoid products in the form of gentler topicals first before accutane as well.
@@niccoloreiss842 I was prescribed it back in 2009 so maybe it was more lenient then
My daughter was on 1/2 dose accutane for 6 months. It wasn’t until near the end of the treatment that her severe acne started to clear up. Her skin continued to improve after treatment. She has occasional breakouts that are minor but over all her skin looks very clear. It’s been 10 years since she was treated. I’m so happy it worked for her. She does have scarring but it had faded somewhat. I wish everyone luck and 🙏🙏🙏
Thank you for your comment. I finished my treatment recently and was on 1/2 dose for 8months. I was bit concerned my acne would return because of the smaller dose, but hopefully my skin will stay clear for 10years+
So happy to hear that your daughter's acne improved!
@@mandolen3317 Even after 10 years she still wonders if her acne will reoccur. Her dermatologist told her actuane is considered a cure for some people.
@@nubbyrose87 hopefully it won't. My body can't go through another round of this threatment
THANK YOU IM GOING ON IT IN OCTOBER AND SO NERVOUS 😭🙏
I did accutane at 25. I’m 40 and still have a clear face. Changed my life. My acne was painful and miserable. Wish I had done it in high school.
Very educational! Thank you for explaining it like we’re adults, not 5 year olds.
Thank you for watching! Let me know what other topics you’d like me to cover
I took Accutane in 1988 in college and wish I had done it sooner to prevent some of my scarring. In my case it was totally worth the side effects!
Thank you for sharing!
is there any long term side effect?
I let my son start it when he just had a few pimples but i could tell they wasn’t going to clear up. He went on Accutane, never had any more pimples and no scars
@kayroberts4487 if you don't mind me asking, how much is Accutane and how are the results still?
Honestly, this is by far the top 5 most helpful videos I’ve ever seen about this subject, period. I first heard about Accutane like 10years ago, that’s how long I’ve had to unnecessarily suffer with cystic acne!!! I scheduled by appointment for early next month after learning about the true pros and cons. ❤
That means a lot to me - thank you for watching and commenting! There’s a lot of misinformation out there so hopefully this helps clarify some myths
I'm on my 3rd day of Accutane, I was prescribed 10mg for my first month as my doctor was afraid that I couldn't handle the side effects of taking the higher dose. So excited about what's to come!
I often start my patients on a low dose too, to make sure they don’t have side effects and to allow their bodies to adjust. Hoping for a smooth course for you!
hows it going?
did u get any periods irregularity ? is missing periods are also side effects
But why? I am trying to understand why take such a dangerous medicine when there are other solutions for cystic acne
@@themezoner1349 Accutane is a last resort treatment. My daughter tried everything for six years. Nothing made any difference in her very serious cystic acne. As her Mom I really hated to risk her health but the acne was a serious problem as well. It’s been 10 years since her treatment. Her skin looks beautiful. It was like a miracle for her. Unless you have had serious cystic acne you wouldn’t understand.
So much knowledge in one video. Thank you I'm ready for my journey.
🙏🏻
im almost three months on accutane and i’m loving my skin ❤
So happy to hear!
I had painful cystic acne since a teen and it continued through adult-hood. At about 30 yrs old, my dermatologist prescribed Accutane (I don't recall the dosage). After a few weeks of the typical dryness side-effect, I suffered a side effect that was alarming. I was a clerical worker taking meeting notes and, suddenly, I was unable to spell simple words like the word "t-h-a-t." I was frightened! My knowing Accutane was the only medication I was using, I called the dermatology office and was told that this (mental issue) was indeed, albeit rare, side effect of the medication and for me to reduce my dosage. I stopped it completely!! Even though I stopped in the middle of my course of treatment, I can say that my cystic acne problem did significantly improve to the point that I rarely ever experienced any cystic acne and that is the case 20 years later.
Did your cognitive functioning completely return to normal?
Oooof
@@GabijaS18I had the same experience with isotretinoin usage..I discontinued after 3 doses I had got psychiatric issues and dry eyes.
thank you for making this video
You’ll be so proud
Very well explained.Good job
I’m hopefully starting Accutane next week so thank you so much for all this information 🙏🏼
Good luck!
Superb ! Thank you for professional review on this medication ❤
Thanks for watching !
I loved everything about this video!! I’m currently a couple days shy of finishing month 4 of Accutane. I really wish I did it sooner, but I am loving my skin! So much more confident and self loving!
Accutane saved my life!! I had mild acne but it was still bad. I would say to not drink alcohol while on it and drink a lot of water!!!
Thank you for watching, and I'm so glad to hear of your positive skin journey!
Yes definitely; we recommend not drinking alcohol especially because accutane can affect your liver and so does alcohol
Any side effects?
@@noemitellez3098 I just finished my 6 month journey on accutane! My personal worst symptom I dealt with were my dry cracked lips. I could handle to dry eyes and skin but my lips were so dry they constantly cracked and bled.
My overall symptoms were:
Dry skin
Dry eyes
Dry lips
Nosebleeds (I kept under control applying aquaphor with a qtip inside my nose 2 times daily)
Headaches first few months
Back pain around month 3 and 4
Sun sensitivity (even driving to and from work)
Facial redness!
I’m extremely happy with my experience and do recommend you do your research and give it a try!
Thank you so much for explaining this so well! I was given accutane a week ago by my dermatologist and she gave me little to no explanation so I have had to do research on it on my own.
You're a very comforting doctor, what lucky patients you have
Thank you for the kind words and support!
Thank you Doctor great advice.
I got quite bad acne when I was 23yrs, and used Roaccutan, which another name for Accutane, and I don't regret for a moment. Was the only treatment that fixed my skin for ever.
What dose were you taking per day?
Thank you for this video - I'm in my early 40s and about to start it for persistent moderate acne. I'm done with growing my family so it seems like a good fit, fingers crossed it goes well!
I’m keeping my fingers crossed for you
How did it go? I'm in my 40s and considering trying Accutane. I've been avoiding it for about 13 years. I was about 30 when my acne started. I'm kinda afraid to try it at my age. I already have thinning hair and my skin is already dry. Did you experience any side effects?
@@eyeamme1917 It went really well, and cleared my acne for a while. My acne is very hormonally driven so has come back to some extent, but I'm managing it with topicals and am pretty happy with how it's going. Side effects for me were achey joints/muscles from about month 3 on, as well as dry eyes which I was able to manage with eye drops. All of the side effects went away quickly after I finished the course. Even though it didn't 'cure' my acne, I would still do it again. Good luck with your decision!
My daughter experienced Acne Fulminans 3 months in after an increase in dosage. We called it purging. After about 2 painful weeks her skin began to heal and she’s starting to glow again!
Acne fulminans is a real thing and something I monitor in my patients very closely. In people with severe inflammatory acne, I start at a low low dose to see if they flare on accutane and if so we may even need a month of steroid to bridge them to get their bodies accustomed to the med. Then after a month they’re okay with taking it!
@@TeawithMDI recently got acne fulminans 2 weeks after my treatment started, Will it leave scars or will the scars get removed at the end of the treatment?
And this is why i want to be a dermatologist ( to make people confident in themselves and to save their skin )
It’s a very rewarding career
My best friend as a kid had lamellar ichthyosis that was treated with accutane! I remember how annoyed she was about the monthly blood tests to check for pregnancy because she was first prescribed it when she was 11, and hadn't even had her period yet. Even though her doctor knew, her mother knew, and she knew she wasn't pregnant, she still had to do it (and had an understandable needle phobia.) It did apparently help her a lot though, I remember her saying that her cracking and flaking was WAY more painful before she started it.
Lamellar ichthyosis is definitely very rare and can be treated with retinoid! I hope it helped your friend
It took three rounds of six months each time with Accutane to clear up my nodular cystic acne. I really only had the dryness, maybe a bit of increased tendency to be emotional. Took years to be able to stop using eye ointment overnight, due to how my eyelids wanted to stick to my eyes. But it was an amazing medication for me.
Thank you for sharing. The dryness is definitely the most common including eye dryness too!
I had acne from ages 12 -40. I am now 42 & have not had acne for the past 2 years. I had discovered, on my own, that it was a wheat allergy. I really, truly, hope that there is food allergy & hormonal testing done before patients are prescribed accutane! I could not imagine if i had taken Accutane & ended up with life long complications, for no reason at all!
how long after eliminating wheat did you notice a change?
@@tsikinite Gosh you know, I really don't remember! I want to say that it was maybe a month or so when I started noticing a difference and then it was probably like a good couple of months before it was pretty much cleared up. I had it on my face, back, & chest. Well I originally stopped eating wheat because it made me so bloated. Then after a while I noticed my acne clearing up! I was so excited! 🤣 & now when I do eat pizza or pasta (on a rare, special occasion lol), a day or 2 later I usually wake up with a pimple or 2! 🙄
this is the only thing that helped me 🙏
I'm on my 4th month of Isotretinoin 80mg and my face looks like a whole snack honey! This is my second treatment cos my acne came back. Anyway my skin is looking good but just a few more areas to heal. I've never had any nose bleeds than goodness. My side effects are mainly dry lips, joint pains, backache, drowsiness, headache, nausea, itchiness, but not all in one go. Love Isotretinoin. I plan to gèt topical tretonoin for my hyperpigmetation and dark spots after I'm finished with Isotretinoin. ❤ 😍 💖 ❣
What did you take before accutane to make more effective??
Omg her face looked so painful!!! I almost cried just imagining how painful some of those cysts might be.
I know what you mean; acne can really be very debilitating and painful
I have a wiered side effect which no one seems to have faced. I get mild pain in bladder area and having to urinate frequently. Urin tests showed no UTI. My Dr. reduced the dosage to 10mg. Side effect has gotten better now but still on.
I would go back on Accutane in a heartbeat if my acne ever came back.
I only had a couple of nose bleeds and dry lips. After one cycle of meds (I don't remember how long I was on it- this was 30 years ago) I never ever had as much of a pimple in the last 30 years. I had bad acne that didn't start until I was 20. My face, chest, back and even in my ears! It was a life saver.
thank you so much for sharing your experience on Accutane!
I had a history of acne for a large chunk of my teen and up to 30 years of age. I was put on Accutane cause nothing else worked. I'm glad I was put on it. Now my daughter, who is now 12, has acne now and I don't want her to end up with a scarred face and the things I went through growing up. I am thinking about her putting her on Accutane. I had dry lips and had to get my blood tested every month, but it was well worth it. I never had a bleeding nose while on the meds.
Hello, I am glad to hear that Accutane helped clear up your acne!
Do you happen to remember if your skin purged & at what month did it clear up & started seeing results ?
I’m on month 2 & my face feels inflamed & its sooo painful , I’m swollen at the moment & its soooo sensitive to the touch 😢
@@LovelyyAymee I don't remember my acne getting worse at any point, but it's been so long ago that I don't really remember when it began clearing up. I hope things get better for you. I'm starting my daughter on acutane in about a month.
@@rhomotor I’m on month 2 & the acne has never been worst than this whole week 😫 I’m very swollen with cystic painful acne & it cause a minor fever 😭
@@LovelyyAymee what about now, did it start getting better
Previously i was on accutane but discontinued it because of side effects but again I've started and it's been like a week and can already see the changes ❤️
I don’t have much acne but my dermatologist recommended actuate
Do you think I should take it I’m scared that the side affects aren’t worth it
@@clediabanobre8785 Even i don't have acne only jawline area. See it's completely on you but what my dermatologist said that she'll never prescribe any medicine which will do more harm than good every medicine has side effects but depends upon dosage and other stuffs. Btw my dermatologist have acne and she's herself currently on accutane too.
❤️❤️❤️
@@jayasubba15 thank you this was helpful to me, I just started absorica and am 1 week in
Great video! I have watched so many of these kinds of videos but I must say that you are the most thorough and empathetic doc I have seen. I am now subscribed to your channel!
I would love to know whether or not CRISPR can be used for acne? Is there even a genetic marker indicating someone is predisposed to developing acne?
acutane never worked for me which is weird because doxycycline did, and that medication isn’t as strong or serious as acutane. not only did it give me really dry skin, making my eczema worse, but it also messed with my stomach making me almost always nauseous. after i had been off acutane for a while, i went on doxycycline. the only real side effect i had from that was the sun sensitivity. i couldn’t be in the sun longer than 20-30 minutes without my skin feeling like it was on fire, regardless of wearing sunscreen. i switched to minocycline in the summer because of that which is basically the same medication without the sun sensitivity side effect. minocycline didn’t work as well so i switched back to doxy in the fall.
I had to take 2 rounds of Accutane as an Adult… I still get break outs from time to time, but NOTHING like I did when I was younger. Oral Spironolactone helped take the edge off of late stage Adult Acne in my 40’s
Yes, oftentimes women with hormonal acne may need some treatment in the future after accutane but the breakouts are much much more manageable!
The worst side effect is depression 😢
I did a 6 month treatment with accutane when I was 16. I did a 3 month round again at the age of 20 and never had to deal with it again. Wonder drug but definitely very hard to take with the side effects. It causes you to also have a low sun tolerance which will cause severe sunburns if you’re not wearing SPF.
Accutane can make you more sensitive to the sun, that is true
I had accutane from when i was 11 and i went through 1 year of it before u stopped and then was on it for another 6 months, absolute hell when it comes to dryness, chapped lips and exzma but it does work, my face genuinly looked like the first girl and im thankful for the help disguised as torture
Great video! What do you think about accutane for papulopustular rosacea treatment?
acne does change your personality and mental health.Just understand that anyone who is reading this.
this video is so helpful and details. Your voice is so sweet
Hello, thanks for sharing! Yes, in my experience, it may take a few months to find the best dosage for each patient, and until you've been on that correct dose for several months, you may continue to have a few breakouts!
Accutane helped me in my teens. I only had mild acne. Became extremely suicidal. Now I have IBS and really bad gut issues.
Thank you so much ❤ that was really informative!!
I will start taking isotretinoin soon and am a little afraid of the side effects (especially the part with the mood) but I really suffer from my condition and want to change that!
Thanks to you again you calmed me down :)
Please talk to your doctor about the mood side effects. Good luck with your treatment ❤️
I don't live in the US and it's very interesting to see how different Accutane treatment is here. I was put on Accutane a while ago. My acne was definitely not as severe as others but they put me on the medication anyways. I never had to sign anything about getting pregnant and I never had to take any pregnancy tests. They took my blood every month for maybe about 3 months and then stopped because my doctor claimed I was ok to stop taking them. I have been on Accutane now for maybe almost a year . . . I'm not sure but I definitely know I've been on it a while longer than 6 months although my acne has now already been cleared up for some time. My appointments only last maybe 3 - 5 minutes and I'm not exaggerating. I walk in and she asks how everything has been and then she takes one glance at my face and sends me off telling me I need to be on Accutane a little longer. My dermatologist never informed me about a lot of things you mentioned in this video.
I see this medication being handed out to people who barely have any acne. I don't know their situation so I can't really judge them but It just seems a little odd to me. The whole situation just feels very odd...
i think you really need to stop the medication, im not an expert but there is a reason they do blood tests. accutane really messes with your liver and other parts of your body so if you’re taking it without checking how your liver is doing it might really cause serious problems. please be careful
I spent 20 years battling my acne. It was bad and I tried everything under the sun. The only time I had the clearest skin ever was when I had emergency surgery and was prescribed TPN because I was so malnourished and all those lovely nutrients helped. When they wore off because it wasn't in a high dose daily and constantly anymore it came back with a vengeance. So far my first month on Accutane has already started to clear it up a whole lot and haven't had a huge nodules that hurt come...so far so good 🎉😊
How’s it going?
i took accutane in 2018-2020. i dont think i would be the same without it. i havent had a bad breakout in years.
accutane really saved me I gotta say, the only thing I regret is not asking to take it earlier because that way I probably would've had a normal teenage- time and it would've speared me a lot of pain.
Thank you for sharing and I’m glad to hear it helped you!
Acutane also thins your skin. I would get blisters galore with closed in shoes while on it despite wearing padding & band-aids. 20 odd yrs on & I’m convinced my skin is still a lot thinner & marks more easily because of it. I still also have problematic skin - it still breakouts & scars more easily. I’ve now developed malasma too. The joys of problematic skin. Ladies if you have beautiful skin, consider yourself very blessed! Best of luck to all women. May each of us feel comfortable in the skin we’re in.
Beautiful video, you should give lectures
Thank you for watching!
accutane was a godsend for me in high school! 100% worth it
Glad to hear it worked for you in high school!
This was such a nice video and it has really calmed me about taking accutane i will probably start it in a week and I was prescribed 20mg
Good luck!
update?
The biggest downside of Accutane that I experienced...... constipation. No matter how much water I drank and for months following going off of it.....dear lord. I think I finally started having "normal" bowel movements well over a year after I went off it. The results lasted 5 years, came back and I decided to go the Spironolactone route due to the less harsh side effects and less stringent testing.
Ayo I had the same side effect + bum fissures because of that. No amount of water or supplements actually helped. When I told my derm about my side effects he was super dismissive and said it can't be from accutane because in all those years he treated his patients, none of them told him about suffering from constipation/fissures. It took me a lot of courage to talk about this issue with my derm since it's super personal and I felt really down when he didn't take me serious. It's a bit comforting to know now that I wasn't alone with this issue and that someone else shares a similar experience
@@apfelkirschschorlemitwenig9950 I feel like no one told their derms because they were embarrassed, maybe because it's mostly younger, more self conscious people who are put on it and don't want to talk about it....but I think it's way more common than anyone realizes...I mean....it makes sense given what Accutane is meant to do.....dry you out.....everywhere....we need more people to talk about this because it is the only reason I will never go on it again.
@@apfelkirschschorlemitwenig9950 so dear , how's constipation now?? did your skin clear up after going on Accutane??
@Brainly Queen it's all normal and more or less healed up now but it did take more than a year after quitting to get better again. Sadly because I had to quit, my acne came back but it's not as bad as it used to be
Your story sounds just like mine. I too went on it twice and had horrible constipation. My dermatologist thought I sounded crazy when I thought my constipation had to do with Accutane, as it is not a listed side effect. I had to secretly lower my dose and skip doses so I could go to the bathroom. My sister dealt with the same thing.
I started Accutane 1 week ago. My acne isn’t severe but it was lasting for 5 years now. I was really ashamed of it. I hope it will work for me.
Sending my love to everyone going through acne, it will soon only be a bad memory
Did you purge?
My son also had lower back pain and constipation. It was difficult for him but after 4 months, his skin looks amazing.
Did his lower back pain get better?
@@AndreaGonzalez-tb4fu Yes! But he has been struggling with dizziness and nausea since being off of accutane. His skin is flawless now and he looks like he’s 12 again but it’s still a struggle with the side effects. He manages it as best he can. He doesn’t eat breakfast anymore and just snacks on a protein bar when he’s hungry. Lots of positives like his confidence is high and his skin looks so good but he still has the dizziness and doesn’t want to eat in the morning even after being off his medication for months now. It’s hard… Hoping he gets back to normal…
@@chadmanl2121 Sorry to hear that hope he gets better soon.
I love, love, LOVE Accutane! ❤️💕❤️💕❤️💕❤️
Hi! Thank you so much for the video, extremely insightful! I just started my accutane journey, but I’m also a huge gym rat. I was wondering if I could still take creatine while on accutane ? Do the two clash? Would love your opinion on this one!
curious about this too! How is it going?
I’ve suffered from cane for 38yrs and grew up in a very humid area which caused even more oily skin and acne. As an adult I used accutane 3x each was for 3-6 months and as soon as I got off of it my acne would come back. Spironolactone has helped but menopause has really helped, though I am still extremely oily. Been using tretinoin for awhile now which is helping the acne scars and discoloration.
Accutane can help but not cure hormonal acne and most patients with hormonal acne may still need some spironolactone or other treatment afterwards. Thanks for sharing!
It works, I went on it, I put my son on it at 14, the best decision I ever made!!
I had very painful severe cystic acne when I was pregnant, so I just had to ride that shit out bc I couldn’t use any of the “good stuff”. Then, I got pregnant again three months after having my first baby. It took YEARS for my face to not look lumpy anymore, and I’ll always have the scars. My kids are graduating HS, now, and I’d do it all over again :)
Happy Mother’s Day! Acne during pregnancy is so tough because we’re really limited in what we can use. Glad to hear your acne cleared eventually!
Thank u mam❤️
I am also a patient of acne and it's almost 3 month of my accutane treatment and slowly i am getting better but most of a time whenever i wake up morning i see some puffed white acne
Thank you ! 💜
Thank you so much for watching!
I used this years ago. It was a miracle. I did have bone pain toward the end of the 6 months. I would do it again because of the results which were amazing!
Was the bone pain permanent or not
On my 3rd month of isotret and still have some purging. Can I use niacinamide while on it for the scars? Your reply is very much aprreciated. Thank you
Yes you can, but keep in mind that accutane can also somewhat help with acne scars too!
I’m on my 4th course! It seems like it comes back every 2-3 years
Accutane was life changing for my teen. We tried everything. It took her 9 months but so worth it. Next we need to work on some scar treatment.
A teenager shouldn’t be given such a harmful chemotherapy drug which may harm their fertility and longterm health. Most teens grow out of acne anyways.
So glad you got your daughter the treatment she needs!
@@georgiareed7743 This is untrue and completely dismissive of the mental health effects of severe acne on teenagers.
@@TeawithMD how can you, with any level of good conscience, recommend a literal *CHILD* to take a dna-damaging chemotherapy drug to clear acne? Seriously?! Accutane causes permanent harm to both male and female reproductive and endocrine systems, permanent damage to developing brains, bones, joints, and organs, and can leave a person dead or disabled… all this for acne? Are you kidding me? There are a million other options to treat it, including to just wait until the child outgrows it (which often happens). Accutane was originally developed for cancer and you unethical doctors are out their telling parents to give it to their own children who aren’t even old enough to vote or drink alcohol. You took an oath to “do no harm”, and you are clearly failing that oath. Not sure how you sleep at night when you think it’s ok for a child to use this drug for teenage acne.
@@georgiareed7743 not true I still haven’t grown out my acne.
heyyy!! I love how detailed this was. I have acid reflux so can I still take Accutane? 20mg?
Hello, thanks for watching! Acid reflux is not one of the contraindications for Accutane but definitely check with your derm
My friend, she has been complaining about how she has so much acne, and I try to help and make so many suggestions but the medicine I say is always not the best for her. But I will see if she wants to take this and I'll show her this video. I just want what's best for her, and for her to feel good about herself.
Ultimately it’s a conversation between the doc and patient to see if she’s a candidate! You’re a good friend to keep her in mind
I took Accutane in junior high then again after I had my kids. Multiple people in my family have been on it too. My daughter is probably gonna have to be on it too
I took accutane back in the late 80s as a teen. Worked wonders, but i still have to use chap stick several times a day. Well worth it.
Glad to hear it worked for you!
I was on accutane for four months and it worked a little. My lips were veery dry, skin was dry and I also experienced hair loss. Never had painful acne, but I had acne all over my body (back, neck, arms, belly and of course my face) Also had terrible texture because of scaring. But after I finished my course everything came back… I was soo upset about it. I was using my skin routine constantly and also taking some vitamins and yet, it didn’t help. I was taking blood tests every month to see how my body reacts(while I was on acuttane) and everything seemed fine. Even when I was checking my hormones before taking accutane (to see if this is the problem) everything was absolutely okay. I have tried a lot of different methods of treating acne but nothing helps( I’m 16 now and started to have acne at the age of 11. Maybe someone has a similar story in the comments and can give me an advice or just share their experience! I will be very happy)
Thank you for the video, I still got a lot of important information about this medication! Also English is not my first language so if I made any mistakes forgive me!
I am curious--do you use a filter on your videos to make your skin look smooth and shiny?
Hi doctor. What are the long term risks/side effects of accurate for young males?
How dry does your skin normally get? Does it become a little bit dry, or does it get bad. Because I’m on gels and topicals and my face is dry, and my acne is not going away.
Holy moly! I never heard of acne fulminans before….so I googled it. That is horrible!! Those poor people that have had to deal with this!!
Acne fulminans is very painful and definitely something I monitor extremely carefully for whenever starting someone on accutane
I suffered from cystic acne in my late 20's and early 30's The cysts were deep and not visible, but very painful. Accutane was a miracle for me. Tropicals just made my only skin flake. Other oral medication did not work.
Thanks for this video, I live in a place where we cannot afford going to a dermatologist. I have been suffering from acne since I was 16 I’m 24 now, and I’ve tried all medications that I was prescribed from medical friends I talk to online such as (tytralysal & Roxid) they worked as I was taking them but the moment I stop my breakouts would appear again, also, I tried going back to them but they no longer make my acne any better. So I had to buy Accutane 5 and I feel like I’m making a mistake due to the dangerous side effects that this medication can cause.
The video was really helpful thank you ❤❤,I will start my 8month accutane treatment in 2 days I am so excited and nervous at the same time. Can I get lip fillers during the accutane treatment ?
Hello! I hope that your treatment is going well. You typically can get non invasive procedures done but it varies on your injector; I would ask him or her!
Could you do a video on oily skin ?
I was in the clinical trials in my country for “roaccutane” from 2004-2006. I had severe cystic acne on my face and body and it cleared it all. I had to sign a 30 page waiver and the side effects weren’t fun but it was worth it.
I’m glad to hear that it was helpful for you, wow a 30 page waiver sounds intense but that is customary in a clinical trial
What were your side effects?
I know someone who committed suicide on this medication...back in the 90's. I always wanted to try Accutane, because of feedback dermatologist would give me, about the overall results. But because I was on a cocktail of depression medication as a pre teen. I couldn't take Accutane. Unfortunately, I had to go out the country to receive treatment for my acne. Expensive, but it was worth it.
There’s actually a study in the derm literature that shows that overall patient mood increases after accutane treatment because patients’ skin looks better, and the acne was a big driving factor in their depression : pubmed.ncbi.nlm.nih.gov/28291553/
Wow I took it 30 years ago now (omg time flys)… helped great after the Tetracycline didn’t work. Will say that you can bleed from the other end too. I didn’t know that at the time… it was a bit frightening not knowing. Just FYI.
Ohhhhh ur voice. I was listening to you the whole time like spell bound
I’m going on day 10. I have foliciutiys decalvans on my scalp. I’m hoping it can clear it up for me! I’m tired of the hair loss incited by acne
I hope it will help!
update?
so i’m a 15 year old female, and when you’re in high school with acne like mine it can be hard cause it makes me struggle with my self worth and it’s actually physically painful on my face. my mom has called the dermatologist multiple times and we’ve been waiting for an appointment placement for 1 and a half years. i just really want to go on it because im done being judged by people and being jealous of people.
I'm 28 and have had severe cystic acne since puberty (around 13) i have so many scars. I feel so self conscious about it. I have a GP appt tomorrow to hopefully get on Accutane. She gave me Treclin a while back but i can't handle the stickiness. I hope my GP can prescribe Accutane to me. I'm hopeful in clearing my acne with it. I have no dermatologist where i live so i really, really hope i don't need to see one before getting Accutane. I'm also lesbian so I'm cool with the pregnancy and fertility issue. Pray for me!
Update?
@@tsikinite Hey! Yeah i have one! I went to see my GP, basically begged for Accutane, she gave it to me. I was on 10mg for a month or 2, then 20mg for a couple months and then 30mg. I'm already over my cumulative dose and i have clear skin today. I'm on 10mg now for the next 6 months, just to wean off and because I'm terrified of relapsing lol. I'm super happy with the results. Best decision I've ever made, hands down
I'm 19 years old and i was on severe acne when I consult a dermatologist he advised me to take 60 capsules of accutane 20mg. It was really hard cause it almost doubled my acne and depression too so i left the medication . But after some time I started it again. I'm still taking it now it getting better almost 20 more capsules are left but the post acne scars are left what should i do with them?
I was started on 40 mg of accutane the first month and I started to develop (self diagnosed) acne fulminans. My DR. had me start 60 mg of accutane the following month even though I was/am struggling with really painful nodules. What should I do?
This happened to my son. The dr put him on 40 mg to start and his acne flared up really bad. We cut him off and they put him on prednisone and antibiotics coz the acne was infected . He has bad scars on his back and chest 😢After a few months they started 10 mg now his skin is perfect besides the scars that turned into keloids
Hi Sofie, I can’t give out personalized med advice but in general for acne fulminans I usually cut down to a small dose!
Thank you Dr. Joyce for such a detailed informational video. I am still trying the natural way to treat my 17 years daughter’s acne. Drinking celery juice daily and do a facial daily with aloe Vera gel or blue led light therapy at home. Eat lots of vitamins. It helped in someway, but still a lot on her face. And we cannot stop the current process. The last thing we will try is accutane. Do you do tele clinic appointment?
Hello, yes I do offer telederm visits for patients in California and Washington. My website is www.skinrefinery.com
@@TeawithMD thanks for the responses. Unfortunately we are from New Jersey. Thanks.
could u please let me know when exactly can we start to plan a baby after we are done with a course of accutane ?
Yes Acne is hell. My experience with Accutane was in the mid to late 90s. Now I know this is was a very long time ago but the side effects that I went through were excessively dry skin and peeling. Also, I broke out even more it was as if my body was cleansing all of its impurities. It was a very difficult journey but I got through it and of course, when you start having sex that helps as well.
Thank you Doctor, but I need to know how I can help my hair loss 😢
Hello, unfortunately it will not help with hair loss and in fact one of the side effects is it can worsen hair shedding
Lol was about to use it mainly for my nose cause of the claims that it kinda reduce its size 😂😭 thx for this vid. Thx doc
7:22 you said that isotretinoin causes redness, Is that why my acne feels like its more red than usual since I started taking isotretinoin? and will the redness stop after I stop my medication?
I'm gonna leave this comment here just in case anyone sees it and may have an answer. I was on Isotretinoin at age 13 for 6 months, cleared my skin completely after 2 months. About a year and a half after coming off the acne came back, I wasn't shocked, I was smack bang in the middle of adolescence. My mom had no acne as a teen, my dad had some for a brief period, no extended family has acne, and honestly my acne was and is pretty mild, most of it is hyperpigmentation. I'm 17 turning 18 in 5 months now and I'm trying to go on it again just to clear up the last little remnants. I saw a derm a month ago and have FINALLY been approved, anyone who's been on it knows the bloods, pregnancy tests, gp/ psych approvals are a hassle. However, I'm now a little conflicted, in the month since I first requested a prescription I've developed some extremely mild back acne, but my facial acne has calmed down so so much. I'm questioning if going on it when my skin is obviously already beginning to let go of the teen acne may be unnecessary and cause some sort of dependency? Or whether I should just go through with it, anyone have any advice?
I didn't have the dryness or bloody nose problems. However, I DID stop sweating so much.
I did two courses about 6 months apart 2 years ago. Wasn’t horrible but VERY annoying and acne came back a few months after stopping. The saddest thing is that it left me with a lot of scaring as i didn’t moisturise my skin at all! I did the course without a doctor and didn’t know that you have to moisturise and thought that the skin cracking and peeling was a good sign😢
I am in my 50s now and while my skin has cleared due to age, i still occassionally get a pimple or two. I had acne all the way into my 40s.