My face currently does not have acne (occasional breakouts) but I am heavily reliant on benzoyl peroxide and have to apply it every night. Will any dermatologist prescribe me a low dose of Accutane for my condition?

Doctor's Answers 1

Thank you for the question.

Accutane or isotretinoin is an effective treatment for acne and is a good treatment for the control and maintenance of acne. It is also a good treatment for oil control.

When to Prescribe Low Dosage of Accutane

A low dosage of Accutane or isotretinoin can be prescribed for individuals with recurrent acne.

Side Effects of Accutane

However, Accutane does have a number of side effects. This includes:

  • skin and lip dryness
  • teratogenicity
  • photosensitivity, etc.

Your dermatologist will need to see you to assess your medical history and acne condition. He will discuss the risks and benefits of Accutane for you to decide if low dose Accutane can be prescribed for you.

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I noticed that I tend to breakouts after holidays. Yes, weather and humidity changes can sometimes trigger breakouts. Stress/poor quality of sleep due to jet lag and time differences can also contribute. Speaking from personal experience here; I tend to break out much worse in Singapore than I did living in the UK. Went to national skin centre for consultation, and was given some watery creams and Cetaphil products to use. Hard to comment on what you were given, but from what you’ve described here, NSC doesn’t seem to have given you anything specifically for acne treatment.

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What should I consider before stopping benzoyl peroxide after my acne is cleared?

Hi, Benzoyl peroxide helps to treat the painful inflamed lesions of acne by killing the bacteria that causes them. If there are no more active inflamed acne, you can consider stopping its use. However, the non-inflamed comedonal acne i. e the whiteheads and blackheads which are the precursors of inflamed acne continue to form even after the inflammation has subsided, so these have to be controlled to prevent acne from relapsing. The best control for these non-inflamed acne comedones is the regular use of topical tretinoin or adapalene at night over acne-prone areas.

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