How does ACCUTANE work? Dr Somji Explains

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Accutane (isotretinoin) works by targeting the underlying causes of severe acne.

It is a powerful medication that belongs to a class of drugs called retinoids, How does it work?

1. Reducing sebum production: It reduces the amount of oil (sebum) your skin produces, which can contribute to acne.

2. Preventing clogged pores: It helps prevent clogged pores by normalizing the process of skin cell turnover.

3. Anti-inflammatory effects: It has anti-inflammatory properties that reduce redness, swelling, and inflammation associated with acne.

4. Modulating bacteria: It may also decrease the number of acne-causing bacteria on your skin.

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Took it for six months. Worked like a charm.

isaacfrantz
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I’m 20 year old college student currently on my third month of accutane and if your thinking about taking it take it. i’ve done all the donts while on it. drinking, being out in the sun, not wearing sunburn, not using enough moisturizer, and along with coming from a family with a history of extreme mental health problems this has been the best decision of my life when it comes to acne. had severe back acne and mild facial acne and after three months it’s literally gone. only side effects i’ve experience is dryness and some nosebleeds from my nose being dry. that’s it. no hair loss, no depression, no liver failure, no joint pain. nothing. most of the people you see online are going to tell you horror stories about bc that’s why they’re online. they’re looking for people who have had these same experiences they’ve had while most of the people who take it don’t even think twice about it bc for the most part the drug works. take it seriously, if you want your acne gone take it

malcolmsmith
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I did it for like a year. Took the liquid version orally. Tasted like burning acid and I was never without chapstick. But it worked.

thecraftaddict
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I was so mad because my dermatologist said it would take 6 months and it took over a year. Then I looked at my before pictures and remembered all the pain- so glad I stuck through it!

simplycharming
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Accutane works differently on every individual. I’m sharing this in the hopes my comment can be somewhat helpful. Please be careful because accutane DID NOT WORK for me. My skin got WORSE! And by worse I literally mean, I went from having very moderate pimple to huge cystic acne. And no, it’s not purging. I was on accutane for about a year, but every single day my skin just got worse. I was with a very well known dermatologist in my country, and I still regret it. I went to him because I started getting 3-4 pimples due to the mask because of Covid. And that dermatologist put me on accutane, my biggest mistake what not researching about the medication before taking it, that’s because I know that dermatologist so well. And after that, my acne got worse to the point that I stopped accutane myself and I change my dermatologist. Please take note, the acne I had while I was accutane left me very very deep intense atrophy scars. And if y’all know, atrophy scars don’t go away unless we do a laser. Please be mindful before taking accutane, cause I regret it. I don’t get acne like last time but my skin is filled with the scars from it and it won’t go away.
Please, I really wish I would’ve let be since the start. So please be very careful

kayshashas
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Hate cheek area sensitivity. Spots there can last for months and years. I wonder how to get rid of them? Guess I should stop breaking out soon, currently started month 2 of accutaine 40mg. Doc initially planned to slowly reduce the dose through the course, but it’s after month 2-3

Updt: reducing the dose is bs, u should strive to take 0.8-1 mg / kg of weight!

RedRumble
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Dr. Somji's explanation is accurate. Accutane (isotretinoin) is used to address severe acne by diminishing oil production, preventing the formation of microcomedones, decreasing inflammation, and suppressing the growth of acne-causing bacteria. It's typically recommended when alternative treatments have been ineffective, but it requires careful monitoring due to potential side effects."

GoodDr.
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I wish dermatologists would check for hormonal acne first. I spent two years on accutane and had zero results. Turns out it was hormonal acne and two weeks of birth control cleared it right up. I can't take birth control any more, so the acne is back, but I could have done without the 2 years of accutane side effects.

roche
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My husband took Accutane. It made him so dry his skin was peeling. Yes it cleared everything out and unfortunately he couldn’t stay on it for very long..

lorirose
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Just started my first dose of accutane! Just the fact I’m taking it has already boosted my self confidence, can’t wait to finally say goodbye to my acne

Update: 2 months later and my acne has improved so much, still get the odd pimple but my face has completely cleared up, the only thing left now is small red dots where the acne use to be however they’re started to fade away but slowly

Username-zd
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But I have severe acne that I believe is hormonal due to hyperthyroidism and HTR. If accutane isn't for hormonal acne... How do I get rid of mine? It's absolutely awful and painful and it's all over my body!

nt
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Hormonal birth control screwed up my hormonal acne even worse. I’m on spironolactone for it and only deal with occasional spots now. Life changing.

KssN
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Took it for 4 months and it worked beautifully. Worse part of it was the dryness which was very uncomfortable. Coconut water in the morning REALLY helped with that. Chapstick was a big help. Dermatologist also said it would “Cure” my acne; it did not. I had no breakouts for about 2 months after but then started getting little breakouts here and there; got on a skin care regimen and I’ve been good since then.

NURTH
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Been on antibiotic for 3 years and it keeps coming back … I’m honestly defeated and I’m probably not the best candidate for accutane as my mental health could suffer severely. It’s honestly painful physically and emotionally.

raptorjesus
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Two of my cousins took this in teenage. One is suffering from blood clots and the other with GI issues.

mamabear
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does it work for Acne Keloidalis Nuchae ?

lordchrono
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If you can't dermaplane when on accutane, what should you use for facial hair removal?

yaarwthateh
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but eh, , she's really pretty and beautiful right..

danielramadhin
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The main problem of accutane is that people might forget the long-term cure of eliminating acnes.
I know it’s painful and hurtful when we see the mirror and acnes that spread all over our face.
Severe acne issue is the case accutane must use because that’s the clearest solution we can possibly get.
Lots of people talk about the side effects of non-pregnancy, depression and dry of our skin and lips.
Those are horrible causes, but the main problem is the recurrence when we stop using accutane for our health.
Majority of people know that the breakout of acne is much higher and faster and it has an immune that rejects the natural medical and biological care.
We need to look this disease in a long term, like eating healthy meals as much as possible, doing workout for getting our oils out of our faces by sweating and drink enough water to get the water into our face.
And finding the best skin care product is the number one assingment we need to check out.

leejinsan
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It's crazy how much acne can take away from a person's facial features... I wish it wasn't that way. Her after is 🤩

DashaTheDivineDivah