Accutane: Let’s Address the Facts

by Dr. Avee Naidoo (2023).

Are you considering Accutane or Epuris (oral isotretinoin) for acne treatment but feeling overwhelmed by all the myths and rumors surrounding it? Let's separate fact from fiction in this Accutane FAQ.

Myth #1: Accutane is dangerous and will cause severe side effects.

Fact - While Accutane can have side effects, its safety record is well-established. It's crucial to work closely with a healthcare provider who will monitor your progress and adjust your dosage accordingly. In my personal experience, the main side effect experienced is dry lips – very, dry lips – but this is expected and serves as an indicator that you are at an effective dose.

Myth #2: Accutane is only for severe acne cases.

Fact - Accutane can be prescribed for moderate-to-severe acne that does not respond to other treatments. We often start this medication earlier if you are having scarring – indents in your face from acne. Patients with darker skin tones have the tendency to have more severe scarring, thus we also consider starting this medication earlier in the melanin-enriched. Your dermatologist or skin care physician will determine if it's suitable for your specific condition.

Myth #3: Accutane leads to permanent hair loss.

Fact - Although more rare, temporary hair thinning can occur during treatment, but it's reversible once you stop using the medication.

Myth #4: Accutane causes depression and suicidal thoughts.

Fact - While some users report mood changes, the link to depression and suicide is inconclusive. There is some evidence that the medication can improve mood in patients with anxiety or depression. It's vital to communicate any emotional changes with your healthcare provider while on the medication.

Myth #5: Accutane guarantees lifelong clear skin.

Fact - Accutane can provide long-lasting results, given that the medication can permanently shrink sebaceous glands, but for some patients, the acne may return after treatment. A good skincare routine can help maintain clear skin.

Myth #6: Accutane can impact fertility.

Fact - There's no clear evidence to suggest that taking isotretinoin capsules reduces fertility in either men or women.

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THE BOTTOM LINE

Before starting Accutane, consult a healthcare professional who can assess your individual needs and discuss the potential risks and benefits. It's essential to make an informed decision based on accurate information.