r/Accutane

▲ 6 r/Accutane+2 crossposts

Meibomian Gland dysfunction due to accutane

Hi, I just wanted to ask for help and advice from anyone who experienced mgd as a side effect during/ after accutane. The course didn’t even fully clear my acne and left me with this terrible side effect. I’m feeling really really discouraged and am at a low :( if anyone has experienced this I would love to hear how you were able to deal with this.

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u/JazzlikeParticular67 — 4 days ago
▲ 2 r/Accutane+1 crossposts

Shaving tips

My skin breaks out everytime i shave my face, i think cause shaving and the accutane both compromise my skin barrier. What are some things yall have done to help with this. I already use a sensitive skin oatmeal shaving cream and a safety razor. I tried just not shaving but my facial hair is so patchy i look crazy

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u/angelo0333 — 5 days ago

Scared to start because of the “purge”

I’ve basically suffered with acne for 10 years (25 now) and have constantly put off starting accutane because of the fear of what I see online, it’s gotten to a point where I no longer fear the side affects but fear a purge. My acne is moderate on my face but quite severe on my jawline and neck.

In my work we can’t wear too much makeup so the thought of a purge all over my face honestly kills me. Is there anything I could do to prevent one? Is it guaranteed that it will happen? Has anyone had severe enough acne and didn’t purge at all?

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u/Lexiinono — 11 days ago

Should I be scared?

So i’ve been on Accutane for a lil over 2 months now, i’m on 30 MG and will be increasing to 60 MG tomorrow. So far not too bad side effects some dry lips but that’s about it.

But what i’m worried about is that i kind of have been consuming the same amount of liq i normally would. It’s on only on the weekends but I’m a pretty heavy weight and my usual amount when I go out is 5. Now i have this weird rash on my hands that’s been showing up and won’t go away w any amount of moisturizer.

I’ve gone down a rabbit hole of liver damage side effects and idk im scared it’s from that. My plan is once I go on the double dose to really lock in and cut down on my consumption. I’m just scared from what I have been consuming is my liver completely fucked?

Here’s a vid for reference

u/Snoo13777 — 11 days ago

the whole “20g fat”requirement

ugh i feel myself continuing to hyperfixate to no end ab this and ive seen mixed responses when searching for answers, so here goes. starting month 4 of clavaris (accutane) 60mg. month 1 was 40mg and its been 60 ever since. weight is 147, height 5’6 (possibly almost 5’7) cumulative dose is between 10200-13400. the only instruction the derm gave was to take it with the biggest meal. the whole acne struggle has been debilitating to say the least n it took years of failed treatments and quite frankly, an altered way of life, to finally get on accutane. safe to say ive done my fair share of research and got in my head about the fat req. i want this to be as effective as possible and it’s def been a saving grace so far. i’ve noticed side effects here n there but i consider them nothing compared to the before, completely tolerable esp compared to other failed treatments that legit impacted me badly health wise. i’m vegan and also allergic to peanuts, walnuts, cashew, pistachios, and avocado. it’s pretty hard to hit that 20g mark. i did overly try to after month 1 and i noticed my triglycerides were WAY raised. still in a safe level and to be clear (don’t lock my post pls!!) YES, this is a known side effect. more so: the worry was that i knew damn well that i’ve damn near been over eating compared to the norm for me in order to hit close to 20g fat. tbh even my biggest meals don’t hit 20g, (MAYYYBE 10 max. even a vegan quesadilla is only apparently 7g of fat from what the ingredients list). it’s actually the smaller meals such as a bagel with vegan butter and tea made with soy milk (aka my breakfast) that have more fat (could be 10-13g). triglycerides aside, the over eating just isn’t feasible. i recently incorporated vegan omega 3 capsules (substitute for fish oil, it’s the version thats algae oil instead) which is 1.5g in fat. i checked with my derm and she was happily surprised to hear that i was aware that fat is important, and from what i understood she said that it doesn’t have to be 20g, it just has to be SOME fat within the meal. truly and bluntly, has anyone else done like 10-13 or 14g rather than the full 20g of fat in their meals, and still found great effectiveness? idk sorry this is wordy but i just want to do my part, it was already a whole process getting started and i def fear not doing the right things and risking relapse.

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u/Even-Editor1247 — 10 days ago

don’t give up

i had acne until the very last day and it still cleared. feel free to ask questions. i thought it wasn’t working for first 5 months
(8 months total, 20/40/60/60/60/60/60/60)

u/Loose-Health-3407 — 11 days ago

Auditory hallucinations on Accutane

I started taking 40mg of isotretinoin 10 days ago and so far the side effects has only really ben dry lips and skin however since around day 5 when I’m trying to fall asleep I have these auditory hallucinations that sound really loud and realistic, At first I thought it wasn’t related however I googled if Accutane can cause that and it said it can but its rare, has anyone else experienced these?

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u/Otherwise_Show6917 — 10 days ago
▲ 7 r/Accutane+1 crossposts

Anxiety that started on Accutane and never went away

I've never posted here before, but I took Accutane about 8 years ago in college. Before that, I was the farthest thing from an anxious person. I was always confident and comfortable in my own skin, and I'd never felt anxiety in my life.

About a year into treatment, I switched dermatologists because I relocated for school, and the new prescription was a different brand: Absorbica instead of whatever I'd been on before.

Almost instantly, about a week later, everything changed. I'll never forget standing in line at Chick-fil-A when I suddenly started sweating profusely and got super anxious. It was the first time in my life I'd ever felt what I can only describe as social anxiety. My eyebrows, nose, and upper lip were sweating, and I had no idea what was happening.

From that day on, it carried into everything. I'd always done presentations for school with no problem, but suddenly group projects and presentations had me losing my mind with anxiety. Then it spread to everyday things like going to class, being with my girlfriend, and even hanging out with best friends I've known forever. I was in the middle of college, panicking because I didn't know what was going on. I'd go to bed with my heart pounding so hard that I bought a heart rate monitor because I thought I was going to have a heart attack.

I started researching what could be causing it and found people connecting Accutane to sweating. I went down the whole vitamin A rabbit hole and started taking vitamin D pills, which I thought helped for a while, but looking back I think it was a placebo.

I went to my dermatologist, who said there was no way Accutane could cause any of this and prescribed me anti-sweating medication. It didn't really help, and the sweating kept making my heart pounding worse. So I went to a doctor for the first time, told them about my heart rate, and they prescribed propranolol. That helped, but I was having to take it a lot just to mask the symptoms.

Eight years later, it has never left. Whenever I'm out in public or interacting with people, a wave comes over me: flushing, sweating, and a fight-or-flight feeling that makes no logical sense. It feels like my personality changed.

The hardest part is what it's done to my connection with people. I struggle to feel close to anyone. I can't laugh with my friends or smile naturally. I can't show emotion, and I don't seem to be able to regulate it properly. It's like I'm a shell of myself, hiding because my brain isn't working at normal levels.

I feel stuck in a constant cycle of fear and negative thoughts, like my limbic system is going haywire all the time. Every morning I get in the elevator in my building and I'm already anxious about the people I'll see and what they might be thinking. I know it's not rational, but I can't shut it off.

I've tried everything: therapy, hypnotherapy, SSRIs, psilocybin, acupuncture, eating well, working out, and every over-the-counter remedy you can think of. The only thing that's really helped is taking Lexapro and propranolol daily, and even then I can't seem to break through. I never wanted to rely on medication to get through life, but I'm running out of options.

I'm not a quitter. I get through every single day and keep living my life, but it's exhausting to keep getting pushed back down because I still can't figure out what's going on.

Has anyone who took Accutane experienced something similar: extreme sweating, flushing, constant anxiety, and a feeling like your personality changed, lasting this long? If so, what have you done to get through it? I'd really love to hear from anyone who can relate.

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u/aldish123 — 13 days ago

Hair shed / irritated scalp

Hello again everybody I have made a post regarding hair shed before but I have a new concern

I am starting month 4 of accutane 40 mg. I have an EXTREMELY itchy scalp and don’t know what to do! The more it itches, the more hair I shed (and naturally shed much less hair than the average person like it would normally take me 2 weeks to shed this much hair)

I’ve already gotten two different dermatologist opinions and one prescribed me with a steroid called clobetasol propionate topical solution 0.05% for two weeks which didn’t rlly do anything and one prescribed me a 2% ketokonazole shampoo which worked for a few weeks but for some reason stopped working

I wash every 2-3 days with the ketokonazole shampoo, and I’ve tried the ordinary moisturizing factors scalp serum and the kerastase nutritive scalp serum but those are of verrrry minimal help

I assume it’s so itchy bc of how dry it is but i just need new recs and perspectives id appreciate any tips ❤️

For context I have thick low porosity curly hair if that matters

u/Budget_Major5885 — 10 days ago

Ending accutane but I have a kyleena IUD

I’m worried that the Kyleena will cause me to have acne again. I got the Kyleena before I started accutane for the birth control part of it so I know that my acne was not caused by the IUD. I had tried other forms of birth control but had bad experiences with the pill. Any experiences with the Kyleena post-accutane? I’m worried!!

Dosage 60mg weight 143lbs

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u/These-Singer-8835 — 11 days ago

Cleansing

Does anyone else feel like they just need to cleanse their skin once a day on a lazy more relaxed day. Been on accutane for maybe a month and half now and I feel like I dont need to cleanse as much and I also dont want to over strip my skin and make it dryer. Im on 60 mg dose a day and im around 150 pounds.

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u/SignificantYam7166 — 11 days ago

should i go back on accutane?

ive been consistently getting acne on my forehead and around my nose area for the past couple months. only a couple spots turn into whiteheads though. im almost one year post accutane. ive been using tret and washing my face at least once a day (usually twice a day) but im still breaking out like this. its not as bad as before, but its getting to the point where its turning from a inconvenience to a concern.

u/dollipawss — 10 days ago

LRP cicaplast baume usage?

Hi! I’ve just finished my tenth day of accutane and was wondering about using the la roche posay cicaplast baume. My derm recommended it but I’m not sure if it’s supposed to be use every night or on top of moisturizer or just in dry spots? If anyone used it, how did it work for you? How were you using it?

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u/Necessary-Laugh389 — 10 days ago