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Severe Nodular or Cystic Acne Treatments

By:Julian Chee


Posted 2006-10-16



People with nodules or cysts should be treated by a dermatologist. For patients with severe inflammatory acne that does not improve with prescription topical or oral medicines, a doctor may prescribe isotretinoin (Accutane), a retinoid (vitamin A derivative). Isotretinoin is an oral drug that is usually taken once or twice a day with food for 15 to 20 weeks. It markedly reduces the size of the oil glands so that much less oil is produced. As a result, the growth of bacteria is decreased.

Advantages of Isotretinoin (Accutane)

Isotretinoin is a very effective medicine that can help prevent scarring. After 15 to 20 weeks of treatment with isotretinoin, acne completely or almost completely goes away in most patients. In those patients where acne recurs after a course of isotretinoin, the doctor may institute another course of the same treatment or prescribe other medicines.

Disadvantages of Isotretinoin (Accutane)

Isotretinoin can cause birth defects in the developing fetus of a pregnant woman. It is important that women of childbearing age are not pregnant and do not get pregnant while taking this medicine.Women must use two separate effective forms of birth control at the same time for 1 month before treatment begins, during the entire course of treatment, and for 1 full month after stopping the drug. You should ask your doctor when it is safe to get pregnant after you have stopped taking isotretinoin.

Some people with acne become depressed by the changes in the appearance of their skin. Changes in mood may be intensified during treatment or soon after completing a course of medicines like isotretinoin. There have been a number of reported suicides and suicide attempts in people taking isotretinoin; however, the connection between isotretinoin and suicide or depression is not known. Nevertheless, if you or someone you know feels unusually sad or has other symptoms of depression, such as loss of appetite, loss of interest in once-loved activities, or trouble concentrating, it’s important to consult your doctor.

Other possible side effects of isotretinoin include:
• dry eyes, mouth, lips, nose, or skin (very common)
• itching
• nosebleeds
• muscle aches
• sensitivity to the sun
• poor night vision
• changes in the blood, such as an increase in fats in the blood (triglycerides and cholesterol)
• change in liver function.

To be able to determine if isotretinoin should be stopped if side effects occur, your doctor may test your blood before you start treatment and periodically during treatment. Side effects usually go away after the medicine is stopped.

Please be reminded that the above information is for informational purposes only and it is not intended to replace any health care services you need. The information provided is strictly not meant to diagnose medical conditions, offer medical advice, or endorse specific products or services. Do not rely upon the information provided alone for medical diagnosis or treatment. Kindly consult your doctor about any personal health concerns.

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Julian Chee is the founder of Skincare Daily. This internationally accredited skin care website provides information on acne treatments, anti-aging skin care, hair removal methods, hair loss, cosmetic surgery and skin care beauty. For more acne information, please visit http://www.skincaredaily.com

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