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20mg x 30ml liquid bottle 

Accutane, also known by its generic name isotretinoin, is a powerful medication primarily used for the treatment of severe and persistent nodular acne. Developed in the 1980s, Accutane has proven to be highly effective in managing acne that does not respond well to other conventional treatments. In this in-depth review, we will explore the uses, functions, benefits, and dosages of Accutane.

Uses: Accutane is mainly prescribed for the treatment of severe cystic acne, which is characterized by deep, painful nodules and cysts on the skin. It is often recommended when other acne treatments, such as topical creams, antibiotics, or hormonal therapies, have failed to produce satisfactory results. Accutane works by targeting the root causes of acne, including excess sebum production, inflammation, and abnormal cell growth.


  1. Sebum Regulation: Accutane reduces the production of sebum, an oily substance produced by the sebaceous glands. Excessive sebum can clog pores and lead to the formation of acne lesions. By reducing sebum production, Accutane helps prevent the development of new acne lesions.

  2. Anti-Inflammatory Action: Inflammation plays a crucial role in acne formation. Accutane has anti-inflammatory properties that help reduce redness, swelling, and tenderness associated with acne lesions. By targeting inflammation, Accutane promotes the healing of existing acne and prevents new breakouts.

  3. Normalization of Skin Cell Turnover: Accutane regulates the turnover of skin cells, preventing the formation of comedones (clogged pores) that contribute to acne development. By promoting a healthy cell turnover rate, Accutane helps to clear existing acne and prevent the formation of new lesions.


  1. High Efficacy: Accutane is highly effective in treating severe and treatment-resistant nodular acne. Clinical studies have shown that a significant percentage of patients achieve long-term remission after completing a course of Accutane treatment.

  2. Improved Self-Esteem: Severe acne can have a significant impact on an individual's self-esteem and quality of life. By effectively clearing acne, Accutane can help improve self-confidence and overall psychological well-being.

  3. Prevention of Scarring: Severe acne lesions often leave behind permanent scars. Accutane's ability to clear existing acne and prevent new breakouts can help minimize the risk of scarring and improve the overall appearance of the skin.

Dosages: Accutane is available in oral capsule form, and the dosage is determined by various factors, including the severity of acne, body weight, and individual response to treatment. Typically, the recommended dosage ranges from 0.5 to 1.0 mg per kilogram of body weight per day, divided into two daily doses. The treatment duration is usually 15 to 20 weeks.

It's essential to note that Accutane is a potent medication with potential side effects and risks. It is typically prescribed under the close supervision of a dermatologist who will monitor the patient's progress and manage any potential adverse effects.

Potential Side Effects of Accutane:

While Accutane can be highly effective in treating severe acne, it is important to be aware of its potential side effects. It is essential to discuss these risks with a healthcare professional before starting Accutane. Here are some of the common side effects associated with Accutane:

  1. Dryness and Skin Sensitivity: Accutane can cause dryness of the skin, lips, and eyes. This may lead to dry, chapped lips, dry skin, and increased skin sensitivity. It is recommended to use gentle, fragrance-free moisturizers and lip balms to alleviate dryness. Applying sunscreen with a high SPF is crucial to protect the skin from increased sensitivity to sunlight.

  2. Increased Photosensitivity: Accutane can make the skin more sensitive to sunlight. It is important to minimize sun exposure and wear protective clothing, including hats and sunglasses, when outdoors. Regular application of a broad-spectrum sunscreen with an SPF of 30 or higher is recommended.

  3. Muscle and Joint Pain: Some individuals may experience muscle and joint pain while taking Accutane. This can range from mild discomfort to more severe pain. It is advisable to inform your healthcare provider if you experience persistent or severe pain. They may recommend over-the-counter pain relievers or suggest alternative treatments.

  4. Elevated Blood Lipid Levels: Accutane can increase blood lipid (fat) levels, including cholesterol and triglycerides. Regular monitoring of blood lipid levels is necessary during treatment. Maintaining a healthy diet low in saturated fats and cholesterol and engaging in regular exercise can help manage lipid levels.

  5. Mood Changes and Depression: There have been reports of mood changes, including feelings of sadness or depression, in some individuals taking Accutane. It is important to inform your healthcare provider if you experience any mood changes or depressive symptoms. They can provide appropriate support and guidance.

  6. Dryness of Mucous Membranes: Accutane can cause dryness of the mucous membranes, leading to dry nose, nosebleeds, and dry eyes. Using saline nasal sprays or applying a thin layer of petroleum jelly inside the nostrils can help alleviate dryness. Eye drops or artificial tears can be used to relieve dry eyes.

  7. Teratogenicity: Accutane is highly teratogenic, meaning it can cause severe birth defects if taken during pregnancy. It is crucial to use highly effective contraceptive methods while taking Accutane and for a certain period before and after treatment. Females of reproductive age may need to follow strict pregnancy prevention guidelines, including regular pregnancy tests.

Counteracting Side Effects:

To counteract the potential side effects of Accutane, consider the following measures:

  1. Stay Hydrated: Drinking plenty of water can help combat dryness of the skin and mucous membranes.

  2. Moisturize Regularly: Use gentle, fragrance-free moisturizers to combat dry skin. Apply lip balm frequently to prevent dry and chapped lips.

  3. Protect Against Sun Exposure: Use a broad-spectrum sunscreen with a high SPF and wear protective clothing to shield the skin from increased photosensitivity.

  4. Manage Pain and Discomfort: If you experience muscle or joint pain, consult your healthcare provider for appropriate pain relief options or alternative treatments.

  5. Communicate with Your Healthcare Provider: Report any mood changes, depressive symptoms, or persistent side effects to your healthcare provider for proper evaluation and guidance.

  6. Follow Blood Lipid Monitoring: Adhere to regular blood tests to monitor lipid levels. Maintain a healthy diet and engage in regular exercise to manage lipid levels.

  7. Strict Pregnancy Prevention: Follow the recommended contraception guidelines and ensure effective birth control methods are used to prevent pregnancy.

Conclusion: Accutane (isotretinoin) is a highly effective medication for the treatment of severe and persistent nodular acne. By targeting the underlying causes of acne, such as excess sebum production, inflammation, and abnormal cell growth, Accutane can provide long-term remission and improve the overall appearance of the skin. However, due to its potency, Accutane should only be used under the guidance and supervision of a healthcare professional to ensure its safe and effective use.

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