Accutane is an oral medication containing isotretinoin, a potent derivative of vitamin A used to treat severe, persistent acne that has not responded to other treatments. It works by reducing sebum production, normalizing skin cell turnover, and decreasing acne-causing bacteria. A course of treatment typically lasts several months, and many patients experience long-term improvement or complete remission of acne after completing therapy.

Accutane is prescribed for people with severe nodular acne, cystic acne, or acne that has failed to improve with conventional treatments like antibiotics and topical retinoids. It is not a first-line treatment due to its potential side effects and strict prescribing requirements. A dermatologist will evaluate your acne severity, medical history, and ability to comply with monitoring requirements before recommending this medication.

Accutane is taken as an oral capsule, typically once or twice daily with food. You will need regular blood tests and follow-up appointments throughout your course to monitor liver function and lipid levels. Depending on your acne severity and response, treatment usually continues for four to six months.

Most people continue their normal activities while taking Accutane. You will need to avoid certain medications, supplements, and alcohol, and use strict sun protection and lip balm due to increased sun sensitivity and dry skin. After completing your course, you can gradually resume regular skincare and sun exposure practices.

Improvements typically become visible within the first few weeks, with continued clearing over the course of treatment. Many patients experience significant or complete remission of acne that can last years or indefinitely. Some individuals may require a second course if acne returns, though this is less common.