Can You Combine Oral A Acid with Glycolic Peels? - Dermatology

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Oral retinoids & alpha hydroxy acid (AHA) chemical peels?


Hello Doctor, I am currently taking oral isotretinoin.
I would like to ask if it is safe to undergo glycolic acid peels during the treatment period.
I am considering having the peels once a month; will this have any effects? Additionally, can I use topical retinoids and acne medications while on isotretinoin? Thank you for your response.

Wǒ yào biàn piàoliang., 20~29 year old female. Ask Date: 2018/04/12

Dr. Wu Yuxin reply Dermatology


In principle, topical medications have minimal impact.
For this issue, you should consult your attending physician, as they are most familiar with your condition and can help you choose the appropriate medication.

Reply Date: 2018/04/12

More Info


When considering the combination of oral A acid (commonly known as isotretinoin) with glycolic peels, it is essential to understand the implications for skin health and safety. Isotretinoin is a powerful medication primarily used to treat severe acne, and it works by reducing oil production in the skin, preventing clogged pores, and promoting skin cell turnover. Glycolic acid, on the other hand, is an alpha hydroxy acid (AHA) that exfoliates the skin, helping to remove dead skin cells and improve skin texture.


Combining Oral A Acid with Glycolic Peels
1. Skin Sensitivity: One of the significant side effects of isotretinoin is increased skin sensitivity. Patients often experience dryness, peeling, and irritation. When combined with glycolic peels, which also promote exfoliation, there is a heightened risk of skin irritation, redness, and discomfort. Therefore, it is generally advised to approach this combination with caution.

2. Timing and Frequency: If you are considering glycolic peels while on isotretinoin, it may be wise to space out the treatments. For instance, if you are on isotretinoin, you might want to wait until your skin has stabilized before undergoing a glycolic peel. Consulting with a dermatologist is crucial to determine the appropriate timing and frequency of both treatments.

3. Professional Guidance: It is highly recommended to have a professional evaluate your skin condition before proceeding with glycolic peels. A dermatologist can assess your skin's tolerance and recommend a safe approach, which may include adjusting the strength of the peel or the frequency of treatments.


Using Topical A Acid and Acne Medications
1. Topical A Acid: Using topical retinoids (like topical A acid) while on oral isotretinoin is generally not recommended. Both treatments can lead to excessive dryness and irritation. If you are already on isotretinoin, the oral medication is usually sufficient for managing acne, and adding topical retinoids may not provide additional benefits and could exacerbate side effects.

2. Acne Medications: If you are considering using other topical acne medications while on isotretinoin, it is essential to consult your healthcare provider. Some topical treatments may be compatible, while others may increase the risk of irritation. Your dermatologist can provide guidance on which products are safe to use in conjunction with isotretinoin.


Conclusion
In summary, while it is possible to combine oral A acid with glycolic peels, it requires careful consideration and professional guidance due to the increased risk of skin irritation and sensitivity. Always consult with a dermatologist before starting any new treatments, especially when on isotretinoin. They can help you develop a comprehensive skincare plan that addresses your acne while minimizing potential side effects. Additionally, be cautious with the use of topical retinoids and other acne medications during your isotretinoin treatment to avoid excessive irritation. Your skin's health and comfort should always be the priority in any treatment plan.

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