How Long Should I Take A Acid for Acne Treatment? - Dermatology

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When considering the duration of isotretinoin (commonly referred to as A acid) treatment for acne, it's essential to understand that the length of therapy can vary significantly based on individual circumstances, including the severity of acne, response to treatment, and any side effects experienced.

Typically, isotretinoin is prescribed for a course of 15 to 20 weeks (approximately 4 to 5 months) at a dose tailored to the patient's weight and the severity of their condition. The standard dosing guideline suggests a cumulative dose of about 120-150 mg per kilogram of body weight over the entire treatment course. For someone weighing 55 kg, this would translate to a total cumulative dose of approximately 6,600 to 8,250 mg. If you are taking 20 mg daily, you would reach the lower end of this cumulative dose in about 11-14 months, which is longer than the typical treatment duration.

In your case, having been on isotretinoin for 6-7 months at a dose of 20 mg daily, it is understandable that you are concerned about the persistence of acne. While many patients experience significant improvement within the first few months, some may continue to have breakouts even after several months of treatment. This could be due to several factors, including the severity of your acne, hormonal influences, or even the presence of other skin conditions that may mimic acne.

If you are still experiencing breakouts after 6-7 months, it is crucial to consult with your dermatologist. They may consider several options:
1. Adjusting the Dose: Sometimes, increasing the dose can lead to better results, provided that you are tolerating the medication well and have no significant side effects.

2. Extending the Treatment Duration: If you are responding positively to the treatment but still have some acne, your dermatologist may recommend continuing the isotretinoin for a longer period to achieve better control.

3. Combination Therapy: In some cases, dermatologists may suggest combining isotretinoin with other treatments, such as topical retinoids or antibiotics, to enhance efficacy.

4. Evaluating Other Causes: If your acne persists, it may be worthwhile to investigate other underlying causes, such as hormonal imbalances, which could require different treatment approaches.

Regarding side effects, isotretinoin can have various adverse effects, including dry skin, chapped lips, and potential mood changes. Regular follow-ups with your dermatologist are essential to monitor for these side effects and to assess your overall progress.

In summary, while the typical course of isotretinoin lasts around 4-5 months, your treatment duration may need to be adjusted based on your specific situation. It is vital to maintain open communication with your healthcare provider to determine the best course of action tailored to your needs. Always consult your dermatologist before making any changes to your treatment plan.