How Long Does It Take to See Results from Oral A Acid?

Oral isotretinoin is ineffective?

Hello, how long does it usually take to feel the effects of oral isotretinoin? I currently don't feel much change; it hasn't decreased, but it seems to have increased.
I would like to know approximately how long it will take to notice an effect.
Thank you.

BB, 10~19 year old female. Ask Date: 2020/10/03

Dr. Wu Yuxin reply Dermatology

You should consult your attending physician about this issue, as they are the most familiar with your condition.

Reply Date: 2020/10/03

More Info

When it comes to oral retinoids, such as oral isotretinoin (commonly referred to as "oral A acid"), the timeline for seeing results can vary significantly from person to person. Typically, patients may start to notice improvements in their skin condition, particularly in the case of acne, within 4 to 6 weeks of starting treatment. However, it is not uncommon for some individuals to experience an initial worsening of their acne before they see improvements. This phenomenon is often referred to as the "purging phase," where the medication accelerates the turnover of skin cells and can lead to a temporary increase in breakouts.

The full effects of oral isotretinoin can take several months to manifest. Most treatment regimens last between 4 to 6 months, and many patients will see significant improvement by the end of this period. It is essential to maintain regular follow-up appointments with your dermatologist during this time, as they can monitor your progress and make any necessary adjustments to your treatment plan.

In terms of side effects, oral isotretinoin can cause dryness of the skin, lips, and eyes, as well as potential changes in mood and liver function. These side effects are typically manageable, but it is crucial to communicate any concerns with your healthcare provider. They may recommend using moisturizers, lip balms, and other supportive measures to alleviate dryness.

If you feel that your acne is worsening or not improving after several weeks of treatment, it is essential to consult your dermatologist. They can evaluate your situation and determine whether the current dosage is appropriate or if additional interventions are needed. It's also worth noting that some individuals may require a second course of treatment after completing their initial regimen, especially if they have severe or persistent acne.

In summary, while some patients may start to see results from oral isotretinoin within 4 to 6 weeks, it can take several months to achieve the full benefits of the medication. Regular follow-up with your dermatologist is crucial to ensure the treatment is effective and to manage any side effects. If you have concerns about your treatment progress, do not hesitate to reach out to your healthcare provider for guidance.

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