Can Oral A Acid Be Used with Salicylic Acid Products? - Dermatology

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Oral retinoid use?


Can oral isotretinoin be used in conjunction with salicylic acid skincare products?

Chi Chi, 20~29 year old female. Ask Date: 2023/11/08

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to oral retinoic acid, you can refer to the article from Med's Good Friends at https://www.medpartner.club/topical-retinoid-acid-introduction/.
Generally, after taking oral retinoic acid, due to side effects, the skin tends to become drier and itchier, so it is usually not necessary to use salicylic acid skincare products.
During the autumn and winter seasons, it is important to enhance moisturizing.
If you have any further questions about oral retinoic acid, it is advisable to consult a dermatologist nearby at https://www.derma.org.tw/finddoctor/.
Thank you!

Reply Date: 2023/11/08

More Info


When considering the concurrent use of oral isotretinoin (commonly referred to as oral A acid) and salicylic acid products, it is essential to understand the implications of combining these treatments, especially in the context of skin health and safety.

Oral isotretinoin is a powerful medication primarily used to treat severe acne. It works by reducing sebum production, normalizing skin cell turnover, and exerting anti-inflammatory effects. However, one of the most significant side effects of isotretinoin is its potential to cause skin dryness and irritation. This is due to its effect on sebaceous glands and the overall reduction in oil production, which can lead to a compromised skin barrier.

Salicylic acid, on the other hand, is a beta hydroxy acid (BHA) that is often used in skincare products for its exfoliating properties. It penetrates the pores and helps to dissolve the debris that can lead to acne formation. While salicylic acid can be beneficial for acne-prone skin, it can also be irritating, especially when used in conjunction with other potent treatments like isotretinoin.

Given these characteristics, the combination of oral isotretinoin and salicylic acid products can be approached with caution. Here are some key points to consider:
1. Skin Sensitivity: Both isotretinoin and salicylic acid can cause skin irritation. Using them together may exacerbate dryness, redness, and peeling. It is crucial to monitor your skin's response and adjust usage accordingly.

2. Concentration Matters: If you choose to use salicylic acid while on isotretinoin, consider starting with a lower concentration. Products with lower concentrations are less likely to cause irritation and can still provide benefits without overwhelming the skin.

3. Frequency of Use: Instead of using salicylic acid daily, you might consider applying it a few times a week to gauge how your skin reacts. This approach can help minimize irritation while still allowing you to benefit from its exfoliating properties.

4. Consultation with a Dermatologist: Before combining these treatments, it is always best to consult with a dermatologist. They can provide personalized advice based on your skin type, the severity of your acne, and your overall treatment plan.

5. Alternative Options: If salicylic acid proves too irritating, consider other gentle exfoliation methods or products that are less likely to cause irritation. For instance, products containing lactic acid or glycolic acid may be better tolerated by some individuals.

6. Hydration and Moisturization: Regardless of the combination of treatments, maintaining skin hydration is crucial. Use a good moisturizer to help combat dryness and support the skin barrier, which can be compromised by both isotretinoin and salicylic acid.

In summary, while it is possible to use salicylic acid products while on oral isotretinoin, it should be done with caution. Monitoring your skin's reaction and consulting with a healthcare professional can help ensure that your skincare regimen is both effective and safe. Always prioritize skin health and comfort when navigating the complexities of acne treatment.

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