Acne can be very painful?
Hello, doctor.
I have been taking oral isotretinoin 20mg once a day for five weeks, but I was in a minor car accident, so I need to stop the medication for a week and take other anti-inflammatory drugs.
After stopping for a week, if I resume the medication, will it still be effective? Thank you.
Wu, 20~29 year old female. Ask Date: 2015/10/24
More Info
Stopping Accutane (isotretinoin) temporarily can indeed raise concerns about the effectiveness of your acne treatment, especially after being on the medication for five weeks. Accutane is a powerful medication primarily used to treat severe acne, particularly nodular acne that has not responded to other treatments. It works by reducing the size and activity of sebaceous (oil) glands in the skin, leading to decreased oil production, which is a significant contributor to acne formation.
When you stop taking Accutane, even for a short period, there are a few factors to consider regarding its effectiveness upon resuming treatment:
1. Duration of Treatment: The effectiveness of Accutane is often cumulative, meaning that the longer you take it, the more significant the results you may see. Five weeks is a relatively short duration, and while you may have started to notice some improvements, the full benefits typically manifest after a more extended period of consistent use. A one-week break may not drastically impact the overall treatment plan, but it could delay the full benefits you might expect from continuous use.
2. Resuming Treatment: After your one-week break, you can resume taking Accutane as prescribed. It is essential to follow your healthcare provider's instructions regarding dosage and duration. Your body will still respond to the medication, and you should continue to see improvements in your acne as you complete the course of treatment.
3. Potential Flare-Ups: Some individuals may experience a temporary flare-up of acne after stopping Accutane, even for a short period. This is due to the skin's adjustment to the absence of the medication. However, this is usually temporary, and once you resume treatment, the medication should help control the acne again.
4. Consult Your Healthcare Provider: It is crucial to communicate with your healthcare provider about any concerns you have regarding stopping Accutane. They can provide personalized advice based on your specific situation, including how to manage any potential side effects or flare-ups that may occur after resuming treatment.
5. Monitoring Side Effects: Accutane can have side effects, including dryness of the skin and mucous membranes, potential liver enzyme elevation, and changes in lipid levels. If you are taking other anti-inflammatory medications during your break, ensure that your healthcare provider is aware of all medications you are taking to avoid any adverse interactions.
6. Long-Term Treatment Plan: Depending on the severity of your acne and your response to treatment, your healthcare provider may recommend a longer course of Accutane or additional therapies to maintain results after completing the initial treatment.
In summary, while stopping Accutane for a week may cause some temporary concerns, it should not significantly compromise the overall effectiveness of your treatment. Upon resuming the medication, you should continue to see improvements in your acne. Always consult with your healthcare provider for tailored advice and to ensure that your treatment plan remains effective and safe.
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