Oral isotretinoin, Dermatology FAQ

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Managing Acne and Skin Sensitivity: The Role of Oral A-Retinoids

Oral isotretinoin issues? Hello, Doctor. Since middle school, I have been experiencing acne in the T-zone. Initially, I was treated with antibiotics, but my condition fluctuated. Later, I saw some improvement with glycolic acid peels and mandelic acid treatments, but I still cont...


Dr. Wu Yuxin Reply:
Your concerns need to be assessed in person to confirm the skin condition. Sometimes, it may not be a single issue but rather a combination of factors. It is recommended to consult a nearby dermatologist.

[Read More] Managing Acne and Skin Sensitivity: The Role of Oral A-Retinoids


Combining Oral A-Retinoids with Antibiotics: What You Need to Know

Oral isotretinoin combined with antibiotics? I have been continuously taking oral isotretinoin (A acid), but due to sinusitis, I went to the clinic and received a prescription that included the antibiotic doxycycline. I took the antibiotic and oral isotretinoin together three tim...


Dr. Wu Yuxin Reply:
It is not recommended to use them in combination. Side effects do not occur in everyone, but you can consult your physician about whether the antibiotics used for sinusitis can be adjusted to other types, as the metabolism of retinoic acid takes longer, and there is still concern...

[Read More] Combining Oral A-Retinoids with Antibiotics: What You Need to Know


Can You Mix Oral Isotretinoin from Different Sources?

Oral isotretinoin issues? Hello Doctor, I previously lived in China for a while and had severe acne. I visited a local hospital there, and they prescribed oral isotretinoin from a Chinese pharmaceutical company. After returning to Taiwan, I didn't finish the medication befor...


Dr. Wu Yuxin Reply:
I'm not familiar with oral isotretinoin from China, so I cannot provide you with an answer. I apologize.

[Read More] Can You Mix Oral Isotretinoin from Different Sources?


How Long to Stop Oral Accutane Before Surgery?

How long should one stop taking oral isotretinoin before undergoing surgery? Hello doctor, how long should I stop taking oral isotretinoin before undergoing surgery, and how long after the surgery can I start taking oral isotretinoin again?


Dr. Wu Yuxin Reply:
It is no longer widely believed that oral isotretinoin causes scar hypertrophy.

[Read More] How Long to Stop Oral Accutane Before Surgery?


How Long Should You Take Oral A Acid for Skin Improvement?

How long should A acid be taken? Hello, I have been taking oral isotretinoin for three years and four months, at a dosage of 20 mg every other day. Can I conclude the treatment? I have not experienced any acne symptoms, and my oiliness has also improved. I weigh 66 kg.


Dr. Li Yufen Reply:
Hello: The symptoms have improved after taking oral isotretinoin, and I have been on it for three years and four months. I recommend returning for a follow-up appointment to have the physician assess whether it is still necessary to continue the treatment. Thank you!

[Read More] How Long Should You Take Oral A Acid for Skin Improvement?


Understanding Oral A-Retinoid Use: Acne Persistence After 6 Months

Oral isotretinoin taken for 6 months? Hello Doctor: I am currently taking oral isotretinoin, 10mg once daily, for the past 6 months. Occasionally, I still get 1-2 pimples. Is this considered normal? How long should I continue taking it until I no longer break out? Thank you, Doct...


Dr. Wu Yuxin Reply:
The causes of acne are complex, and oral retinoids are not a panacea. Genetic predisposition, dietary habits, lifestyle, and stress are all contributing factors to the development of acne. Patients taking oral retinoids often believe that simply taking the medication will prevent...

[Read More] Understanding Oral A-Retinoid Use: Acne Persistence After 6 Months


Struggling with Persistent Acne: Causes and Treatment Options

Acne won't go away? Hello, Doctor: I have been struggling with acne since the sixth grade, continuing through my third year of college, which amounts to nearly 10 years. During my school years, I went to bed around 10-11 PM and woke up at 6 AM, so I did not have issues with ...


Dr. Wu Yuxin Reply:
If there are indeed hormonal issues, treatment should focus on this aspect, and it would be advisable to consult a gynecologist for an examination.

[Read More] Struggling with Persistent Acne: Causes and Treatment Options


Can Oral A Acid Be Used with Salicylic Acid Products?

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


Dr. Li Yufen Reply:
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 ...

[Read More] Can Oral A Acid Be Used with Salicylic Acid Products?


Should You Stop Oral A Acid After Pregnancy Termination?

Oral isotretinoin during pregnancy? If you have been taking isotretinoin (A acid) for nearly two years and accidentally became pregnant, and have just undergone a termination of pregnancy, it is advisable to stop taking isotretinoin during your recovery period. The duration for w...


Dr. Wu Yuxin Reply:
In addition to the need for contraception while taking oral isotretinoin, there shouldn't be any significant gynecological issues. Whether to continue taking the medication is a decision you need to make for yourself.

[Read More] Should You Stop Oral A Acid After Pregnancy Termination?


Can Accutane Use After Car Accident Affect Wound Healing?

What issues might arise from taking oral isotretinoin after a car accident injury? On October 9, I was involved in a car accident, resulting in a zygomatic bone fracture and sutures on my face and foot. The stitches have been removed, and there are no open wounds at the suture si...


Dr. Wu Yuxin Reply:
Recent studies show that oral isotretinoin does not cause excessive scarring. However, if there are concerns, it is still advisable to discontinue the use of isotretinoin.

[Read More] Can Accutane Use After Car Accident Affect Wound Healing?


Managing Facial Redness and Irritation from Oral A-Retinoids

Oral isotretinoin causing facial redness? I have been taking oral isotretinoin for about a week now, and my face is quite red, to the point where everyone notices it. They say I have a natural blush, and it's very obvious. How should I manage this redness? Is this a normal r...


Dr. Li Yufen Reply:
Hello: For a detailed introduction to oral retinoic acid, you can refer to the article from Med's Good Friend at https://www.medpartner.club/topical-retinoid-acid-introduction/. If applying ACZO ointment causes significant itching, it is recommended to discontinue use and re...

[Read More] Managing Facial Redness and Irritation from Oral A-Retinoids


Understanding Urticaria: Could Oral Isotretinoin Be the Cause?

Acute urticaria (while taking oral isotretinoin) Hello Doctor: I have a history of acne treatment for over six months, so I recently had blood tests and, after evaluation by my doctor, I started taking oral isotretinoin, along with other oral medications prescribed by my dermatol...


Dr. Wu Yuxin Reply:
Drug allergy is one of the causes of acute urticaria. It is recommended to consult the prescribing physician for a differential diagnosis.

[Read More] Understanding Urticaria: Could Oral Isotretinoin Be the Cause?


Can You Undergo Laser Hair Removal While Taking Oral A Acid?

Skin issues Can I undergo laser hair removal while taking oral isotretinoin? Thank you.


Dr. Li Yufen Reply:
Hello: Regarding the question of whether oral isotretinoin can be combined with laser treatments, you can refer to Dr. Lin Yun-Hsuan's article at https://www.dr-skin.com.tw/health/view/259. You may also consult a nearby dermatologist for advice at http://www.derma.org.tw/use...

[Read More] Can You Undergo Laser Hair Removal While Taking Oral A Acid?


Should You Wash Your Face at Noon After Applying Skincare?

If you wash your face at noon, should you apply skincare products? Hello, doctor. Yesterday, I received oral isotretinoin and topical L-ascorbic acid from the dermatologist for my skincare routine. The doctor advised me to mix one drop of L-ascorbic acid with my moisturizer and a...


Dr. Wu Yuxin Reply:
Whether you need to wash your face again at noon depends on your needs. If you work in a dirty environment or engage in outdoor work where you sweat and produce more oil, can you really skip washing your face?

[Read More] Should You Wash Your Face at Noon After Applying Skincare?


Potential Scarring Risks of Oral A-Retinoids During Orthodontic Procedures

Oral administration of isotretinoin and its related issues with scar hypertrophy? Hello, Doctor. I previously read an article stating that "taking isotretinoin may cause unpredictable tissue repair effects, leading to poor wound healing and potentially resulting in scar form...


Dr. Wu Yuxin Reply:
The current understanding is that it is unlikely to cause more scarring; however, there has not been a comparative study on the same individual using and not using retinoids regarding scarring. Each person's physiology is different, so it cannot be generalized. It is advisab...

[Read More] Potential Scarring Risks of Oral A-Retinoids During Orthodontic Procedures


Can Oral A Acid Affect Breast Fibroadenoma? Expert Insights

Oral A Acid Related Issues Hello doctor, I would like to ask if it is safe to take oral isotretinoin (Accutane) if I have a breast fibroadenoma. Could it have any adverse effects? Thank you for taking the time to answer!


Dr. Wu Yuxin Reply:
It shouldn't be.

[Read More] Can Oral A Acid Affect Breast Fibroadenoma? Expert Insights


Understanding Hair Loss: Is It Male Pattern Baldness or Telogen Effluvium?

Oral isotretinoin, hair loss, folliculitis? Hello Doctor: I have been experiencing hair loss after taking oral isotretinoin for 4.5 months. I stopped the medication two months ago, but there hasn't been a noticeable improvement. I visited a large hospital where the doctor br...


Dr. Wu Yuxin Reply:
These two types of hair loss are completely different symptoms. I cannot respond to your situation without seeing it; an actual examination is necessary to determine the cause.

[Read More] Understanding Hair Loss: Is It Male Pattern Baldness or Telogen Effluvium?


Can You Use Azelaic Acid with Oral A-Retinoids for Acne Scars?

Oral isotretinoin and azelaic acid? Hello Doctor, 1: I am currently taking oral isotretinoin, one capsule a day (20mg). I have some pigmented acne scars and would like to use azelaic acid (20%) to lighten them. Is that okay? 2: While on isotretinoin, I am experiencing some co...


Dr. Wu Yuxin Reply:
Anything is fine.

[Read More] Can You Use Azelaic Acid with Oral A-Retinoids for Acne Scars?


Effective Solutions for Persistent Acne and Clogged Pores

Acne Hello, doctor. I previously had a severe problem with acne and comedones. I went to a beauty salon for facials and used topical retinoids (applied all over my face), and I also took oral isotretinoin for three months (which the doctor discontinued), which significantly impro...


Dr. Wu Yuxin Reply:
It is advisable to discuss with your physician whether you can continue using retinoic acid, and perhaps consider reducing the dosage for continued use.

[Read More] Effective Solutions for Persistent Acne and Clogged Pores


Can You Safely Combine Oral A Acid with Multivitamins?

Oral retinoids and multivitamins issues? (1) Currently, I am taking oral isotretinoin 20mg every 3 to 4 days. (2) Before starting isotretinoin, I was taking a multivitamin (Centrum for Women), which contains 600mcg of vitamin A per tablet. (3) Since I am concerned about the multi...


Dr. Wu Yuxin Reply:
Vitamin A acid and vitamin A are not the same.

[Read More] Can You Safely Combine Oral A Acid with Multivitamins?


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