Wonderful video Dr. Barbieri! I'm a dermatology resident and your videos and papers have definitely had a significant influence on the way I treat acne!
That would be a great topic for a future video. There is very little high-quality evidence on the topic, which makes it challenging to cover other than describing how the treatments work (i.e. we don't really know which is best, etc).
im on 20mg for almost 2months now i take fish oil and antihistamine along with it and fatty food whenever i take the accutane at first it was ok but now im getting too much close comedones and large CYSTIC acne painful idk understand and i dont feel any side effect my lips are good skin no dryness so im not sure if this is purging or my body doesnt want it help pls thanks
I cannot speak to your specific situation or provide you with medical advice, and would recommend you discuss with your doctor. This article can be a helpful summary of what to expect in terms of average improvement by month: www.ncbi.nlm.nih.gov/pmc/articles/PMC7344833/
I think it's possible to achieve long-term remission without severe purging. The best predictors of long-term remission are higher cumulative dose and having clear skin for a few months before stopping.
Wonderful video Dr. Barbieri! I'm a dermatology resident and your videos and papers have definitely had a significant influence on the way I treat acne!
Glad it was helpful!
Could you do a video on some of the current acne scar procedures and their effectiveness? i.e. subcison, TCA cross, and the various lazers?
That would be a great topic for a future video. There is very little high-quality evidence on the topic, which makes it challenging to cover other than describing how the treatments work (i.e. we don't really know which is best, etc).
Hello, you mentioned 2nd generation antihistamines, 3rd generation also works?
The studies were of 3rd generation antihistamines, so those should be helpful as well.
Can you use antihistamines to stop purging with topical retinoids?
No one has done that study, but I would expect that they might be helpful in that setting as well.
im on 20mg for almost 2months now i take fish oil and antihistamine along with it and fatty food whenever i take the accutane at first it was ok but now im getting too much close comedones and large CYSTIC acne painful idk understand and i dont feel any side effect my lips are good skin no dryness so im not sure if this is purging or my body doesnt want it help pls thanks
I cannot speak to your specific situation or provide you with medical advice, and would recommend you discuss with your doctor. This article can be a helpful summary of what to expect in terms of average improvement by month: www.ncbi.nlm.nih.gov/pmc/articles/PMC7344833/
Hello Doc, can accutane 5mg be taken as maintenance dose daily indefinitely?
Sometimes low dose or intermittent dosing regimens (e.g. MWF) are used to maintain long-term clearance in those who are prone to recurrence.
Thanks for the reply.....can you please confirm if it a safe option ?@@DrJohnBarbieri
Let it purge if remission is your goal.
I think it's possible to achieve long-term remission without severe purging. The best predictors of long-term remission are higher cumulative dose and having clear skin for a few months before stopping.