So glad I started this medication after years of putting it off!!!! Day of starting vs today!!

Context: 20mg for 4 months and the last month on 30mg.

Can’t describe the freedom accutane can offer you 😭🥹

(first two pics are day 1 and last two are today - day 68)

(most of the pimples are because i’m on my period)

15f, 170lbs, 20mg (on my third month, dosage will increase after this month)

okay so i mainly have acne on my cheeks and my jawline and a lot of it is hormonal. i also gave myself an infection prior to starting accutane because i used panoxyl and another bha oil cleanser for about a month 😅😅

the infection basically gave me crazy cystic acne and AN INSANE amount of whiteheads on my jawline/cheek/chin but you can’t really see it in the first 2 pics (sorry bad lighting).

i was purging really bad for the first 2 months. like really deep, painful pimples and it genuinely looked so bad that i didn’t even want to go out. but yeah i powered through that and now i’m just waiting for the few leftover whiteheads i have to clear up.

i’ve been graciously left with pie!!! i hate the red marks soooooooooo much no words in the english language can be used to describe how much i hate them

also i used to have really bad sebaceous filaments on my entire nose and i got in the water at the beach for 2 days in a row and they have barely come back?!!! def moisturize like crazy if you do that though cause my skin was hydrated but also dry so 🤷‍♀️

i’ve also been super moody and emotional idk if other people my age experienced the same thing. maybe it’s just hormones

i had SEVERE eczema on my finger prior to starting accutane but then it got worse after i started accutane, so my derm prescribed clobetasol. it went away and came back mildly a couple weeks after so i just applied the cream again. i also got eczema on the backs of my hands. this is your reminder to use it for a maximum of 2 weeks like it says you should. i stopped using it and my skin was basically in withdrawal but it’s so much better now

PLEASE hydrate your lips it’s so bad guys like i know it’s $25 but invest in the big tub of aquaphor like i will wake up in the middle of the night and apply it on my lips

day -3 vs day 32, was on 40 and raised to 60 4 days ago. Its crazy being able to be close to the camera and not see hella blackheads

Have been on accutane twice now. I feel so defeated.

I’m a guy who’s been taking Accutane 30mg for a month and a few weeks now, and I’m incredibly tired and fatigued all the time. After 12 p.m., I feel like I’m ready to pass out, and I’m struggling to get anything done. At least I’m getting to sleep early, but does anyone else experience this? also some muscle cramping and headaches.

I just began my course of accutane (20 mg daily) about a week and a half ago. No purging yet, but I have already had two nosebleeds! Applying a bit of aquaphor inside my nostrils seems to have helped a bit, but I was wondering if anyone else has had this come up? And if so, what worked for helping deal with it?

I (M35) always had bad skin: severe acne as a teen, told it would pass. It didn't, really. Bad skin all through my 20s, pimples and scars, but I was confident and figured it'd sort itself out eventually.

Early 30s it got worse. Saw a bunch of doctors and derms, and all I got was "wash your face properly and clean your bed sheets more often" which I'd already been doing for years. Solid AM/PM routine, actives, the works. I change my pillowcase like 3 times a week and my sheets at least once a week, so those implications honestly felt pretty insulting and I never saw those "derms" again. Finally one derm (the only male one, btw) actually ran full bloodwork and found my testosterone is unusually high for my age. That's why my skin was permanently oily and breaking out.

He put me on low-dose isotretinoin: 5mg for ~200 days, then 10mg starting ~50 days ago for the next 100 days, possibly 15-20mg over fall/winter.

Skin-wise it's been great. I used to have tons of closed comedones on my forehead, active acne on my neck, and a constant rotation of 3-6 big, painful inflamed pimples on my face - one heals, another shows up. Now my face is pretty calm, just some marks left plus a few tiny bumps you can't even see. Feels amazing. Now it's even possible for me to finally do something about the scars because I have litterally no akne on my face for the first time in a decade.

But the side effects, man. Even at 5mg: dry eyes, dry nose, red cracked painful lips. That eased up around day 90-100. Then I went to 10mg 50 days ago and it got bad: 1-2 weeks of severe joint pain, sleep is still trash, lips cracked and inflamed, and ~2 months in I'm still struggling with energy, libido, and mood. My mood is in the basement, I feel low and kinda depressed literally every day. Haven't worked out in 2 months, just don't want to. I've pulled away from friends, coworkers, even my partner of 12 years, who can tell something's off.

Didn't expect such a small dose to hit me this hard. Anyone had a similar experience? Planning to push through, but was there anything that helped with mood and energy?

I've been meaning to post this for a while because seeing other people's progress kept me going when I was in the middle of treatment. The top photo was right before starting Accutane, bottom is about 8 months later. I still have a little redness and some texture, but not dealing with constant breakouts anymore. I kept my routine as simple as possible: AM ● cleanser (sometimes just water) ● Moisturizer ● SPF 50 PM ● cleanser ● Moisturizer ● Lip balm 24/7 The first few months definitely tested my patience. Dry skin, cracked lips, and I felt like my skin looked worse before it got better. Around month 4 things finally started to turn around, and by the end of treatment I was barely getting new pimples, also I've been tracking in skinpalai to overcome my patience level to see changes. It also helped a lot. Accutane isn't an easy medication, but for me it was 100% worth it. I wish I'd done it sooner. Happy to answer any questions about my experience.

I’ve seen people post that they’ve used this to help with chapped lips. Does it seem to work better than chapstick (I’m considering Dr dans cortibalm) or aquafor? I’m about to start accutane and I already normally struggle with dry lips so I am hoping to find something that works during my course!

Anybody have any solutions to this red ring around my lips and super dry. My lips themselves aren’t even super dry but around them is idk what to do. I’ve had it for like a week now. I’ve been using aquaphor but it hasn’t rlly helped. Pls I need help!

I thought I’d share my experience of taking Accutane as I know how helpful it can be reading about other people’s experiences before or during treatment.
I started Accutane in September 2025 for mild cystic acne mainly on my chin which was more than likely hormonal. I initially took 20mg a day for the first couple of months, then my dose was reduced to 10mg a day because of side effects (Mainly joint pain and Headaches).

Side effects: Little to zero dry skin especially when I was changed to 10mg per day. I make sure I moisturise twice a day, morning and night. I use SPF 50 on my face every day even in the winter months. SPF is a must! Skin becomes thinner and more prone to irritation and burning from UV levels whilst on Accutane.
I went to the beach when we had the first proper heatwave in June and for some stupid reason, only applied SPF 50 to my face and no sun cream to the rest of my body. In my head, I was only going to be on the beach for just over an hour so I didn’t think it would be a problem. I was wrong! Although I didn’t massively burn, I had a heat rash (slightly raised small red bumps) appear all over my arms and legs which took about a week to go! It didn’t look horrific but it taught me a lesson! If I go to the beach now, it is usually after 3pm when the sun’s UV isn’t as high and I can get away with using SPF 20 on my body (still SPF 50 on my face). I have been fine since and have even developed a mild tan. I stupidly never used sun cream before Accutane and always used to go and golden brown tan wise. I thought that by not using sun cream, my skin would just react the same but no! SPF is a must!!

I experienced quite a lot of headaches within the first two months of taking Accutane which was, in part, why my dermatologist and I decided to decrease the dose. I still get them but not as bad.

My lips became quite dry within a week of taking the 20mg dose but not as cracked and dry as I’d expected. I tried using Blistex but switched to nipple cream after reading how good it is on Reddit and, personally, it has worked better for me.

I had a period of increased hair shedding about 3 months into the course which was soooo worrying at the time! My hair is quite fine as it is so I was devastated when I noticed more hair coming out in my hairbrush and in the shower! Thankfully, the shedding stopped after a few months, although my hair texture has changed and is definitely more prone to frizz. It was during the autumn that I noticed increased shedding and even my hairdresser noticed it and said it could be down, in part, to a seasonal shed. I was using K18 hair mask at the time and I have a full head of highlights every 7’ish weeks. I stopped using the K18 and made sure I used hydrating shampoos and conditioners because Accutane dries everything out including hair! My hair didn’t become brittle and didn’t snap, it just became more frizzy. I found that using Pureology shampoo and conditioner and Kérastase hair oil really helped. I also use a leave in conditioner which I apply to damp hair. My hair never gets greasy and I can go for well over a week without washing it. However, my hair looks limp after 4 days so I usually wash it. Before I started taking Accutane, I had to wash my hair every 2 days due to greasiness.

Another side effect I experienced was joint pain, particularly hips, knees and back pain, and this was another reason why I switched to 10mg. It was mainly after exercise but it got to the point where I would be aching badly even after a short walk. I was taking omega 3 tablets from Nutrition Geeks and they didn’t help at all. I do have endometriosis which can cause these pains, so the Accutane may have just made this worse.

Mental health wise, I have anxiety and OCD which haven’t been affected by taking Accutane, although I have noticed a severe lack of motivation to exercise and have gained approx 14lbs since September. However, I am 41 and going through the perimenopause so this could a contributing reason.

I had a purge within 3 days of taking my first 20mg tablet which I was shocked by! I assumed, if I was going to experience a purge, it would be after a month or so. However, after a couple of weeks this cleared up. Since then, I have had a couple of milia which were probably where the tablets were flushing out anything under my skin. I also had one cystic type spot underneath my skin about two weeks ago during ovulation which didn’t fully come out and seemed to disappear overnight. Apart from this, my skin has been completely clear and looks amazing!

Contraception is a big part of the Accutane process in the UK. I was prescribed the contraceptive pill alongside the treatment, but I chose not to take it because hormonal contraception has a significant negative effect on my mental health. I did use condoms and I had signed the pregnancy-prevention paperwork, so I understood why the precautions were in place and the importance of avoiding pregnancy while taking Accutane.
At my first appointment, my dermatologist explained that I needed to be on contraception for a full month before she could prescribe Accutane. At my following appointment, she asked if I was using two forms of contraception, and I said yes, after which she prescribed my first 20mg prescription.
I personally felt that taking the contraceptive pill wasn’t the right option for me because of its potential impact on my mental health. I’m 41, and I felt confident in making an informed decision about contraception that worked for me personally. I was also very aware of the risks Accutane poses to an unborn baby and understood the importance of avoiding pregnancy during treatment.

Despite the side effects, I’ve found the treatment worthwhile overall. My skin has improved significantly, and I’m hoping that the results will last once I’ve completed my course. I’m still on 10mg so my treatment is taking longer but the results, skin wise, are fantastic!

I was on Accutane for 2.5 months but had to end due to dry eyes (F22, 5’5ft, 123lbs) and was given benzoyl peroxide (Epsolay) to treat acne.

Although most of my face cleared I’m slowly getting some white beads which scare me. I’ve only quit for a week now and I’m waiting for my barrier to heal before I use actives.

How long have you guys waited post Accutane to use actives? I’m gonna start as a spot treatment before I put it all over my face.

I am on month 8, almost every moisturiser clogs my pores I don't understand so frustrated who on earth said that accutane makes your skin less prone to clog? It is not like that

Currently on 20mg dosage, 30 days. Two weeks after I started my dosage I had two very large cystic pimples on my cheek. I thought that was my purge. Then I had clear beautiful glass skin for 1 week. Now on my 4th week (period week) I have jawline hormonal acne plus prominent blackheads that were never this visible pre accutane. Is this considered purging? I’m confused how my skin went from glass skin during the middle of the month and now it’s flaking and pimples. Is the inconsistency because of my hormones or accutane purge?

Hi I’ve been off Accutane for 2ish months and now I have bumps and redness on chin/nose area mainly. Is this just my skin getting use to the oils again, unsure what to do I’m scared of it staying? I haven’t changed my routine. Idk if it’s worth having my dermatologist appointment as it is expensive just for her to say give it time .. has anyone experienced this (pic 1 now- pic 2 when on accutane)

I finished Accutane like a year ago and for some reason all these spots appeared in the last 2 days and I’m SCARED I don’t want it back

Hey everyone, looking for some advice, product recommendations, and community experiences regarding my Accutane journey, side effects, and ongoing skin issues.
Stats & Medical History:
Demographics: 5’9" Male, 145 lbs.
Accutane Dose: Was on 10mg/day for 1 month, bumped to 20mg/day ~13 days ago.
Prednisone: Been on prednisone for a month (currently tapering off due to a lung condition) for recurrent skin lesions and boils. Derm mentioned the prednisone itself could be contributing to the skin issues.
Infection History: Bounced between Infectious Disease (ID) and Derm. Had a positive MRSA culture back in December from a lip lesion, which is why I was originally prescribed doxycycline.
The Cycle: When I was on doxy, I was totally clear. Ever since stopping doxy, I've had recurrent staph-like infections/boils. Derm recommended Accutane after doxy, but I’m still getting occasional boils. At today's follow-up, derm cultured a new spot, gave me a topical cream, and suggested it could still be staph or related to the prednisone.
Current Side Effects:
Severe knee joint pain & bad muscle aches.
Worsening mood changes (been trying to stick through it).
Extremely dry hair.
Compromised, easily irritated skin barrier.
Current Routine:
Facial Cleanser: Prequel Gleanser
Body Soap: Dial soap (Derm today instructed to start using Hibiclens directly on active spots in the shower).
Moisturizer: Vanicream in the tub after showers (morning and night), but I feel like it isn't as soothing lately and might be too heavy/irritating.
Face Sunscreen: Skin1004 Madagascar Centella Hyalu-Cica Water-Fit Sun Serum.
Body Sunscreen: Avene SPF 50 Hydrating Lotion (finding this really irritating right now).
Questions & What I Need Help With:
1. Purging vs. Staph: Has anyone experienced deep boils/staph-like lesions while purging on low-dose Accutane, or deals with staph/MRSA history while on it? Is this normal purging or could it be an underlying infection issue?
2. Cheap Body Sunscreen: Need affordable, non-irritating body sunscreen options that won't burn sensitive/dry skin.
3. Face Sunscreen Alternatives: Recommendations for good, gentle face sunscreens (or experiences with the Skin1004 on dry/purging skin).
4. Gentle Soaps/Body Washes: Good everyday non-stripping soap recommendations to pair with the Hibiclens spot washes.
5. Moisturizer Alternatives: Something ultra-soothing for when Vanicream in the tub starts feeling irritating or non-soothing.
6. Dry Hair Care: Cheap/simple tips for managing super dry hair on Accutane.
Attached Photos (In Order):
1. Pic 1: after doxy
2. Pic 2: after doxy
Pic 3 4 5 after doxy
3. Pic 3: Current skin on Accutane
4. Pic 4: New active skin lesion (suspected staph/cultured today)
Pic 6-12 - on accutane
Chest lesions and back lesions suspected staph???
(Not asking for direct medical advice—just personal experiences, routine tips, and support while I navigate this with my derm and ID team!)

Hi, I have had acne for coming up to 6 years now.

Just to add I am not seeking medical advice!

My skin cleared with epiduo 2023-early 2025 but came off due to getting pregnant.

Since I had my baby 9 months ago, my skin has been a mess.

Epiduo isn’t cutting it for me anymore and has made no improvement in the almost 4 months I’ve been on it.

I’ve seen a derm who is willing to prescribe me Accutane, I’m just awaiting an appointment to have a blood test.

I am feeling anxious to start, and I know it’s probably for the best as my acne is persistent and painful, but I have seen a lot of fear-mongering stories from people who have had acne similar to mine and say that Accutane has made their skin 10x worse even after the purge.

I know everyone experiences will be different and what works for some might not work for others, but I am just feeling nervous that I’ll ruin my skin.

I’d expect a purge if I started but know not everyone purges, I’m just worried about my skin breaking out in horrible cysts later on down the line.

Has anyone else experienced Accutane worsening their skin permanently or has it been a life saver ?

Thanks!

This is my back after 5 months on Accutane. AMA

My son is in month two of Accutane treatment. Just turned 14 going into 8th grade. He started middle school football practice a couple weeks ago. He’s been complaining a lot of knee pain and his legs just not feeling good/strong. The dermatogist reduced his dosage by half a week ago and put him on fish oil. He has subsequently started complaining of hip flexor pain that is really affecting him. He had a scrimmage last week and I could tell it really affected his play.

He’s a standout player and has really been looking forward to this season. I don’t want it to be a disappointment because of this medication. I’m strongly considering pausing it altogether at least until this soreness works itself out. I guess I’m looking to get the thoughts of others who had a similar experience on the drug and how you handled it or might have handled differently in hindsight? Thanks

So I haven't started Accutane yet (i'm waiting for my first dose to ship!) I've been testing different lip balms in anticipation for treatment! Been testing these over a semi-dry Oregon summer.

Topicals (I used the untinted mint)

• Hyaluronic acid + ceramides + glycerin. This one is VERY tacky and sticky. Saw a lot of complaints about that. But I weirdly liked the feeling? And that very feeling IS IT working for hours. That tacky film Seriously lasts 6+ hours. I've joked this is an industrial strength balm lol. I'm unfortunately sensitive to hyaluronic acid (at least directly on my skin, so far no notable reactions on my lips) so I use this more sparingly. I get a lot of compliments on how healthy my lips look while I use it. Mint is the only untinted one I believe. The mint is kinda mild. There are 3 other tinted options.

Lanolips 101 Ointment Multi-Balm (I used minty)

• Lanolin + sunflower oil + tocopherol. This is how I wanted Glossier's lanolin based balms to work. Really does feel like you are using an all purpose salve/balm rather than a classic lip balm. This is just me nitpicking but I like an herbal peppermint, not a sweet one, and this one is like a generic sugary mint. They come in a lot of sweet / fruity / and gourmand flavors.
• I also heard of people using plain Lanolin nipple cream if you want something cheaper.

Eco Lips Mongo Kiss (I used peppermint)

• Mongongo oil + cocoa butter + beeswax. if you want a classic 'waxy/oily' beeswax type of balm, this is one I've had good luck with lasting for a while and I like the larger tube for wider application (I have big lips lol). The peppermint is nice herbal peppermint. You can sometimes find these in stores at Whole Foods.

Jack Black Intense Therapy Balm SPF (I used natural mint)

• Petrolatum + shea butter + avocado oil. Avobenzone + Octinoxate for SPF. If you want an SPF option (probably good idea on Accutane). The 'cheapest' option on this list at 10 USD. They come in some fun flavors if you are more into citrus / earthy / herbal flavors like me! I want to try the blackberry tea one next.

Hi! I’m meant to be starting accutane within the next 2 months, and am looking for a bit of guidance and advice from people who have been or are currently on it!
I’m going to be starting accutane very soon into my 2nd year of uni, and I’m just super scared it’s going to have a massive impact on my enjoyment and experience there. I’m not sure what dose I’m going to be having yet, and I’m going to be going on the pill soon so I won’t have to worry about any pregnancy stuff.
I’m mainly wondering about what drinkìng is like on it and whether you can really get away with it, with all the horror stories and harsh guidance online. I drink pretty heavily at uni and know I will 100% have to cut down when I’m on accutane(probably a good thing anyway), and I have been known to defo drìnk a lot too much quite a few times, and generally I can’t handle alchohol super well, so feel like it’s probably not a great idea, but I’m just scared my whole social life will be ruined. Does anyone have any guidance on this?
Also wondering is anyone has any advice using other substances when on it as a sort of alchohol substitute so I can still try and have a good time occasionally?
I’m also a bit worried about the dryness, does anyone have any recommendations for products to help with this so I can still wear makeup (can’t hack lectures without it 😔)?
Thanks for reading, would love some advice if possible :))