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Regarding stopping of Isotretinoin
I consulted one dermat regarding acne and he asked me to take isotretinoin and consult after every 21days. So after two complete dosage(42days), i tried to book an appointment with the same doctor again but he was not available(I waited around a week). During that time i stopped taking isotretinoin because i didnt want to take any medicine without doctor consultation.
Now i consulted another derm, she said you should stop taking isotretinoin now. Note that from the moment i have stopped taking isotretinoin, acne has only flared up.
What should i do?
Answers (7)
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●𝗬𝗲𝘀 𝗶𝘁 𝗰𝗮𝗻 𝗯𝗲 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁𝗹𝘆 𝗰𝘂𝗿𝗲𝗱 𝘄𝗶𝘁𝗵 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝘆 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 .
●𝗩𝗲𝗿𝘆 𝗲𝗳𝗳𝗲𝗰𝘁𝗶𝘃𝗲 𝗺𝗲𝗱𝗶𝗰𝗶𝗻𝗲𝘀 𝗮𝗿𝗲 𝘁𝗵𝗲𝗿𝗲 𝗶𝗻 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝗶𝗰
●𝗪𝗶𝘁𝗵 𝗺𝘆 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗼𝗳 1.5 𝗺𝗼𝗻𝘁𝗵 𝘆𝗼𝘂 𝘄𝗶𝗹𝗹 𝗴𝗲𝘁 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁 𝗿𝗲𝗹𝗶𝗲𝗳.
●𝗪𝗶𝗹𝗹 𝗽𝗿𝗲𝘀𝗰𝗿𝗶𝗯𝗲 𝘁𝗵𝗲 𝗰𝗼𝗺𝗽𝗹𝗲𝘁𝗲 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁.
●𝗬𝗼𝘂 𝗰𝗮𝗻 𝗰𝗼𝗻𝘀𝘂𝗹𝘁 𝗺𝗲 𝗻𝗼𝘄 𝘁𝗵𝗿𝗼𝘂𝗴𝗵 𝗼𝗻𝗹𝗶𝗻𝗲 𝗪𝗮𝗿𝗺 𝗿𝗲𝗴𝗮𝗿𝗱𝘀.
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Treatment depends on the grade..Acne or pimples... Due to hormonal changes..Oily skin causes it...Common in adolescent age...May occur in adults also.. Food like Oily foods, ice cream, chocolate and sweets increase it.. Treatment depends on the grade of pimples or acne..So, please send photos by direct online consultation as it's a must to see which grade of pimples or acne for accurate diagnosis and treatment.
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• You were on isotretinoin for a short duration (≈6 weeks), which is insufficient to complete the required cumulative course, hence flare after stopping is expected
• Acne worsening after discontinuation suggests under-treated moderate–severe acne, not treatment failure
• Conflicting advice likely due to lack of continuity and monitoring, which is essential with isotretinoin
Next Steps
• Decision to restart or modify treatment depends on current severity, previous dose, and baseline tests
• Aim should be structured, monitored therapy till adequate cumulative dose is achieved, if isotretinoin is chosen
Helpful Tips / Word of Caution
• Do not self-start or stop isotretinoin—it requires regular monitoring (lipids, liver function, etc.)
• Mild flare during gaps or early phase is common—avoid frequent switching of doctors
• Maintain basic skincare and avoid picking to reduce risk of scarring and pigmentation
Kindly consult with me via Practo for detailed evaluation and treatment
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See isotretinoin needs some time to work, when ilthe isotret started to work you stopped it,
Much more detailed medical history needs to be assessed before starting you on your personalised treatment
Kindly share a clear picture in good lighting of affected areas
Next Steps
Feel free to connect via INSTANT ONLINE CONSULT
Health Tips
Avoid any OTC topicals
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Dr. Rashmi Naldeega
Aesthetic Dermatologist
12 yrs exp
Delhi
Kindly consult online for further examination and proper treatment
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Dr. Moin Ahmad Siddiqui
Trichologist
7 yrs exp
Lucknow
Need proper evaluation
Consult online
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Dr. Arpita
Dermatologist
15 yrs exp
Ahmedabad
No need to worry.specific treatment is available.it depends on severity of the disease . Complete medical history is required..
Pls do online consultation with Dermatologist for detailed prescription & guidance.
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