How to take Roaccutane?

[The survivor]

Hi everyone,


I’m from France, and I’ve had a hard time convincing dermatologists to prescribe Roaccutane.


Because of this, I’m considering taking it on my own.


I have recurrent acne around my nose that I’ve been struggling to get rid of for a long time. I’ve used tretinoin and adapalene, but nothing has worked so far. I believe that Roaccutane could be the solution.


My skin is still acne-prone and produces a lot of sebum. I also have a bulbous-looking nose, which I would like to reduce (de-bloat).


I would really appreciate advice from someone experienced with Roaccutane regarding how to take it, including dosage and treatment regimen.


Thank you for your help.

 

[Kevla]

start at low dose and up it, like if u are 70 kg start at 40 mg for 1 month and go to 60 mg for the rest, moisturizer lips, skin, hands, and that s it

 

[Kevla]

do liver bloodwork, don t use any topical for acne

 

[The survivor]

do liver bloodwork, don t use any topical for acne

i never had liver issues. do i really need to do a bloodwork ? if yes... before or after or during the treatment ?

 

[Kevla]

i never had liver issues. do i really need to do a bloodwork ? if yes... before or after or during the treatment ?

before, and do bloodwork every month

 

[VladiJFL]

before, and do bloodwork every month

not necessarily, I have taken isotretoin (30mg for 70kg for 6 months) and I just had bloodwork before and after treatment. My acne is utterly away, just some scars are left. You can still get bloodwork every month, I am not saying that you shouldn't but it is not inherently necessary.

 

[tes12]

Lab monitoring on isotretinoin is not required if you are an otherwise healthy individual.

For dosing, it is fairly understood that a higher daily dose is correlated with more side effects (dryness/join aches etc) than a lower dose. So if you want to stay at say 20-40mg you can do that, but increasing the dose may have quicker results.

For treatment length, there are two ways to go about it. The first way is "treat-to-clear" where you ignore the daily dose, and you simply clear your skin. Once your skin has cleared up, you go for another 2-3 months. If your skin breaks out at any point during this time, you reset the 2-3 month time.

The other one is cumulative dosing. You take isotretinoin until you reach a cumulative dose of 120-150mg/kg. So if you weigh 70kg, you would take 8400-10500mg of isotretinoin regardless if your skin clears up early on, or later on. Ideally you also leave 1 month of clear skin at the end of treatment as well.

The treat-to-clear method is the preferred one nowadays but it is up to you.

Other than that, make sure you take Omega 3 everyday along side Vitamin D + K2. It is also very important to consume your isotretinoin with a high fat meal in order to increase bioavailability.

Here is a good youtuber on this topic

John Barbieri, MD

Hi Everyone! I am a board-certified dermatologist at the Brigham and Women's Hospital and Harvard Medical School, where I direct the Advanced Acne Therapeutics Clinic. I am also chair of the American Academy of Dermatology Acne Guidelines Work Group. This channel seeks to provide high-quality...

www.youtube.com

 

[The survivor]

Lab monitoring on isotretinoin is not required if you are an otherwise healthy individual.

For dosing, it is fairly understood that a higher daily dose is correlated with more side effects (dryness/join aches etc) than a lower dose. So if you want to stay at say 20-40mg you can do that, but increasing the dose may have quicker results.

For treatment length, there are two ways to go about it. The first way is "treat-to-clear" where you ignore the daily dose, and you simply clear your skin. Once your skin has cleared up, you go for another 2-3 months. If your skin breaks out at any point during this time, you reset the 2-3 month time.

The other one is cumulative dosing. You take isotretinoin until you reach a cumulative dose of 120-150mg/kg. So if you weigh 70kg, you would take 8400-10500mg of isotretinoin regardless if your skin clears up early on, or later on. Ideally you also leave 1 month of clear skin at the end of treatment as well.

The treat-to-clear method is the preferred one nowadays but it is up to you.

Other than that, make sure you take Omega 3 everyday along side Vitamin D + K2. It is also very important to consume your isotretinoin with a high fat meal in order to increase bioavailability.

Here is a good youtuber on this topic

John Barbieri, MD

Hi Everyone! I am a board-certified dermatologist at the Brigham and Women's Hospital and Harvard Medical School, where I direct the Advanced Acne Therapeutics Clinic. I am also chair of the American Academy of Dermatology Acne Guidelines Work Group. This channel seeks to provide high-quality...

www.youtube.com

thanks mate i really do appreciate your reply. any good online source to purchase accuntane ?

 

[tes12]

thanks mate i really do appreciate your reply. any good online source to purchase accuntane ?

I do not sorry, most people use Indiamart though.