Hi. Accutane can irritate eczema, but probably no more so than the topical antibiotics and retinoids you have already used. I have sensitive skin and whilst on Accutane I used bland cleansing and moisturising products by La Roche-Posay.
When deciding whether you warrant Accutane your dermatologist will consider both the severity of your acne and the psychological effect it has on your life.
Accutane is the most effective known acne treatment, with 80% of patients achieving a long term remission from acne after just one course lasting 16 to 24 weeks. 20% of patients, including myself, need a second or third course.
Common side effects include fragilised skin, dry lips and eyes, muscle and joint pain and temporary hair loss or an increase in hair growth. Although no causal link has been established, 1% of Accutane patients report psychological problems including depression and suicidal thoughts. These potential side effects must be balance against the fact that Accutane is a very effective treatment for severe cystic acne which has not responded to standard treatments.
Female patients must use two forms of birth control whilst on Accutane and for 5 weeks afterwards. This is because 90% of pregnancies exposed to Accutane will be severly malformed.
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