Why can acne return?
Accutane often results in prolonged clearance, which can be permanent for some patients. Even after skin becomes clear or nearly clear, ongoing acne treatment may be needed; without it, acne can return quickly.
What might a dermatologist discuss?
A dermatologist can decide whether ongoing acne treatment is appropriate. Some patients who do not clear after one course may be considered for a second course. Another course is not recommended before a two-month waiting period because acne may continue to improve after the first course.
Why should you not restart Accutane yourself?
A second course is limited to cases where it is warranted for persistent or recurring severe nodular acne, after the waiting period, and in patients who have completed skeletal growth. Those limits require a prescriber to assess the acne and the patient; they are not a self-start rule.
Frequently asked questions
Does acne returning mean Accutane did not work?
Not necessarily. Accutane often produces prolonged clearance, but some patients do not clear after one course.
Can you take a second course?
A second course may be an option for some patients, but a prescriber must decide whether it is warranted.