How Accutane Works

Accutane is a prescribed medication for people that are suffering from severe forms of acne. Accutane is a commercial name for the chemical compound called Isotretinoin. Isotretinoin is a form of vitamin A and one of the most effective treatments of acne available.

Hundreds of thousands of people have been prescribed Accutane over the more than 20 years that it has been available. It should be noted that there are side effects that can be present and that they range from mild to severe. Accutane is only available through a prescription and since some of the side effects can have huge consequences (e.g. birth defects for those that are or become pregnant while on Accutane, certain procedures must be followed.

For sever acne sufferers, Accutane can be extremely effective. For instance, for those that are suffering from cystic acne vulgaris, acne rosacea and hidradentis suppurativa. While it is not fully understood how Accutane exactly works, it is known to be extremely effective in reducing the production of sebum.

Sebum is an oily substance and most commonly referred to as the normal oils that are secreted by the skin (in this case in the facial area). Sebum is produced by sebaceous glands. These glands are inside each hair follicle in the skin. Hormones in the body can sometimes send messages to these sebaceous glands to overproduce sebum (oil), oil builds up within the hair follicle or can get clogged inside the hair follicle causing bacteria (p. acne) to feed off of the sebum and infect the hair follicle. Once the hair follicle is infected white blood cells are called in to kill the p. acne bacteria (the result are pimples).

Accutane counters acne by reducing the production of sebum and shrinking the sebaceous glands. This directly stops or slows down the amount of pimples forming. It is said that Accutane works by altering DNA transcription which ultimately lowers the amount and severity of acne.

Accutane is orally ingested usually once a day and can come in a variety of dosages depending on each individual patient. However, dosages usually are between 50 mg per day and 200 mg per day. Most patients that are prescribed Accutane are on the medication for about four to six months. It is said that in many cases, once Accutane is stopped, the effects can linger for months or years, in essence many patients do not exhibit signs of acne for months or years to come. It should be noted that Accutane works best after eating a high fat meal.

Since the treatment of Acne is for only the most severe cases, most dermatologists will start acne sufferers on other types of treatments before prescribing Accutane. These treatments can consist of topical solutions, antibiotics, laser surgery, etc. Usually Accutane is the last resort for severe acne sufferers.

Because Accutane is extremely effective at reducing sebum it continues to be prescribed, however most doctors will take an enormous amount of caution consulting with you and prescribing the medication to you to prevent and control any side effects from occurring.