How is severe cystic acne treated?

Isotretinoin (brand name: Accutane) may be used to treat severe cystic acne that doesn't get better with other treatments. It's a pill that is taken once a day by mouth for 15 to 20 weeks. In girls, isotretinoin can cause very serious side effects such as birth defects and miscarriages.

It should never be taken during pregnancy or even 1 month before pregnancy. Girls must use 2 types of birth control or not have sex while they take isotretinoin, as well as 1 month before they start and 1 month after they stop taking it. There is a possibility that other side effects may occur, so people taking isotretinoin should be closely monitored by their doctor.

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