I prescribe Accutane every single day in my practice. Here’s what I tell all of my patients going into fall!
Lip Dryness
👄Lip dryness is easily the most common complaint I hear on Accutane. Apply heavy occlusives like plain petrolatum or Aquaphor and extend slightly past the lip line, multiple times a day.
Some patients may need a small amount of topical antiinflammatory medication for more intense rashes around the lips. Talk to your doctor.
❌AVOID lip licking, and AVOID products including irritants and allergens like mint/menthol, eucalyptus, fragrance, or anything plumping.
❌No lip scrubs.
Nasal Dryness/Nosebleeds
👃Nosebleeds are common on Accutane due to dryness of the nasal mucosa. Sit upright, lean forward, and hold pressure on the bridge of the nose for 10 minutes. Ice can also help to temporarily vasoconstrict (narrow blood vessels).
🤧To prevent: nasal saline gels and nasal saline sprays can be really helpful here. Think about moisturizing your nose like you moisturize your body – bathe (with saline spray) and immediately moisturize (with Vaseline). Consider a humidifier at night (but please clean it).
❌ If you do get a nosebleed, hold consistent pressure to stop the bleeding. No releasing to peek!
Facial Dryness
☹️ My patients with acne are often afraid to use thick moisturizers on the face. On Accutane we need barrier-repairing ingredients like ceramides, glycerin, and humectants like hyaluronic acid. I also recommend that my drier patients transition to a triple lipid. (And throw in a little Vaseline around the nose and lips.)
❌ Don’t scrub off or aggressively exfoliate dry skin.
Body Dryness
🧴When it comes to moisturizers, boring is best.
❌ Don’t spend your life savings.
Bonus: Fish Oil
🐠 Fish oil contains omega 3 fatty acids, which help maintain your skin barrier and prevent transepidermal water loss. Clinical studies show that 1g per day can cut Accutane-related dryness in half.
❌ Always consult with your doctor before starting any new supplement.
What’s the Vista View?
Accutane is highly effective but comes with real side effects, especially during dry weather transitions.
Find some of my favorite Accutane products here (not affiliate links, just compiled for my patients).
about the author
Dr. trisha scharff
Dr. Trisha Scharff, MD is a board-certified dermatologist providing expert medical and cosmetic dermatology services in St. Louis, MO.
She is a Castle Connolly Top Doctor.
