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Dermatology  (Expert Forum)
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Starting accutane
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

Starting accutane

by yoga1, Dec 15, 2003 12:00AM
Hi Dr. Rockoff,

One more question about starting Accutane.

I think I have read before that you don't usually see a flare up at the beginning of Accutane - but I wasn't able to find that post in my searching....

. I'm going to be starting 20 mg Wednesday and I have a few critical work engagements in the next week.

1. Are the odds good that I won't see a flare up?
2. Is there anything one can do to mitigate one?

Thank you!

by Alan Rockoff, MD, Dec 15, 2003 12:00AM
Despite some references in the literature that suggest the likelihood of early flare, my own experience of 20+ years suggests that worsening at the start of treatment is very uncommon.  I wouldn't worry.  Besides, oral prednisone can always be used for a few days to mitigate a flare even if it happens.

Take care.

Dr. Rockoff
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