Starting Accutane can feel like a rollercoaster—especially when you experience the infamous Accutane purging phase. This initial worsening of acne can be frustrating, but it’s often a sign that the medication is working beneath the surface. Understanding what causes Accutane purging and how to handle it can make your treatment journey smoother and more manageable.
Let’s unpack everything you need to know about Accutane purging and practical tips on how to avoid Accutane purge flare-ups.
What Is Accutane Purging?
The Accutane purge refers to a temporary increase in acne breakouts shortly after beginning isotretinoin (Accutane) treatment. This paradoxical flare happens because Accutane accelerates skin cell turnover, pushing existing clogged pores, oil, and impurities to the surface faster than usual.
Dr. Eric Howell, a board-certified dermatologist, explains that this deep exfoliation combined with sebum suppression and an inflammatory response can cause your skin to look worse before it gets better. Though discouraging, this phase usually lasts a few weeks and signals that the medication is targeting acne at its root.
Why Does Accutane Purging Happen?
- Increased Cell Turnover: Accutane speeds up the shedding of dead skin cells, bringing hidden acne to the surface.
- Sebum Reduction: The medication drastically cuts oil production, which initially disrupts your skin’s balance.
- Inflammatory Reaction: The skin may become irritated and inflamed as it adjusts to these changes.
Not everyone experiences purging, but those with deeper or more severe acne are more prone to it.
How Long Does the Accutane Purge Last?
Typically, purging occurs within the first month of treatment and can last anywhere from 4 to 6 weeks. For some, it may feel longer, but patience is key—this phase usually precedes significant improvement.
How to Avoid Accutane Purge Flare-Ups
While you can’t completely prevent purging, there are strategies to minimize its severity and discomfort:
1. Start with a Low Dose
Gradually increasing your Accutane dose under your dermatologist’s guidance may help your skin adjust more gently.
2. Keep Your Skincare Simple and Gentle
Avoid harsh cleansers or exfoliants that can exacerbate irritation. Use mild, fragrance-free products to support your skin barrier.
3. Moisturize Religiously
Hydrated skin tolerates Accutane better. Choose non-comedogenic moisturizers to prevent additional breakouts.
4. Avoid Picking or Squeezing Pimples
This can worsen inflammation and lead to scarring.
5. Communicate with Your Dermatologist
If purging is severe, your doctor may adjust your treatment plan or recommend supportive therapies like oral steroids or topical medications.
What to Expect Beyond Purging
Once the purge subsides, most patients notice clearer, smoother skin. Accutane’s long-term effects include reduced oil production and fewer acne lesions, often leading to lasting remission.
Final Thoughts
The Accutane purging phase can be challenging but is a common and usually temporary part of the journey to clearer skin. Knowing what to expect and how to avoid Accutane purge flare-ups empowers you to stay the course with confidence.
For a detailed guide on managing purging and isotretinoin treatment, visit OneHealth’s comprehensive article on purging, acne, and isotretinoin: how to deal with it.
Remember, it often gets worse before it gets better—but the results are worth it!