Accutane (Isotretinoin) in Singapore

Isotretinoin, often known by its former brand name Accutane, is an oral medication prescribed for severe or persistent acne. While not a miracle cure, it has been proven to be clinically helpful in treating severe acne, as well as for those struggling with acne that haven’t responded to other treatments.

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Dr Gerard Ee

MBBS (UK), MRCS (Edinburgh), DP Dermatology (Cardiff)

What is Oral Isotretinoin?

Accutane (isotretinoin) is an oral medication derived from vitamin A. It belongs to a class of drugs called retinoids, known for influencing skin cell growth and reducing inflammation. Isotretinoin is primarily prescribed for severe, recalcitrant nodular acne that hasn’t responded to other treatment options like topical creams or oral antibiotics.

This medication offers a potential solution for individuals struggling with persistent acne that impacts their quality of life. Severe acne can cause physical discomfort, scarring, and emotional distress. Isotretinoin addresses these concerns by targeting the underlying causes of acne, leading to clearer and healthier skin.

Initially, isotretinoin was reserved for only the most severe cases of cystic acne. However, over time, medical professionals recognised its effects in managing a wider range of persistent acne conditions. In Singapore, isotretinoin is available as a prescription medication, offering hope for those seeking a long-term solution to their acne concerns.

How Isotretinoin Works?

To understand how isotretinoin works, it’s helpful to understand how acne develops. Acne is a complex condition with multiple contributing factors. Excess oil production, clogged pores, inflammation, and bacteria all play a role in the formation of acne lesions. Isotretinoin tackles these factors head-on, making it a helpful treatment option.

One of the primary ways isotretinoin works is by shrinking the sebaceous glands in your skin. These glands are responsible for producing sebum, the oily substance that can contribute to clogged pores and acne breakouts. By reducing sebum production, isotretinoin creates an environment less hospitable to the bacteria that thrive in oily conditions.

In addition to reducing oil production, isotretinoin helps regulate skin cell turnover. This means it encourages the shedding of dead skin cells, preventing them from accumulating in the pores and forming comedones (blackheads and whiteheads). By keeping the pores clear, isotretinoin reduces the likelihood of new acne lesions forming.

Isotretinoin also has anti-inflammatory properties. It helps calm the redness and swelling associated with acne, reducing the discomfort and visibility of blemishes. This makes isotretinoin particularly helpful for individuals with moderate to severe acne that hasn’t responded to other treatments.

Is Accutane Suitable for You?

Dealing with acne can be a frustrating and emotionally draining experience. If you’ve tried various acne treatments in Singapore without success, you may wonder if Accutane (isotretinoin) is the right solution. While highly effective, it’s advisable to consult a qualified medical professional to determine if isotretinoin is suitable for your specific needs.

Isotretinoin is generally prescribed for individuals with moderate to severe acne that hasn’t responded to other treatments. However, it may not be suitable for everyone, particularly pregnant women, as it carries a potentially high risk of birth defects.

It is also advisable to be aware that isotretinoin may require certain lifestyle adjustments. This includes diligent sun protection due to increased skin sensitivity and potentially avoiding certain activities or medications. A licensed medical professional can provide guidance on what to expect during treatment.

Where to Buy Accutane (Isotretinoin) in Singapore

Accutane (isotretinoin) is a prescription medication that requires monitoring and should only be used under the supervision of a qualified healthcare professional. In Singapore, it is classified as a prescription-only medication, meaning it cannot be purchased over the counter at pharmacies or online.

To obtain Accutane, you will need to consult a licensed medical professional or a doctor with specialised training in dermatology and aesthetics. These professionals can assess your skin condition, medical history, and lifestyle to determine if isotretinoin is a suitable treatment option for you.

If you’re considering isotretinoin and would like to explore if it’s the right treatment option for you, feel free to schedule a consultation with Dr Gerard Ee. He can provide professional advice and guidance on your acne treatment journey.

Learn More About Dr Gerard Ee

MBBS (UK), MRCS (Edinburgh), DP Dermatology (Cardiff)

Dr Gerard Ee is a medical aesthetic doctor specialising in treating acne and acne scar removal in Singapore. He earned his medical degree (MBBS) from St George’s University of London. He pursued further training and became a member of the Royal College of Surgeons (MRCS) in Edinburgh.

  • Acne and Acne Scar Treatment
  • Medical Aesthetics
  • Skin Rejuvenation

Dr Gerard Ee believes in building strong relationships with individuals based on trust and open communication. He takes the time to understand their concerns and goals, creating personalised treatment plans tailored to their specific needs. He is committed to providing a comfortable and supportive environment where patients feel empowered to make informed decisions about their skin health.

Frequently Asked Questions About Isotretinoin

Isotretinoin has been proven to be a helpful treatment for many acne sufferers. Most patients typically experience a significant reduction in acne severity within four to six months of starting treatment. In some cases, individuals achieve complete clearing of their acne, leading to smoother, healthier-looking skin.

It’s advisable to understand that individual responses to isotretinoin can vary. Factors such as acne severity, dosage, adherence to treatment, and individual skin characteristics can all influence the outcome. While many individuals experience long-lasting clear skin after completing a course of isotretinoin, some may experience a relapse of their acne.

Research suggests that certain factors may contribute to acne relapse after isotretinoin treatment:

  • Severity of acne: Individuals with very severe or widespread acne may be more prone to relapse.
  • Dosage and duration of treatment: A lower cumulative dose or shorter treatment duration may increase the likelihood of relapse.
  • Hormonal fluctuations: Younger patients, particularly adolescents, may experience acne relapse due to hormonal changes.
  • Lack of maintenance therapy: Maintaining a consistent skincare routine and following your doctor’s recommendations after completing isotretinoin is advisable for preventing relapse. This may include using topical retinoids or other acne-preventing measures.

While isotretinoin is not a guaranteed cure for everyone, it offers a high chance of achieving significant and long-lasting improvement in acne. You will be monitored throughout your treatment journey, and your medical doctor will provide guidance to optimise your results and minimise the risk of relapse.

Isotretinoin is a powerful medication that can help improve your skin, but it’s advisable to be aware of the potential side effects. Most side effects are manageable and temporary, but some can be more severe.

Common Side Effects:

  • Dry skin and lips: This is the most common side effect. You can manage it by using a gentle, oil-free moisturiser and applying lip balm frequently.
  • Dry eyes: If you experience dry eyes, lubricating eye drops can provide relief.
  • Nosebleeds: Occasional nosebleeds may occur due to dryness of the nasal passages. Applying a moisturiser or petroleum jelly inside your nostrils can help.
  • Increased sensitivity to sunlight: It’s advisable to protect your skin from the sun by wearing sunscreen with an SPF of 30 or higher, seeking shade, and wearing protective clothing.

Less Common Side Effects:

  • Muscle aches and joint pain: Some individuals may experience mild muscle or joint discomfort.
  • Headaches: If you experience headaches, over-the-counter pain relievers may provide relief.
  • Mood changes: In rare cases, isotretinoin has been linked to mood changes, including depression and anxiety. If you experience any mood disturbances, it’s advisable to inform your doctor.
  • Elevated liver enzymes: Isotretinoin can temporarily affect liver function. Regular blood tests will monitor your liver enzymes throughout your treatment.

Severe Side Effects (Rare):

While rare, severe side effects can occur. It’s advisable to contact your doctor immediately if you experience any of the following:

  • Severe abdominal pain
  • Severe diarrhoea
  • Rectal bleeding
  • Vision changes
  • Hearing difficulties
  • Severe mood changes or suicidal thoughts

Isotretinoin may also cause severe birth defects. Women of childbearing potential must use two forms of contraception during treatment and for one month after stopping the medication. Pregnancy tests are recommended before, during, and after treatment.

After completing your isotretinoin treatment in Singapore, you’ll likely notice some improvement in your skin. However, ongoing care is advisable to maintain your results and prevent acne recurrence. Dr Gerard Ee will recommend a personalised skincare regimen and may suggest maintenance therapies to keep your skin clear and healthy.