Isotretinoin Dermatologists in Boca Raton and Delray Beach

+ Q: What is isotretinoin?

Isotretinoin (commonly known as Accutane) is a prescription medication used to treat severe or persistent acne that has not responded to other treatments or is at risk of causing permanent scarring. It works by significantly reducing oil (sebum) production, which helps prevent clogged pores and acne breakouts. At Barnett Dermatology in Boca Raton and Delray Beach, isotretinoin is carefully prescribed and monitored to provide long-lasting improvement in acne.

+ Q: How long does isotretinoin treatment last?

Most patients are treated for about 6 to 7 months, depending on clinical response. Treatment usually continues until acne has cleared for at least two months and a target cumulative dose is reached. Your dermatologist in Boca Raton or Delray Beach will customize the length of therapy based on your progress and tolerance.

+ Q: What side effects should I expect while taking isotretinoin?

Common side effects are related to skin dryness and sun sensitivity, including:

• Dry lips (managed with lip balms such as Aquaphor or medicated ointments)
• Dry nasal passages and nosebleeds (saline spray or humidifier helps)
• Muscle aches or headaches (often improve with hydration)
• Increased sun sensitivity (daily sunscreen and protective clothing are essential in South Florida) Less common side effects may include vision changes (such as night vision difficulty) and nail infections. Severe birth defects can occur if pregnancy happens during treatment, which is why strict safety protocols are required.

+ Q: What if I can’t tolerate my side effects?

Most side effects are dose-related. If symptoms become difficult to manage, your provider at Barnett Dermatology can lower the dose to make treatment more comfortable. This may extend the overall length of therapy, but it helps ensure safety and success.

+ Q: What is the iPLEDGE program?

The iPLEDGE program is an FDA-required safety program designed to prevent pregnancy during isotretinoin treatment due to the risk of severe birth defects.

• All patients, providers, and pharmacies must be registered.
• Monthly appointments are required.
• Female patients must complete pregnancy testing and questionnaires before each prescription can be filled. Female patients of childbearing potential must either remain abstinent or use two forms of contraception while on isotretinoin and for at least one month after treatment ends. These requirements are strictly enforced through the iPLEDGE program.

+ Q: What happens if I miss my prescription window?

Female patients have a limited time window each month to pick up their prescription. If this window is missed, a waiting period of about 3–4 weeks is required before another pregnancy test and iPLEDGE authorization can be completed.

+ Q: What bloodwork is required during treatment?

Routine blood tests are used to monitor your health and may include:

• CBC (complete blood count)
• CMP (liver function)
• Lipid panel (cholesterol and triglycerides) Testing is done at baseline, during treatment, and when doses change.

+ Q: What should I avoid while taking isotretinoin?

Patients should avoid:

• Donating blood (until 6 months after treatment ends)
• Waxing or aggressive cosmetic procedures
• Getting pregnant
• Excessive alcohol consumption Your dermatologist in Boca Raton or Delray Beach will provide a full list of precautions.

+ Q: What skincare products can I use during isotretinoin treatment?

Stick to gentle products, such as:

• Mild cleansers
• Moisturizers
• Sunscreen
• Makeup if needed Avoid exfoliants, acids, and harsh treatments, as skin becomes more sensitive due to reduced oil production.