Isotroin (isotretinoin) typically requires four to six months?and sometimes longer?to fully clear acne, so having a few pimples now is normal. Also, dark spots take much longer to fade than active acne, and skin-peeling treatments need time to show results. Please do not stop taking your Isotroin suddenly. I highly recommend discussing your progress with your dermatologist, who can evaluate if you need a dose adjustment or a modified peeling schedule.

Since antifungal and steroid creams (like Desonide and Emusone M) haven't helped, other possibilities include perioral dermatitis (which can actually be worsened by steroids), contact dermatitis, or rosacea. To find the exact cause, a dermatologist can perform a skin biopsy or a patch test to check for allergies. Please don't lose hope; a fresh evaluation and a targeted test can help us find the right path to heal your skin.

For severe dandruff and scalp itching with papules, oral antifungals like itraconazole are sometimes prescribed to reduce yeast levels on the scalp. If the hair loss is related to male pattern thinning, an oral medication like finasteride might be discussed. However, because your symptoms are complex and follow isotretinoin therapy, it is very important to consult a dermatologist.

It can be very distressing to deal with hair loss, but please reassure your sister that this is often temporary. Isotretinoin (Isotroin) can sometimes cause temporary hair thinning, which typically resolves after the treatment ends. Additionally, hormonal fluctuations from PCOS can contribute to shedding. I highly recommend she consults her dermatologist, who may consider adjusting her isotretinoin dose. It is also key to work with her gynecologist to optimize her PCOS management. While the collagen builder offers general support, addressing the medication and her hormone levels with her healthcare team is the best way to help her hair recover.

Please be reassured that this is a very common reaction to Isotroin (isotretinoin) known as purging. In the first few weeks, the medication works by pushing deep, trapped blockages to the surface, which temporarily makes breakouts look worse. This actually shows the medicine is doing its job. Since other therapies didn't work, isotretinoin is still your strongest ally. Please continue with a gentle skincare routine, avoid picking at your skin, and keep your dermatologist updated on your progress.

Both Tretiva-20 and Isotroin contain the same active medicine, isotretinoin, so simply switching brands may not make a difference. At 22, stubborn acne can often be linked to hormonal imbalances or vitamin deficiencies. I highly recommend getting the hormone and vitamin tests suggested by your first doctor. Identifying the root cause is much safer and more effective than switching medications without knowing why the first one didn't work. Adding Faceclin gel can help soothe active spots, but understanding your internal health is the best path forward.