Yes, this is a very common and supportive approach. Starting isotretinoin (Isotroin 20) can sometimes cause a temporary flare-up or "purge" of acne. Your doctor has likely prescribed the antibiotic amoxicillin/clavulanic acid (Clavam 375) beforehand to calm active inflammation and reduce bacteria on your skin. This helps prepare your skin, making the transition to Isotroin 20 much smoother and minimizing the risk of a severe initial breakout. It is a highly effective way to protect your skin and ensure your comfort as you begin your acne treatment journey.

It is completely normal to still experience a few breakouts three months into your Isotroin (isotretinoin) journey. Isotretinoin works gradually, and at a daily dose of 20mg, it often takes four to six months?sometimes longer?to achieve completely clear skin. Please do not stop taking your medication. Stopping abruptly can interrupt your progress and cause your acne to return. Your body is still adjusting, and you are on the right track! I highly recommend discussing your progress with your dermatologist at your next visit so they can evaluate your cumulative dose and support you.

Isotroin (isotretinoin) works gradually, and seeing fewer breakouts is a great sign that the treatment is working. At 20 mg, it can sometimes take a bit longer than six months to achieve completely clear skin, depending on your body weight and cumulative dose. Please don't worry; you are on the right track. I highly recommend discussing your progress with your dermatologist, as they may suggest adjusting your dose or extending the treatment slightly to help you get the best results.

Isotroin (isotretinoin) is excellent for active acne as it speeds up skin cell renewal. However, it is generally not effective for fading established, pitted chickenpox scars, which affect deeper skin layers. Please don't worry, though! There are highly successful, minimally invasive treatments available. Dermatological procedures like laser resurfacing, microneedling, or chemical peels are much more effective at rebuilding the skin's collagen and smoothing out these specific scars. I encourage you to consult a dermatologist.

It is completely understandable to feel frustrated when breakouts return after your successful course of Isotroin 20, but please be reassured that this is very common and highly manageable. For returning acne and oily skin, topical retinoids like tretinoin or benzoyl peroxide are excellent maintenance options. Dietary adjustments, such as reducing high-glycemic foods like sugar and white bread, and limiting dairy, can also help regulate oil production. I highly recommend consulting your dermatologist to see if a tailored topical regimen or a second course of oral isotretinoin is the right next step for you.

At 40 mg daily, some individuals simply require a longer course to achieve clear skin. However, using topical benzoyl peroxide (BP) and tretinoin (retina) alongside oral isotretinoin is highly drying and can cause severe irritation, which often mimics or worsens breakouts. I gently encourage you to consult your dermatologist before stopping your treatment. They can evaluate if this is irritation rather than acne, adjust your routine safely, and determine if you need to continue the isotretinoin a bit longer.