
If you’ve struggled with severe or stubborn acne, chances are you’ve heard of Accutane—now more commonly prescribed under its generic name, isotretinoin. Despite Accutane being one of the most effective treatments for acne, fear and misinformation often surround it. As dermatologists, we’re here to separate fact from fiction so you can make informed decisions about your skin health.
Myth #1: Accutane is only for “extreme” cases of acne.
Truth: While dermatologists typically reserve isotretinoin for moderate to severe nodulocystic acne or acne that hasn’t responded to other treatments, it’s not just for the most extreme cases. For many patients, Accutane offers long-term or even permanent clearance when nothing else has worked. In some cases, dermatologists may even consider it earlier in treatment if acne is causing significant scarring or emotional distress.
Myth #2: Accutane completely ruins your liver.
Truth: Isotretinoin can affect liver enzymes and lipid levels, which is why regular blood work is part of treatment monitoring. However, serious liver damage is extremely rare, especially when the medication is prescribed and monitored properly. Most patients tolerate it very well, and any lab abnormalities typically return to normal after stopping the medication.
Myth #3: You can’t do anything while you’re on Accutane—no working out, going in the sun, or living your life.
Truth: You can absolutely exercise, go outdoors, and live your life while on isotretinoin! That said, some people experience dry skin, increased sun sensitivity, or joint aches. These side effects are usually manageable with moisturizers, sunscreen, and hydration. You don’t need to press pause on your routine—just make some skin-smart adjustments.
Myth #4: Accutane causes depression and suicidal thoughts in everyone.
Truth: This is one of the most controversial topics surrounding Accutane. While early reports raised concerns about mood changes, more recent, high-quality studies have not shown a clear link between isotretinoin and increased risk of depression or suicide. In fact, many patients report improved self-esteem and mood as their skin clears. Still, mental health is a priority, and we carefully screen and support all patients throughout treatment.
Myth #5: Accutane causes permanent damage to your body.
Truth: For the vast majority of patients, any side effects from Accutane—such as dry skin, dry lips, or temporary joint pain—resolve after the medication is completed. Serious long-term complications are rare, and isotretinoin has been used safely for decades under medical supervision.
Myth #6: You’ll never be able to drink alcohol again.
Truth: While it’s wise to avoid or limit alcohol while taking Accutane (because both can affect the liver), having the occasional drink in moderation may be acceptable for many patients. Always discuss alcohol use with your dermatologist so they can give personalized guidance based on your health and labs.
Final Thoughts
Accutane is not for everyone, but for the right candidate, it can be life-changing. Don’t let myths scare you away from a treatment that could transform your skin and confidence. At our practice, we take a personalized, evidence-based approach to isotretinoin therapy—monitoring closely, educating thoroughly, and supporting you every step of the way.
If you’re considering Accutane or have more questions about it, schedule a consultation with us today. Let’s get your skin the care it truly deserves. Call us at 757-622-6315 today!