I’m 31 and struggling with acne. I had nearly perfect skin for about 15 years after going on Accutane at age 16. Despite being on hormonal birth control (Ortho Tri-Cyclen), I now have terrible breakouts.
I tried spironolactone but wasn’t thrilled with the results and don’t love the idea of being on a medication indefinitely. That’s why Accutane appeals to me… its short term with great results
Here are my concerns: • Mental health risks: My family has a history of mental illness (psychosis, schizophrenia, bipolar 1, suicide). I’ve personally never struggled with mental health but I’m scared of triggering something dormant, specifically psychosis.
• Future pregnancies: I know Accutane is dangerous during treatment but what worries me is whether it could have any lingering effects on a fetus years down the road, even after being completely off the medication.
Has anyone else been in a similar spot? Weighing Accutane’s effectiveness against spironolactone’s safety? Would love to hear personal experiences or what your dermatologist said about the long-term risks.
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