What is Acne &

Causes of Acne?

Acne is one of the common skin conditions that usually appear like pimples. It affects both men and women and is more common in teenagers because of hormonal changes. Acne appears on the body parts where oil is secreted in larger quantities and is common on the face, back, neck, eyebrows, shoulders, and chest areas. Acne is formed when the hair follicles under the skin get blocked and mix with oil produced from sebaceous glands. Bacteria grow in these hair follicles causing an infection that leads to skin irritation, pus formation, and finally scratching of the pimple which can leave behind a scar. The hair follicle wall breaks up deep in the skin causing acne nodules or cysts.

Risk factors for the development of acne

Various factors may increase the risk of developing acne which includes:

  • Oil-based make-up, hair products, and other cosmetics
  • Hormonal changes during puberty, menstruation, and pregnancy
  • Squeezing, scratching, or picking at blemishes
  • Stress
  • Hard scrubbing of the skin (stimulates oil production)

Severe acne is the condition of acne resistant to common treatments. The acne invariably increases in size and multiplies in number. In many cases, the acne will form pus, and bleed from picking or scratching. Acne can cause many socio-psychological problems such as embarrassment, avoiding social gatherings, and can even lead to depression.


Accutane (Isotretinoin) is indicated for the treatment of recalcitrant or severe acne and is approved by the US Food and Drug Administration (FDA). This is an oral, soft gelatin capsule that is generally prescribed to be taken twice daily. Accutane is dramatically effective for all types of acne, including severe scarring cystic acne. There is simply no better treatment for acne. Accutane has been used in the United States since 1982. Over the last two decades, millions of people all over the world have successfully and safely used Accutane to clear their resistant acne. Perhaps more importantly, Accutane has converted thousands of reclusive and very unhappy patients with unsightly faces, into clear-skinned and self-confident individuals. Accutane is not just a face-saver, it can also be a true ‘life-changer’.

Accutane is an oral capsule given in doses of 0.5 to 1.0 mg/kg/day divided into 2 equal doses. This drug is available in 10, 20, and 40 mg capsules. This drug acts upon the oil-secreting glands, preventing the secretion of oil. Although Accutane is an effective choice for severe acne, it is contraindicated in pregnant women and individuals with mental disorders. Pregnant women should avoid using this drug as it can cause birth defects and miscarriages.

Side-effects of Accutane

The most common side effects for Accutane include:

  • Dry mouth/lips
  • Dry skin Nosebleeds
  • Hair thinning
  • Upset stomach
  • Muscle/joint/back pain
  • Mental/mood changes


Prior to starting accutane we will guide you through the process of initiating the medication.

We dispense Accutane according to the iPledge Program. iPledge is a government-regulated prescription program, which requires that very specific instructions are followed in order to receive your medication. At our clinic, you can obtain Accutane by:

  • Working with your Accutane provider and signing consent forms
  • Performing all initial blood work Completing registration in iPledge. Female patients will need to be on two forms of birth control that must match what your physician’s office will put in on their end.
  • Waiting 28 days and then taking a second pregnancy test (females only).
  • Picking-up your medication after getting confirmation from Desert Sage Dermatology and receiving your iPledge card.

Patient Testimonials