When adolescents present with acne that is not responding to isotretinoin, make sure to ask if they’re taking the medication when eating fatty food. DermTwitter
, he recommended an article published in the Journal of the American Academy of Dermatology in 2017.
Skin picking is another common reason for failure of isotretinoin, as well as with other acne therapies. These patients may have associated anxiety, which “might be a contraindication or at least something to consider before you put them on isotretinoin,” he noted.-acetylcysteine, an antioxidant and cysteine prodrug, has been “extremely effective” for patients with excoriation disorder.
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