The Best Skincare for Accutane and Roaccutane Users Recommended by a Dermatologist

If you’re struggling with acne, chances are you’ve thought about trying Roaccutane. Although changing your diet, getting more sleep, and tailoring your skincare routine might encourage a subtle shift in your skin, really bad acne often needs specific medical attention.

The Best Skin Care for Accutane and Roaccutane Users Recommended by a Dermatologist - young woman applying light cream to her cheek. She has some pimples and blemishes on her face - 1200 x 800The Best Skin Care for Accutane and Roaccutane Users Recommended by a Dermatologist - young woman applying light cream to her cheek. She has some pimples and blemishes on her face - 1200 x 800

Many people out there recommend Roaccutane (generic name isotretinoin), yet there are those who vow never to go near it. While the wonder pill can ease off the miserable pressure that acne induces, it’s a powerful drug that can come with a set of serious isotretinoin side effects.

This anti-inflammatory oral drug shrinks the sebaceous glands that cause acne and reduces the bacteria that live on the skin. But with dry skin almost inevitable, unhealthy hair loss a possibility, dramatic mood swings hanging in the balance, and endless doctor appointments on the cards, the big question is:

Is Roaccutane Really Worth It? 

To answer all your burning Roaccutane questions, we called in an expert. Dr Shyamalar Gunatheesan is a top dermatologist at Fairfield and Clifton Hill Dermatology in Fitzroy North, Victoria, Australia. She knows a thing or two about the Accutane regimen and what products to use while on Accutane (aka Roaccutane).

What is Roaccutane, and What are its Side Effects When it Comes to Your Skin?

‘Roaccutane is isotretinoin (13-cis retinoic acid), which is a vitamin A derivative. The liver naturally makes small quantities of isotretinoin from vitamin A, but the drug we prescribe is made synthetically and in higher doses.

‘It is a very effective agent for the control of acne and in the induction of long term remissions. As dermatologists, we use it in a variety of other conditions such as rosacea, folliculitis, and seborrhea (oily skin).’

The Best Skin Care for Accutane and Roaccutane Users Recommended by a Dermatologist -  young woman with some pimples and blemishes. She is smiling and touching her cheek with her fingertips - 1200 x 800The Best Skin Care for Accutane and Roaccutane Users Recommended by a Dermatologist -  young woman with some pimples and blemishes. She is smiling and touching her cheek with her fingertips - 1200 x 800

Can Accutane Cause Eczema?

While it’s unclear whether Roaccutane will cause eczema, it can irritate existing dry skin and change how your skin reacts. ‘We tend to use low doses like 10 mg for a longer time like 6 to 9 months, as opposed to higher doses for shorter bursts of time,’ says Dr Gunatheesan. ‘This minimises the side effects of isotretinoin, which tend to be dose-dependent.’

Does Roaccutane Affect Hair?

Roaccutane is the most common acne medication on the market, but that’s not to say it doesn’t come without challenges. If you’re on a high dose of isotretinoin, you could experience hair loss or thinning hair—which, let’s face it, can be a nightmare! Before you panic, there are a few things you can do to help yourself.

When on Accutane, it’s crucial that you nourish your body the best way you can. Roaccutane can cause a vitamin B deficiency, so it’s time to start taking an extra daily supplement. Lucky for you, vitamin B can also be found in avocado, which means you can eat as much avo and poached egg on toast as you fancy!

Roaccutane treatment is also a good time to reduce stress and let your body relax. We know: it’s hard to switch off! But why not treat yourself to a new mindfulness app to help slow your days down and ward off stress?

It’s always a good idea to protect yourself from the sun. Roaccutane will dry your hair out, so invest in some new hats and headscarves to stay covered and confident.

How Does Roaccutane Affect Your Hair?

· Isotretinoin, the main ingredient in Roaccutane, is a synthetic form of vitamin A that helps suppress oil, or sebum, production in the skin to reduce acne.

· While this helps with reducing acne, sebum does have a role in keeping the skin and hair healthy:

  • It protects the skin from some of the damage caused by external factors, like UV, heat and cold

  • It protects the skin from dehydration

  • maintains the suppleness of skin and hair

· Healthy hair starts with a healthy, supple scalp (skin). One of most common side effects of supressed sebum production is severely dehydrated skin, lips and dry brittle hair that breaks easily.

· Sebum consists of a number of organic acids that maintain the pH of the skin between 3 and 5. Intact skin not only prevents entry of pathogens and chemicals but also inhibits the growth of most pathogenic bacteria due to its low pH.

· Roaccutane may affect the body in ways that could contribute to hair thinning or hair loss as well. For example, Roaccutane may affect the hair shafts and follicles themselves. Most of the time, any hair loss is temporary, and the thin hair should start to thicken again with time. However, some people may notice a permanent change in their hair after taking isotretinoin.

Do Roaccutane and Alcohol Mix?

While it might seem dramatic, it’s probably best to steer clear of alcohol when on Roaccutane. Mixing the two can cause liver toxicity, which could wreak havoc in your body and create some dangerous side effects.

And What are the Isotretinoin Side Effects?

‘Side effects generally relate to dryness of the skin, mucous membranes, eyes, and scalp. The commonest side effects will be dry lips and photosensitivity (increased tendency to sunburns).’

‘It is best to avoid hair removal lasers, microdermabrasion, and tattooing whilst on Roaccutane and for 4 to 6 months post-treatment. Shaving and waxing can be undertaken very judiciously. Other areas sometimes prone to dryness include the nasal passages, eyes, genitals, and nails, the last of which can become brittle. I also warn my patients that there could be an initial, temporary flaring of their acne.’

What Products are Best to Use When on Roaccutane?

Whether you’re about to embark on a Roaccutane journey or you’re about to come off Roaccutane, it’s well worth investing in an Accutane skin care regimen. From hair care on Roaccutane to the best lip treatment for Accutane users, Dr Gunatheesan has helped us put together the best tips for Accutane users. Get ready to start your new dermatologist skin care routine for dry skin …

Start at the Scalp: Apotecari Crowning Glory

Start at the Scalp: Apotecari Crowning Glory

Unfortunately, if you’re on a high dose of Roaccutane, you might experience some hair loss. If you want to know how you can reduce hair loss, Apotecari Crowning Glory 1 month Supply is an excellent place to start. This daily hair supplement has been formulated to restore hydration to your hair and scalp. And how to know if your hair is unhealthy? If your hair is looking dull, feeling dry, and breaking off every time you brush it, you probably have unhealthy hair. Sadly, Accutane can accelerate these conditions. Plus it can cause a dry, itchy scalp. Boo!

The good news is that once you start taking Apotecari Crowning Glory 1 month Supply, you begin to relieve these symptoms. The dermatologist-recommended combination is backed by science and packed full of nutrients. The potent, plant-based blend features anti-inflammatories and premium vitamins, which will boost the appearance of your hair and help get it back to its shiniest, loveliest best. Take for 90 days to maximise your results. And consult with your healthcare professional prior to taking if you’re on Roaccutane.

What makes Crowning Glory the Best Choice for Someone Currently on Roaccutane?

· Caring for the skin and hair during Roaccutane treatment is especially important

· Some general hair care tips include:

  • keeping the hair nourished

  • nurturing the scalp to avoid excessive dryness

  • avoiding harsh processes such as drying, curling, or blow-drying the hair with very hot styling tools

· Made with plant-based Omega oils, Crowning Glory is a 2-pill/day dose of targeted nutrition to for optimum scalp health and consequent hair health

· It can be taken 2-4 hours after your Roaccutane dose with the ok of your healthcare professional

· In particular, the omega-3 containing Crowning Glory is good to keep skin hydrated, addressing dryness of the lips, nose, and eyes

· While the scalp is kept nourished, the hair is able to be nourished, reducing dryness, brittleness and breakage and promoting healthy hair, from within

· Crowning Glory’s strong anti-inflammatory actions also helps the health of the skin

Cleanse Your Face Gently: La Roche-Posay Toleriane Dermo-Cleanser

Cleanse Your Face Gently: La Roche-Posay Toleriane Dermo-Cleanser

 If you have acne on dry sensitive skin, or you’re about to start an Accutane skincare routine, La Roche-Posay Toleriane Dermo Cleanser could be your new favourite way to wash your face. The product’s light, milky texture isn’t irritating on sensitive skin. And the formula is enriched with moisturising Glycerine to keep skin nourished and soft. Perfect for daily use on troubled skin, this cleanser removes impurities without stripping the skin of its natural pH balance and hydration levels.

If you’re suffering from acne, redness, or any inflammation, La Roche-Posay Toleriane Dermo Cleanser takes the gentlest approach, keeping your skin healthy and balanced. The milky texture is cooling and soothing on the skin, making it a great option as part of a Roaccutane skin care routine. Use this cleanser safely morning and night to softly wash the face. Rinse with lukewarm water to maximise the fresh, clean feeling. Always pat the skin instead of rubbing it dry after washing, to prevent worsening any irritation.

Cool Things Down: La Roche-Posay Thermal Spring Water Mist

Cool Things Down: La Roche-Posay Thermal Spring Water Mist

The famous La Roche-Posay Thermal Spring Water is now available for everyone to try at home! Previously only available to dermatologists and skincare professionals, this spring water spray combines trace elements that have been scientifically proven to immediately soothe the skin. Perfect for those putting together an Accutane skin care routine, this mist comforts and calms the skin with minimal ingredients. Natural prebiotics help improve the skin’s barrier, and antioxidant properties help protect the skin.

This extraordinarily soft mineral water clouds your face (and body) with the finest mist of hydration. It’s ideal to use throughout the day to protect and refresh. La Roche-Posay’s dermatological spa patients are actually encouraged to drink the spring water directly from the source! La Roche-Posay Thermal Spring Water is of the utmost quality and will help soothe skin irritated by Accutane. Spray 2 to 3 times on the face and pat away any excess very gently. Use as often as you like throughout the day to feel the benefits.

Boost Moisture Levels: La Roche-Posay Hyalu B5 Serum

Boost Moisture Levels: La Roche-Posay Hyalu B5 Serum

If you’re looking to restore some of the moisture that being on Roaccutane nabs from your skin, La Roche-Posay Hyalu B5 Hyaluronic Acid Serum could be a great addition to your skincare arsenal. Also great for skin care after Roaccutane, the serum dramatically boosts moisture levels and plumps the skin for bounce and suppleness. With two types of Hyaluronic Acid plus Vitamin B5, this serum soothes as you apply it. The fresh water-gel texture sinks right in to provide quick comfort.

Also great if you’re looking to reduce fine lines and wrinkles, La Roche-Posay Hyalu B5 Hyaluronic Acid Serum helps plump the look of the skin. Suitable for all skin types, this serum can be applied morning and night on freshly cleansed face and neck. Follow up with a creamy moisturiser to lock in the love.

For Stubborn Dry Patches: Avène Hydrance Rich Hydrating Cream

For Stubborn Dry Patches: Avène Hydrance Rich Hydrating Cream

If you’re seeking the best moisturiser for Roaccutane, Avène Hydrance Rich Hydrating Cream doesn’t disappoint. This soothing face cream features a caring combination of water-transporting microspheres, Cohederm complex, and Avène Thermal Spring Water. Perfect for alleviating discomfort caused by dryness, this could also be the best moisturiser for dry sensitive acne prone skin. The very gentle but rich formula improves the skin’s barrier and nourishes with extra minerals.

Avène Hydrance Rich Hydrating Cream has a long-lasting, hydrating approach, working hard to smooth and soften skin that’s been affected by the drying effects of Roaccutane. To gently calm your skin, apply the cream morning and night after cleansing and toning. If you’re suffering from extreme dryness, apply during the day to keep your skin’s moisture levels high. Use all over the face and neck to see the supple results.

Nourish Your Lips: Nuxe Reve de Miel Ultra-Nourishing Lip Balm

Nourish Your Lips: Nuxe Reve de Miel Ultra-Nourishing Lip Balm

If there’s one thing Dr Shyamalar Gunatheesan really recommends, it’s a nourishing, caring lip moisturiser. She also recommends not licking your lips as they dry out, because it will only make them drier! Nuxe Reve de Miel Ultra-Nourishing Lip Balm is a cult classic for a reason: it’s considered by some to be the best lip balm for Roaccutane. Formulated for all ages, the balm protects, soothes, and repairs even the most ravaged of lips.

Made with 80% natural ingredients, Nuxe Reve de Miel Ultra-Nourishing Lip Balm is based on precious oils and Honey. The rich, melting texture restores comfort and suppleness to your lips. The Lemon, Honey, and Grapefruit scent encourages relaxation, which may be why a pot is sold every 28 seconds worldwide! Our beauty editor also recommended the lip balm as one of the top 7 French Beauty Secrets to change your beauty routine forever. Popular stuff!

Don’t Forget Your Sunscreen: La Roche-Posay Uvidea XL SPF 50 Melt-in Cream

Don’t Forget Your Sunscreen: La Roche-Posay Uvidea XL SPF 50 Melt-in Cream

If you’re taking acne medication, it’s critical that you introduce a strong sunscreen into your Roaccutane skin care routine. In fact, Dr Gunatheesan recommends never going lower than SPF 50. Be sure to apply your chosen sunscreen every 3 to 4 hours. When you take Roaccutane, your skin becomes even more sensitive to the sun, which means you need serious protection. Hydrating La Roche-Posay Uvidea XL Melt In Cream SPF50 sinks into the skin with ease and does the job.

Penetrating the skin without creating an oily texture, La Roche-Posay Uvidea XL Melt In Cream SPF50 is fragrance-free, which makes it perfect for sensitive skin. This high-protection sunscreen with Shea Butter and Thermal Spring Water helps calm pigmentation and redness while preventing UV damage and pigmentation. You can apply the formula liberally to the face without causing any irritation.


Starting a Roaccutane skin care regime can seem daunting. But as long as you’re following the advice of a healthcare professional and taking care of yourself, you should soon reap rewards. Drink lots of water to stay hydrated, and keep your skin moisturised to prevent it from drying or cracking. And when times get rough, just remember: Roaccutane will clear up your acne for good! Which, after all you’ve been through, is the reward you deserve.

Now, let's recap! What are the Best Skincare for Accutane and Roaccutane Users Recommended by a Dermatologist?