With most medical treatments, doctors and their patients must evaluate what we call the risk-benefit equation, and determine if the benefits of treatment outweigh the risks. When it comes to treating a severe form of acne called cystic acne – a condition that causes nodules that turn into painful cysts – the medication Accutane has triggered some controversy about its risks vs. benefits.
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The first step is to get the acne under control. For moderate to severe acne, I typically recommend Accutane. It’s a proven therapy and only requires a short course, but has long-lasting results.
