Accutane (isotretinoin) is the most powerful acne treatment available — and we manage the entire process, labs, iPLEDGE, and prescription, 100% online.
We handle all requirements
We handle all requirements
years of clinical data
Accutane (isotretinoin) is a vitamin A–derived oral medication — the only treatment that addresses all four root causes of acne simultaneously. It’s why dermatologists call it the closest thing to a permanent cure.
Reduces sebaceous gland size by 70–90%, dramatically cutting oil production at the source.
Normalizes skin cell turnover so dead cells shed properly and stop blocking follicles.
Eliminates the lipid-rich environment that C. acnes bacteria depend on to survive.
Calms the immune system's overreaction that causes redness, swelling, and painful nodules.
Accutane is for more than just severe cystic acne. Our providers prescribe it for any persistent acne that hasn't responded to other treatments.
You've tried oral antibiotics like doxycycline, topical retinoids like tretinoin, or other prescriptions for months — and your skin hasn't cleared. Isotretinoin works when everything else fails.
Deep, painful, inflamed cysts or nodules beneath the skin that don't respond to topicals. These are the lesions most likely to leave permanent scars — and Accutane is specifically designed for them.
Active acne that's already leaving marks. Scars are permanent — the sooner the acne stops, the fewer permanent reminders it leaves. Don't wait for acne to "go away on its own."
Adult acne affects 50% of women in their 20s and 25% in their 40s. Hormonal breakouts along the jawline and chin often don't respond to topicals. Low-dose isotretinoin is a highly effective option.
You don't need to have "severe" acne to qualify. If moderate acne is significantly affecting your confidence or quality of life, it deserves powerful, definitive treatment.
Topical creams can't realistically cover your entire back. Oral isotretinoin treats acne systemically — on your face, back, chest, and shoulders — all at once.
We manage every step — from your initial evaluation through iPLEDGE compliance, lab orders, and monthly refills — so you can focus on getting clear.
Fill out a detailed medical questionnaire and upload clear photos of your skin. Takes about 5 minutes. No video call required in most cases.
A board-certified dermatologist reviews your history and skin photos within 24–48 hours. If Accutane is appropriate, they prescribe and enroll you in iPLEDGE.
We provide a lab order you can take anywhere. Once results are in, your provider confirms enrollment in the iPLEDGE program and your Rx is sent to your pharmacy.
Required monthly check-ins happen through your patient dashboard — no office visits. We handle iPLEDGE confirmations, lab orders, and Rx refills every month.
These are results from real patients treated with Accutane through our program. Individual results vary based on acne type, dosing, and treatment duration.
Your provider personalizes your dosing based on your weight, acne severity, and treatment goals. Both approaches reach the same target cumulative dose — just at different speeds.
0.5–1 mg/kg/day · 6–8 months
0.1–0.3 mg/kg/day · 12–18 months
Isotretinoin remains the only acne medication capable of long-term remission — not just management. Here's what the science shows.
of patients see significant or complete clearance
never need retreatment
years of clinical data
Accutane is regulated under the FDA's iPLEDGE program. It requires monthly check-ins, lab work, and — for patients who can become pregnant — pregnancy testing and birth control confirmation. We manage all of it.
What we handle for you every month
Most Accutane side effects are manageable and resolve when treatment ends. We have 40+ years of data — the serious side effects you've heard about are extremely rare. Here's the full picture.
"I've struggled with acne for over 10 years, and nothing worked quite like Accutane. Since starting my treatment, I've seen a dramatic transformation in my skin. I finally feel confident again."
Everything you need to know before starting. Can't find your answer? Message our care team — 7 days a week.
A standard course lasts 6–12 months depending on your weight, dose, and skin response. Micro-dose protocols typically run 12–18 months. Stopping early increases the risk of relapse, so completing your full course matters.
This is a commonly cited concern, but the science does not support a causal link. Multiple large meta-analyses have found no increase in depression risk from isotretinoin. Many patients report improved mental wellbeing as their skin clears. That said, your provider reviews mental health history before prescribing, and our team is available 7 days a week if anything changes.
Start your evaluation today. A board-certified dermatologist reviews your case within 24–48 hours and creates a personalized Accutane plan — no office visit, no waiting room, no hassle.
