Oral Steroids and Isotretinoin. The recommended treatment for acne fulminans is a combination of oral steroids and isotretinoin. Oral steroids should be started and gradually reduced over 6 weeks to avoid the adverse effects of a prolonged course of systemic steroids
Isotretinoin works by decreasing the size of the sebaceous glands in the skin. The sebaceous glands are responsible for creating sebum, the oil in skin that can clog pores and cause acne. When the sebum is controlled, breakouts stop
A treatment course of isotretinoin capsules usually lasts for 16 to 24 weeks (around 4 to 6 months). Acne will usually keep getting better for up to 8 weeks after stopping treatment. Most people have clear skin after that time, but some will need another round of treatmen
Isotretinoin can clear severe acne when other treatments fail. With just one treatment, isotretinoin can permanently clear the skin. One treatment typically lasts four to five months. If a dermatologist prescribes a lower dose of isotretinoin, the treatment may last longer.
Your skin might keep getting better even after you stop taking isotretinoin. Most of the side effects go away in a few days or weeks after you stop taking isotretinoin. If your side effects last for more than a few weeks after you stop taking this medicine, talk to your doctor