โ Active Ingredient Overview Table:
| ๐ฌ Active Ingredient (Generic Name): | Isotretinoin |
|---|---|
| ๐ Indication: | Severe Recalcitrant Nodular Acne, Off-Label: Rosacea, Hidradenitis Suppurativa |
| ๐บ๐ธ US Brand: | Accutane, Claravis |
| ๐ญ Manufacturer: | Healing Pharma (Founded: 2010) |
| ๐ฆ Packaging: | 10 Capsules per Strip |
| ๐งช Strength: | 30 mg |
| ๐ Delivery Time: | 6โ15 days |
๐ฟ What is Isotretinoin 30 mg (Accufine)?
Acne is not only a physical condition but also a significant psychosocial burden. Severe, treatment-resistant nodular acne can lead to scarring, emotional distress, and reduced self-esteem. Accufine 30 mg addresses these challenges by delivering a high daily dose of isotretinoin, a retinoid that targets all major pathogenic factors of acne: it shrinks sebaceous glands, reduces sebum production, normalizes follicular keratinization, and exerts potent anti-inflammatory effects.
By achieving higher systemic exposure early in treatment, the 30 mg regimen accelerates lesion resolution and promotes sustained remission. Rapid sebum reduction often becomes apparent within 2โ4 weeks, improving dermatologic and psychological outcomes for patients living with severe, recalcitrant acne. Off-label, Accufine 30 mg is also leveraged in refractory rosacea and hidradenitis suppurativa to harness its anti-inflammatory and keratinization-normalizing properties.
๐งฌ Pharmacology & Mechanism of Action
| Attribute | Detail |
|---|---|
| Chemical Formula | C20H28O2 |
| Molecular Weight | 300.44 g/mol |
| Bioavailability | ~25% (increases with high-fat meals) |
| Metabolism | Hepatic (CYP2C8, CYP2C9) |
| Half-Life | 10โ20 hours |
Isotretinoin modulates gene expression via retinoic acid receptors, leading to reduced sebocyte proliferation, normalized keratinization, and anti-inflammatory effects.
๐ก Indications & Dosing
| Condition | Dose & Administration |
|---|---|
| Severe Nodular Acne | 30 mg once daily; titrate by body weight to achieve cumulative 120โ150 mg/kg over ~8โ10 weeks |
| Off-Label: Rosacea & Hidradenitis Suppurativa | 20 mg once daily for 3โ6 months, adjust per response |
Take Accufine with a meal to enhance absorption. 30 mg dosing accelerates reaching therapeutic cumulative levels. Monitor weight to calculate cumulative dose and adjust duration accordingly.
โ ๏ธ Warnings & Side Effects
Common:
- Cheilitis, xerosis, skin fragility
- Photosensitivity, muscle aches
Serious:
- Teratogenicity; adherence to pregnancy prevention program mandatory
- Elevated triglycerides, hepatotoxicity
- Mood disturbances, rarely suicidal ideation
Female patients of childbearing potential must use two contraception methods and have monthly pregnancy tests. Perform monthly LFTs, lipid panels, and mood assessments.
๐ฅ Storage Instructions
Store Accufine 20 mg at 20โ25ยฐC in original blister pack. Protect from moisture and light. Keep out of reach of children.
๐ Availability & Purchasing
- USA: Prescription-only (Accutane); isotretinoin under strict REMS.
- UK & EU: iPLEDGE equivalents require monitoring.
- Australia: Schedule 4 medicine; pregnancy prevention required.
Importing from India may reduce costs; ensure compliance with local guidelines and pregnancy prevention protocols.
๐ Related Dermatologic Therapies
- Accufine 10 mg โ moderate-dose isotretinoin.
๐ฅ Educational Video on High-Dose Isotretinoin Therapy
๐ฉโโ๏ธ Expert Insight: Dr. Anita Kapoor, Dermatologist
โHigh-dose isotretinoin like Accufine 20 mg can shorten treatment courses, but requires rigorous monitoring for lipid, hepatic, and mood changes to maintain safety.โ




