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: | 10 mg |
| ๐ Delivery Time: | 6โ15 days |
๐ฟ What is Isotretinoin 10 mg (Accufine)?
Accufine 10 mg delivers a moderate dose of isotretinoin, a powerful vitamin A derivative that targets every stage of acne pathogenesis: reducing sebaceous gland size, normalizing follicular keratinization, and suppressing inflammation. The 10 mg strength helps patients achieve higher cumulative dosing more rapidly, which is linked to prolonged remission and lower relapse rates.
During the initial weeks, isotretinoin can cause transient flare-ups of acne lesions before improvement sets in. A typical course spans 16โ24 weeks, aiming for a cumulative dose of 120โ150 mg/kg. Using 10 mg daily can shorten treatment duration and promote more consistent adherence compared to lower-dose regimens.
Off-label, 10 mg dosing is also effective in milder presentations of rosacea and hidradenitis suppurativa, providing anti-inflammatory benefit with manageable side effects.
๐งฌ Pharmacology & Mechanism of Action
| Attribute | Detail |
|---|---|
| Chemical Formula | C20H28O2 |
| Molecular Weight | 300.44 g/mol |
| Bioavailability | ~25% (increased with high-fat meals) |
| Metabolism | Hepatic (CYP2C8, CYP2C9) |
| Half-Life | 10โ20 hours |
Isotretinoin binds nuclear retinoic acid receptors, altering gene expression to normalize follicular epithelial differentiation and decrease sebum production.
๐ก Indications & Dosing
| Condition | Dose & Administration |
|---|---|
| Severe Nodular Acne | 10 mg once daily; titrate based on body weight to achieve cumulative 120โ150 mg/kg over 16โ24 weeks |
| Off-Label: Rosacea & Hidradenitis Suppurativa | 10 mg once daily for 3โ6 months; adjust per clinical response |
Take Accufine with meals (high-fat optimal) to enhance absorption. Monitor patient weight to calculate cumulative dose accurately.
โ ๏ธ Warnings & Side Effects
Common:
- Cheilitis, xerosis, skin peeling
- Photosensitivity, myalgia
Serious:
- Teratogenicity (strict pregnancy prevention program)
- Hypertriglyceridemia, hepatotoxicity
- Mood changes (depression, rare suicidality)
Female patients of childbearing potential must use two forms of contraception and undergo monthly pregnancy tests. Regular monitoring of lipids, liver enzymes, and mental health is essential throughout treatment.
๐ฅ Storage Instructions
Store Accufine 10 mg at 20โ25ยฐC in original blister pack. Protect from light and moisture. Keep out of reach of children.
๐ Availability & Purchasing
- USA: Prescription-only (Accutane); generic isotretinoin under REMS program.
- UK & EU: Prescription required; iPLEDGE-equivalent monitoring.
- Australia: Scheduled medicine; strict prescribing guidelines.
Importing from India offers cost savings, yet compliance with local pregnancy prevention regulations is mandatory.
๐ Related Dermatologic Therapies
- Accufine 5 mg โ low-dose isotretinoin.
- Adapalene Gel 0.1%ย โ topical retinoid.
- Azelaic Acid 20% gelย โ antimicrobial and comedolytic.
- Tazarotene 0.1% Creamย โ potent topical retinal.
๐ฅ Educational Video on Isotretinoin Best Practices
๐ฉโโ๏ธ Expert Insight: Dr. Anita Kapoor, Dermatologist
โUsing a 10 mg isotretinoin regimen balances efficacy with tolerability. It allows patients to reach cumulative therapeutic doses faster, potentially shortening treatment duration with sustained remission.โ




