Oral Isotretinoin in HIV-Positive Women with Acne: Report of Three Cases

The conversation discusses using isotretinoin (Accutane) to reduce scalp oiliness and manage scalp issues like seborrheic dermatitis, inflammation, and chronic itch. A user shares that taking 20mg of Accutane every other day effectively reduces oily hair and skin.

Isotretinoin and tretinoin are different; isotretinoin can cause hair loss and has more side effects. Tretinoin may affect minoxidil absorption, and users suggest waiting before applying minoxidil.

Accutane can cause hair thinning in some users, with effects varying from no change to permanent hair loss. Some users reported improvements in hair and skin with treatments like Finasteride, while others experienced severe side effects, including mental health issues.

Pyrilutamide's effect on sebum production and scalp inflammation is unclear, with users noting no significant changes. Isotretinoin is mentioned as effective for reducing sebum, while Dutasteride and various shampoos have limited impact on oiliness and seborrheic dermatitis.

Topical retinol does not affect hair loss and may help hair regrowth. It is different from isotretinoin, which can cause hair loss due to its systemic effects.

Tretinoin may enhance minoxidil absorption for hair loss, but opinions vary. Some users report success with a combination of tretinoin, minoxidil, and other treatments like oral minoxidil, ketoconazole, and red light therapy.