What Products to use while on Roaccutane (Isotretinoin)

acne leeds


While on Roaccutane, your skin is very delicate and if your experience is similar to mine, you may find your skin type completely changes in a short space of time, which can leave you very confused with what to use on your skin every day.



I love receiving your messages on Instagram about how sharing my journey has inspired you to seek help with dealing with your acne. Many of you have said you have now spoken with your GP and are seeking help from the NHS for Acne issues.

Quite a few messages have said they are now using Roaccutane and wanted some tips on what I used when I was receiving the treatment.

Once again I want to say THIS DRUG/TREATMENT IS NOT FOR EVERYONE and is very very dangerous, there is no 100% cure and there is a chance it won’t work.

But if you do decide to use Roaccutane here is what I used to help fight the snakey peeling skin and glowing red face for 6 months.



After Roaccutane

My dosage

My dose was 3x 20mg per day.

I definitely did my research before taking Roaccutane and made sure it was my final resort.
From visiting websites such as realself forums and watching endless YouTube videos, I saw a pattern of people saying they had dramatically bad breakouts as soon as they started taking them.

Which I can also now agree with as it happened to me, with one massive cystic mountain right in the middle of my forehead, which lasted for 5 days. A nice see you later from my friendly spots.


What to use when on Accutane?


All the products below cost less than £100 for all of them! 

I’ve added links to each product listed of where to buy them for the best price. Just click on the product name to shop.



1. Cetaphil Gentle Skin Cleanser

I used this morning and night and the price is great! But if I’m completely honest, I didn’t love using this product. I’m really fussy about the smell of skincare products and this just smells like a hospital ward, so I started using Liz Earle Cleanse & Polish again after this had run out (after 3 months). I just didn’t use any hot cloths with it.

You have to treat your skin (head to toe) like a newborn baby, you can cause sore, chapped damage so so easily. So scrubs, muslin cloth’s and anything that is harsh on your skin needs to go into the draw for 7 months until you are fully finished with the treatment (especially any products with alcohol or acids in!).

What I would recommend now as an alternative

What I would use now instead of both of these listed is Emma Hardie Amazing Face Cleanser.

Ive used this for months before, but the price tag starts to drive you mad! As it’s hard to make it last longer than 2 months. This is one of the reasons I love Liz Earle so much, one large 200ml bottle can last me 9 months, using it day and night. But I personally love the oily feel of Emma Hardie on my face when my skin is extremely dry, it’s almost like a hydrating face mask whilst it cleanses.


2.Cetaphil Intensive Moisturizing Cream.

Again, mega cheap and amazing if you are feeling red and irritated. I used this as a mask most days, your skin soaks it up in no time!


3. Eau Thermal Avene Water Spray

Great for when you need to add hydration to your face, especially if you are wearing makeup (you start to get a little crusty throughout the day). Cover your eyes before spraying or your mascara will look even worse than your dry face.

4. LA ROCHE POSAY Cicaplast Gel

If you are going to buy only one thing from this list, it should be this!
This was my BEST FRIEND, I couldn’t have lived without it. Its hard to get in stores so I always buy it online.

It’s for pro-recovery skin and has anti-bacterial ingredients in it, people who have skin peels use this to help their delicate skin recover. Initially,  I used it as a face mask once a week but by the end of month 1, it was used every day as a moisturiser, as my skin just swallowed it whole.  I had the Lip balm of this Cicaplast range but honestly went through them too quickly and found Blistex better.

I still use this now 4 years after having my treatment as its such an amazing hydrating moisturiser for such a great price.


caroline hirons cheat sheet

5.Blistex Relief Cream

Every hour if not more. My lips suffered the most throughout this treatment and It was hard to find the best lip balm for Roaccutane but I found Blistex worked really well as its so cheap and you go through a tube a week.

6.Sanex 0% Dermo Hypo-Allergenic Very Sensitive Skin Shower Gel

As I said before everywhere is dry, my arms and scalp especially were really itchy, so this really helped to keep my sensitive skin calm.

7. Kerastase Shampoo for dry hair

If like me, you hate washing your hair more than 3 times a week then you’re in for a treat, the only plus side to the dry skin is that your hair NEVER gets greasy, I’m talking a week without washing it looks like you’ve had a blow dry most days. But I have heard of cases of people’s hair thinning, I was lucky and had the complete opposite so I took this time to look after my hair with moisture treatments to recover the dry ends.

8.Vichy Factor 50 SPF

Use SPF 50 on your face or any skin you show in daylight every day. I know it sounds over the top but your skin is so sensitive to light. Sunbeds and laying in the sun is absolutely banned, you could do permanent damage to your skin.  I’ve used factor 50 on my skin every day ever since as its great for anti-ageing. If you want to read more about this click here.


Extra: 5 Clear Skin Tips

After you’ve finished Roaccutane, you will still need to look after your skin. There is no 100% fix to cure acne. Here are some tips I follow to keep my skin clear, even after the treatment.

Drink loads of water, keep yourself hydrated as much as possible. Don’t overdo it but at least 4 litres a day.

Try alternatives to Cows milk. The hormones in cow’s milk trigger breakouts for most acne suffers. Coconut or almond are my favourites.

Try not to wear heavy makeup, it just doesn’t look good once you’ve had Roaccutane.
Your skin texture is very different and if you are left with scarring, foundations tend to make this look worse.Heres my 4 years after Roaccutane video where I share my tips on scaring and skin texture after Roaccutane.


Tinted moisturiser is a great swap from foundation. I use Estee Lauder Double WearAll Day Glow BB Moisture Makeup SPF 30  or Chanel CC Cream for a fuller coverage. If your skin is still very dehydrated and patchy, spray the Hydrating water spray just before you put this on.

Or a great trick I learnt from Make-up artists when I was on shoots is to rub moisturiser or oil together in your hands and then pat it twice onto your face on top of your makeup and lips, I still love to do this now years later for a dewy skin look using The Ordinary, Rosehip seed oil. 

SPF 30-50 –  Use it EVERYDAY. Even after you have stopped this medication. SPF is your best friend. The love of the sun and sunbeds will soon catch up with your skin and it’s not always something that can be undone.  Factor 50 always on your face even in winter will be something you thank yourself for in years to come.

To see all my posts around Roaccutane, click below.


I always love receiving your messages on Instagram and will always reply. I love hearing your progress.


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*Note this post contains some affiliate links. If you are happy to click on them and support the blog, this would be so appreciated by me, these links do not cost you any extra money, it is exactly the same as searching for the product only this way, I receive 1%- 2% of the amount for my suggestion and the time and effort it takes to put these posts and videos together. If you would rather not feel free to google the products- Emily xx



  1. 13th February 2018 / 6:07 pm

    This was a brilliant article! Thank you so much

    • emilyrajch
      22nd March 2018 / 10:55 am

      Thanks so much boo! xx

  2. Hilary Pepper
    21st February 2018 / 5:21 pm

    Loved your video! M myself is thinking about going on Accutane. I just want to clarify. You were saying 6 weeks. Is that how long you were on it?

    • Emily Rajch
      23rd February 2018 / 3:56 pm

      Hi, Yes i meant the first 6 weeks i struggled the most with side effects and then after that it started to get better for me. xx

      • Grace
        28th April 2018 / 10:20 pm

        Hi, I’ve only started to go on isotrtinoin (roacutane) and my sister went on it but she never used any skincare products so I was wondering if i could use the brand botanics from
        Boots if not what skincare products did you use

  3. Sophie
    13th March 2018 / 9:49 pm


    Thank you so much your video has give me the confidence to start roaccutane. I have been prescribed my dermatolgist and start next Monday on a 6 month course. You don’t mention about drinking alcohol. Did you drink at all? I have read reviews and it says not too.

    Happy not too if it will help even more

  4. Rebecca Parkin
    16th March 2018 / 12:12 am

    Hi Emily, I have been Accutane for 2 weeks now and starting to get a dry face. Did you use any products from The Ordinary and Nip+Fab?
    Thank you for all the tips x

    • emilyrajch
      22nd March 2018 / 10:55 am

      Hey lovely! Yes I love both, check out my post about what my a/w skincare picks are and theres loads of Ordinary products on there xxx

  5. Hannah
    21st March 2018 / 10:02 am

    This was so helpful, Quick question! I just started this medication and was wondering if you used any spot treatments for acne whilst on Roaccutane because I’m worried to try them as my face is extremely sensitive at the moment.

    • emilyrajch
      22nd March 2018 / 10:39 am

      Hi Hannah,
      Yes stay clear of any harsh spot treatments, it will only irritate your face! Just keep everything as clean as possible.
      Clean pillowcases. look at my post how to get rid of acne scars it talks about how spots actually happen, watch the video, it makes it so much easier to understand why we get them! and how to prevent them spreading!
      Hope that helps! keep me updated with how your treatments going!! xx

  6. Michael Soopa
    15th May 2018 / 2:26 am

    hey…..Im on my second month of accutane. So far so good,except for the dryness all over my body.I take a 20mg dosage once a day.I just wanted to ask if its safe or okay if I could use the Garnier even and matte gentle clarifying foam on my face?Thanks in advance.

  7. Lizzy
    24th August 2018 / 3:06 pm

    Hi Emily,

    Thank you so much for this. It’s been super helpful.

    I’m on day 7 and am already starting to see lots of the side effects you mentioned in your video.

    I was just wondering if you had any recommendations for what to use to remove makeup. At the moment I’m just using normal makeup wipes but have heard they’re not great sensitive skin.

    Thank you 🙂


  8. Lauren
    29th August 2018 / 11:29 pm

    This article and video are absolutely brilliant thank you so much ? I’m on my 4th week of taking roaccutane and the side effects are exactly what you seemed to suffer from- massive break outs, deep, painful cuts on either side of my mouth, as well as blisters all over my lips and tongue, nose bleeds, and INSANE back pain to the extent I’m getting stomach cramps for it ? (on the plus side I’ve not had to wash my hair in 9 days which is crazy and also slightly gross) watching the video means so much to me – a lot of people don’t understand how much of an impact your skin can have on your life, and that it’s actually a form of body dismorphia. It was so great to watch your video and read the article of someone who seems to have been on the same level etc of acne/side effects as me. the last couple of weeks I’ve been wondering whether the side effects are worth it but this has really encouraged me to stick it out seeing how gorgeous your skin is! I was also wondering if you know anything about facial oils whilst taking the medication? Before starting the medicine I used to use 2 drops of Pai rosehip facial oil and it worked wonders for my acne scars, but I’m not sure what the deal is with oils whilst on roaccutane? Thank you 🙂

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