Is it Safe To Get A Tattoo While Using Accutane?

In our latest question and answer, the pharmacist discusses the safety of getting a tattoo while using the acne medication, Accutane (isotretinoin).

Question

Is it possible to get a tattoo while I'm using Accutane for acne?

Asked by Fredrik On Sep 08, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Sep 08, 2022
Last updated Jul 22, 2024

Key points

  • Accutane, which contains isotretinoin, may impair wound healing.
  • Although there is limited evidence, most medical practitioners recommend waiting 6 to 12 months after stopping isotretinoin to undergo skin procedures (like getting a tattoo) to reduce the risk of scarring.

Answer

It is generally recommended to avoid invasive skin procedures, such as getting a tattoo, laser hair removal, and dermal abrasions, for at least 6 to 12 months after stopping Accutane (isotretinoin).

There is, unfortunately, a lack of published information on this topic but we do know isotretinoin causes the skin to become more fragile. It is thought to impair wound healing, which could increase the risk of scarring.

Since the process of getting a tattoo is essentially creating a wound to the skin, there is concern that the tattoo may not heal appropriately, or take longer to heal.

One case study, published in the International Journal of Dermatology, reported the following on the matter:

"Our case illustrates that oral isotretinoin could impair wound healing after tattooing. The tattoo was quite small, but one can wonder about the outcomes if the tattoo had been larger."
Int J Dermatol . 2017 Oct;56(10):e199-e200.

There is some controversy on this subject however and the results reported in this particular case study are far from definitive or applicable to everyone.

A large review study, published in JAMA Dermatology, found very limited evidence that isotretinoin impaired wound healing to a significant degree after reviewing over 1,400 skin procedures in those exposed to the drug.

Nevertheless, we may want to follow the old adage of 'better safe than sorry' here.

You want your tattoo to look its best on your skin and it would be prudent to avoid anything that may impair how your skin heals after the procedure. 

About Accutane

Accutane contains isotretinoin, a vitamin A derivative. It is known as a 'retinoid'.

It works to treat acne via a variety of mechanisms, but overall, it decreases sebum production and reduces the formation of comedones and acne lesions.

Due to the serious risk of birth defects, it can only be obtained after being enrolled in the iPledge program.

It is available under a number of names, including:

  • Accutane
  • Myorisan
  • Absorica
  • Amnesteem
  • Claravis
  • Sotret
  • Zenatane

Final Words

Thank you so much for reaching out to us!

References

  • Isotretinoin and Timing of Procedural Interventions A Systematic Review With Consensus Recommendations, JAMA
  • Isotretinoin and tattooing: a cautionary tale, PubMed

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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