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Do You Purge on Winlevi?

Published in Acne Treatment Side Effects 3 mins read

While Winlevi (clascoterone) is not typically associated with a traditional "purging" phase in the same way some other acne treatments like retinoids are, some individuals may experience side effects that can resemble an initial acne outbreak and may be referred to as skin purging by consumers.

Understanding Skin Purging vs. Winlevi Side Effects

It's important to distinguish between true skin purging and side effects that might appear similar.

What is Skin Purging?

True skin purging is a temporary worsening of acne that occurs when certain active ingredients, particularly those that accelerate skin cell turnover (like retinoids or AHAs), bring pre-existing microcomedones (clogged pores) to the surface more quickly. This process is often followed by clearer skin as the underlying congestion is resolved. Symptoms typically include new breakouts, blackheads, or whiteheads in areas where you normally experience acne, and it usually subsides within a few weeks.

Winlevi and Its Potential Side Effects

Winlevi works differently, by targeting androgen receptors in the skin to reduce oil production and inflammation. It does not work by accelerating skin cell turnover. Therefore, it does not typically cause the "purge" associated with the accelerated surfacing of clogged pores.

However, Winlevi can cause certain side effects on the skin. These may include:

  • Skin irritation
  • Itching
  • Burning sensation
  • Skin redness
  • Peeling

These symptoms, particularly skin redness, irritation, or an appearance that looks like an initial acne outbreak, can sometimes be mistaken for purging by consumers. It's crucial to understand that these are irritation-related side effects, not a beneficial "clearing out" process.

Differentiating the Experience

Here’s a comparison to help understand the difference:

Feature Traditional Skin Purging Winlevi Side Effects (Perceived as Purging)
Mechanism Accelerated cell turnover Direct skin irritation from the medication
Appearance Increased breakouts (pimples, blackheads, whiteheads) Redness, itching, burning, peeling, general irritation
Location Areas prone to acne Application areas, can be widespread if skin is sensitive
Duration Typically 2-6 weeks, then improvement Varies; may persist if irritation continues or worsen if not managed
Underlying Cause Bringing hidden clogs to the surface Skin's reaction to the medication

If you experience significant irritation, redness, or peeling while using Winlevi, it's more likely a side effect of the medication rather than a typical purging phase.

Managing Side Effects

If you experience symptoms that resemble an initial acne outbreak or general irritation while using Winlevi, consider the following:

  • Apply a moisturizer: A gentle, non-comedogenic moisturizer can help soothe irritated skin and support the skin barrier.
  • Use as directed: Ensure you are applying the medication exactly as prescribed by your dermatologist, including the amount and frequency.
  • Avoid other harsh products: Temporarily discontinue other potentially irritating skincare products, such as strong exfoliants, retinoids, or harsh cleansers, unless advised otherwise by your doctor.
  • Gentle skincare: Use mild, fragrance-free cleansers and avoid scrubbing your skin.
  • Consult your doctor: If side effects are severe, persistent, or worsen, contact your healthcare provider. They may suggest adjusting your application frequency, using barrier repair creams, or considering alternative treatments.

Recognizing the distinction between a true purge and medication side effects can help manage expectations and ensure appropriate care for your skin while using Winlevi.