Yep. I know, I never thought I would give in. But i'm seriously considering accutane. I've been on the paleo diet for 3 months, and while my face cleared up significantly, my arms/back/chest still harbor cystic acne. I'm absolutely tired of it. I had hopes the paleo would clear it up. I ate a very strict diet, cut out all nuts, all dairies, all breads/grains, all sugars, no coffee, all nightshades, even eggs. I got so desperate I even did a 4 day water fast thinking that would help. I'm aware of the side effects of the accutane, and how it can mess the digestive tract up..but at this point i just cant deal with acne anymore. The paleo diet gave me a ripped body and a six pack, but its no use if I cant take off my shirt at the pool because I have nickel sized cysts on my back.
I guess what I'm asking is if you guys would know of some preventative measures to take while on accutane? I understand the possibility of IBS, Crohn's ect, but im so effin frustrated! I'm very willing to eat a strict diet while on the treatment if it means possibly deterring side effects. What would be some preventative measures to take while on the treatment, and after too?
Accutane is some nasty stuff my man. Have you exhausted all other options or are you turning to Accutane as your first line of defense?
Accutane is involved in a ton of litigation due to their side effects and I would really consider alternative treatments before heading down this road. I was on accutane as a teen and while it cleared up my skin, it also caused my hair to start falling out in the shower and my thinning hair was noticeable at 18 years old. My hair looks much better now, thankfully.
I don't know your age but assuming you are relatively young, I would say have faith in your food choices and your lifestyle, take care of yourself, and wait this thing out.
One last question for you, is having a ripped acne free body worth it if you're bald? ;)
I'm sorry you're dealing with this. I know how frustrating it is, especially when you've done such a great job with your diet and you haven't gotten the results you wanted. That said, I would be so wary about something as serious as accutane.
It's strange that the acne cleared from your face but not your body. Do you use any soaps, lotions, or topical products on your body? You might be reacting to an ingredient in your shampoo or conditioner if it's running down your back and over your chest. I used to have break-outs all over my back and chest, and after enough time I realized it was caused by my chemical-laden shampoo/conditioner. I swapped them out and my back cleared up very quickly.
Don't give up, and try as much as possible not to stress! You deserve congratulations for making so many good decisions for your health already.
Don't! I was on Accutane when I was 20 (15 years ago). My skin got so dry that when I pulled down my pants dry white skin flakes would flurry. It did really reduce the number of cysts I got on my face, but to this day I still have acne on my face and upper back.
Also, it exacerbated my depression at the time. A side effect I was not warned about. I'm sure you're aware of all the various horrific side effects and the recent class action lawsuits. I wouldn't touch this pill with a 10-foot pole, it is TOXIC, and wish I knew then, what I know now. My skin has been severely dry ever since.
I did a 6 month course of accutane and it was magical. I kind of regret it in some ways, because I didn't really need it, I didn't have cystic acne, but I had a doctor I could bend to my will. Tiny pores, beautiful skin, etc., but I still wish I had done some more research because I work with someone who formerly worked at one of the law firms that defends accutane, and some of the claims out there are pretty scary. What their firm's defense was is that all of the claimants had some sort of genetic predisposition for whatever issue they claimed accutane gave them, so this is how they got off on a lot of their cases. The only one that my friend is aware of in which the claimant was awarded was a lupus case, but the defense appealed the award and then she left that firm so I don't know what happened. All that being said, I know two people who had horrible cystic acne, and it worked WONDERS for them, and it has been several years and they have nothing wrong with them. For me, it was vanity, which is why I guess I feel some regret, also, I had some IBS symptoms last year, but it was also after a super stressful time, so I think it is more of the stress than the accutane I took the year before. Anyway, this is kind of rambling, but, do your research, if I had a six pack, I would want to be shirtless all the time (as a guy!) so I can understand that. Just look it all up, having a great diet like paleo behind you can only help you out I think. Good luck!
I have to agree with others. I took it as a teenager for about 6mo. Both my arms turned into rashes, my iron levels soared, and no amount of lip balm could keep my lips from bleeding regularly. A good friend of mine at the time also took it and had the same bleeding problem. As bad as the listed side effects are, I don't think any of these is listed as side effects. Over a decade later and I believe that it is contributing to my autoimmune issues today, which is backed up by studies now. The effects can last for decades after administration. All that from just a few months of usage!! Accutane is in the same class of class-action lawsuits as asbestos. I don't understand how Cisapride was pulled but Accutane remains. It should never have been approved and it should be pulled off the market today I think. You say you understand the risks but I don't think you appreciate them (smokers suffer from the same problem btw). To be fair, even the makers don't understand the risks and that's part of the risk.
On a related note, a few months may not be enough for the Paleo diet to work. O6 stores can remain in your body for up to a year or two, or so it has been claimed. Same for trans fats. Keep eating lots of Salmon and eventually things should clear up. You can also try supplements and other alternative treatments in the mean time, like Turmeric as an anti-inflammatory or daily aspirin, those little heat element thingies, washes, people who pop them for you, etc.
i took Accutane for 6 months to clear up cystic acne that had resisted all sorts of topical and antibiotic drugs. None of them worked except Accutane, but you know the serious risks associated with taking it. My triglycerides skyrocketted while I was on it, but normalized afterwards. Now I have excessively dry skin when I first get out of the shower, but no other lasting symptoms.
I only wished I had tried topical treatment with coconut oil first. There is evidence that it is 15x stronger than benzoyl peroxide against acne. I'm using it now as a moisturizer and haven't had any breakouts (I have only very minor acne now). Cordain has a book on acne I'd check out too.
This is a big decision. Take some time to be sure you're making the right choice.
My son was on it for about 2 months (this was when it first came out and we didnt know better) and it sent him into a major depression, which was never an issue previously. It took a good year for him to regain strength mentally and I also had a friend who had the same issue.
SOOOO not worth it!!
I understand where you're coming from, as I'm considering Accutane as well (albeit after considerably longer attacking things from a Paleo angle). One thing to consider here is that there are people nowadays taking drastically less than the typical dosage and having far fewer side effects. I believe a typical male dosage (which is dependent upon weight, of course) is something like 60-80 mg/day, whereas I've seen people online taking 10-20 mg per week and having their skin clear up. I have heard of either 2.5 mg or 5 mg per day being a typical dosage for rosacea usage, as well.
Also, given what we know about the relationship between Vitamin A and Vitamin D, and the fact that Accutane is derived from Vitamin A, maybe having an adequate level of Vitamin D in your system would also alleviate some of the side effects of Accutane?
Ideally, you would be able to get to the root causes of your acne and eliminate it in the healthiest possible way, and hopefully that'll work out (it still very well could). However, if you try long and hard enough and can't take it anymore, you could at least look into the low-dose option as a less unhealthy way to achieve your goal.
I creeped your profile and previous answers, and it seems you've tried Accutane before but "had to quit the regimen because of side effects." :(
Have you tried consuming more retinol (liver, egg yolks, ghee/butter, maybe supplementation)? Are you eating any shellfish (for zinc, selenium, etc.)? I'll echo some of the other answers here and recommend trying different soap/shampoo (or none!), as well as going super low omega-6 and wait it out for a bit longer.
Hold up, three months is not enough time for your skin to cycle through. 90-120 days is the minimum and may vary per person. After about 6 months on paleo my skin, back, arms and stomach cleared up completely of acne and that was exclusively avoiding grains, refined sugars, legumes but no extremes. I still eat eggs, occasional chocolate (however I find it triggers greasy skin) and lots of starchy veggies.Do not do accutane. There are major lawsuits against it for causing chrons and collitus. My friend has been admitted to hospital after using it for a couple of months with acute digestive distress, unable to digest any food.I also found a great sea scrub followed by rubbing coconut oil on the skin at night did wonders. Mainly because i had too much dry skin accumulating, contributing to the breakouts.Also I never wear makeup, especially now. And everyone is commenting how great my face is. I wish you luck, I know how hard it is as I'm in highschool.