I’m guessing you’re expecting a wonderful post about some miracle, natural home remedy acne solution that I’ve found and has cleared up my acne in no time flat. But that’s not the case. Well, I guess that depends how you see it. About 6 months ago, I made the decision to go on Accutane. I actually talked about it in a post once to get second opinions from people. Most of the opinions were negative but I also saw many positive ones. So once I started taking accutane, I decided to keep that info out of my blog so I wouldn’t have other people’s opinions changing my own.

So let’s go back to the beginning. I’ve always had a little bit of acne. Nothing to get super upset about, but enough that I saw a dermatologist when I was in high school, when I was in college, and after college. But it wasn’t until I started CrossFit and was competing, that my acne got out of control. And when I say out of control, I mean it was incredibly painful to the touch. I had bad cystic acne that hurt when I was just putting on make up. But since the acne was so bad, putting on make up was my only choice. I’m not sure if it was CrossFit that changed my complexion, but I’m almost certain it had to do with it because of the changes in estrogen and other hormones.

Anyways, after trying many different home remedies such as oil pulling and oil cleansing, changes to my eating habits, removing fish oil from my diet, consuming cod liver oil, and different essential oils, I decided to try some prescription strength drugs. After trying spironolactone and other prescription drugs as well as topical medication, I was finally at a loss. It had been almost 3 years of fighting this cystic acne that was going to lead to much worse scarring if I didn’t do something about it. So I decided to try Accutane out and my dermatologist immediately agreed.

Accutane is a high dose of vitamin A, that you take on a daily basis. Most treatments, like mine, are around 6 months. Some people have to do multiple sessions, but not everyone. Accutane is taken very seriously by not only the doctor, but also the state. It is a state regulation that you must be on birth control while taking Accutane because the birth defects are so awful. There are also other side effects such as depression, muscle and joint pain, extremely dry skin and eyes, and a whole hell of a lot of other things, but those are the things I experienced. The process is quite tedious. Here’s the process you go through every month: get your birth control (remember, no babies), get your blood drawn so they can check that your liver is just fine, then go to the doctor a couple days later where you have to do a urine test to make sure you’re not pregnant, then you get your prescription, then you have to take a test online all about practicing safe sex, once you pass that test, you can then drop off your prescription to finally get your month supply. Then do this many more times until you are off the medication. Annoying, but so worth it in my opinion.

You may be asking why the hell I’m even writing about this on a paleo recipe blog. Which is understandable. But I want to share my experience with people who are trying so hard to change their diet to fix their body issues, and those things are just not working. The more I’ve eaten paleo, the more I’ve found out how many things can be cured through diet alone. I rarely get sick, I sleep better, I have more energy, my depression went away. So many things can change through diet, but my acne did not seem to be one of them. And if it was, it would have taken me YEARS and many scars to find out those reasons. I’m sharing all this information with you in hopes that if you are ever thinking about taking this prescription drug, you have another opinion. A positive one.

I had a truly positive experience with the drug. Not to say that I didn’t have some ups and downs, but most of my 6 month experience was a good one. Here were some of my symptoms:

  • The worst symptom by far has been dry lips. You know when you get a sunburn and it peels? Well imagine that happening every single hour, of every single day, for 6 months. It was miserable. By far the worst thing. Not having chapstick on hand truly felt like a meth addict not having his drug. Terrible description, but that’s seriously how it felt. I rarely stop biting or picking at my lips. I have a new habit I need to break.
  • Dry skin and red skin. Mostly my face was the only thing that got dry, but it was also my ears, my nose and my hair. So I exfoliated my face daily with one of those soft bristle face rotating brushes. A cheap one. And moisturized a lot. I didn’t stop wearing make up until my skin settled down after the second month, I was too embarrassed.
  • Dry, breaking hair. My hair thinned out and my hair stylist said it seemed to be breaking easily. After 4 months, that passed and my hair got a lot better. Wish it would have affected my leg hair, that would have been cool.
  • My joints and muscles hurt A LOT about 3-5 months in. Workouts were much more uncomfortable to the point that it hurt to walk. That passed after 5 months.
  • Moody and depressed. I got REALLY depressed about 4 months or so into the accutane. I mean, depressed to the point that I couldn’t get off the couch. I couldn’t figure out why I was sad or what was wrong, but I was so unhappy. I fought some depression when I was growing up, so I was more likely to have some while on the drug. It went away with time.
  • Super red face. I’m pale when I stay away from the sun, so my neck and my face were completely opposite colors. Weird looking.

So I’m going to share some pictures with you. Disclaimer: these pictures may be frightening. And I’m sure some mean people out there will leave mean comments that will bum me out, but I want to share with you what a huge difference the medication made. I no longer have any acne, only red scars remain, which should go away over time. If they don’t all go away, I plan on doing some chemical peels and/or laser treatment to get rid of the scars.

first month of starting accutane – frightening (oh hi Laura!!)
2 months in – acne diminished a ton
5 months in – redness began to get much worse but skin kept smoothing out
photo-1
6 months in – finished with the medication
finished with medication – redness is starting to clam down (with make up on)

In the end, I am incredibly happy with the results of accutane and extremely happy that I went on the prescription. I’m not sure what will happen in the future and if I will have to get back on it, but I know that my acne will never be as bad or as painful as it was in the past. This prescription has done wonders for me and if anyone ever asked me, I would recommend it to them. That’s my story and I’m sticking to it! But remember, this prescription affects everyone differently. Just because I had a good experience doesn’t mean someone else will. Thanks for listening. You’re my favorite. Please feel free to share your experiences, but do not hate on me for sharing my own experience with it. Kthanksbye.

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390 Comments

  1. Anne-Marie says:

    congrats! i had bad cystic acne and feel super lucky that topical retin-a and paleo cleared it. i would also HIGHLY recommend a jessner chemical peel. my derm suggested i get one when my acne was starting to clear and it’s the best thing i’ve done! i wish i could get them every few months! i had a few cysts developing when i got it and it stopped them in their tracks. i had baby perfect skin for 2 months after! and it definitely helped with scarring! i originally thought it would opnly be good for scarrig but it was actually even better as a treatment! good luck! 🙂

  2. Brian says:

    In high school I had such bad cystic acne that people would ask if i got punched in the face, cause it was so swollen! I took accutane and it definitely helped out, but the long lasting effects are not worth it. I now have Crohn’s disease and believe accutane was a huge contributing factor. Accutane is more than just a high dose of Vit A as you mention, it is also a very powerful antibiotic, that completely messes wioth your gut flora.
    If I could go back I would absolutely trade having acne and trying to figure out a non medical way to solve that, over shitting my pants every day, like now!
    Im glad it worked for you, and I hope you dont see any |side effects” like I have.

    1. olga says:

      Read “The Makers Diet” if you get a chance!

  3. Lizzie says:

    Thank you for sharing! I have noticed a huge increase in acne since beginning my crossfit journey. It is the worst around my hairline; so I automatically assumed that it had something to do with the sweat. I immediately shower and wash my face following work outs, but nothing has helped. I have tried all of the different cleaners, but haven’t found anything to help. I may have to look into going on the Accutane. Thank you for the info and for sharing your story.

    1. Rachel says:

      I’ve been using apple cider vinegar as a toner on my face post workout and its been keeping the hairline acne at bay. Everyone is different, but its worth a shot!

  4. Stacy says:

    Good on you for taking the initiative with your physical and emotional health. Love Paleo, but that doesn’t mean science can’t help out. Keep up the good work and awesome blogs & recipes!!

    Blessings!

  5. Laura says:

    Thanks so much for sharing your journey and so glad the Rx worked for you. I’ve been following you (love your writing stye!) and your recipes cuz I just started Paleo over 2 months ago to lose weight before a total knee replacement surgery (which is 2 weeks away, sooo excited!) and I’m hooked. I feel so much better. I have energy, focus, and no more brain fog. I sleep well, all through the night. Now, I’m extolling the virtues of healing the body from within after decades of poor choices. Nothing like a Born Again! Thanks for being one of my top go-to sources and making learning about Paleo and living Paleo an enjoyable experience.

    By the way, NeriumAD night cream works wonders for clearing up discolored skin. It’s only been on the market for two years. I’m happy to send you a sample to try before you buy, if you’re at all interested.

  6. Alicia says:

    Kudos to you for sharing your story. I have been suffering with some cystic breakouts (hormonal, on my chin) since I started crossfit as well. I recently did a paleo challenge at my box and it cleared up significantly…I think it was dairy for me, personally. I can’t imagine dealing with acne for as long as you have, and I’m so happy that you found something that works for YOU! Thanks for all your wonderful recipes and for being such an honest, genuine blogger! xo.

  7. Kobi says:

    I am SO GRATEFUL for this post right here in this moment. I haven’t reached th point of trying accurate but I’m about to try birth control to contain this acne. I was about to call my doctor when is saw your post….the stupid guilt I feel for not being able to heal it on my own is assuaged by your honesty. THANK YOU!!!!

  8. Erin says:

    Juli-
    I wasn’t going to comment because I saw so many people already reply. I was on accutane when I was younger and I have perfect skin now. I get random pimples when I get my period, but overall I have people tell me all the time how great my skin is. You read such horror stories about Accutane, but I am extremely thankful for it. I admire your willingness to post those before pictures. I’ve been there! I think it’s awesome of you to post this. I had to tell you 🙂

  9. Ashley says:

    I went through two cycles of Accutane & had the exact same reactions as you did! I still get (some) acne in my 30’s due to hormonal changes but it’s not NEAR as bad as it was when I was younger. Kudos to you for sticking with it!! You look amazing!

  10. Dani Anderson says:

    Wow!!! So glad you found a treatment to help with your acne!!! I know you must be relieved 😀 I always had great skin until my mid 20’s where i started having breakouts, nothing horrible tho and what i thought was bad cleared up after a few chemical peels. It wasnt until this past spring when i was in a car accident that seemed to spark some stress or something in my body i began to continuously break out…each time getting worse, to the point where i had to wear full faced make up to leave the house which anyone who knows me knows i’m not a full faced make up girl. i hated it! nothing worked, i’m 30 and was beginning to get really down about it. finally went to the derm and they put me on 3mo of doxycylcine for now. i’m sure you tried that. it’s helping a lot, but slowly. once i’m all healed i’ll do chemical peels to help w/ the minor scarring. i feel you!! we talked thru fb briefly about this before and happy you’ve found your cure!! 😀 i’m just about done w/ month 1 and hoping i can kick these break outs for good! my derm thinks it was the initial stress of the accident that lead to the first break out (i had facial injuries) and then my own stressing over the breaking out (painful kind like yours) lead to me continuing to break out. cheers to finding out cures! (*hopefully*)