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. Tara says:

    I would first like to apologize for not reading all of the comments, but there are just too many and I want to address one thing…I’m wondering what form of birth control you settled on? I have literally tried every single birth control pill/ring/IUD/whatever on the market. I finally realized that it was the hormones I was reacting to. As we are Paleo ppl here, we know messing with our hormones is bad news…I finally settled on Paraguard (sp?). Yes, there are some side effects…mostly spotting for the first month, but once they went away, I realized that being off of hormones lifted a huge fog, and even my original personality came back. I’m an RN…not just some opinionated blog troll…I really understand the science behind the shit I subscribe to, so if you haven’t considered this particular, hormone-free form of BC, please do.

    1. beth says:

      I have paraguard too! I love it. LOVE it.

      One of the side effects is more painful periods at first, but those were totally manageable and gone after the first year. Definitely worth the hassle to get it – a lot of doctors won’t implant it if you haven’t had a child, so I had to go to another county.

  2. Sarah says:

    I had terrible acne as soon as I turned 12. We tried everything. I took Accutane twice as a teen, once my junior year of high school and then again in my freshman year of college. It was like a miracle. I remember all the rigamarole of the testing, pain in the butt! And I had the super dry skin and lips too. Each time, the acne went away completely, but it came back fairly quickly after the Accutane doses were over. My doctor said two courses was the max you can do over your lifetime (I don’t know if they changed the rule since 2003). I tried several prescription meds after. Antibiotics worked, but I was allergic to them so I stopped taking them. And then I got married and I stopped using the gel and pill I was taking because they lowered the effectiveness of birth control. So I haven’t had a prescription for acne control since I was 23. Now I’m 29 and I still get acne (and have scarring) but it isn’t as bad as when I was a teen, and I wash my face with something gentle every night and put moisturizer on every morning. It’s not perfect and I still wear makeup almost every day, but it’s ok. I hope this improvement lasts for you! I’ve found that the Garnier dark spot corrector is really good for evening out skin tone and diminishing dark spots. Not cheap, but worth it (and soothing to the skin and less expensive than laser therapy for sure!)

  3. Kyla says:

    Good for you. Accutane saved my face, chest, and back. I still get smalls amounts of acne on my back where my sports bra sits, but it’s NOTHING compared to how it was before Accutane. One of the best decisions ever.

  4. Amanda says:

    I’m so happy that you’re happy! You are a beautiful woman!

  5. amy says:

    I just wanted to say thank you so much for writing this and sharing your story. I am in the month waiting period and will start Accutane on the 22nd, and Ive been terrified. I’m 31 years old and just want my life back! No one around me understands why I’m so depressed and upset about it, and all I hear is that “I’m a pretty girl, it doesn’t matter”, but it does matter to me. I’ve never been more depressed or lonely in my life since I got cystic acne a year and a half ago. I finally decided Accutanes side effects couldn’t be an worse than shutting myself off from the world.
    Thanks again, I feel so much better about this journey I’m about to start. Congrats on kicking acnes ass!

  6. Jem Jebbia says:

    You look awesome Juli! I took accutane three times and finally, I feel good about my face! Also, I made your marble cakes last night, and they were gone in minutes. You’re the best!

  7. annie says:

    I don’t have any personal stories or connections to what you’ve been through. I just wanted to make sure I told you how awesome you are for sharing. And purdee. And sweet. And freakin’ high-lar-E-ous!

    that’s all. 🙂

  8. Kate says:

    First, you are SO pretty!

    Second, I’m thankful that you posted this even at risk of “paleo police” judging you.

    I started Paleo to address a health problem, and while it helps with a lot of other stuff and taught me a lot, I have felt a ton of guilt and shame that I wasn’t able to fix the problem just with Paleo. I have felt TONS better since allowing a lil’ medical science into my life, and I’ve realized that no one person or movement knows all there is to know.

    I think we should all use our brains, make thoughtful decisions, and do what works even though there are those who would steer us the other way. If high fives were still socially acceptable, I would give you one. 🙂

  9. Jess says:

    Congrats to you and thank you for sharing!
    I am curious to know if you were on birth control before you started Accutane. The more reading (and experimenting) I do point me in the direction of food. Apparently sugar can have a huge impact on our hormone especially out thyroid. So I find that when I have low sugar …less than 50 Grams of carbs/day, I have zero problems with my skin. It’s just keeping it up is the HARD part 🙂

    1. juli says:

      Yep!! I was on it for years before accutane

  10. Marissa @ Barefoot Colorado says:

    SO glad you shared this!! Acne sucks, seriously. I saw that you mentioned that you eliminated fish oil from your diet… is that supposed to effect acne? I take fish oils pills every day and I ALWAYS have chin acne. Always.

    1. juli says:

      I’ve heard it can lead to acne so I just cut it out to see if anything would happen