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.





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.







Sammie, honey–please learn to read. In paragraph 4, sentence 5, Juli wrote, ” It is a state regulation that you must be on birth control while taking Accutane because the birth defects are so awful.”
Therefore, Juli did, indeed, “haavvvee” to go on birth control. It was not optional.
I’ve had great skin all my life except for two times – the first when I came back from studying abroad in Hong Kong (and thinking about it, I realize I had also just started a new birth control at this point… maybe that’s why I broke out)? and the second was this Spring/Summer (changed birth control again). I had AWFUL cystic acne – it hurt so much and no matter what I did it didn’t stop.
This time, my derm told me it was hormonal and would clear up in 3-6 months. After a month of just being embarrassed about my face and in pain, I marched back in and asked for Doxycline which is what cleared up my acne the first time. It’s a really powerful antibiotic and really makes you nauseous, but with it, 0.4% Retinol gel, and a sulphur face wash… my face is finally back to normal, just a little red where the cystic acne used to be – same thing happened last time.
I also went out and bought all new make-up… it was expensive, but it is an Australian brand called Napolean Perdis. It’s all-natural and made of mineral powder… their concealer even has hydroxy acid or whatever is in acne medication. I love it and totally recommend it.
Sorry for the novel – just wanted to let you know YOU AREN’T ALONE!
So happy for you Juli. You tried so many different approaches and made an informed decision for yourself. I’m sure that you would have equally shared this experience had it not worked out and it’s that authenticity that brings us all in. Thanks for sharing.
Julie,
I am so happy for you! I know it has been an on going thing for you, and I hope now that it’s gone, it never comes back!!!
YAY!
Have you tried neem oil soap? It’s all I use now on my face and my body and my skin looks great.I order it from camamu soaps. i love it! Love your blog!
I simply had to post a comment for this story! Thank you so much for sharing your experience.
I too did acutane and had to do two doses of it, taking about a year break in between. I tried very hard to control my acne myself by eating properly and eliminating/introducing things into my diet. I also tried things like Reiki to balance chakras and yoga to de-stress however nothing seemed to work for me. Many people gave me a hard time about the drug and one person said I was ‘taking the easy way out’ (easy, as if!). After years and years of struggling with low self-esteem because of my acne, I finally felt it was time to kick it in the butt even if it meant 6 months (in my case a year) of uncomfortable living. After the first dose my acne was better but never totally gone. After a year in China I came home and decided to do another dose. The second time around wasn’t as hard because I knew what to expect.
I’ve been acne clear now for 2 years and my self-esteem has improved tremendously! I eliminated dairy and gluten from my diet about 2 years ago and have been paleo for a year. When I eat gluten/dairy on occasion, I will get a rash on my neck (and many other symptoms) which indicates that I have some type of sensitivity. So I will continue to stay away from the two if it means feeling and looking good 🙂
I’m so happy for you, Juli! You look great, and you probably feel so much better. I’ve been battling acne for the past 4+ years, but I’ve also been trying to get pregnant. Once we’re done with babies, I will seriously consider this option. I’m so glad you found your solution, even if everyone else doesn’t agree.
So, I’m crying. I’m weird, I know, but I have been beating myself up for almost a year on whether to try accutane. Your pictures resemble what I have gone through for all of my adult life. Yesterday I turned 31. I’m so over this acne crap. But why do I feel like a sellout for wanting to try it? Like it’s the easy way out? After taking so much time and all of the effort to research and clean up my eating and take the paleo-primal plunge…I feel like a cheat if I do it. But I want the acne GONE!
Thanks for posting this!
i TOTALLY felt like a sell out for going on it. that’s why i never talked about it. but it was the best thing I’ve ever done for myself. everyone thinks they have the answer because it worked for them, but not all people deal with trying everything and being at a loss. other people don’t get it unless they’ve dealt with absolutely horrible acne. accutane gives you the opportunity to not be at a loss anymore and you shouldn’t feel bad about that.
I am curious, for those with cystic acne, are you on birth control/hormones? I had bad cystic acne throughout my 20’s and was on the pill that entire time. In my early to mid 30’s I stopped taking the pill and had completely clear skin. I am 36 now and started taking BC for 2 months and developed the cystic acne again, back, neck, face, etc. I have promptly stopped taking it, recognizing that it must be the hormones that is giving me acne. I have a good friend who has been on the pill since high school and she too suffers from very bad cystic acne. So, I am just curious what others experience has been…
Hi Juli! I really enjoy your blog and recipes, but I’ve never commented before. Anyway! I took accutane as a teenager and it really helped me. My acne was terrible and very painful. It was all over my face, back and chest. I could tell a difference in the first week using accutane. I had very dry skin and lips and I got the WORST SUNBURN OF MY LIFE while on it. Seriously, blisters, extreme pain, peeling like wow. But I would absolutely do it over again (maybe be a little more vigilant about sunscreens this time). I don’t know if I was moody or depressed, I was a teenage girl, so who’s to say? It’s been about 15 years since my treatment and I’ve had some flare ups with acne but nothing like when I was a teen. So I’m glad that you found that it works for you. I think you’re lovely and I love your blog. 🙂