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. Sarah says:

    I have struggled with acne my whole life and I have pretty embarrassing scars to show for it, which still bother me every day. It’s calmed down, but I still have flare ups. You are so brave to post these pictures and it is amazing to see how your skin cleared in such a relatively short period of time. I’m sure you feel set free with clear skin! I know I feel like a different person when my face is clear.

    YOU ROCK!

  2. Cindi says:

    Thanks so much for sharing your story and your amazing results Julie! Accutane definitely works! My girlfriend’s daughter had horrible cystic acne when she was in high school and it really does affect your self esteem! Ashley experienced great results like yours and had a lot of the side effects you’ve mentioned as well.. Once she was done she actually started using Unblemish from Rodan + Fields. Ashley is had great results going forward with Unblemish. At first she was hesitant to switch from the skincare her Doctor prescribed but when the Doctor looked at the product, she confirmed that the active ingredients were the same as those that were in her prescribed skincare. I’m a consultant for R+F and the skincare is clinically proven. I have a range of users from young high school athletes who use Unblemish to older women who get perimenopausal acne (so not fair that we have to experience menopause and acne!) as if one isn’t enough torture. We also have a tool (our AMP MD) that helps reduce acne scarring. I am not trying to sell anybody on this because I’m a consultant. I just feel like I need to share this as it’s helped so many!! Check it out…and check out these results photos: https://cindirogers.myrandf.com/Pages/OurProducts/RealResults
    Unblemish could be a great option to try before Accutane or after to keep the acne at bay.

  3. Jaime says:

    I am so happy you shared your story. I have taken Accutane as well and it really helps. The process is so hard, but worth it. I hope it lasts for you!

  4. Kaila says:

    That’s great that you have cured your symptoms! As for the cause, have you looked into polycystic ovarian syndrome (PCOS)?

    1. juli says:

      i have. my doc said no

  5. Susannah says:

    Juli, you’re beautiful inside and out and don’t let anyone tell you any differently!

  6. Krista says:

    Thank you for being so brave and posting this. I can truly relate because I’ve struggled with acne for 10 years now and it’s the most frustrating thing ever- I wouldn’t wish it on my worst enemy. I’ve been through 2 rounds of Accutane (one when I was 12 and again at 19) and I can attest that the drug does wonders. Even after that plus the changes in my diet I still struggle with it, but it’s not nearly as bad as when I was younger. And I’m still addicted to chapstick 😉 Here’s to hoping one round is enough for you, your face looks fantastic!

  7. Priyana Tweet says:

    I really appreciate your honesty! I have had an uphill battle with acne and it is finally getting better. I am almost 27! I don’t feel so alone now! I am glad you found a solution that was best for you! 🙂

  8. Lilith says:

    I went on Accutane 4 years ago after suffering for most of my life with cystic acne. My quality of life is much improved and I finally can feel comfortable with myself. I am very proud of you for taking the necessary steps to combat your skin issues. Well done! And–you look beautiful. I am very happy for you.

  9. Neil says:

    Hi Juli,

    Long-time lurker, first time poster. First things first, hello from London, secondly I love your blog.

    My wife suffered from Acne as a teenager until she went on the contraceptive pill at around 16. She was on it for around 16 years until she decided to come off a couple of years ago when we wanted to start trying for a baby. Anyway the only thing that happened (if you get my drift) is that her Acne returned! She had test upon test, it turned out her thyroid was knackered. Through a matter of elimination/more tests/ trial and error with pills, her thyroid is now apparently balancing itself out and the Acne tends to be a few biggish spots every now and again and is not constant, her body has not started working properly yet but we are now hopeful.

    The thyroid is KING. I know a lot of women who it transpires and sometimes initially unknowingly suffer/ed from thyroid problems and they have varying symptoms. Unexplainable weight loss, weight gain, hair loss, brittle nails, lethargic and so one and so forth.

    Apologies this was not meant to be a post about thyroids and fertility but they all linked and doctors are only too happy to treat the symptom and not the cause and certainly in the UK they hand the contraceptive pill out like candy. Whilst treating the symptoms of Acne they are potentially setting their patients up for far more serious problems down the line.

    Thanks

    Neil

  10. Nina says:

    When my son was 15, he was starting to get acne pretty bad. He was devastated cause he wanted the girls to like him . haha. Took him to dermo and they gave him something that started with an M. didn’t work. So they gave him acutane. The doc gave him a huge lecture on not letting any girls get ahold of it cuz it could cause birth defects if they got pregnant. He was very careful and the only side effects he had was the dry lips (would not be without chapstick) and his face was red. He is 37 today and has beautiful skin. I know there was talk of taking it off the market and he said if his kids would ever have problems, he would go underground to get a hold of it. It is certainly an answer to the problem and every time I would see someone with bad acne, I always wanted to tell them about it.