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.







Hey girl, I am on it too, for my second time. My lips are a wreck. I reapply chap stick every 5 minutes- I have to have it in my bra when I do Cross Fit. I have some tips for you now that you are off. Look into LIRA Hydrofusion Serum (I get it from my esthetician) -they use natural exotic ingredients and this particular thing creates a water barrier on you skin so it holds moisture in. I am not trying to plug products here but this one is important though pricey. I’ll show you pics if you email me of my skin before and after. YOU HAVE TO FOLLOW UP WITH RETIN-A.. I didn’t do that the first time and that is why I am on my second round 3 yrs later. A retin-A routine for the rest of your life will preserve your new skin. Also, I use this cool CC cream that eliminates the redness. What’s the name… um .. oh its right here
http://www.sephora.com/perfect-truth-cc-creme-broad-spectrum-spf-30-P379491?skuId=1529601
Anyway, there’s no shame in busting out the big guns- cystic acne in and of itself is depressing and ruins your self-esteem. P.S. I LOVE THAT HUMMINGBIRD “BREAD”.
I did accutane when I was younger! It worked like a CHARM!! And the best part? When I stopped, my acne was gone for GOOD – Well, I am knocking on wood right now, but I stopped using it when I was 13 years old and I am not 26… So that’s a GOOD SIGN! Your skin looks PHENOMENAL right now! I love the photo changes, while this is a Paleo Blog, I know you hit home for a lot of ladies (and maybe even men too)!
Congratulations, I did the same at 25 and do not regret it. Was the only thing that worked and my acne was as bad as yours. Keep up the coconut oil on your face, that will make a difference. BUT, the dry lips you’ll have for life. I’m 35 now and cannot go without my rosebud salve.
Glad you got your acne cleared up. I too tried everything under the sun until I went and forced the doc to give me accutane. It was an awful first year of college going through two treatments and having my face look like it was snowing dead skin but totally worth it in the end.
Also, thanks for the food blog. I love it and regularly cook from it.
I am so happy you found something that works 🙂
My daughter is 11 and has a friend who is 12/ 13 with bad acne. Over this past weekend the girl tried to take her life, from the teasing and such from other kids about her face; just breaks my heart hearing that.
Good for you! I fought horrible acne as a teenager and then again and even worse as an adult. I know exactly how you felt. I never wanted to go out or do anything. I was lucky that spironolactone helped me but we definitely talked about accutane. I think it is great you did it and that you talked about it as sometimes I feel in the Paleo community that any medical treatments are frowned upon even if it helps. I did do chemical peels and I have to tell you it made a WORLD of difference. I definitely recommend them if you feel you need them. Congratulations on taking control and good job!
I support your choice and am glad it worked for you!
Yes, good diet and natural treatments are the preferable first lines of attack. But sometimes, they just don’t cut it. Not taking advantage of modern medicine when alternatives don’t work is foolish IMO.
Accutane isn’t something to be taken lightly (and you clearly didn’t), but it does have its place. I’m happy you have conquered your acne!
Juli,
Thanks for sharing your experience with acne/accutane. I’d love to see more posts about how your skin does now that you have completed treatment, as I’m considering giving accutane a try myself. I realize that everyone is different, but it is helpful to hear about what can to expect from a real person, not just a doctor telling you about it (and I’m a medical student!).
As a naturopathic medicine student, I always look for natural and safe remedies for my patients that ‘first, do no harm’. There are several herbal remedies and botanical herbs out there that do wonders for skin, BUT even I will agree that sometimes a strong pharmaceutical approach is needed. Although Accutane isn’t Plan A or option 1 in my books, it can work wonders on skin after all other avenues have been exhausted. I congratulate you on your beautiful skin and your bravery and honesty in this post.
Juli,
You look fan-freakin-tastic. And I have to give you huge kudos for sharing your journey because you’re a much braver woman than I am. I think I have burned or shredded any pictures of me during my accutane course. I was 13 when I took it and even though it felt like one of the hardest things I did at the time (damn, kids are mean), looking back I can say it was one of the best things and thank my mom for letting me.
It’s 15 years later now and every once in a while I get a small breakout from stress or monthly hormones, but when I keep it in perspective, it’s nothing. The 13-year-old in me will freak out and want to hide under the covers, thinking it’s all coming back, but I’m lucky that it never has. Despite being a total girl sometimes, I’d say it helped my confidence immensely.
Good for you woman. I’m glad you took the risk and had a positive experience.
Kara