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.







I used accutane in high school and it changed my life for sure. I experienced all the horrible red drying symptoms you mentioned but over 10 years later I’m definitely acne free, only with some occasional zits here and there. I know it gets a bad rap but it saved my life so I didn’t have to hide behind makeup. Very happy you posted this. Sometimes drugs are the only answer and there’s no shame to that. Very thankful for western medicine!
You put more effort in clearing your acne naturally than most people so I would not feel one bit bad about your decision (if someone leaves a nasty comment) you look great and if you feel better that’s all that matters!
I took accutane for about 8 months last year. After I finished I couldn’t believe I had procrastinated doing it for so long. I let everyone’s scare tactics get to me. I even had my dental hygienist yell at me once because her son had a bad reaction to it and she freaked out when I told her I had started it. But I really didn’t have any trouble. Other than super dry skin the only other symptom I had was achy joints and they didn’t start bothering me until about 5 months in. I think if you do your research and are a reasonably healthy person that’s in tune with their body, you don’t have anything to worry about. I know it changed my life. My self esteem sky rocketed and I probably save a small fortune every month on foundation and concealer. Anyways, I’m glad you blocked out the haters and I’m super happy that you have beautiful skin now! Congratulations!
You are beautiful! Your honesty is refreshing, nice to know that there are options for acne 🙂 thanks for being so awesome!
Good for you. Don’t let negative comments bum you out. You have done a lot to help people improve themselves, and this is just another positive step in that direction.
So happy for you, Juli. You’re so brave to share those photos and your story. I’ve dealt with my own skin issues and have always tried to be really upfront with everyone about what was going on with that. It’s always nice to know you’re not alone, right? Making the decision to go on medication of that kind is always a tough one. I have psoriasis and have usually been able to control it without any scary medications, but a couple years ago I had a really terrible outbreak and eventually made the decision (with the help of my dermatologist) to go on methotrexate. It was not a fun 6 months, but I’m glad I did and would certainly make the same decision if it happened again. I agree that diet can go a long way, but sometimes it can’t do everything. Glad to hear you’re happy with your decision. That’s really all that matters!
Juli – good for you! I’m sure you will get some ignorant comments but ultimately, you made a decision that has worked for you. I agree that eating and exercise can probably cure about 99% of what ails you – but for the 1% it doesn’t, we shouldn’t feel ashamed or embarassed to look for other (potentially prescription) solutions.
Good for you for finding what works for you! I had cystic acne for a long time as a teen and into my 20’s. I’m 31 now and it will still come back if I don’t keep to my routine. I used Proactive for 10 years and that helped but never really got rid of it all. Now I mix my peroxide cream with my wrinkle cream lol! I never thought that I’d still have this into my 30’s. I’m so glad for you! Your skin looks great and I bet that makes you feel so good!
You look F*%$&#@ amazing!!!!!! And you are the coolest kid in town for sharing your experience candidly and with pictures that aren’t the most flattering. <3 Mandalicious. Let's laugh together soon.
Glad you had a positive result in the end, but sorry to hear you had to go through those awful side effects. I dealt with cystic acne for over 10 years. Was treated with antibiotics off & on for years, tried hormone balancing, all of which *kind of* worked, but nothing totally eliminated it. Finally had a food allergy test a couple of years ago and discovered I’m highly allergic to bananas, pineapples, and pecans. Once I eliminated those foods from my diet, the acne totally resolved. A mild tomato allergy reminds me from time to time that I’m still susceptible to breakouts, especially since I love anything & everything tomatoes, so I tend to load up my system with them occasionally. But otherwise, the food allergy test was a life saver! It was a simple finger stick, got results within a couple of weeks, and it’s made life a lot easier. Hubby also recently had been dealing with terrible back acne, had the food allergy test, discovered several big allergens, but one in particular he ate EVERY day was egg yolks. Now he just does the whites for breakfast ~ acne gone. Just wanted to share, if you haven’t tried already, it might be worth trying… Best of luck. Love your blog and recipes!!!