The Effects of Accutane on the Body: Why I Don't Recommend It for Chronic Acne
Believe it or not…I was on accutane THREE times. Andddd my acne came right back.
Acne can be a deeply frustrating and challenging condition to manage, especially for those dealing with chronic acne that seems resistant to many treatments. For some, Accutane (isotretinoin) might appear to be a miracle solution. It's a powerful medication that has helped many clear their skin when nothing else seemed to work. However, as a functional medicine practitioner, I have reservations about recommending Accutane for chronic acne. While there's no shame in turning to medication when it's needed, it's important to understand the potential effects on the body and the fact that Accutane does not address the root causes of acne.
Understanding Accutane and Its Effects on the Body
Accutane is a form of vitamin A that reduces the amount of oil released by the skin's oil glands and helps the skin renew itself more quickly. While it can be effective in reducing acne, it comes with a range of potential side effects that can be quite severe. Some of these effects include:
Dryness and Irritation: One of the most common side effects of Accutane is dryness, particularly of the skin, lips, and eyes. Many users experience cracked lips, dry eyes, and even nosebleeds due to the drying effect of the medication.
Liver Stress: Accutane is metabolized in the liver, and taking it can lead to increased liver enzymes. This means that the liver is under more stress, which can be problematic.
Mood Changes and Mental Health: There have been reports linking Accutane to mood swings, depression, and anxiety. While research is ongoing, these potential psychological effects are important to consider, especially for individuals who already have mental health concerns.
Gut Health: Accutane can impact gut health, leading to issues like stomach pain, diarrhea, and in some cases, inflammatory bowel disease. A healthy gut is crucial for overall well-being and immune function and healthy skin, and disruptions can have far-reaching effects.
Long-term Side Effects: Some users report long-term side effects even after stopping the medication, such as persistent dryness or joint pain. The long-term impact on the body is still not fully understood, which makes this a significant concern.
Fun fact - it was originally developed as a chemotherapy drug due to its ability to control the growth and differentiation of cells. As a potent derivative of vitamin A, Accutane affects the way cells grow and die, which is crucial in cancer treatment to slow down or stop the proliferation of cancerous cells. However, its powerful effects on skin cell turnover and oil gland function led to its re-purposing as an acne medication. While it’s primarily known today for its use in treating severe acne, Accutane’s origins as a chemotherapy drug highlight its strength and the significant impact it can have on the body!
While Accutane can clear acne temporarily by reducing oil production and fighting inflammation, it doesn't address the underlying causes of chronic acne.
Instead of using a medication that masks the symptoms, I recommend a holistic approach that focuses on uncovering and addressing the root causes of acne. This includes:
Comprehensive Hormonal Testing
Gut Health Optimization
Stress Management
And more!
No Shame in Seeking Relief
It's important to acknowledge that there's no shame in using medication like Accutane if you feel it’s the right choice for you. Everyone's journey with acne is unique, and sometimes, quick relief is necessary, especially in severe cases. However, it's equally important to be informed about the potential risks and understand that while Accutane might clear your skin temporarily, it doesn't address the root causes of acne.
Ultimately, my goal is to support my clients in achieving clear, healthy skin by addressing the underlying causes of their acne!
MEDICAL DISCLAIMER - All content on this website is provided for educational and informational purposes only. It is not intended as a substitute for advice and recommendations provided by your healthcare provider.
