Did you know acne is the most common skin disorder in the United States, affecting 40 to 50 million Americans?
Nearly 85 percent of all people will have acne at some point in their lives. It can generally begin in the teen years, with more than 40 percent of adolescents being affected due to puberty and hormonal changes, and although it is generally seen as a teenage phase, this couldn’t be further from the truth.
More than 90% of clients I work with struggling with acne are over 30 years old. For some it does go away, and for others it stays, and for many, the first time they experience acne may not be until later in life, from late 20’s to even 50 years of age.
Acne affects individuals not just physically, but emotionally as well. The notion that acne is just a “cosmetic problem” is very off base. Acne is a reflection of something greater happening in the body that is not being corrected. Therefore, the skin continues to lash out in an effort to communicate that there is an imbalance, deficiency, or the mechanics within are just not working as they should be. But this takes time to figure out, and unfortunately, our conventional way of addressing acne tries to do this immediately with topical treatment and/or pills.
Though no matter what age acne occurs, the one thing everyone will feel as a result is pain and embarrassment. Acne affects an individuals confidence, mental outlook, and can greatly impact one’s social life. According to the American Academy of Dermatology, one in five U.S. adults also suffers from acne, and for them the psychological toll is often no less severe.
So the question then becomes: How far would you go to get rid of your acne?
Would you compromise your health for clear skin? Would you gain more weight, lose your concentration, vision or appetite? How about put your unborn baby at risk for severe health consequences? Sounds crazy right? If you have ever experienced acne, you know the desperation one feels, literally being at your wits end to find an answer.
Once the topical products and treatments stop working (or may never have), it’s quite normal to start looking for other options. Go to your doctor or dermatologist, like most people, and you may find they prescribe a little drug called Accutane.
Accutane: The Most Dangerous Drug Ever Created?
Actually, this is no little drug at all, and definitely not something to just accept and take lightly.
The generic name is sold as, isotretinoin, and formerly marketed as Accutane (Roaccutane outside the United States). Other generic forms of Accutane are Claravis, Sotret and Amnesteem. Accutane is part of a class of medications that were originally marketed as chemotherapy drugs. The generic versions of Accutane are just as dangerous as the original.
The medication is a synthetic derivative of vitamin A and works by controlling the oil in the sebaceous glands for those who have not responded to antibiotic treatment.
In 1975 American researchers for Hoffmann-La Roche began studying the chemical, isotretinoin, and found it to be an extremely powerful antidote to acne, unmatched by any other treatment. They found that 85% of patients who took Accutane achieve full remission after a typical course of treatment (about five months). FDA Consumer Magazine pronounced it as “the biggest breakthrough in acne drug treatment over the last 20 years.” It was, and still is seen as a “miracle drug”, but at what cost?
Accutane Side Effects
The U.S. Food and Drug Administration stated:
All patients treated with isotretinoin [Accutane] should be observed closely for symptoms of depression or suicidal thoughts, such as sad mood, irritability, acting on dangerous impulses, anger, loss of pleasure or interest in social or sports activities, sleeping too much or too little, changes in weight or appetite, school or work performance going down, or trouble concentrating, or for mood disturbance, psychosis, or aggression.
Other side effects include:
- Diminished night vision
- Increased bone injuries and concussion risk due to weakened bones
- Severe joint and muscle pain
- Liver damage
- Autoimmune disease
- Red, cracked or sore lips
- Brittle nails
- Unusual hair growth or hair loss
- Fatigue
- Headaches
- Increased reaction to UV exposure
- Nosebleeds
- Peeling skin
- Bleeding or swollen gums
- Slow healing of cuts or bruises
- Dry eyes
- Muscle aches
- Increase susceptibility to colds
- IBS
- Depression
- Aggressive Behavior
- Suicide
- Guaranteed birth defects
Drugmaker, Roche, who created the original version of Accutane has had 13 lawsuits from users who developed inflammatory bowel disease as a result of taking Accutane. In addition, it has been showed in brain scans that there was a 21% decrease in brain activity, leading to depression, suicide and aggressive behavior.
Accutane, which is currently no longer on the market, was only meant to be used as a last resort to treat acne, but prescriptions of its competitors and generic versions are just as health damaging and are being offered for even acute cases of a few spots.
Accutane Heavily Overprescribed Under Different Names
Remember, generic forms of Accutane are still on the market and heavily overprescribed. They are listed as Isotretinoin (originally Accutane), Claravis, Sotret and Amnesteem and are just as deadly.
According to Jennifer Hansen, a 21 year-old taking Accutane who keeps an online Accutane journal, “This medicine has given me my life back. . . . I am now confident, happy and very excited about life. I no longer feel inferior and can actually look people in the eyes.”
This statement sounds like a contradiction knowing the dangerous potential that Accutane has to destroy lives. If Jennifer had tried other natural methods that addressed her real cause of acne, she may have truly gotten her life back, both in clear skin and health, but unfortunately for those who have used Accutane, the consequences may not come until later in life.
Accutane: FDA Pregnancy Category X
The deadliest side affect of them all was announced when the FDA slapped the strongest warning available, as an FDA Pregnancy Category X rating, GUARANTEEING that whether you are pregnant or will become pregnant, taking Accutane can cause birth defects, miscarriage, and death in babies.
According to Julia Green, who wrote the article, “A History of Accutane Regulation in the United States” through Harvard Law School, “One quarter of babies born who have been exposed to Accutane during gestation have major congenital deformities. Those babies born without major malformations frequently develop severe learning disabilities.”
Is this not reason enough to avoid this drug?
According to the FDA’s iPledge system:
There is an extremely high risk that severe birth defects will result if pregnancy occurs while taking isotretinoin in any amount, even for short periods of time. Birth defects which have been documented following isotretinoin exposure include abnormalities of the face, eyes, ears, skull, central nervous system, cardiovascular system, and thymus and parathyroid glands. Cases of IQ scores less than 85 with or without other abnormalities have been reported. There is an increased risk of spontaneous abortion, and premature births have been reported.
Dr. Edward Lammer, a medical geneticist and consultant to FDA, states,“There is no other medication that poses an absolute risk anything remotely close to this, even medications used to treat cancer during pregnancy”.
Profits over Health
In addition to it’s life threatening side effects, Accutane has been one of the most profitable drugs on the market. It has brought in over $700 million a year for the Swiss company’s creator with 12 million people worldwide having taken it. In 2000, Accutane sales totaled $759.4 million, which accounted for 8% of total prescription drug sales.
It’s no wonder Accutane is as easily prescribed as it is, even in the most acute cases. Think about who profits with this, or any drug when it offers the easy option to treat symptoms only. It’s not the patient!
Get to the Root Cause of Your Acne and Say No to Accutane!
The answer isn’t as black and white as we’d like to think. If we take a step back and look at acne for what it is, like almost every health condition, it is inflammation at the root. Since there are many causes for inflammation, getting to an individual’s cause of acne is a bit of an investigation. It starts with a whole foods anti-inflammatory diet to encourage healthy digestion. This process includes looking at possible yeast infections, pathogenic bacteria and parasites as possibilities. Strong immunity, balanced hormones, blood sugar control, and stress management is also important. In addition, undergoing a comprehensive and supportive detoxification program can help tremendously. At the simplest level, following a nontoxic, noncomedogenic skin regime works from the outside to compliment your internal work.
Sources:
FDA Drug Safety Information
A History of Accutane Regulation in the United States
Larissa
Is there any way to reverse the long term side affects? I took Accutane in high school and suffer from several of the mentioned side affects. For example, is there anyway to improve my night vision?
Sarah TheHealthyHomeEconomist
Have you tried fermented cod liver oil? The natural vitamin A in it does seem to help night vision in some folks.
Debbie
Ha ha ! “Miss Infirmation” I guess by posting an article about the truth of Acutane we are treading of your financial profit when people choose to not take it?
Sarah D.
It’s only “nonsense” if you don’t live with the consequences every single day. Think what you will, but there are many people out there that have been damaged by this horrible drug.
Amanda
I took Accutane when I was in college, after going through the usual conventional acne treatments (antibiotics, etc.). I remember my lips being very dry and remember having to go to a lab for regular blood tests to check my liver function. It cleared my skin up but I did suffer from depression after taking it, and looking back, I do believe that my struggle with my weight began around the time I was on the Accutane.
Beth
I took Accutane twice in my twenties, when I was desperate to clear up my cystic acne.
Up until recently, I was still singing its praises, saying that I got my life back and that the continued dry lips and dry eyes were a small price to pay.
I only recently made the connection that the melasma which started out as a small spot in my mid twenties cropped up shortly after my second (very heavy) course of Accutane. Over the last 10 years, it has continued to spread to the point that now it covers most of my face. I now know that Accutane caused me to have a leaky gut (I’ve tested positive for it) and that the leaky gut is what caused the melasma.
These are only the consequences that I am aware of. I wish I had tried cutting out gluten and dairy before taking such a dangerous drug, but the dermatologists swore that food had nothing to do with acne, and I believed them. If I could go back in time, not taking Accutane is the one thing I would change.
Michelle
Infertility has also been linked to accutane
http://www.medschat.com/Discuss/Accutane-and-Infertility-205942.htm
Cecilia Barnard
Hi Carla,
Thank you so much for writing this article. I was prescribed Accutane at age 15 and then years of antibiotics and am still doing my best to heal my body from the damages. I have experienced at least 10 of the above side effects and am still suffering from migraines and other symptoms. Is there a protocol you would suggest?
I am still very angry at this dermatologist for prescribing this sort of thing to children. I have a soon- to- be 15 year old and would never expose her to such harmful toxins. We got rid of her break outbreaks through good nutrition. This drug definitely needs to be pulled from the market or at least require a minimum age of 18 years or older. It doesn’t seem right to administer this to children with underdeveloped organs.
Thank you again for publishing this and raising awareness. All we can do is educate ourselves.
Sincerely,
Cecilia
Carla
Hi Cecilia,
I am so glad you appreciated the article. Definitely support your liver right now for some time, both with a whole foods clean diet but also specific supplemental liver support can make all the difference. Theses other posts may be helpful as well:
https://www.thehealthyhomeeconomist.com/liver-loving-herbs-and-superfoods-for-beautiful-skin/
http://wiserootsnutrition.com/detox-safely-for-healthier-skin-and-weight-loss/
Mamatotoo
I wish I wouldn’t been way more holistic and natural with my lifestyle as I am now. As a teen I leaned that way because that’s how I was raised, but a dermatologist prescribed this drug for my acne as a teen.
I do have clear smooth skin. But I’ve also been pretty much gluten free and paleo and very much organic with my lifestyle since before thinking of having babies after I got married.
Carrie S
I’m not commenting on this post directly, burt wanted to let Sarah know about news that I’m surprised I haven’t seen shouted from her website, but that I just heard from Christa Orrechio. It’s not new news that these oils are bad, but it is news and fabulous news that the medical community is finally admitting it and writing about it in their journals!!
Here’s the link:
http://thewholejourney.com/the-shocking-truth-about-vegetable-oil?inf_contact_key=c669d9a1234450ea23e10176121c59b6d78944f98846772a6bc0c0899cea16df
Kristin
Thank you for posting this! I really wish I would have been more informd about the real causes of acne when i as a teenager. I had horrible skin in high school and as a last resort i chose to take accutane. It worked for me but i often wonder what the long term effects might be. Do you know where i can find more information about the long term side effects?
TDavis
Wow, this is scary stuff! I took Accutane back in the mid- to late-nineties for horrible acne. Are there document long-term issues I should worry about? I don’t remember having any of those symptoms as a teen, but I sure developed a few of them in my twenties. If I choose to have children in the next few years, do I need to worry about anything harming my unborn child/children, or is the “risk” gone?
Sarah TheHealthyHomeEconomist
The risk with Accutane to an unborn baby is only if the mother takes it while pregnant. As far as the other symptoms, yes some of these can crop up later after the drug is no longer taken.
marina @ Dynamic Health
When I did knot nothing about healthy lifestyle and hormone balancing in my teenage years, in desperation I chose accutane for my acne which started when I was 9 (dermotologist did not say anything about side effects). Before that, I did antibiotics for it. Accutane, which I did in my late teens, really dried out my skin, skin became tight…Also scarring would occur more easily! On top of that, I was in major negative mood but at that time did not attribute it to the drug…Only when I stopped it (after being on it for a full course), in a few months I became feeling better. When I started learning more about nutrition when I was 21, I was able to get rid of acne (at least control it). In my 30 now, I finally love my skin and people complement on it…and they do not believe I used to have horrible skin in my teens.
Basically, I stopped washing my face with any cleansers and really improved my diet and got rid of excess estrogen producing foods (polyunsaturated oils are part of this!!!) and products, and in my late twenties finally started balancing my hormones with food, herbs, nutrition. Right now I only oil cleanse in the evening and do not wash my face in the morning at all – and my skin thanks me for it!!
I know everything happens in ideal timing, but I wish someone recommended I see a nutrition practitioner when I was a teen!!!