Accutane – What is it?
There are varying opinions on the use of Accutane as a treatment for severe acne. While being very strong and having an effectiveness of approximately 50% there are many side-effects that must be acknowledged. In the US, the iPledge brochure and agreement ensures that all users are fully informed of all effects of the drug. Most other countries have similar legislation or at the very least require a prescription from certified professionals
In any case, I strongly recommend learning as much as possible about Accutane and its effects before considering it as an option.
So what is Accutane?
The active ingredient in Accutane is isotretinoin. Isotretinoin is is a type of Vitamin A that is found in small amounts within the body. One of its key responsibilities in the body is to moderate sebum production. In larger amounts it can noticably reduce the production of sebum and the size of the sebaceous glands in general (which are responsible for the production of sebum).
Since the active ingredient of Accutane is a vitamin A, the effects of the drug are much like taking large amounts of vitamin A. This, however, is the issue. Vitamin A can cause many different kinds of damage to the body when taken in excessive amounts. This is more evident if you look at multi-vitamin bottles or general vitamin supplements containing vitamin A. You will always notice the advice on the labels always specifically warns about taking no more than the maximum daily dosage of vitamin A (depending on your age).
For this reason, side-effects of Accutane are similar to that of an overdose of vitamin A (or vitamin A toxicity). I will go over these side-effects in a later post.
NOTE: Isotretinoin is also the active ingredient in, and sold under the names of, Amnesteem, Clavaris, Sotret, Roaccutane, Isotrex and Isotrexin.










frank says:
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June 29th, 2007 at 5:32 am
Marlo says:
I would just like to say that although accutane is pushed as the “cure-all” and “last resort” of dermatologists, I think they too ready to prescribe it without informing patients enough. The success rates of Accutane aren’t actually that great. Certainly not enough to call it a “cure.” I’ve been through 4 top-rated dermatologists in 3 major cities and 12 years of rather consistent acne of all varying forms. I’ve been mild to extreme in my “acne classification.” I’ve also been on accutane twice. The second time I’m convinced it did something to permanently damage my kidneys and bladder, but there’s no way to actually prove that. Needless to say, my acne returned each time I took accutane a year later. I had a glorious year of beautiful skin and then slowly but surely it all came back often worse than before. I’ve been on every treatment that’s ever been on the market and have to say that diet, hormonal analysis (for the girls!), spironolactone with combo of antibiotics, a gentle, yet well-rated skin care system (I’m talking facials with a licensed aesthetician, and cleansing and moisturizing routine), a really great supplement geared for acne, and relieving stress in your life is the way to go about it. I haven’t been able to cure my acne, but I’ve been able to manage it, and if anything accutane did nothing but take me farther from trying to be healthy and balanced. Just a warning for those considering Accutane. There’s also no hard evidence on how accutane may affect fertility in women and if there are any risks on having children far after treatment.
May 17th, 2008 at 4:02 am
Raffaella says:
Dermatologists should give pregnancy test before a month of starting this treatment. If it appears negative then prescribe two different types of contraceptives. Plus regular pregnency test should be taken through out the treatment. As it is said that birth deformities occur in first three month specially in first few weeks when women do not know that they are pregnant.
September 5th, 2008 at 5:23 pm
Kathy Kirvida says:
Hi, because I found your posting informative, I thought I would ask you a couple questions. Our son took accutane last fall and was one of the few to suffer terrible mental health side effects. One year later, he still suffers from inability to concentrate, some depression and decreased cognitive function. Are you aware of any doctor or organization that can give more information about the length of time this might last or any treatment available to help minimize the difficulty? We have asked the derm and they basically just shrug…and our family practice doctor is uninformed in general.
September 27th, 2008 at 1:21 pm
Kathy Kirvida says:
Please e-mail me your response, I forgot to check the box. Sorry
September 27th, 2008 at 1:22 pm