I have had a lot of (not so wonderful) adventures with my skin, culminating in trying Accutane this summer (seriously, I thought I'd be done with this after I left my teenage years behind... I'm not so lucky). Usually, a dermatologist prescribes Accutane for certain kinds of acne that do not respond to topical or gentler oral treatments, and you take Accutane for 4-6 months. Because of two moves and a very sloppy, careless paperwork error by one of my dermatologists (which caused me to stop taking the medication for a month), I have had the rare "gift" of having started this high-powered prescription twice.
Accutane basically blasts your body with isotretinoin, a derivative of vitamin A, with the goal of stopping acne forever. Along the way, it subjects your body to some pretty serious side effects, depending on how you react. Thanks to my experience starting Accutane not once, but
twice, I've figured out a few ways to help alleviate the side effects.
- Get ahead! Start preparing for the side effects as soon as you start taking the medication, even before you start feeling the effects.
- Moisturize, moisturize, moisturize. I originally thought my naturally (moderately) oily skin would protect me - no luck. I suggest a gentle soap on your face and body, and lotion at least once a day (I use St. Ives Oatmeal lotion)
- Lips: everyone has their favorite brand of lip balm, but I swear by Bag Balm. It healed my chapped lips (which took weeks to heal the first time) in one weekend!
- Scalp: this one surprised me! Again, like my face, my scalp has always been a bit oily. 24 hours, and I needed to wash my hair. Not so with Accutane. I suggest trying a dandruff shampoo to help with dryness and flaking. Not sure about buying a whole new shampoo and conditioner? Head & Shoulders makes a travel size! It should last for almost a week, so you can see if it's working.
- Sun sensitivity: I didn't notice this so much, except when I went to the beach. Just use general good sun protection a little more vigilantly - reapply often, sun hat, etc.
- Headaches: I have yet to find a great cure to this side effect, but Tylenol usually helps, and it is easier for your Accutane-blasted body to handle (unlike Advil).
- Queasiness: even if you don't usually eat breakfast, you really should start! Even just a granola bar or a banana helps - you don't want to take Accutane on an empty stomach. My favorite breakfast is a banana and peanut butter - healthy fruit and protein to keep you full until lunch.
- Moodiness/depression: I was always very careful about this side effect, since my family has a long history of depression. I did experience a little moodiness the first time, but it passed. My best advice is to ask a trusted friend, parent, or significant other to keep an eye on your moods. They have to be someone that you trust to tell you difficult news, even if you don't want to hear it. If your moods seem to change or worsen without reason, they can tell you. If you think you may be depressed, talk to your doctor about stopping Accutane and trying another treatment.
- If you fall behind and don't treat side effects until they show up, don't worry. With persistent care, you can catch up and get back to something close to your normal self.
This is not an exhaustive list, and it's not meant to replace a doctor's opinion. There are just a few, hopefully helpful, tips from someone who's been there before - twice! I hope this advice can help make your transition easier than mine. Good luck!