accutane

acne

Acne, Not Accutane, May Cause Depression

Anyone who's ever had acne knows very well just how terrible it can make you feel about yourself, but isotretinoin (commonly known as now-defunct Accutane) has long received the blame when people taking it become depressed or commit suicide.

Anyone who's ever had acne knows very well just how terrible it can make you feel about yourself, but isotretinoin (commonly known as now-defunct Accutane) has long received the blame when people taking it become depressed or commit suicide. Now, researchers from the University of Oslo have conducted a study that suggests severe acne itself, not acne medication, may be the culprit when teens display suicidal ideation and depressive symptoms.

Previous studies have shown that acne increases stress and anxiety, so this isn't surprising. What makes the study a big deal is that it challenges long-held beliefs about how isotretinoin affects its users. Did you ever take isotretinoin, and would you be less scared to try it now given this new evidence?

Pregnancy

DrSugar Answers: Acne Meds and Pregnancy?

DrSugar is in the house!

DrSugar is in the house! And she's answering your health-related questions.

Dear DrSugar,
I have acne and after several years of tinkering, I've found the right combination of several prescription products daily to control it — benzoyl peroxide 6%, Solodyn, dapsone, Retin-A, clindamycin, and the list goes on. While I'm not pregnant now, I'd like to try and conceive in the next three years or so and I understand I shouldn't be using these products while pregnant or breastfeeding. Do you have any recommendations on what I should do? I was considering trying Accutane (prior to trying to get pregnant, of course), but I know it has serious side effects.
—Worried About Spots

As someone who's been trying to get pregnant, I've thoroughly researched this topic and am so glad you asked this question so I can share some knowledge with you! I'm glad that you’ve found a system that works for you in terms of your acne now. But since you’re interested in conceiving in the next few years, I will share with you information on Accutane as well as what is considered safe for acne treatment while pregnant, so keep on reading.

Poll

Have You Ever Taken Accutane?

Recently, another member of Team Bella and I were chatting about how each of our dermatologists had prescribed different brands of tretinoin and oral antibiotics to treat our moderate acne.

Recently, another member of Team Bella and I were chatting about how each of our dermatologists had prescribed different brands of tretinoin and oral antibiotics to treat our moderate acne. We also discussed the fact that each of our doctors had also mentioned that if our pimples did not seem to clear up with our almost-identical treatments, we might want to consider Accutane.

I'd always considered the controversial drug as a treatment for severe cases only, but according to my derm, it can actually work quite well for those with moderate forms of acne. However, according to the manufacturer's website, "Accutane is used to treat a type of severe acne (nodular acne) that has not been helped by other treatments, including antibiotics."

While the drug has been linked to depression, suicidal thoughts, even Crohn's disease in some cases, many people — including several Sugar staffers I polled — have had much success with the antiacne drug. What about you? Have you ever taken Accutane? Tell us all about it in the comments below.

acne

How to Treat Severe Acne Vulgaris

We're getting close to wrapping up my series on the different acne types and how to treat them.

We're getting close to wrapping up my series on the different acne types and how to treat them. If you don't know which kind of acne you have, take my quiz to find out. If your acne is mild, you can see my treatment suggestions here, and if it is moderate, you can check out treatments options here.

Severe acne vulgaris can be really painful, both emotionally and physically, but do not despair if this is your diagnosis! There are effective treatment options for you, too. But I'm gonna be straight with you: If this what you have, you must see a dermatologist, because there just isn't much that over-the-counter treatments can do for this kind of acne.

Just a quick refresher: Severe acne vulgaris consists of cysts and nodules. Nodules are solid, dome-shaped lesions. They're inflamed and painful, they extend into deeper layers of the skin, and they may cause tissue destruction that results in scarring. A cyst is a sac-like lesion containing liquid or semiliquid material consisting of white blood cells, dead cells, and bacteria. It is larger than a pustule, may be severely inflamed, extends into deeper layers of the skin, may be very painful, and can result in scarring. Cysts and nodules often occur together in a severe form of acne called nodulocystic. If that describes your acne, see your treatment options when you read more

Skin Care

Should You Go On Accutane?

If you've tried everything from benzoyl peroxide to retinoids and your acne won't budge, you might have what is called severe recalcitrant nodular acne.

If you've tried everything from benzoyl peroxide to retinoids and your acne won't budge, you might have what is called severe recalcitrant nodular acne. This means it might be time to consider a prescription like Accutane. While not for everyone, Accutane could be the solution to your acne woes.

Accutane is a highly concentrated form of vitamin A. It reduces the amount of oil and sebum produced by the glands in your skin. It also helps the surface of your skin renew itself continuously, preventing the buildup of pore-clogging dead skin and sebum. Treatment usually lasts four to six months, or until acne is completely cleared. Most patients will need an additional round of four to six months within the first year or so, and acne will typically get worse before it gets better. And naturally, you'll need to talk with a dermatologist to decide if going on Accutane would be a good decision. For some pros and cons, read more