I found one but there is still another somewhere.
http://grande.nal.usda.gov/ibids/ind...s&therow=40257
Isotretinoin, used to treat severe acne, has been shown to induce hormonal changes, especially to reduce 5α-reductase in the production of the tissue-derived dihydrotestosterone (DHT) metabolite 3α-Adiol G. However, the effects of isotretinoin on other pituitary, adrenal or gonadal hormones have not been thoroughly elucidated. In the present study, isotretinoin administered at a dose of 0.5 mg/kg/day for 4 weeks caused no marked changes in the serum levels of pituitary, adrenal or gonadal hormones or 3a-Adiol G in patients with severe papulopustulotic acne (n=19). After 12 weeks of therapy, there was a decrease in the levels of the precursor androgens androstenedione, testosterone and 3α-Adiol G in 6/9 patients. Acne improved after 4.5 months in all but 2 male patients, who had very low serum hormone binding globulins (SHBG) and a high free androgen index (FAI). Isotretinoin did not affect the elevated LH/FSH ratio in a patient with the polycystic ovarian syndrome (PCOS); nor did it change the high FAI or low SHBG in the male patients. For comparison, tetracycline had no effects on the serum hormonal levels of patients with mild acne (n=19) after 7 days of treatment. This study confirms that the effects of isotretinoin on the serum hormone levels are small and unlikely to be of relevance for the resolution of acne or the suppression of sebum excretion.
Last edited by spooledup; 09-18-2009 at 04:11 PM.
Great post!
I take 10mg/day acutane for six months and my blood work came back w/o any changes in liver enzymes and cholesterol.
The key is to take accutane at low dose and for long duration. currently, the same regimen suppressed any appearance of acne during my cycle.
Another side of accutane is the proinflammatory response and slower healing effect. In other words, avoid squeezing any acne as your body tend to bruise more easily. You can take certirizine (zytrec) and/or hydrocortisone/gentamicin cream for such cases.
Yes, but how much.
I quoted this study, highlighting the ending, "This study confirms that the effects of isotretinoin on the serum hormone levels are small and unlikely to be of relevance for the resolution of acne or the suppression of sebum excretion".
I'd like to see the full paper, as I dont think the "decrease" is significant at all.
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