Hey guys,
There has been a lot of questions surrounding accutane, it's usage, and it's risks/benefits...... so i'm going to give you my experience and thoughts on the subject.
Accutane (isotretinoin) is an oral medication used to treat severe acne - most commonly in teenagers. There is a place for accutane in bodybuilding but the first thing you have to understand is that the reason we (bodybuilders) use accutane is slightly different than a teenage kid.
A teenage kid has natural hormonal acne - it's not steroid induced. Their hormone levels are all over the place but they aren't superhuman. When they are given accutane - it shuts down the oil glands, the skin dries out, and acne goes away. They are under a doctors care and they also receive blood work. Since their hormone levels aren't in the superhuman range - those oil glands can stay shut down for a very very long time if not forever. Resulting in clear skin..... pretty much for the rest of their life maybe with exception to an occasional pimple.
Bodybuilders have steroid induced acne. Our hormone levels go THROUGH THE ROOF and it causes us to produce more oil than normal. Not all bodybuilders get acne - they're the lucky ones. Those of us that do know how painfull and embarrassing it can be. What do we do when we're loaded with acne and don't want to take our shirts off at the beach? We do what we always tend to do..... go straight for the strongest compound.
Before I touch on accutane I just want to let everyone know that there is a post I made regarding acne treatments. Phate has it linked in his link database under "acne control"
Accutane as most of us know is rough on the body. It certainly is liver toxic..... How liver toxic? I don't know for certain. Most of us don't have the means to get bloodwork done every 30 days when cycling so we never truely know how harsh orals are after we're done running them. If you decide to take accutane there are a few things you should know 1st.
1) It is liver toxic. Live toxicity is, in my opinion, overstated for a lot of things. Does this mean taking accutane with anadrol is a good idea? NO. If you choose to take accutane with oral steroids..... that is your perrogotive. If you get bloodwork done - please let us know how your liver enzymes look as it would benefit everyone just to know one persons experience. Tho..... we can't use one experience to base truth for all of us.
2) It WILL take care of your acne problem. There's no doubt about it.... the stuff works.
3) If you use it "on cycle" and stop it's usage - they acne can and probably will come back.
4) PCT is the worst time for acne. If you used accutane for the last 6 weeks of your cycle and stopped before PCT..... your acne will most likely come back. You need to figure out when you want to be acne-free and time out your usage.
5) Accutane can severely dry out your skin. This means everything..... not just your back. Your lips can become chapped and split open - this is always awesome when on a 1st date.
6) Accutane can make your skin more sensitive to sunlight. Tanning and being in the sun all day IS NOT recommended as you may burn easier.
7) You can abuse it or you can be as safe as possible about taking it.
Here is a brief rundown of how I believe one should take accutane in the safest yet still effective way..... I'll give it to you in 3 steps.
Step 1 - (only for severe acne cases) Use 40mg's of accutane per day until the acne is visibly starting to reduce. Usually no more than 10 days - I would not continue this dosage past the 10 day mark just to be SAFE.
Step 2 - Use 20mg's/day until the acne is just about clear. You may still have red spots (scars) but as long as the acne is subsiding you are ok to continue to step 3.
Step 3 - Use 5-10mg's/day as a maintenance dosage for a couple weeks and keep an eye on the acne to make sure it's not flaring up again. If you are still clear after a couple weeks you can stop using the accutane. Just remember..... acne may come back.
There are pro's and cons to everything. Acne is just a rotten monster we sometimes have to deal with. While we'd always like to use the most powerful tool to get what we want..... it may not always be necessary. There are other options out there - please read up on them!
Lastly, guys..... Please use accutane carefully. It's not something to joke around with. Your doing something very serious by injecting exogenous hormones into your body, changing your body chemistry, and then attempting to restore your self months later. You need to be serious about every aspect of this - including how you use accutane.
I hope this helped!
~Haz~