I bumped into a couple of friends of mine when I was out yesterday. The topic of my blog came up and my friend asked me “why don’t you just take roaccutane”. I was kind of taken aback because I thought most people that knew me well would know that I don’t promote taking this product as the most desirable acne treatment …so I didn’t have a very good comeback at the time
I think I mentioned suicidal thoughts as a possible side effect, which he said back to me that not everybody gets – which is true.
I realise that I may sound as though I’m 100% against oral medications and topical gels and creams for treating acne, but really I’m not.
However, there are two very good reasons why I choose not to promote oral medications as the best acne treatment, and why I prefer to exhaust natural alternatives first.
1. Oral medications such as roaccutane, antibiotics and the contraceptive pill can have unpleasant side effects.
Yes, these medications often do a damn good job at clearing up acne, but they can also make the condition worse or even not be effective at all. I have had great results with both antibiotics and the pill in the past, but the pill gave me a chronic case of vaginal thrush that lasted a year, and the antibiotics always make my skin very sensitive to sunburn and flushing, almost like rosacea.
In many cases I totally agree that severe acne does require medications to treat the condition. Mainly because the infection has spread so much that it’s hard to get a hold of the condition naturally while there is so much bacteria in and on the skin. At the same time, don’t rule natural treatments out. Karen Jessett is a great example. She had a severe case of acne and was recommended to take roaccutane by her dermatologist. She knew the possible bad side effects so chose not to take the drug. She did her own research instead. With a very disciplined diet and a natural skin care routine, she cleared her severe acne by 99%. Here is an excerpt from her book:
At the age of twenty-two, I went to a different doctor. I desperately wanted to get rid of my acne, which had now become severe even though I was now taking antibiotics at a dose four times that which is prescribed for tonsillitis. The doctor examined my face and admitted my skin was terrible. He suggested I be referred to a dermatologist who could prescribe Roaccutane, or similar. This he said would deal with the problem once and for all, but warned me of the serious side effects that could occur. This was the catalyst for me – I definitely didn’t want to take drugs that were that strong. I knew there must be a better healthier way.
I decided to come off the antibiotics and started to look into my diet and lifestyle with reference to skin problems. I read as many book as I could on the subject of nutrition and skin health. I ate more fruit and vegetables, reduced my intake of red meat, dairy products and refined carbohydrates, used natural products on my skin, took up exercise again and consciously made the effort to de-stress every day. Within a couple of months, my acne was visible better. I’ve turned my diet and lifestyle around, and in doing so my skin is now clear 99% of the time.
Karen’s story is very inspiring, but it sounds like it did take a lot of work. What we can take from Karen’s experience is the knowledge that it is possible to treat acne naturally, without the use of oral medications or topical gels and creams. But also know that if you feel a need to take these things then you can! You don’t have to choose one or the other either. You can take oral medications, while also treating acne naturally by eating better, exercising and using natural skin care products. The medications often just fix the condition in the short term anyway, so taking a more holistic approach is a great idea.
If you’ve been reading my blog then you’ll know that three weeks ago my skin totally freaked out. I don’t exactly know why this happened, but I have a hunch it was from using benzoyl peroxide which completely dried my skin out, terribly. Followed by switching to the Oil Cleansing Method (OCM). My theory is that there was a heap of dead dried up skin on my face from the harsh chemicals which I just filled into my pores by using the OCM. In addition, taking the supplement maca during the wrong times in my cycle (ONLY take this supplement in days 1-14 of your cycle if trying this supplement girls) stimulated my hormones and increased my sebum production. Yes, a recipe for disaster. The result was too many blackheads and whiteheads to count, and a scattering of small inflamed pimples in areas that I broken out in, in years. And of course of lot of tears to go with it.
So I did end up filling out my prescription for antibiotics which I’ve decided to take while my skin heals. I’m taking a very low dose and it’s working very slowly, but it’s helping me work on healing the comedonal acne without getting too many inflamed spots.
I’m not particularly proud of taking the antibiotic, but I realised that my obsession with my skin, my depression and my skin picking and the tons of different quick fixes and product that I put on my face, did a good job at ruining my skin and it’s going to take me weeks to get it back to normal. The antibiotics are helping reduce the bacteria and preventing too many of the comedonal acne from becoming inflamed, while I work on treating my skin naturally by eating well, balancing my hormones and reducing my stress levels. This is a complete holistic approach and one which you can definitely take too.
So know that you can do both natural and conventional treatments at the same time. You do not have to choose one or the other. Just make sure that before you consider oral medications you’re fully aware of the possible side effects. Consult with your doctor and get them to explain to you the risks that are involved with taking that medication.
2. If you don’t fix the cause of your acne, your skin condition is likely to return once you stop taking the medication
Often the biggest problem with taking oral medications is the likeliness of your acne returning once you discontinue the use of the medication. This is why it’s so essential that you work on the cause of your acne as well, and try and fix the actual reason why you’re getting the skin condition in the first place. For me it’s stress, so I absolutely have to work on reducing my stress levels before my skin will become completely clear. I know that a heavy dose of antibiotics or the contraceptive pill would clear my acne beautifully, but I also know that if I didn’t work on my stress levels and my lifestyle in general, my skin condition would likely come back with vengeance once I stopped taking the medication.
This is why I feel as though natural acne treatments are so important, with or without the use of oral medications.
So next time someone tells me that acne sufferers should all just take roaccutane, I’ll try and remember this spiel so I haven something to reply with. I hope if you’re reading this you understand my point and you consider working on your skins health from the inside out, regardless of whether or not you’re taking medications.
Take care,
Fran
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If you would like to read Karen Jessett’s book, you can order online from her website: http://www.acne-advice.com/products/books/clear_skin/index.shtml

At the age of twenty-two, I went to a different doctor. I desperately wanted to get rid of my acne, which had now become severe even though I was now taking antibiotics at a dose four times that which is prescribed for tonsillitis. The doctor examined my face and admitted my skin was terrible. He suggested I be referred to a dermatologist who could prescribe Roaccutane, or similar. This he said would deal with the problem once and for all, but warned me of the serious side effects that could occur. This was the catalyst for me – I definitely didn’t want to take drugs that were that strong. I knew there must be a better healthier way. 










9 responses ↓
I also despise oral medicines. I don’t understand why people choose them when there are you many alternatives.
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Hi Fran, another excellent article as always.
I personally don’t like the thought of taking any systemic drug for what is essentially a cosmetic problem. Yes, acne is a horrible condition, but it isn’t going to kill you.
A few years ago, I was put on an anti-depressant which I was assured would not be addictive and that I could quit as soon as I felt better. After two years, I decided to come off it, but it took me a further three to succeed. It didn’t really solve the initial problem and a major side effect is still with me several years later. That drug (Paxil) is now quite famous for all the wrong reasons.
As for antibiotics, they give me yeast infections, so I steer very clear of those. The last one I was on was metronidazole which is what I believe caused a severe rash that plagued me for several months last year. The good news is it was that rash which led to me trying natural skincare remedies.
I probably sound like I hate drugs, but the truth is I just feel they are over-prescribed. There’s nothing wrong with using them when all else has failed, but I do wish doctors wouldn’t dish them out willy-nilly or that patients wouldn’t demand them without trying gentler methods first. Too many people want the quick fix these days and sadly, the pharmaceutical companies are happy to take advantage of this.
Hello Fran!
I’ve already sent you a message about my experiances with acne medication, so this time I’m trying the natural way.
I’ve been looking around the net and I found the anti-inflammatory diet, which I’m trying out, except when I look for foods that I should and shouldn’t eat I get mixed answers, for example one site says that oranges and tomatoes are good for you and another one says I have to avoid those two.
So, if it isn’t too much to ask could you make a vid on Youtube about the diet, I’m also thinking of buying the eBook ‘Acne free in 3 days’ should I? ’cause all I want is to detox by body, I really don’t mind how strict the diet has to be.
Thanks Ralph
Hi Ralph, I know EXACTLY what you mean, there is so much contradictory information out there about diet which is what I struggled with a lot.
Sure, I’ll record that video for you over the next couple of days. I have a lot to say about diet and skin care. I’m also writing a book on acne and diet which will be available in just a few short weeks.
I was lured into buying Acne free in 3 days …they have a very convincing website. I’ll be writing an article about it soon too. I think it can work, sometimes, because it is a very heavy detox. You do however need to be prepared to go through what they advise because it’s pretty intense. I wasn’t up for it myself, I couldn’t handle the lack of food and the invasive procedures they recommend. I also had a ‘mini’ detox once and it broke me out really badly (apparently this is common), and I felt like I was coming down with the flu. Maybe I’m just a big sook!
The BEST detox is one guided by a professional. You could try visiting a naturopath or other medical professional for a proper assessment. I realise that this can be expensive though.
Careful with strict diets too, I’ve read a lot of posts in forums from people who go CRAZY over it. To me it sounds like they’ve developed an eating disorder. You want to eat well but not punish yourself.
Until the video I guess …
thanks for your comment
my doctor gave me doxylin50 take one a day, I am hesitant to take it now…. currently using bha and BP, and if condition not improve then I make take it
hi Fran!
I understood that you think it’s fine to combine medication with nautral ways of cleraing it, which I’d like to do.
I definately agree with having a healthy diet and lifestyle to clear acne, but if the acne is severe I don’t think a healthy lifestyle is enough.
My problem is that I’m going to start with Roaccutane and my bf thinks I should Detox my body and have a fast to make it go away.
I have a positive outlook on fasting and detox and I think it could do well for my body and help acne, but I can’t combine fasting with Roaccutane, can I? So how do I combine detox with medication???
Plus, the more I read about what to eat and what not to eat, the more confused I get.
Would be very greatful for your help!
Sofia
Hi Fran,
I’ve been on the pill for my acne for 12 years. I started getting break through bleeding but was too scared to stop the pill. So i tried to stop the bleeding by taking a bioidentical hormone therapy. It’s worked well. But i want to stop everything and just be natural. I scared to death of my acne coming back. I’m thinking about seeing a natropath to help me get my body right inside so when i get off pill my acne won’t be as bad. Do you think this will work?
When I started getting really bad skin I changed my diet and lifestyle completely and was convinced that I didn’t need Roaccutane, besides I was terrified of the medicine since I had heard so many bad things about it; hair loss, depression etc.
However, my skin didn’t get any better and finally I went to see a professional skin doctor, who decided to put me on the pill. He knew I was scared of what was going to happen, but said that this was the fastest way to result, and in the end it came down to your priorities; dry skin, eyes and mouth for a while, or acne for years…
After less than 6 months on the medicine my acne was GONE. All that’s left are a few scars.
I really believe in other natural ways to cure acne, but I believe that sometimes you need them both.
The pill to take the acne away, and the natural remedies and change of lifestyle (stress for example) to make sure the acne never comes back.
And the rumor that you get depressed from Roaccutane? Sure they’re depressed, but not because of the medicine, btbecause they have severe acne problems. Once the skin got better for me I was much happier, and I was still taking the pills.
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