If you suffer from severe case of acne that has failed to respond to  conventional treatments such as antibiotics, then your dermatologist may  recommend the use of the popular Accutane or Isotretinoin. Accutane is a potent  oral drug from Hoffman-LaRoche that has been proven highly effective for  reducing acne symptoms dramatically after only one course of 15-20 weeks. 
 
 With its undoubting success at battling even the toughest cases of acne and  ever-growing popularity among teens as a miracle drug, why is Accutane still  considered the most controversial pharmaceutical on the market? The answer: a  documented list of severe and sometimes permanent side effects. 
 
 Although some of the side effects associated with the use of Isotretinoin are  mild and tolerable (dry lips, dry eyes, nosebleeds, extremely dry skin,  increased sensitivity to the sun and thinning hair) there is in fact a long list  of serious side effects that have been reported due to the use of Accuttane  which persisted even after the drug therapy was stopped. Among those are: Severe  aches and pains in the lower back and large joints, severe allergy reactions  that include moderate rashes and difficulty to breath, vision problems, hearing  loss, permanent liver damage, persistent migraines and headaches and skeletal  hyperostosis which is an excessive bone growth that occurs along the sides of  the spine. 
 
 But perhaps, the two most bothersome of all Accutane side effects are its  potential to cause severe birth defects if taken by pregnant women or women that  became pregnant while taking the drug and the suggested link between the intake  of Accutane and the changes in mood, severe depression and suicidal thoughts. 
 
 Since, Isotretinoin can be harmful to the fetus, it should not be used during  pregnancy and women should avoid pregnancy for at least a month after the use of  Accutane. Additionally, because of its severe side effects, nursing mothers must  avoid the drug completely. 
 
 Although researchers still argue whether Isotretinoin causes depression or not,  Roche the manufacturer of Accutane, openly shares information claiming that  Accutane and its generic, isotretinoin, can alter mood: "Synthetic derivatives  of vitamin A, can negatively impact brain chemicals such as dopamine and  serotonin." 
 
 The FDA website warns: "All patients treated with isotretinoin should be  observed closely for symptoms of depression or suicidal thoughts, such as sad  mood, irritability, acting on dangerous impulses, anger, loss of pleasure ...  mood disturbance, psychosis, or aggression." 
 
 Moreover, statistics show that between 1989 and 2003, there were 216 reported  drug-linked suicides among U.S. teens younger than 18. Of these, 72 suicides  were linked to Accutane (isotretinoin). The next highest number of suicides in  that time period -- 55 -- involved Prozac (fluoxetine). 
 
 Accutane works by reducing the size and output of the sebaceous glands and thus  stops excess oil production. The problem is that Accutane damages your skins  sebum glands and liver function in the process. By the time you stop taking the  drug, your skin oil glands will return to function but your liver will not be  able to properly balance your hormones and prevent the over production of sebum. 
 
 Isotrteinoin also normalizes your keratinization (the shedding of dead skin  cells), improves fat metabolism and reduces inflammation. But all of these  benefits can be easily achieved using all natural dietary, supplementation and  skin care alternatives and without the side effects. For example: Foods that are  rich in Vitamin A and Beta Carotene can help reduce the secretion of oil by the  sebaceous glands. Simple home made peels made of Papaya can easily replace the  peeling action of Isotrerinoin and sleep optimization, and regular exercising  including vitamin, C, E, Zinc and Colostrum can boost the immune abilities of  the body and thus reduce inflammation. 
 
 Accutane is not the solution to acne. Not only does it treat the symptoms of the  disease and not the internal cause, stopping your skin's natural oil production,  can in most cases, result in extra dryness combined with the acceleration of the  skin's aging process (yes! your skin will look older). Moreover, Accutane  severely damages your liver function among other side effects, which in turn  destroys your delicate inner balance and your natural healing abilities. Hence,  it is doing the opposite of curing. 
 
 A long-term acne solution should address the internal cause of acne by tackling  all acne contributing factors and neutralizing the acne environment - the only,  safe, natural and effective way you could ever achieve lasting acne freedom.  
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