Acne and Accutane historical posts May 1998

Re: In reply to: RE: Accutane/and Dr Stoll

Posted by Walt Stoll on May 01, 1998 at 10:14:12:

Welcome Diane,

Many of the side effects of accutane do disappear over time off the drug.

Your doc's suggestion of a stretching class is a good one. If money is any object I would recommend one of the references in the back of my book: "Synergetics" by Hay & Hay. If it is out of print, any library could find you a copy. My book also contains the wellness protocols needed to resolve acne along with the references about each part of the wellness approach.

However, since we both know that acne is not an accutane deficiency, all the accutane COULD do is cover up the symptoms for awhile. It will likely be back.

We have discussed your other options, right here on this BB for years. They take more work but have only positive side-effects. If you are interested, go to the archives & read everything about acne, accutane & accutane side-effects.

THEN, if you have more questions, write again.


Re: Icthyosis and Accutane

Posted by Walt Stoll on May 01, 1998 at 10:28:38:

Dear Debbie,

Ichthiosis has been discussed at length on this BB for a long time. Use the archives to see if those have been saved.

We at least know that the genetic susceptibility that causes most ichthiosis comes from that person needing much more of the essential oils than a "normal" person. It is mainly the relative deficiency of these oils that produces the skin condition you have lived with so long. Go to the link: Essential Oils. See how much you improve in about 3 months. Your daughter would improve at least as much if it helps you. These doses are perfectly safe and will probably help other problems you have learned to live with as well.

I am not promoting this as a cure but it does help a lot of people a lot & only YOUR bodymind can decide how much this has to do with YOUR condition. More will likely be learned in the next few years.

Your real question will be, as you experience the improvement: "Why didn't the specialists I have been seeing tell me this?" Of course it has only been known for about 10 years.

As you improve, please share your experiences with the BB participants. Just think how YOU have suffered and how many others might benefit from your experience.


Re: accutane side effects/ANSWERS?

Posted by Walt Stoll on May 01, 1998 at 11:05:56:

Dear Chantel,

Your note leads me to believe that Accutane is your only option. Believe me, that is not true. Use the archives feature for this BB when you want to know what your other options are.


Re: accutane

Posted by M on May 01, 1998 at 13:47:57:

I have just started the accutane treatment today. Reading the last few comments has really put a damper on my day. I am now wondering if i should ask my dermatologist if I should stop. The only thing stopping me is the fact that my friend had a baby about a year ago. She had gone through the accutane treatment and she and her child are fine.

My question to doctor Stoll is that I am on Minocin and my dermotologist has told me to remain on minocin while I am starting the Accutane treatment (maybe another month). But, my other friends that are on Accutane said that thier dermotologists made them stop all other medication before going on Accutane. I'm not sure what I should do....


Accutane & side effects

Posted by Andrew on May 01, 1998 at 18:53:21:

I took accutane on two seperate occasions, once in '96 for two months and again in late '97 and early '98 for 17 weeks. The first time i took accutane my acne became non-existent for about a month, and then it returned. But the second time my acne never completly cleared up, only somewhat during the last few weeks, and now it has returned to it's original state. I am wondering if alcohol consumption could be the cause of the inneffectiveness of the second treatment. I didn't drink at all during the first treatment, but i drank about once a weekend for most of the second treatment. By the way, I took one 40mg pill per day, and my only real side effect was very dry lips and lower face.

Re: accutane and side effects

Posted by Marcus on May 01, 1998 at 18:59:24:

Does alcohol consumption have a large effect on the effectiveness of accutane? I took accutane for the full 4 months and my skin isn't improved in the slightest, and I was curious if drinking could have played a role.

Re: Dr. Stoll Is this anything?

Posted by Walt Stoll on May 03, 1998 at 12:05:15:

Dear Steve,

Listen to Doc Dave.

MY question would be: Exactly what did you do for your lifestyle that helped your acne and what have you persisted in doing?

The best thing I would know, from what you have said so far (agreeing with Doc Dave's comments about the most likely causes) is that a serious wellness hobby would be wonderful for you since it would keep the acne away while clearing up this annoyance at the same time.


Re: accutane

Posted by Walt Stoll on May 03, 1998 at 12:32:01:

In Reply to: Re: accutane posted by M on May 01, 1998 at 13:47:57:

Dear M,

Thinking is painful for ALL of us. Unfortunately, that is the only way to answer your questions: You must learn enough to be able to see what is best for YOU.

Use the archives feature for this BB & read everything you can find about acne, accutane & accutane side-effects. Read the recommended references as well. THEN, you might be prepared to THINK about this.

I will not repeat the concepts you will find there because I have already covered them ad nauseum.

If minocin and accutane were your only options, I can see how you might have a problem. However, the main reason accutane & minocin are available "by prescription only" is that it is the responsibility of the prescribing physician to do a complete workup before prescribing them. THEN, s/he will know how they might effect YOU--as being different from anyone else. If your doc did not do such a workup, you are not being served.


Re: accutane

Posted by Walt Stoll on May 03, 1998 at 12:57:03:

Dear Susan,

Why do you think the most common time for acne is during puberty???? It is because it is the time of greatest hormone imbalance. ANYONE who has acne beyond puberty still has a serious hormone imbalance and your bodymind is trying to tell you to learn about that. Using something like accutane is just pulling the plug on the message for a while.

You will not live to 89 without hearing this message & doing something about it. Acne is about the kindest message your body mind can send. Eventually the message will get a lot louder (more serious). I would suggest you put some real effort into understanding what I am saying.

THEN, if you still have questions, write again.


Re: accutane and side effects

Posted by Walt Stoll on May 03, 1998 at 15:07:19:

In Reply to: Re: accutane and side effects posted by Marcus on May 01, 1998 at 18:59:24:

Dear Marcus,

Only the prescribing Doc can tell you that.

If you want to know why that is, use the archives service for this BB & read everything you can find about acne, accutane & accutane side-effects.


Accutane and Hirsutism

Posted by Kerry on May 03, 1998 at 19:26:57:

Dear Mr. Stoll:

I will try to be as brief as possible in detailing a complicated problem for which I am GREATLY in need of assistance. I am a 27-year-old woman who has taken three courses of Accutane over the past ten years, spending a total of over 18 months on the drug. Some of the more common side effects were explained to me, and the "rare" side effects were dismissed by my doctors as too remote to worry about. (There are MANY listed, and as a teenager, and now as an adult, I still do not even understand the meanings of some of the side effects listed in the literature.)

After my first course as a young teenager, I did experience EXCESS hair growth (male pattern), but made no connection. Nine years later, I questioned my dermatologist about the excess hair, but opted to not take drugs to treat it. It wasn't that troubling at the time. AFTER this, my dermatologist put me on Accutane, my second course. My acne cleared. A few months after this, I noticed some more hair growth (lower back, thighs). My doctor told me Acctutane may cause hair LOSS but not growth. He AGAIN put me on Accutane, and I actually HOPED some of the hair might fall out as a side effect. It didn't, and I am now, after my third course, experiencing an explosion of hair all over. My dermatologist has REFUSED to treat me, saying he doesn't know what's causing it. I have been to an endocronologist and a doctor of internal medicine. Hormone tests were twice conducted, and I was told that I have "hirsutism," though my hormone levels are completely normal. I have been placed on Spironolactone and birth control pills to curb the hair growth, though it gets worse on a daily basis, and is causing me severe emotional distress.

I have no family history of this, am of an Irish background, and now have significantly more hair on my body than my father. I frantically searched for information on the Net about this, and found that "hirsutism," a word with which I have only recently come to know, IS listed as one of those "rare" side effects.

Doctor, I am desperate for some solution to this. What I am now experiencing is far worse than any acne I've ever had. I've seen several doctors, and no one can tell me why this is happening. I've only been told that the new drugs I am taking MAY help after six months, and that I should never again take Accutane. My doctor told me to come back in three months, and emphasized that she really can't explain why this is happening. Who can?!

I feel like my system must be out of balance, though I've been told that I do not have a hormonal imbalance. If there is some active approach to this problem, please advise me, or please refer me to someone who has some expertise in this area. Again, the problem has absolutely exploded, with hair growing in the oddest of places - thick and dark. I cry ever day about it, and feel hopeless. I know there are worse troubles to be faced in the world, but still my sexual identity feels challenged, and I don't know what to do.

Your advice would be most appreciated, Mr. Stoll.

Thanking you,

Re: Acne and stress

Posted by robin on May 04, 1998 at 01:49:33:

I am currently using accutane and my skin wasn't completly clearing up. It was clearing, but i was on a 40mg / 40mg morning / evening dosage and was on it for over three months and still experiencing break outs. My doctor increased my dosage to 60mg / 40mg and instead of helping, my skin became overly dry and I even had problems when going to the bathroom from extremely dry skin. When I went back to my normal dosage the accutane started working. IT WASN"T THE INCREASED DOSAGE THAT HELPED!! What did help was that I cut my stress and I began to sleep again.. My skin probably never would have cleared up fully had I not worked with it... MEANING! Yes, accutane is extremely helpful.. but I did not experience harmful side - effects until I realized that the problem wasn't the medication it was my life! I was stressed out, depressed, eating poorly, and not sleeping enough... Some peole can do this without negative effects (to our skin) most of us can't... See what the real problem is. Your skin or your life.

Re: Accutane and Hirsutism

Posted by Walt Stoll on May 05, 1998 at 16:50:13:

In Reply to: Accutane and Hirsutism posted by Kerry on May 03, 1998 at 19:26:57:

Dear Kerry,


We know what causes that hormone imbalance and it is those people who live close to the bottom of the bell curve of susceptibility of hormone imbalance who are storing an overwhelimng stress-effect in the hypothalamus---from whence ALL hormones are balanced. Acne is one of the kindest messages your bodymind can send you. If you don't, eventually, hear the message & do something about THAT, your bodymind will just have to shout louder (give you something MORE serious) till you hear it.

The reason you developed the hirsutism as YOUR reaction to the Accutane is that you already had a genetic susceptibility that the accutane just was perfect to trigger. The docs that kept giving you it, in spite of your increasing susceptibility to the hirsutism response, should be ashamed of themselves. They would do better (for others--perhaps not for themselves) if they were in some other profession.

You need to learn your options for reversing your causes instead of just trying to cover them up. That isn't working anyhow IS IT?

You could start by using the archives for this BB & reading everything you can find about acne, accutane & accutane side effects. I mention the accutand stuff because much of the options for acne were discussed there. Then, if you want to understand these mechanisms (& what to do about them) better, read a copy of my book (link on this page). THEN, if you want to understand the causes in depth, read the most recent edition of "Mind as Healer, Mind as Slayer" by Dr Pelletier.

THEN if you still have questions, write again.


Re: In reply to: RE: Accutane/and Dr Stoll

Posted by Sarah on May 05, 1998 at 18:10:00:

Dr.Stoll, I have noticed that you are not too much in favor of accutane, and manage to bring up the fact that it should only be used as a last resort. but what else do you suggest? you say that acne has other underlying causes- like what? what natural ways ar there to control/cure acne?

Re: Acne and stress

Posted by Walt Stoll on May 06, 1998 at 09:00:06:

In Reply to: Re: Acne and stress posted by robin on May 04, 1998 at 01:49:33:

Thanks, Robin.

You are saying what needs to be said. Those still hoping for a magic pill need not bother reading what both of us have to say.


Dr. Stoll

Posted by Julie Santana on May 06, 1998 at 20:02:48:

Dr. Stoll.

I would like to address certain comments that you have made towards teenagers and their difficulty with acne.

You claim that teenagers rather suffer with their acne then learn something new. Not only do you treat this delicate subject with pure stupidity but you make comments that are innapropiate and quite rude. I as a teenager know what it is like to suffer from acne, and if you wonder why teenagers are reluctant to change their lifestyles its purely because of doctors like you who feed lies and have no regard for peoples emotions that you trifle with. Your meditation method is interesting but you must be kidding yourself if you think it helps because I have tried and it doesn't!

To be honest I don't know why people would even come to your site and post a message which will be responded with ridicule and advice that has no effect.

I hope you consider what you say next time! And I will be waiting for a rude response from you soon. Yes, my message is not nice but I have the position to be angry.

Re: accutane/muscle pain - length of side effects

Posted by Jyothi Reddy on May 06, 1998 at 21:20:41:

In Reply to: Re: accutane/muscle pain posted by Walt Stoll on May 01, 1998 at 11:23:23:

Dr. Stoll: My wife had accutane several years ago for
about 4 months (two pills a day). She recently was also on
it for 4 weeks. She experienced severe joint pains and
muscle pains and had to stop the medication. She also was
tested for ANA and her tests showed an increased titre of
1:80 (I am not sure I am stating all the information
correctly). She is scheduled to see a rheumatalogist next
week. What we are interested is in finding out if the
joint pains are temporary in nature or not. Are there
other things she could do to recover from these side
effects. Thanks.

Re: Dr. Stoll

Posted by Robert McFerran on May 06, 1998 at 23:31:22:

In Reply to: Dr. Stoll posted by Julie Santana on May 06, 1998 at 20:02:48:


Anyone that suffers from ANY kind of chronic disease needs to be a warrior and not a victim if they want to get well.

Once you decide that you want to be the prior and not the latter you will find that you have far more control of your acne than you (or your dermatologist) thought possible. The problem is that it's NOT easy.

First you have to learn NEW things. Then you have to experiment -- and most of these experiments take a couple of months before you get sustained results (far longer than the 'instant gratification' that the allopathic monopoly has given us though drugs). But once you DO realize that what you are doing is working (without drugs) you suddenly find the control that you didn't think you had -- but also the burden of the responsibility of disciplining yourself to do the things you need to do to stay well.

If you read the posts on this board you'll realize the folks here have a goal -- to get well. There is very little in the way of supportive whining that is the mainstay of other BB's that I've seen.

I was fortunate enough to find Dr. Stoll's BB (on Prodigy) years ago. I didn't want him to listen to me complain about how tough my life was because of my chronic condition. I wanted answers -- and he was willing to teach me.

Dr. Stoll has quoted a bit of Buddhist wisdom that has always stuck with me -- "When the student is ready the teacher will come". Ready yourself Julie and you'll see.

Be a warrior, not a victim.


Re: Dr. Stoll

Posted by Jim on May 07, 1998 at 02:12:34:

In Reply to: Dr. Stoll posted by Julie Santana on May 06, 1998 at 20:02:48:


When you say you tried meditation, I wondered you meant? Did you try different methods, and how long did you carry it out? Have you done anything to determine if you are getting the response necessary to get the result you should have for the meditation to be effective. In order for it to be doing any good you must be achieving an alpha or theta state. You could check this out by bio-feedback.

Iím an old guy, Julie, but I had acne. I know itís the pits. And I know teenagers will go to great extents to treat it. I had my skin fried by some doctor because thatís what they did in those days. If they had Accutane in those days, I probably would have tried it too. I was desperate. However, you have to admit,both those treatments are easy, (all you have to do is show up, or swallow a pill) though they have side effects (some serious) and require courage. Nothing wrong with easy. But the wellness program recommended here on the board is without side effects (although it may change your life!).

What Dr. Stoll is talking about when he says teenagers are reluctant to change their lifestyles goes for adults too. If you tried all that he recommends, you would see how hard it is. It sounds simple, but itís not.

If you had read further on the board (including the archives) you might have seen beyond what you interpret as rudeness. You would have seen the frankness and caring in Dr. Stollís ways. Read the posts that donít deal with acne, because anything chronic calls for the same type of wellness program, and you will see how it is all interconnected.

I have read all the posts on this board for the last ten months. I have read testimonials from some who have cleared their acne with what Dr. Stoll recommends. I have read those who state that Accutane is a wonder drug, and I have read those who felt that it had ruined their lives and their appearance permanently. Be careful.

If you could step back from your anger for a moment and take a different look, you would see that the generalization made by Dr. Stoll is just that, a generalization. It may not apply to you or any other particular teenager at all. Your emotions not unimportant in the cause or cure of your acne. Donít waste your time and energy (or your anger) tilting windmills, put them to good use in your healing efforts.

Also, maybe just a teensy bit less sensitivity would be good.



Re: In reply to: RE: Accutane/and Dr Stoll

Posted by Walt Stoll on May 07, 1998 at 09:22:18:

In Reply to: Re: In reply to: RE: Accutane/and Dr Stoll posted by Sarah on May 05, 1998 at 18:10:00:

Dear Sarah,

I have described what resolves acne so many times my fingers are bloody. Please use the archives feature provided for this bb and read everything you can find about acne, accutane and accutane side effects (the latter 2 because much of what has been said about alternatives was said under those subjects). Be sure to read the 2 references mentioned so many times under the above.

If you find that reading all this stuff is too much, do not bother doing it. What one needs to do to resolve this kind of problem takes a LOT more time & energy than just learning about it. I know there is a lot to learn and more to do. If this were easy, everyone would be doing it. All I can say is that I have yet to see it fail; it is inexpensive and the side effects are all gratifyingly positive.

As you get over the acne, please take the time to share your experiences with the bb participants. Many are sitting on the fence too & would appreciate hearing that others have been successful. Few people want to believe that their trusted docs have not told them about stuff like this just because they could make more money "treating" the condition. I DONT' LIKE IT EITHER!


Re: accutane

Posted by Laura on May 07, 1998 at 11:24:20:

Concerning acne and age: I'm about to turn 46, and have had acne since 1965--more than thirty years! My condition improved somewhat during my thirties, but now that I'm entering "perimenopause," it seems to be getting worse. I used Retin-A for about a decade but it's no longer as effective as it once was. Like many other people who have sent in their comments, I've been in and out of dermatologists' offices since my teens (one used to give me sun lamp treatments which, I'm convinced, resulted in my developing a squamous cell skin cancer when I was 31), have gone through the spectrum of antibiotics, topicals, et cetera.

I've now been on Accutane for a little over a week. I expected that my skin would get worse before showing improvement, but to my astonishment, it began to feel better in the first 24 hours of treatment! I had forgotten what it's like to have a face that doesn't feel chronically itchy or irritated. Even ths skin on on my knees and the soles of my feet feels softer. (My taking the medication has coincided with a stretch of humid, overcast weather where I live, so perhaps that's why I'm not noticing any dry skin; my lips are a little dryer than usual, but that's the only negative side effect I've seen so far.)

I realize that I have 15-19 more weeks to go and much could change, but for now, I'm cautiously hopeful.

Re: accutane

Posted by Karen Bersche on May 07, 1998 at 13:23:59:

I was told the same as Leah by my current (new) dermatologist. I took accutane 13 years ago and it worked wonders. I got pregnant roughly a year after I stopped treatment and had a lovely daughter with Down Syndrome. Was this caused by accutane? I always wondered. The acne came back and it has taken me 8 years to find another doctor who would prescribe accutane for me. I took minocyclin for 3 years and it eventually didn't work anymore. I do not plan to have any more children so I am not worried about taking the drug now. As before, it worked like a charm!

ACCUTANE dosage above .5-1mg per kilo per day

Posted by Elayne May on May 08, 1998 at 13:03:35:

I am getting two different recommendations for a "curative dosage" of accutane for cystic acne.
One doctor stands by the recommended .5-1 mg per kilo body weight per day
The other says that a curative dose is 2mg per kilo per day and quotes research by Dr Shalite (or Shalita).
Is there a way to find out more about Dr. Shalite's research and how many doctors use this 2mg dosage?
Thank you.

Re: Dr. Stoll

Posted by Walt Stoll on May 08, 1998 at 14:09:23:

In Reply to: Dr. Stoll posted by Julie Santana on May 06, 1998 at 20:02:48:


Not only do I have more than 40 years experience in treating thousands of teenagers with acne, but I have had 4 of my own. How much experience have YOU had--other than your own personal experience?

I have NOT said that "meditation would clear up all cases of this condition". What I have said is that a whole foods diet, aerobic exercise AND an effective form of skilled relaxation practiced at least twice a day (not counting any done within 2 hours of retiring) clears all cases. This cojmbination is known throughout the world as a wellness program.

Not only am I sure that you have not done this (since, if you had, you wouldn't be writing such a dumb note--you would be giving a testimonial as to its effectiveness) I would even bet that you never checked out any relaxation technique you tried with biofeedback to be sure that it was producing the necessary effect. I would also bet that you never practiced your "meditation" twice a day (minimum of 6 months) not counting any done within 2 hours of bedtime.

In the future I would suggest you not try to confuse those honestly seeking information by the misdirection you attempted with your sad note.

YOU are a perfect example of the "teenager syndrome" I have described and that upset you so much. Perhaps you could see yourself in that description & THAT is why you got so defensive????

Keep your acne. Hopefully, you will not be one who still has it at age 40.


Re: accutane/muscle pain - length of side effects

Posted by Walt Stoll on May 08, 1998 at 14:11:33:

In Reply to: Re: accutane/muscle pain - length of side effects posted by Jyothi Reddy on May 06, 1998 at 21:20:41:

Dear Jyothi,

How old is your wife?


Re: accutane

Posted by Natalie on May 08, 1998 at 23:08:56:

I am 17 years old and have tried everything for my acne. I cannot take the suffering any longer. I am starting Accutane in one week. My friend was on it and now does not have one pimple on her face and it has been 2 years. I am looking forward to finally having a clear face.

Re: accutane

Posted by Walt Stoll on May 09, 1998 at 10:09:07:

In Reply to: Re: accutane posted by Laura on May 07, 1998 at 11:24:20:

Dear Laura,

ANYONE who has acne past puberty has it because of a chronic endocrinological imbalance.

Use the archives feature for this bb & read everything you can find about acne, accutane and accutane side-effects (the latter since much about acne is listed there). If you do not read the 2 references listed many times, you are missing the whole point.

Until you figure out WHY you have this, and do something about those causes, you will still be fighting acne 30 years from NOW.

THEN, if you still have questions, write again.



Posted by simon nattrass on May 10, 1998 at 16:04:19:

Dr Stoll,

The problem is that everything I eat shoots straight through my system causing a combination of acne like symptoms and ezcema on my face.

I have had ezcema on my face for 12 years and use daily applications of 2.5% hydrocortisone. Over the last 5ish years it has developed into umderlying acne type symptoms.

I have tried everything to overcome this problem but I am convinced that I have LGS. For example small amounts of anything I take to help detoxify myself works at first but then makes it worse. Vitamins and minerals, herbs (dandilion, burdock, liquirice, etc, etc..) elimination diets, fasting have all been tried. Suger really exacerbates the acne, a few days of eating grains causes a gradual build up of the ezcema inflammation. Because anything the least bit spicy makes it worse, herbs have a positive effect at first but then after a couple of days or so actually have the reverse effect and this pattern is the repeated with any type of herb I take.

What can I do ?

Re: accutane

Posted by Laura on May 11, 1998 at 09:29:57:

In Reply to: Re: accutane posted by Walt Stoll on May 09, 1998 at 10:09:07:

Dear Walt Stoll,

Thanks for your message. Alas, if the solution were that simple, I'd have been acne-free long ago! I'm afraid the real culprits here are those over-achieving sebaceous glands.

Thanks also for maintaining this bulletin board. The anecdotal evidence others have submitted helped me make an informed choice about Accutane.

Re: accutane

Posted by Walt Stoll on May 11, 1998 at 09:36:24:

In Reply to: Re: accutane posted by Natalie on May 08, 1998 at 23:08:56:

Dear Natalie,

Before you do something you might regret, you would be wise to use the archives feature provided with this bb & read everything you can find about acne, accutane and accutane side-effects. THEN, if you still elect to go the accutane route (before trying the things you have NOT been told about) at least you will never be able to say you were not told.

I have yet to see (in more than 20 years--since I learned that there WERE alternatives to medications) one case of acne that persisted past 6 months of a serious wellness program--no matter how old the person was. It is not that this doesn't work but that we ALL would like to take a magic pill & so will do ANYTHING rather than change our lifestyle to wellness.



Posted by AYA on May 11, 1998 at 10:54:38:



Posted by steve on May 11, 1998 at 11:48:34:

In Reply to: ACCUTANE posted by AYA on May 11, 1998 at 10:54:38:

Thanks for the assurance,

Seriously, 4 months isn't going to really tell you much. I took Acccutane for 6 months ... two years ago. I see little side effects at this point......... maybe some achy joints.
What I worry about is the people on their 3rd or 4th courses of treatment ! ! ! ! ! I refused to go for a 2nd treatment when my 1st course FAILED..... I found better help from this web site.
Do Dr's really know the long term effects of taking 3 or 4 courses of Accutane..... I don't think so......

All I'll say is I was some other person when I was under the influence of this super powerful drug.


Posted by AYA on May 11, 1998 at 12:17:58:

In Reply to: Re: ACCUTANE posted by steve on May 11, 1998 at 11:48:34:

Apparently your treatment wasn't effective? Was there no improvement? How bad was the condition of your acne? Have you always had this problem? My current dosage is 40mg per day. How much was yours? Yes, I'm full of questions, but please respond?

accutane - adverse reaction

Posted by Barbara King on May 11, 1998 at 12:57:32:

I am sending this message in hope that someone out there will please reply. I am 31 years old. I have had acne since I was 15 years old. After years of medications and ointments, my doctor suggested that I try accutane. I took 40mg 2X daily for 4 months. I loved my skin while I was on the drug, however now I am so upset at what has happened to me since I have been off of it 2 1/2 months now.

My skin looks old. It also has several deep pits and depressions in the skin that were not there prior to taking the accutane. I am so disappointed and don't know what to do. I am looking to talk to anyone about this. I don't know what is worse the acne or this. I feel so old and I look it! My skin has lost a lot of laxity. Is this normal? I am trying to find someone, anyone who may have experienced this side effect. Please email me at if you have any information about this or just want to chat about it. I am so down. It is worsening everyday. Barbara

Re: accutane - adverse reaction

Posted by Aya on May 11, 1998 at 16:32:34:

In Reply to: accutane - adverse reaction posted by Barbara King on May 11, 1998 at 12:57:32:

What does your dermatologist say about it? I, too posted a message on this bb. You've scared me!!

Re: accutane/muscle pain - length of side effects

Posted by Jyothi Reddy on May 11, 1998 at 19:54:15:

In Reply to: Re: accutane/muscle pain - length of side effects posted by Walt Stoll on May 08, 1998 at 14:11:33:

Dr. Stoll: She is 34 years old. Her physician ran a few
tests and here is what she found.

Anti-DNS DNA ANTIBODY 50.0 Should be less than 37
Sedimentation rate 15 Normals 0-15
Anti-NUCL Antibodies 1:80
Rheumatoid Factor <20

She is anaemic and she is on a prescribed vitamin (iron+B)
Hemoglobin 11.4 : 12-16, MCV 73.7 : 82-97, MCH 25.7:27-33
and RDW 16.6: 11.5-14.5

She is scheduled to see a rheumatologist on the 15th. Can
accutane induce these pains and does it interfere with the
lab tests and skew the results? Thanks for your help.


Posted by Jim on May 11, 1998 at 20:43:00:

In Reply to: ACCUTANE posted by AYA on May 11, 1998 at 10:54:38:


If you haven't done so already, scroll all the way down the board and read it. It goes down at least two months. Then look in the archives (click above) and read there.

You will find that this is a very emotional subject, after all, people feel strongly about their faces. You will find praises and warnings about Accutane and some testimonials from those who have dealt with the problem with the "wellness program" that Dr. Stoll recommends. It is not an easy path, and educating yourself takes time.

Good Luck,



Posted by Sally Price on May 12, 1998 at 17:23:39:

I was on vacation in Palm Springs this last week. I was watching TV and a News Special came on about Accutane. It suggests that the drug maybe causing severe depression and even suicide in extreme cases. I have searched the WEB for the newscast to no avail. My daughter has been on Accutane for three years and has significant depression, so much so, that she is now on Prozak. The depression consequently started about the same time she started taking the drug and started High School.l
Has anyone else had this side effect and/or heard this newscast.
Thank you,
Sally Price

Re: accutane - adverse reaction

Posted by Drew on May 12, 1998 at 18:36:13:

In Reply to: accutane - adverse reaction posted by Barbara King on May 11, 1998 at 12:57:32:

I am just finding out about that there are other people out there with the same problems as me. I have taken six different courses of varrying doses beginning when I was sixteen and last when I was twenty three. I experienced all the usual effects of the drug; dry lips, dry skin, painful bowel movements, but the worst symptom of all has been the depression and bi-polar disorder that started soon after my first course and has worsened each time I have taken the drug. I have not put the connection together until recently after seeing a report on the news. I have since been researching this via the internet. It seems that a lot of people suffer from the same kinds of syptoms when taking the drug. I am now 24 and take Zoloft to keep me on and even keel. Is there anyone else out there like me?


Posted by Katy on May 12, 1998 at 20:15:00:

I finished a 5 month round of Accutane 2 weeks ago and THEY ARE COMING BACK!!!!!! This is the second time I was treated with Accutane. I am devastated, to say the least. What is next????

Re: accutane - adverse reaction

Posted by JN on May 13, 1998 at 06:43:27:

In Reply to: accutane - adverse reaction posted by Barbara King on May 11, 1998 at 12:57:32:

Unforunatelly some doctors prescribe accutanr (it happened to me also) for severe gastriointestinal problems probably caused by endotoxins!

If doctor perscribe you accutane put doctor on double dose of PROSAC and look for treatment for endotoxins.

see also as an alternative for studing the signs and symptoms.

Re: accutane - adverse reaction

Posted by steve on May 13, 1998 at 08:29:42:

In Reply to: Re: accutane - adverse reaction posted by Aya on May 11, 1998 at 16:32:34:

I only took Accutane once (Thank God ! ! !)
I experienced some of the same aging affects with my skin but, it did go away. Watching my diet and using relaxtion techniques (Though I'm just discovering them) really helped. Find a great moisturizer..........

I'm just so greatful I didn't take any more courses of Accutane.... you write this on many other info boards and people will go berzerk.... "How can you say negative things about Accutane... it only doesn't work for 1% of the population... Blah Blah Blah Blah Blah ! ! ! ! !!"

I don't think anyone really understands ther long term effects of this drug,,, and dermotoligists know next to nothing about psychology and thats the field I think they're stepping into when using such a powerful drug.


Posted by steve on May 13, 1998 at 08:37:16:

In Reply to: Re: ACCUTANE posted by AYA on May 11, 1998 at 12:17:58:

I'll have to look up my dosage.
I had some improvement.......But I just got worse about 2 months later. I really think I reached my worst point after the Accutane treatment. My acne was cystic (as described by MD) it covered most of my lower cheeks to upper neck and deformed my face hurt like hurt to talk , sleep or think. It got to the point where you couldn't help but think about your face 24 hours a day.

I know its been said before... but, keep reading these posts and look back. Find out what books to read...... "Mind as Healer / Mind as Slayer" seeems to be one of the real good one's ...... and its interesting, positive stuff anyway.

But feel free to email me or ask........


Posted by Aya on May 13, 1998 at 08:41:24:

Is there ANYBODY out there who has had a GOOD experience with Accutane? I DID personally speak with a person who had been on Accutane for several months a couple years ago who highly recommended this treatment for me. She has experienced almost a complete clearing of the acne. She DID mention, however, that her complexion wasn't THAT bad.

Re: Emotional Stress

Posted by Walt Stoll on May 13, 1998 at 10:50:36:

In Reply to: Emotional Stress posted by Mike on May 11, 1998 at 09:18:59:

Dear Mike,

Did you ask your prescribing doc? Have you read the package insert? There are many documented effects like this.

If you want to know what you need to resolve your acne without this kind of risk (or at least protect yourself as much as possible from dangerous side effects from conventional treatment) use the archives and read everything you can find about acne, accutane, and accutane side-effects. THEN, if you still have questions, write again.


Re: accutane

Posted by Walt Stoll on May 13, 1998 at 10:56:37:

In Reply to: Re: accutane posted by Laura on May 11, 1998 at 09:29:57:

Dear Laura,

OF COURSE it is "those overachieving sebaceous glands"

However, the question really is: "Why YOU?" isn't it?

We know that the answer is an imbalance in the endocrine system. This is something that is physiological (normal) in puberty but NOT normal later in life than that. The abnormal endocrine balance that causes acne (without other more serious associated diseases) always has a cause that is resolvable. When the imbalance is resolved, the acne goes away.


Re: accutane - adverse reactions

Posted by Walt Stoll on May 13, 1998 at 11:33:53:

In Reply to: accutane - adverse reaction posted by Barbara King on May 11, 1998 at 12:57:32:

Dear Barbara, Drew & Aya,

Use the archives and read everything you can find about acne, accutane & accutane side-effects. THEN, if you still have questions, write again.

Thanks Steve. You are saying what needs to be said. Only a knowledgable public will protect themselves from the doc who prescribes accutane & runs.

Accutane is NOT a "bad" drug. It is just that it is abused by the docs and, through them, their patients who are trusting them too much.



Posted by Beth on May 13, 1998 at 11:46:26:

Dear Stoll:

I am a 28 yr. old female with no prior history of acne. I began to develope cysts three weeks prior to the delivery of my daughter. Within 48 hours of delivery my face became distorted with cysts. I was diagnosed as having acne conglobata. I was put on prednisone...60 mg. per day and began a course of accutane (80 mg. per day) two weeks later. I have been on the accutane for 9 weeks. I am currently down to 15 mg. of prednisone per day and taperring...Will be down to 15, 10, 15, 10 next week.

One question is whether or not the prednisone is holding back the full effects of the accutane? The cysts that are on my face have been there for a few weeks now with no real change. Plus my skin goes through period of dryness and then kind of spongy like. I recently dropped from 20 mg. of prednisone to 15 mg. and now my face is really puffed out? I searched the BB and did not find any of these issues address. However I did find a lot of interesting information. Also, I ordered your book earlier this week.

Please reply. Thank you.

Re: accutane/muscle pain - length of side effects

Posted by Walt Stoll on May 13, 1998 at 13:01:33:

In Reply to: Re: accutane/muscle pain - length of side effects posted by Jyothi Reddy on May 11, 1998 at 19:54:15:

Dear Jyothi,

Accutane can do all of this & more.

My best suggestion would be for you to use the
archives and read everything Robert McFerran has to say. I would bet that the accutane has just tipped her over into the RA which would likely have happened later in life anyhow without the accutane. NOW I would forget about the accutane and deal with how she is now.

Please do any communication with Robert right here on this bb so others with similar conditions will gain be reading it.


Re: Emotional Stress

Posted by L.Marsh, PO Box 152, Cary,NC 27512 on May 13, 1998 at 19:24:57:

In Reply to: Emotional Stress posted by Mike on May 11, 1998 at 09:18:59:

My 16 year old son took Accutane for 6 mo. ending mid-Oct.,1997. Began being verbally aggressive shortly thereafter; then physically and verbally by January. Is now in jail for simple assault on my husband. Wants to remain there because he's afraid of not having control. Turned 17 in Feb.

Was never violent before. Looking for answers.

Temporarily w/o computer. Can contact me through above snail mail.

Re: accutane

Posted by ACCUTANE ALTERNATIVE on May 13, 1998 at 23:11:56:

In Reply to: accutane posted by Aya on May 13, 1998 at 08:41:24:

Posted by Marie on 16 April 1998 at 00:13:10:

In Reply to: Re: Accutane posted by Walt Stoll on September 25, 1997 at 12:12:54:

THERE IS AN ALTERNATIVE! I stopped my course of accutane (my second course) and went on an incredible program - drug free and my skin cleared within a month! If you would like to know more, please contact me and I will send you info - no obiligation! I know it will help you too - I had acne for 15 years previously; this program is amazing - there is nothing in the world like it - I had tried everything else under the sun and THIS IS THE ONLY THING that has cleared my skin; accutane cleared it for a year then it came back - I didn't want to keep taking such a heavy drug. Acne may be one of four causes: hormonal, overactive sebaceous glands, hereditory, bacterial. It may clear for a while and then return; it may clear completely and never return. The skin program I will send you info about will describe how to completely eradicate your problem - people all over the world have been helped - after years and years of other attempts; Please contact me - I am so excited at being able to help other people I know how distressing acne is: Send an Email to me with details of where I can send info:


Re: Accutane

Posted by Walt Stoll on May 14, 1998 at 11:47:40:

In Reply to: Accutane posted by Sally Price on May 12, 1998 at 17:23:39:

Dear Sally,

If accutane (& Prozac) were her only options perhaps they should be considered. If you think she would be willing to learn something new AND change what needs to be changed to get this behind her, have her read all the archives provided with this bb about acne, accutane and accutane side-effects.

THEN, if she still has more questions have her ask away.



Posted by aya on May 14, 1998 at 12:29:15:

In Reply to: Re: ACCUTANE posted by JN on May 13, 1998 at 14:05:08:

Thank you for the info and time you invested, JN. I did my best to understand the technical information!! Now my question is this: How do I correct this problem? I'm sure that in your text you addressed it, but I didn't understand? I skimmed over some other info on eating whole foods, relaxation methods and exercise, but do these methods work to supplement the glutamine levels? Do I need to refer to a general physician for testing for possibility of leaky gut? As I reflect on the past few years, I have: after having surgery started suffering from SEVERE upper stomach cramps after eating certain foods (checked for gallstones, none), had kidney stones a few times, suffering from fatigue (I smoke, just assumed that was the problem), elbow aches, recently had two yeast infections, now on medication for a bacterial infection (my gyn doctor said he could detect some sort of "physical change" in me..had my hormone level checked - OK) Then last year started breaking out with acne. Does any of this sound like leaky gut symptoms?

Thank You!

Re: accutane

Posted by Laura on May 14, 1998 at 15:40:56:

In Reply to: Re: accutane posted by Walt Stoll on May 13, 1998 at 10:56:37:

I'm afraid it's a little more complex than that,but thanks!--and good luck with the book.

Re: Dr Stoll Re: Accutane

Posted by Walt Stoll on May 15, 1998 at 09:49:09:

In Reply to: Dr Stoll Re: Accutane posted by Beth on May 14, 1998 at 11:22:49:

Dear Beth,

I routinely wait 48 hours before answering posts because I have a lot of people helping me with this overwhelmingly successful 'site and I like to give them a chance to solve things for me.

Besides, anything I would have to suggest would be toward resolving the causes & doing that takes time. 48 hours makes no significant difference. As you have already learned, conventional medicine has a lot of suggestions that produce temporary results pretty quickly (with usually a high price in complications).

Why has no one taken the time to explain to you WHY this has happened & what you could do to reverse the causes? It is because explanations take time & a lot more money can be made treating the effects than teaching the person how to help themselves.

This is clearly caused by an endocrinological upset (the same thing that causes nearly ALL acne) and the way to resolve this has been known for nearly 50 years. Hans Selye, MD, was the first to know and now there are practitioners of psychoneuroimmunology (thousands) who would tell you the same thing.

If you have read the archives on this BB about this, you know that a serious wellness program is the quickest & most effective way to resolve this. The references you need to read to do this are frequently mentioned in those postings.

Once you have that under your belt, if you still have questions, write again.

Those references also make it plain that only your prescribing physicians can answer your questions about the interactions between accutane & prednisone-----since that would be different with every person. This is why these things are only available by prescription. It is the physician's responsibility to see how THIS person will respond AND answer this question for you. Docs are not just supposed to take the money & run but they will unless you insist on their doing their jobs.

Only knowledge will set you free.



Posted by David L on May 15, 1998 at 11:16:18:

Is it normal to have small little breakouts after being on Accutane? I don't think this drug is amazing thus I'm using your meditation methods. To be honest, I find your methods much more effective and easier to live with

Re: accutane

Posted by Walt Stoll on May 15, 1998 at 11:33:36:

In Reply to: Re: accutane posted by ACCUTANE ALTERNATIVE on May 13, 1998 at 23:11:56:


I hope you will share what this is for the benefit of the bb participants.



Posted by Sarah on May 15, 1998 at 14:17:57:

Hi there...I've read thru a lot of the archival information on acne and accutane--and appreciate the resource.

My question is this--dysautonomia seems to be the source of acne(in your estimation)...what causes this? and does the wellness program supress the symptoms of acne/dysautonomia or does it get rid of them *and* the dysautonomia?

Also it has been stated that healthy people don't have acne...but unhealthy people *don't* have acne also--where is the difference coming from? hereditary? bad luck?

I'm very interested in your wellness program and i just started accutane a couple of weeks i'm hoping between the two I will be able to resolve my skin problems(and whatever else is lurking). One more question...I had a friend who had blood tests done that are supposed to show which foods you are sensitive to--do you recommend that as a way of determining where the problem is coming from?

thanks a lot for any info you could give...


Posted by Jn on May 15, 1998 at 17:40:30:

In Reply to: Re: ACCUTANE posted by Walt Stoll on May 15, 1998 at 10:12:58:

Thx for your support, believe me I am walking DEAD!.

I am not MD, but i crack this nut with "digital" precision and I just gained PhD
(Pile higher and Deeper) in Internet research!
being on the run tou iunintentionally "misspoke"-
Endotoxines caused atopic changes, known as IP (LGS).
"Authoritatively speaking without being narcisistic"
I could not forsee how LGS could cause atopic changes, I see how atopic changes caused by endotoxines, resulted in LGS.
I have no doubt about that the changes are known as by LGS, in medical terms (STONG SUGGESTION) which may be more appropiate to use proper medical term of: "Intestinal Permeability" (IP), that the groups of special interests will not treat it just as another label.
Hope no offense, but I must relay due to law suite on precise expression even English is my fourth language only.
The greatest problems with medicinein U.S. is, that many doctors are unable to engage in process of analytical thinking, so they are (treatment) reacting to symptoms rather than try to evaluate causes.
That is why you have so many hits.
This site is of great service, but need a little injection of sense of humor! People who are having medical problems are in the state of psychological submission, they must first relax, other wise thay will never get it!
Sense of humor (very sarcastic) is required for getting better!
Be assured that finally I found a couple of excellent attornys. Unfortunatelly All were bhurried at the local cementary. The bad one, greedy, and predatory are still kicking!

100% of dermatologic disorders are improperly aproached with treatment, while only some are succesfull.

One of most ridiculous treatment is acne, treated only with antibiotics, or topical solutions while not looking for causes!!!! Accutane will TKO your liver enzymes soon ... or... later, even it is syntetic Vitamine A only, which suppose to be liver safe. What doctors can not see thay can not diagnose. The blood tests and other clinical western commercial cash flow medicine is a failure of medical science toward medical craft. It is no more science when nurse talk to patient and takes notes, doctor comes for 2 minutes pad one in the bach, look how qute you are give you taps on the back, prescription for accutane or ZANTAC, bill for $ 200.- and leve back home in his PORCHE.
Does any one Knows what the difference is between porky-pine and Porsche?
Porky-pine has a prick outside!

. According to CDC/NIOSH, and other research I was able to "nail" thru internet such changes are in deed ONLY caused by endotoxins. I mean that ENDOTOXINS cause permeability of intestines due INJURY CALLED cell hyperplasia. The latest (1998) INTERNATIONAL research are confirming the relentness of GLUCANS, ENDOTOXINS and Mycoplasmas to ABV, CMV, CFIDS, MCS, FM, and GWI.
"..(1995)...The effects of repeated exposure to aerosols of endotoxin in humans are not known. (now are thru research and other).
Some animal studies have demonstrated a chronic inflammatory response characterized by >>>goblet cell hyperplasia >>>>>and increased mucous production. >>>>>>>>This suggest that repeat exposure may cause a syndrome >>>> similar, >>>> if no identical, to >>>>>>>>> chronic bronchitis...." (CDC)
Please send Hello to Dr. Stanislaw Burzynski whose site got thru this link!
I wish we could fight assoholizm of some organizations while living in American ADVOCracy!

Intestinal Permeability (IP), chronic imbalances in intestinal flora can result in a widening of spaces between cells, and subsequent passage of large molecules into the circulation. Partially-digested molecules of food may permeate the bowel wall, and appear foreign to the immune system, setting the stage for the development of food sensitivities. Many skin problems are only caused or exacerbated by food allergy (sensitivities) reactions, and improve when the offending foods are eliminated. Dermatological problem

Re: Accutane/Acne

Posted by JN on May 15, 1998 at 17:53:56:

In Reply to: Accutane/Acne posted by Sarah on May 15, 1998 at 14:17:57:

Sarah, 5/15/98

Read about endotoxines and accutane posted by me on this site, than decide if you really want to continue accutane!

You do not kill coakroaches by puting light on, you make them hide back!

Re: Accutane

Posted by jN on May 15, 1998 at 18:14:21:

In Reply to: Re: Accutane posted by Walt Stoll on May 14, 1998 at 11:47:40:

Yes, it was confirmed that Accutane may cause depression leading to suiside.
Acutane while "drying glands" may suppress hormonal production of enzymes resulting in severe chain reactions.
Put her ductor on PROZAC immediately.
Get a good attorney!
Reason > cause:
The DUCtor shall realize side efects of Accutane when noted such, and stop it! in lieu of perscribing PROZAC!


Posted by Walt Stoll on May 16, 1998 at 10:36:11:

In Reply to: Re: ACCUTANE posted by aya on May 14, 1998 at 12:29:15:

Dear Aya,

I have been accused of being "blunt" on this bb. I freely admit to that description but do not see it as a deficiency. I am always assuming that people do not come to this bb unless they are done with "beating around the bush". I know that I am not willing to waste MY time.

In that vein: YOU HAVE LGS UNTIL PROVEN OTHERWISE. If you need a laborartory test to prove it to you, call (800) 522-4762 and ask them for the names of physicians in your part of the country who would know enough to order a "Comprehensive Stool Analysis" AND a "Purged Stool Test" AND what to do with the results.

In the meantime, you would greatly profit by learning as much as you can about how all this fits together. The best place I know to start is my book (link on this page). THEN, if you want to learn as much as you can about all this in depth, the references are listed in the back of my book.

If you have more questions, write again.


Re: Accutane

Posted by amy on May 16, 1998 at 16:03:28:

could blood in your stool, be an affect of accutane, and if so, what does it mean?

Re: Accutane

Posted by Walt Stoll on May 17, 1998 at 10:48:04:

In Reply to: Accutane posted by David L on May 15, 1998 at 11:16:18:

Thanks, David.

Those little "breakouts" are more the rule than the exception following accutane. They tend to become more frequent over time rather than less as below.

Using the skilled relaxation alone, you will also see "breakouts" for the first 6-12 months. They will be less frequent, less severe and last a shorter period of time till they finally don't happen any more.


Re: Accutane/Acne

Posted by Walt Stoll on May 17, 1998 at 11:25:05:

In Reply to: Accutane/Acne posted by Sarah on May 15, 1998 at 14:17:57:

Dear Sarah,

Congratulations on having the perseverence to wade through the archives on this subject. That gives me hope that you will be successful in your wellness program.

If you had a copy of my book, you wouldn't be asking the questions you have here. You could get some idea by going to the homepage for this 'site & reading any article about stress. It is a combination of dysautonomia and endocrinopathy that causes chronic acne. There is a Bell Curve of accomodation to this outcome that IS dependent upon genetic factors which ARE something like "the luck of the draw". I know it isn't fair but no one ever said life was fair. It might help you feel better to know that there IS a Bell Curve that also says that the same imbalances, caused by exactly the same mechanisms, that would give you leukemia instead of acne. Be grateful!

The skilled relaxation, all by itself, would discharge the stored stress-effect from the hypothalamus within 6-12 months. This is where all of the glands are controlled from AND where the fight or flight mechanism is stored. Doing the entire 3 things in a wellness program will accomplish this end in 3-6 months but not if they are not done right.

Testing for what things have leaked (LGS) will probably help a little for a while. However, until the wellness program has done its thing, you would just get sensitive to other things till you were living in a glass house eating roast platypus (grim grin). That approach is expensive (in time, effort & money) AND short term. You would be far ahead to put your resources into learning how to do the wellness better.

If you have more questions, write again.


Re: Exzemma and acne gone!

Posted by Jane on May 17, 1998 at 16:10:02:

Here's one for you. I was recently told that if I rub white vinegar on a "zit," this will quickly dry up the skin clearing the problem.

Wellllll...I unfortunately tried this out! It caused my problem area great irritation and looks like my skin has been eatten away at. Any suggestions for a quick recovery? I need urgent help as I look like now I'm diseased!

Re: Accutane

Posted by Walt Stoll on May 18, 1998 at 12:12:57:

In Reply to: Re: Accutane posted by amy on May 16, 1998 at 16:03:28:

Dear Amy,

It certainly can. HOWEVER, only the prescribing physician can tell you that in YOUR case. If you want to know WHY that is, use the archives feature for this bb & read everything you can find about accutane side-effects.

Do not delay in running this down!



Posted by on May 18, 1998 at 12:21:06:

In Reply to: Re: ACCUTANE posted by Walt Stoll on May 16, 1998 at 10:36:11:

Thank you, Dr. Stoll for your patience. I truly am beginning to learn from this BB! I guess I can only WISH that there are simple solutions to medical problems? Now, I must make the EFFORT to LEARN (and unlearn) how to change my lifestyle (and my family's).

By the way, I believe I can extend a "thank you!" from all participants for the time you have invested in this BB!

Re: Exzemma and acne gone!

Posted by Walt Stoll on May 19, 1998 at 10:58:33:

In Reply to: Re: Exzemma and acne gone! posted by Jane on May 17, 1998 at 16:10:02:

Dear Jane,

Am I to assume that you mean acne when you say a "zit"?

Remember, the opposite to vinegar is dilute baking soda.

MY suggestion is to leave it open to the air, keep it clean & wait. It will look bad but at least it won't get worse.

In the meantime, if this IS acne, go to the link: archives and read everything you can find about acne, accutane and accutane side-effects (the latter 2 because most of the alternatives for acne resolution are listed there).

THEN, if you have more questions, write again.



Posted by Walt Stoll on May 20, 1998 at 11:21:52:

In Reply to: Re: ACCUTANE posted by on May 18, 1998 at 12:21:06:

Thanks, AYA!

You are on the right track with your thinking. Keep it up! This process will be a lifelong journey.


Re: Large blemishes

Posted by Walt Stoll on May 20, 1998 at 11:42:29:

In Reply to: Large blemishes posted by Carol on May 18, 1998 at 13:19:51:

Dear Carol,

This is one of the more serious forms of acne but is caused by exactly the same mechanisms as ALL the other forms.

It IS a hormonal imbalance and is always aggravated by (if not completely caused by) the stress-effect storage in the hypothalamus I speak of so often.

Without my knowing anything more about you, I know that the single most important thing for you to be doing is to relieve this storage. The only thing yet known that will do that is practicing an effective skilled relaxation technique at least twice a day for 20 minutes (not counting any done within 2 hours of retiring). The discharge will take 6-12 months. In the meantime, you could help yourself by adding essential oils to your supplements. See the link:
Essential Oils.

By the way, your "oily skin" is due to the inadequately metabolized fats in your body caused by the relative deficiency of the essential oils required for metabolizing them. It will take about 3-6 months for your oily skin to show a response to taking the essential oils. You will not have to be on them forever but our communication will let you know when to reduce or even stop them.

Also, I would like to know what you mean by "exercise" and a "good diet".

If you are not familiar with how to assure an effective skilled relaxation, write again.


ACCUTANE make me look like monkey!

Posted by Steve Wolfenstain on May 25, 1998 at 18:06:25:

Several months ago I was on 40mg of ACCUTANE.
Now except on my head, all my body started to grow thick hair, on the palms, inside ears and nose, and all over.
I look now like a bold Gorilla!

Re: ACCUTANE make me look like monkey!

Posted by Walt Stoll on May 27, 1998 at 08:48:19:

In Reply to: ACCUTANE make me look like monkey! posted by Steve Wolfenstain on May 25, 1998 at 18:06:25:

Dear Steve,

AND this may be permanent. This is one of the many reasons I have taken so much time to try to open people's eyes to the alternatives to accutane.


adverse reaction to accutane

Posted by Barbara King on May 30, 1998 at 20:34:54:

I am 31 years old and have had acne since I was 15 years old. I found a doctor in October of 1997 who suggested that I try Accutane 40mg 2X daily. I took accutane for 4 months. I had dry skin, but not too bad. I had blurred vision after 3 months of treatment, but it also cleared up. I had very dry lips that needed a special ointment. I had a pain in my hip joint (a possible side effect) that I had to go through months of physical therapy for. "Joint pain" was an understatment!! I could barely walk. This has recently cleared up. But all of us probably feel that this is a small price to pay for acne clear skin. Well, I would like to know, too, what are the long term effects? I would not reccomend this drug for anyone in thier pre child birth years. We just don't know how long this drug stays in someone's system and if it could cause some of these same side effects to your unborn children?? I would like to hear from anyone who has taken accutane for the full 3-4 months and how their skin in reacting since they stopped using it. - My skin was lovely while I was on the accutane. I have not had any more acne nodules since taking the accutane. However, I have since experienced a lot of deep pitting and scarring (depressings in the skin surface) that worsen daily and I cannot understand why. I had not had any acne in these places for many years. I of course asked my Dermatologist about this to which his reply was "I cannot answer that for you. Maybe you can have dermabrasion in a year." I am terified to try this procedure. I called Roche Laboratories, they, of course, never heard of this occuring in patients taken accutance. I am so discouraged by the response that I get from the medical community. One specialist I saw in Wash D.C. said it has only happened in patients with severe cystic acne. I did not have acne that bad, just 4 or 5 at a time. I had no idea how powerful this drug is. I feel taken. I feel cheated of my youthful looks. I also feel I was given too many mgs for my size and lack of severe acne. Has anyone experienced this side effect?? If so, is it temporary?? I am pretty down about this and would love to hear from anyone. Dr. Stoll will you please write me. I have little or no support from the medical community and I don't know if there is anything I can do. I hope that no one out there experiences any real horrible side effects. Barbara in Maryland

How Many Course of Accutane is Too Much?

Posted by Charley on May 30, 1998 at 23:55:50:

I am a 29 year old female who has had persitent acne since about the age of 15. I began to take Minocin when I was 16, and it did wonders for my skin--no break outs and no oil. However, use of the antibiotic ceased being effective after a while (a couple of years--after being on and off of it). I was given other antibiotics that failed to clear up my skin over the years; apparently, my body developed an immunity. My third dermatologist suggested Accutane after telling him about my long, losing battle.

Accutane was a miracle drug for me. I had very dry lips (Bag Balm is wonderful), and dry, red skin at first but within a couple of months, the acne was gone and my skin glowed. However, after about 5 months of being off the drug, my acne began to reappear and grew worse each passing day. I was given a second course of the drug and had the same experience again. I expected to have some small breakouts, but not to the degree that I have been experiencing. My skin is also quite oily. So, I am wondering whether or not to pursue a third course. My doctor put me back on Minocin, but it is not effective.

Therefore, I am wondering if it would be wise to consider a third course. I was intially afraid of this drug, but have had a good experience with it; however, what I don't know concerns me. Is there any data regarding the effect of the drug and pregnancy after haven taken the drug years previous to getting pregnant? What other long term effects should I be aware of? Liver problems? Should I even consider taking the drug again? Should I consult an endocrinologist? Is my acne a sympton of another problem? Any assistance would be greatly appreciated.


Posted by BIBI on May 31, 1998 at 14:18:29:

Acne vulgaris appears at puberty and affects almost 80% of teenagers and in many cases heralds the onset of puberty; it often precedes menarche. Acne maybe provoked by the androgenic sex hormones which increase the secretion of the sebaceous gland. The sebum so produced may be broken down to fatty acids which may provoke, in conjunction with bacteria present, an inflammatory response in the sebaceous gland.
Acne vulgaris attacks regions containing large sebaceous glands, i.e., the face, back and the upper anterior chest.
The lesion consists of closed (white) or open (black) comedones (black-heads), papules, pustules, nodules, and abscesses. The abscesses may form channels under the skin, which then form fistulas to discharge pus on the surface.
Acne form lesions may be provoked by drugs, especially corticosteroids, chlorinated hydrocarbons (termed chloracne), DDT, tars, soaps, antibiotics or any irritant of the sebaceous gland. Treatment modalities range from squeezing pustules, antibiotics, vitamin A creams and dietary change. Best results are achieved if the host tissues are supported or strengthened against bacterial or fungal infection as well as improving healing rate and reducing inflammation. The mucopolysaccharide aloe-mucin in conjunction with vitamin A has shown to be remarkably useful in this regard.
1. The skin of acne patients shows greater activity of 5 alpha reductase, an enzyme which converts testosterone to a more potent androgen - dihydrotestosterone. Cytochrome P450, a detoxifying enzyme can accelerate the destruction of this active androgen. Cytochrome P450 can be induced by high protein diets and vitamin C supplementation.
2. Male acne patients have significantly decreased levels of erythrocyte glutathione peroxidase which is normalised with Vitamin E and Selenium. This results in decreased free radical peroxidation.
a. 50% of acne patients have increased circulating endotoxins, which increases the Cu/Zn ratio and thus increases complement and fibrin formation.
3. Vitamin B6 deficiency increases uptake and sensitivity to testosterone.
4. Thyroid therapy also can help.
5. Despite adequate vitamin A intake, acne patients have significantly lower serum Vitamin A levels than controls. They also have depressed concentrations of vitamin A in unaffected epidermis. Isotretinion - increases retinol in epidermis but not blood retinol levels.
6. Retoninic acid is a natural metabolite of vitamin A that cannot be converted to retinol. It would appear that acne patients have a defect in vitamin A metabolism.
7. Patients with acne have a low concentration of linolenic acid in the sebum and EFA deficiency in the pilosebaceous epithelium which might account for the characteristic follicular hyperkeratosis of Acne. However, prolonged administration of EFA and Vitamin B5 is required to overcome this hyperkeratosis.

Re: How Many Course of Accutane is Too Much?

Posted by BJ on May 31, 1998 at 15:04:07:

In Reply to: How Many Course of Accutane is Too Much? posted by Charley on May 30, 1998 at 23:55:50:

ONE! Have you experienced hair growth?,
Any one checked your enzymes?

TRY topical EMGEL 2%, no substitutions.
The best!

Try to understand what causes acne before you proceed with treatment.
Many Docs treat the symptoms, why they forgot what causes acne! Treat the cause first than bust the symptoms.
Consider evaluation of hormones, if this is not caused by bacterial byproducts!

Accutane-from the horse's mouth

Posted by ACCUTANE on May 31, 1998 at 18:29:30:

Medical News & Perspectives - April 8, 1998

Acne Drug Depression Warnings Highlight
Need for Expert Care
DESPITE NEW label warnings of a possible association with
depression, isotretinoin (Accutane) remains the drug of choice for severe, recalcitrant nodular or inflammatory acne, according to specialists in this disorder interviewed at the annual meeting of the American Academy of Dermatology in Orlando, Fla, last month.
The warnings section of Accutane prescribing information will now begin with the following paragraph in bold type:
"Psychiatric Disorders: Accutane may cause depression, psychosis and rarely, suicidal ideation, suicide attempts and suicide.
Discontinuation of Accutane therapy may be insufficient; further evaluation may be necessary. No mechanism of action has been established for these events."
The label change was triggered by reports to MEDWATCH, the
Food and Drug Administration (FDA) spontaneous reporting
system, which aims to elicit early signals of potential problems with medications and other FDA-regulated medical products.
Although no cause-and-effect relationship has been established, the new concerns make the FDA, Hoffmann-La Roche Inc, Nutley, NJ, the manufacturer of Accutane, and dermatologic specialists assert that the medication should be prescribed only by physicians well versed in its effects and adverse effects. Dermatologists currently write about 75% of Accutane prescriptions.
It has been reported to the FDA that 12 persons, since 1989, have committed suicide while taking Accutane. Some patients who reported depression while using the medication said that their depression subsided when they stopped taking it and returned when they resumed taking it.
Drug for Recalcitrant Cases First approved for use in the United States in 1982, Accutane is the only medication available for cystic acne that does not respond to
standard antibiotic treatment. It is sold in about 80 countries and has been used by more than 2 million persons in the United States and 8 million worldwide.
"In a population of this size, there is background noise from various diseases," notes John Strauss, MD, professor and chair of the Department of Dermatology at the University of Iowa College of Medicine, Iowa City. "For any possible side effect," he said, "we have to determine if the incidence is greater than the background noise."
In any 30-day period, 6.1% of persons aged 15 to 24 years
experience major depression compared with 4.9% of the total
population (Am J Psychiatry. 1994;15:979-986). Most people this age also experience acne to some degree, and some develop the severe form for which Accutane is appropriate, said Strauss.
Untreated severe acne is itself considered a risk factor for depression; indeed, the same hormones play a role in both disorders.
The late Marion Sulzberger, MD, renowned chair of dermatology at New York University, offered in his autobiography a personal perspective on the mood-ravaging effects of severe acne. His sister became so distraught because of the condition of her skin, he wrote, that she attempted suicide. Persons with severe acne commonly have a poor self-image, according to Alan Shalita, MD, professor and chair of dermatology at the State University of New York Health Science Center, Brooklyn. They experience dysmorphophobia, he said: they hate the way they look. They often have trouble getting jobs, and they do not interact socially. One of Shalita's patients dropped out of college
for a semester, saying he would take Accutane and wait to see if his skin improved before returning.
Strauss said he is not convinced that a causal relationship exists between Accutane and depression. "I have seen far more patients who have improved psychologically on the drug," he said, "than ones who have deteriorated psychologically." Studies show that improvement of acne is associated with decreased depression and anxiety (Derm

Large blemishes

Posted by Carol on May 18, 1998 at 13:19:51:

Dr. Stoll,

I have very oily skin. For years I have been getting these very large blemishes. They are deep under the skin, what my sister and I jokingly call "subterranean pimples". They are big, deep, and hurt a lot. They almost ache. They take more than a week to go away, and I have to admit, they hurt so bad I want to get rid of them before they're ready to go, if you know what I mean. But you can't because they never really come to a head and they always leave a red mark behind. I hardly ever get tiny ones anymore, I guess because I'm over 22. I take good care of my skin, wash it every night with some of the most expensive products on the market. I moisturize daily too with an oil-free moisturizer. I eat right, exercise, and take my vitamins. Am I doing something wrong? Is this hormonal? I want them to go away!

Please help.

Me too

Posted by Annie on May 19, 1998 at 04:39:56:

In Reply to: Large blemishes posted by Carol on May 18, 1998 at 13:19:51:

Hi Walt

I also am suffering from these "subterranean pimples". I am 27 and have never previously suffered from spots but since I started a candida-related diet (and more whole food type diet) I have started to get spots.

Could you explain why this is happening - is it something to do with detox??



Re: Large blemishes

Posted by Charles Kemper on May 20, 1998 at 12:28:29:

Is there a way to measure the amount of the required omega six oils that would be contained in an average serving of deep water fish?

Re: Large blemishes

Posted by Carol on May 20, 1998 at 12:58:25:

Dr. Stoll,

Ok, I will try your relaxation method and the oils. I will do anything to get rid of these awful blemishes!

Ok, what I mean by exercise:

I go to the gym three times a week. Each time I'm there I bike for 30 minutes, do weight training for 45 (3 sets of reps per machine), I do aerobics on Tuesdays and work on the ski machine for 10-15 each time I go.

Ok now for the eating part:

I love vegetables and fruit, so I get plenty of them. I eat a banana every morning and if I'm really hungry, I have a bowl of rice crispies with skim milk. I don't drink soda, instead plenty of water and tea. I don't like fast food, and if I have to get something on the run then I usually buy a ham & cheese sub. (no mayo or mustard, just vinegar, no oil. plenty of veggies too.) I hardly ever eat sweets or junk food because I don't like the way they make me feel all run down and tired later. I love onions, tomatoes, broccoli, carrots and cauliflower and eat them often. I eat on a regular schedule.

I think most people would say this is a pretty good way of life. Do you agree? Please let me know if I am doing something wrong.

What about this?

Posted by Carol on May 20, 1998 at 13:05:37:

In Reply to: Re: Large blemishes posted by Carol on May 20, 1998 at 12:58:25:

Dr. Stoll,

I want to go back on the pill again, and I read somewhere that there's a new kind of birth control pill that is supposed to help clear up your skin. Does this work and would it help me?

Please let me know.

Re: Me too

Posted by Walt Stoll on May 21, 1998 at 10:01:34:

In Reply to: Me too posted by Annie on May 19, 1998 at 04:39:56:

Dear Annie,

It IS likely related to "detox". However is also points up the necessity of dealing with the causes for your candida susceptibility prior to (or at least in the beginning of) any candida treatment.

Remember, the hormonal imbalance that causes acne originates in the hypothalamus with the chronic fight or flight syndrome--the same thing that causes nearly all LGS (which has to be present before anyone can "get" candida).. For candida treatment to push you over the edge, you had to be right on the edge already.


Re: Large blemishes

Posted by Walt Stoll on May 22, 1998 at 10:29:49:

In Reply to: Re: Large blemishes posted by Charles Kemper on May 20, 1998 at 12:28:29:

Dear Charles,

Not enough to help this. One would need enough to be medicinally effective NOT nutritionally.

Your reference librarian in the public library could find you a book with these values.


Re: What about this?

Posted by Walt Stoll on May 22, 1998 at 10:51:53:

In Reply to: What about this? posted by Carol on May 20, 1998 at 13:05:37:

Dear Carol,

First, I cannot improve much on your diet or exercise & think you should keep doing exactly what you are. The glaring thing missing is the skilled relaxation & you are going to get into that. By adding the relaxation as described, you will be greatly increasing the benefits you are already getting from your diet & exercise. The fact that you are doing the diet & exercise will GREATLY increase the benefits you will get from the relaxation.

Most people with chronic acne will improve at least for a while by taking ANY birth control pill. However, SOME get worse. Without being on the spot, and having the privilege of being your doc, there is no way I can know enough to predict which person you will be. However, if they make you worse, you can just stop them & you will go back to where you were without them.

Once your wellness program has been going for about a year--even if you WERE one of those the pill made worse--you could probably go on them without any problem. Keep remembering that persistant acne is ALWAYS an endocrine imbalance. Sometimes the pill pushes the individual toward balance and some times away (it depends on where the imbalance is for that person).

Hope this is making sense to you.

Let us know how you do. Others deserve to know that they are not being given all of their options by the conventional medical monopoly.


Re: Large blemishes

Posted by jennifer on May 26, 1998 at 18:50:07:

In Reply to: Large blemishes posted by Carol on May 18, 1998 at 13:19:51:

Dear Carol
I had the same problem it was cured with one treatment (which was six months) of accutane and the Mary Kay skin care system. It has been 3 years since my long lasting problem of 1painful and depressing year, since the accutane. The Mary Kay Skin Care helped to lessen the rough appearance of my skin as well as clear up any red scarring. It has been one year since I began that. I get compliments on my skin all the time. If you know a good dermatologist I highly recommend the accutane. It's alittle work on your part too. You need blood tests monthly and to be dedicated to taking the meds daily. The side affects scare you at first but if you abide you should have good results. The Mary Kay Skin Care I can help you with that. I was so pleased that I promised to help everyone I could. Drop me a line if you like I hope that I can help you. I have been there. Looking foreward to hearing from you.

1998: Jan Feb Mar Apr May

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