Paula Begoun and Bryan Barron
See book keywords and concepts |  However, accutane is the only option that can potentially cure breakouts; all of the other methods merely keep the problem reduced or at bay. More than 50% of the people who take accutane for one round never break out again, and it eliminates oily skin altogether. Those odds are increased significantly for people who take it a second time (Sources: Skin Therapy Letter, March 2004, pages 1-4; Expert Opinion on Drug Safety, February 2004, pages 119-129; and Journal of the American Medical Association, August 2004, pages 726-735). |
the Editors of PREVENTION Magazine Health Books
See book keywords and concepts |  Approach accutane with caution. accutane is a powerful prescription drug for severe cystic acne that doesn't respond to any other treatment, says Dr. Coskey. But accutane can cause birth defects and must be used with extreme caution in women of child-bearing age. If you're a woman using accutane, your doctor will require that you use a reliable method of birth control and that you be tested regularly for pregnancy. Other side effects often associated with accutane are extremely dry skin, nosebleeds, dry eyes, muscle aches and elevated triglycerides and cholesterol. |
Tori Hudson, N.D.
See book keywords and concepts |  In addition to the products already mentioned, herbalist Susun Weed provides the following list of products to avoid: DES (diethylstilbestrol), laxatives, pHisoHex (or anything else containing hexachlorophene), hair dyes, phenobarbital, barbiturates, tranquilizers, epinephrine (adrenaline) shots, sulfa drugs, antibiotics, vaccines, anesthetics, mercury vapors in dentists' offices, steroids, hormones, and accutane (an acne medication). |
Dr. Timothy Scott
See book keywords and concepts |  The FDA-approved package insert for accutane, an acne-control medicine, warns "Accutane may cause depression."19 The package inserts for dozens of other drugs have the same warning,20 so be sure you read the fine print for any drug that you have been prescribed.
(3) Are you watching much television?
You may be surprised to learn that I do not want my clients watching much television. My reasons are consistent with the Continuum Model. We decrease our metabolic rate whenever we lie down and rest. |
Joe Graedon, M.S. and Teresa Graedon, Ph.D.
See book keywords and concepts |  Accutane to treat bad acne for almost a month. I have taken 26 tablets, but stopped taking it when I thought I might be pregnant.
I found out yesterday that I am indeed pregnant, and I am scared. I want to have this baby, but after reading about the drug causing birth defects, I am not sure. What should I do?
A. We were shocked to learn that you have become pregnant while taking accutane. This acne medicine can cause very serious birth defects in a fetus. |
Bottom Line Health
See book keywords and concepts | | Also, anyone who has taken the drug accutane within the last year is not a candidate because during this period, the skin is too sensitive for a deep peel. The recovery process takes at least three weeks.
Cost: Gentle peels run from $200 to $400 each.. .medium peels, from $200 to $1,200, depending on how much of the face is peeled... phenol or TCA peels, up to $4,000, also depending on the amount of skin treated.
LASER AND PHOTO REJUVENATION
Laser treatment tones the skin and improves skin texture.
Photo rejuvenation uses pulsed light to eliminate age spots and undesirable pigmentation. |
Paula Begoun and Bryan Barron
See book keywords and concepts | | More than 50% of the people who take accutane for one round never break out again, and it eliminates oily skin altogether. Those odds are increased significantly for people who take it a second time (Sources: Skin Therapy Letter, March 2004, pages 1-4; Expert Opinion on Drug Safety, February 2004, pages 119-129; and Journal of the American Medical Association, August 2004, pages 726-735). | | They are especially unsafe if you've been using tretinoin, Differin, AHA, or BHA; are having facial peels or laser procedures; taking Accutane; or if you have naturally thin skin or any skin disorder such as rosacea, psoriasis, or seborrhea. | | They are especially unsafe if you've been having facial peels; using Retin-A, Renova, AHAs, or BHA; or are taking Accutane; or if you have naturally thin skin ot any skin disotder such as rosacea, psoriasis, or seborrhea.
Biore claims this product can pull an entire blackhead plug out of the skin. It can't. If you could grab a blackhead out of the skin, your skin would be left with an empty hole (and there is nothing in this producr that will close it up), but that's not what happens. |
the Editors of PREVENTION Magazine Health Books
See book keywords and concepts | | Coskey. But accutane can cause birth defects and must be used with extreme caution in women of child-bearing age. If you're a woman using accutane, your doctor will require that you use a reliable method of birth control and that you be tested regularly for pregnancy. Other side effects often associated with accutane are extremely dry skin, nosebleeds, dry eyes, muscle aches and elevated triglycerides and cholesterol.
Accutane therapy lasts for 16 to 20 weeks, and is 80 percent effective for severe acne, says Dr. Coskey. |
Dr. Timothy Scott
See book keywords and concepts | | The FDA-approved package insert for accutane, an acne-control medicine, warns "Accutane may cause depression."19 The package inserts for dozens of other drugs have the same warning,20 so be sure you read the fine print for any drug that you have been prescribed.
(3) Are you watching much television?
You may be surprised to learn that I do not want my clients watching much television. My reasons are consistent with the Continuum Model. We decrease our metabolic rate whenever we lie down and rest. |
Tori Hudson, N.D.
See book keywords and concepts | | Environmental chemicals such as mercury and lead, many prescription drugs such as Dilantin and accutane, recreational drugs including cocaine and alcohol, and even some illnesses including rubella, diabetes, and herpes are all potentially teratogenic agents and able to cause loss of a pregnancy, birth defects, or pregnancy complications. Pesticides and other contaminants found in the environment (including our food and water) can disrupt the hormonal and chromosomal cycles, leading to breaks in the DNA and a wide range of deformities and abnormalities in all animal species, including humans. |
Jonathan V. Wright, M.D. and Alan R. Gaby, M.D.
See book keywords and concepts |  Azelaic acid is not as effective as accutane for individuals with severe cystic acne, a type of acne that can lead to scarring. However, as many as one-third of such patients have achieved good to excellent results after 6 months of treatment with azelaic acid. The combination of azelaic-acid cream twice daily and 100 mg of oral minocycline (a tetracycline derivative) daily was even more effective, with 90% of patients achieving good or excellent results. Thus, azelaic acid, either alone or in combination with antibiotics, is an effective alternative to accutane. |
Craig Pepin-Donat
See book keywords and concepts |  Accutane, used to treat severe acne, causes birth defects, but it can also increase the risk of depression, psychosis, aggression and suicide.
According to Dr. Sidney Wolfe, director of Public Citizen Health and Research Group, a non-profit consumer advocate organization, "In the 31 years that I've been monitoring the Food and Drug Administration...there have been an unprecedented number and percentage of drugs taken off the market, in many cases, drugs with known problems before they came on the market. |
J. Douglas Bremner
See book keywords and concepts |  As I said earlier, accutane is only a minor modification of the active form of vitamin A. Vitamin A is found naturally in foods like liver, carrots, and other orange vegetables in the form of beta-carotene. When vitamin A is digested, the beta-carotene is converted to retinoic acid, which has biological effects. For example, Arctic explorers in the ninteenth century who lived almost exclusively on polar bear liver, an extremely rich source of vitamin A, developed symptoms of confusion and psychosis. | | Graham identified five widely prescribed drugs still on the market that are particularly dangerous, including accutane, Bextra, Crestor, Me-ridia, and Serevent. (In 2005 Bextra was taken off the market.)
While it's true that many drugs help people live longer and better lives, myriad others may be harmful in ways you're unaware of. Dr. Graham's testimony provided the public a fleeting glimpse of the knowledge that is normally hidden from view or frustratingly difficult for the average person to access. | | Less serious than suicidal depression and birth defects, accutane can cause severe headaches in about 20% of patients and, more rarely, pseudotumor cerebri (a swelling of the brain that can be fatal). Other serious side effects include ulcerative colitis, irritable bowel syndrome, severe joint pain, cholesterol elevation, and liver damage. Cholesterol and liver-enzyme levels need to be monitored during treatment, and treatment should be stopped if they are elevated. | | In general, these drugs are fairly safe for healthy people, but they aren't as effective in the treatment of acne as medications like accutane (isotretinoin). Several prescription and nonprescription topical ointments can work in tandem with antibiotic treatment. In general, ointments are safer than ingested pills because very little of the active ingredients gets into your bloodstream.
Benzoyl peroxide cream (NeoBenz Micro, Basiron, Brevoxyl, Stioxyl, Panoxyl, Proactiv) is an effective and safe first-line treatment that can be purchased over the counter or obtained by prescription. | | Although the effects of accutane on the developing brain of the fetus might well have prompted the drug company, the FDA, or the National Institutes of Health to posit that the drug might also affect the brains of teenagers and adults taking the drug, no research has been initiated to test this hypothesis. The fact is that drug companies usually don't support research that might reveal their drug to have a damaging or deadly side effect. | | In 2002 Accutane's label was changed yet again to warn of "depression, psychosis and, rarely, suicidal ideation, suicide attempts, suicide, and aggressive and/or violent behaviors." However, after planning a study with Roche, the acting head of FDA Drug Surveillance concluded in 2002 that such a study could not be blinded because patients would know from the side effects (like skin dryness) what they were on and that therefore the study should not be performed. At that time the FDA knew of 173 cases of suicide from its MedWatch Program. |
Joe Graedon, M.S. and Teresa Graedon, Ph.D.
See book keywords and concepts | | From the time of its introduction, the maker of accutane strove to get across the point that this drug can cause birth defects. Women who take this medication must not get pregnant while they are on the drug or for sev-
** Isotretinoin (Accutane, Amnesteem, Claravis, Sotret)
Isotretinoin is chemically related to vitamin A, so it controls cell division. Four to 5 months of treatment usually results in significant clearing of acne, sometimes lasting years. |
Jonathan V. Wright, M.D. and Alan R. Gaby, M.D.
See book keywords and concepts | | Thus, azelaic acid, either alone or in combination with antibiotics, is an effective alternative to accutane.
Azelaic acid is available as a 20% cream, either by prescription or (less expensively) from some distributors of natural products. The cream should be applied to the affected areas twice daily. Although azelaic acid is usually well tolerated, on rare occasions it has been associated with a loss of skin pigmentation. Treatment with azelaic acid should therefore be monitored by a doctor. |
Jacky Law
See book keywords and concepts |  He alleged GlaxoSmithKline's asthma drug Serevent; AstraZeneca's statin, Crestor; Pfizer's latest Cox-2 inhibitor, Bextra; Roche's acne drug, Accutane; and Abbott Laboratories' slimming drug Meridia (Reductil in the UK), as all having had the same whitewash treatment to present their best side, rather than the warts-and-all version people need if they are to live in what can be considered a civilized society.
The stock market responded to Graham's remarks, with the share prices of all five companies concerned falling, some quite significantly. |
Phyllis A. Balch, CNC
See book keywords and concepts |  For severe acne, a new treatment that is much safer than accutane has recently been developed. A treatment called Levulan PDT, or the "Blue Light Treatment," is ideal for patients of all ages, including teens. During a painless, in-office treatment, the face is first given a mild microderm-abrasion (sanding) to remove the surface layer of dead skin, then Levulan (5-aminole-vulinic acid) is applied to the face. This application makes acne bacteria more sensitive to light. |
Michael Friedman, ND
See book keywords and concepts |  Iatrogenic causes include beta blockers and diuretics, progestins, androgens, estrogens, retinoids (such as accutane, an analog of vitamin A), corticosteroids, anti-convulsant medications, Cyclosporin, and HIV drugs. Many of the drugs used in treating secondary complications of diabetes, such as beta blockers and diuretics, are helpful in treating the hypertension and edema, but cause other secondary complications of diabetes, such as dyslipidemia. Cardiovascular disease is the highest significant risk for a diabetic. |
Joseph E. Mario
See book keywords and concepts |  Synthetic Vitamin A accutane may rid oral leukop lakia which precedes mouth and throat cancer in smokers (but is not to be taken during pregnancy).
WORKS WITH: Vitamins B2, B-12, Choline, Vitamin C, Vitamin D, stabilizes Vitamin E, Vitamin F, Selenium, Zinc, Calcium, Phosphorus, Protein, and Fats.
RANGE: RDA is 4000 units mfemales and 5000 units in males, to 8000-16,000-20,000-33,000 units best average; to 50,000 to 500,000 units in applied therapy.
TOXICITY: None known with Beta-Carotene, believed safe up to 83,000 international units (50 mg.) daily. |
the Editors of PREVENTION Magazine Health Books
See book keywords and concepts | | If you're a woman using accutane, your doctor will require that you use a reliable method of birth control and that you be tested regularly for pregnancy. Other side effects often associated with accutane are extremely dry skin, nosebleeds, dry eyes, muscle aches and elevated triglycerides and cholesterol.
Accutane therapy lasts for 16 to 20 weeks, and is 80 percent effective for severe acne, says Dr. Coskey.
Post-Menopausal Bleeding when to see your doctor
• You have any bleeding at all after menopause—light or heavy. |
Greg Critser
See book keywords and concepts |  A notable exception is isotretinoin, or accutane, for acne, which remains on the market, mainly for youth, because there are no other options for treatment of severe acne.) But there is a long streak of luck at play as well.
Will this pharmacological roll of the dice founder? As the sheer volume of drug approvals skyrockets, and as manufacturers get better and better at pushing physicians to adopt new meds faster, experts in the field of toxicology have begun to worry about the limits of their ability to assess risk. |
Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D.
See book keywords and concepts |  However, unlike the long-lasting benefits of the synthetic prescription version of vitamin A (isotretinoin as accutane), the acne typically returns several months after natural vitamin A is discontinued. In addition, the large amounts of vitamin A needed to control acne can be toxic and should be used only under careful medical supervision.
In a preliminary trial, people with acne were given 2.5 grams of pantothenic acid (page 568) orally four times per day, for a total of 10 grams per day—a remarkably high amount. |
page 1 of 4 | Next ->
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