Isotretinoin (Accutane) is primarily used to treat bad cases of cystic acne, and to help the skin more rapidly renew itself. In addition, it is used in rare cases for certain skin cancers and skin diseases. It is a type of retinoid, which is naturally found in the body in small amounts. In the USA, it’s a prescription drug, but it is sold over the counter without a prescription in many countries. Bodybuilders who use anabolic steroids have utilized Accutane to counteract the negative effects of steroids on their skin; especially, the acne related side effects. When other treatments fail, Accutane becomes the last resort to help combat acne issues. Accutane works as an isomer of Vitamin A, which reduces the amount of oil released by the oil glands in the skin; this will make it difficult for acne to form and reduce it significantly. Nearly all patients achieve clearing of acne during a course, with 90% reporting ‘excellent’ results with higher dosages. Those that choose to dose low will have results with diminished side effects, but run the risk of recurrence. Since chances of acne are increased with anabolic steroid use, and bodybuilding requires looking good (especially physique competitors), many athletes who have failed to conquer their acne with natural remedies will turn to Accutane. It is the androgenic increases associated with steroids that will trigger increased acne. This is especially true for those genetically prone to the condition. Also, the hormonal changes can trigger acne as well, such as increased testosterone levels.
Among bodybuilders, the dosage should be conservative. Once a day dose of 10-20mg for 6-8 weeks (some need more, some need less), depending on severity, should work fine, but you can extend it necessary. Some users suggest using Accutane 10-20mg 2-3 times per week when coming off cycle or dropping to a cruise dose of Test; to prevent acne sides if you're susceptible to it. Among the general public fighting acne, a dosage of 50-150mg per day may be prescribed by their physician. It is a good idea to take the drug with a large meal.