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Skin and Hair Disorders
Consultation #17018
1 year ago
2,457

Isotretinoin - #17018

Hudson
FREE

I've been dealing with acne for almost six years now, and it has completely messed up my confidence. I tried everything – home remedies, face washes, prescription creams, and even antibiotics, but nothing gave permanent results. My dermatologist finally put me on isotretinoin about four months ago, saying it's the strongest treatment for acne. At first, I was hopeful because I saw some improvement in my skin, but now the side effects are making me question if this is worth it. My lips are insanely dry, no matter how much lip balm I use, they just keep cracking and peeling. My skin is flaky all over, and my nose even started bleeding sometimes because of the dryness. The worst part is the muscle pain—I feel like an old person when I wake up, and my joints feel stiff even though I’m only 24. I also think it's affecting my mood. I used to be pretty chill, but now I feel irritated all the time, and sometimes I just feel down for no reason. On top of that, my digestion has been off ever since I started isotretinoin. I get bloated really easily, and I’ve had acid reflux that never used to happen before. My doctor says these side effects are common and that I should just drink more water and moisturize more, but I feel like my body is telling me it doesn’t like this medication. I’ve been reading about Ayurveda and wondering if there’s a way to treat acne without taking strong medicines like isotretinoin. I know Ayurveda focuses on balancing the body instead of just treating symptoms, which makes a lot of sense to me. Are there herbs or specific treatments that work as well as isotretinoin but without the harsh side effects? I’ve heard about things like Panchakarma detox and herbs like neem and manjistha for acne, but do they actually work? Also, if I stop isotretinoin, how do I prevent my acne from coming back? I don’t want to just switch to another treatment that only gives temporary results. If anyone has healed their acne with Ayurveda, I’d love to hear what worked for you.

Consultation is closed

Doctors' responses

Dr. Snehal Vidhate
Bachelor of Ayurvedic Medicine and Surgery
1 year ago
5

Your acne seems to be caused by excess Pitta and toxin buildup (Ama) in Ayurveda, which is why isotretinoin is drying you out so badly. While it reduces oil production, it disrupts internal balance, leading to extreme dryness, joint pain, mood changes, and digestion issues. Ayurveda treats acne by cooling Pitta, detoxifying the blood, and improving digestion rather than just suppressing symptoms. Stopping isotretinoin suddenly may cause a rebound, so transitioning to a gentle Ayurvedic detox and diet change can help prevent breakouts.

Herbs like Neem (antibacterial), Manjistha (blood purifier), and Guduchi (immune booster) can naturally cleanse your skin from within. You can take Neem capsules or drink Neem tea daily and use Manjistha powder with honey. Aloe vera juice and coriander juice (1 tbsp each morning) can cool inflammation. Externally, applying sandalwood or multani mitti masks with rose water helps reduce redness. If digestion is weak, take Triphala at night to clear gut toxins. Avoid spicy, fried, and dairy-heavy foods, as they aggravate acne.

Since isotretinoin dries out your body, you need to nourish your skin and joints while detoxing. Drink coconut water, eat soaked almonds, and use ghee in meals to restore balance. If stress worsens your acne, try Ashwagandha or Brahmi for calming the mind. Panchakarma detox (especially Virechana – a gentle cleanse for Pitta) can provide long-term acne relief. Ayurveda works deeply but takes time, so be patient, and with the right diet and herbs, you can clear your skin naturally without damaging your health.

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Dr. Prasad Pentakota
Bachelor of Ayurvedic Medicine and Surgery
1 year ago
5

Your acne is likely due to excess Pitta and toxin accumulation (Ama) in the blood, which isotretinoin temporarily suppresses but does not heal from the root. Ayurveda focuses on internal purification and balancing doshas for long-term relief. Herbs like Neem and Manjistha are excellent for blood purification, while Guduchi and Triphala support detoxification and digestion. A gentle Panchakarma detox, such as Virechana (purgation therapy), can help eliminate deep-seated Pitta toxins. Avoid spicy, oily, and processed foods, as they aggravate Pitta and trigger breakouts. Instead, eat cooling, fresh foods like cucumber, coconut water, and bitter greens. Applying a paste of sandalwood and rosewater can soothe inflammation. Since your body is reacting strongly to isotretinoin, gradually shifting to Ayurvedic herbs and therapies will help balance your skin naturally without harsh side effects. Managing stress through meditation and practicing yoga can also play a vital role in healing acne from within.

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Dr. Anjali Sehrawat
Bachelor of Ayurvedic Medicine and Surgery
1 year ago
5

Navigating acne can be such a rollercoaster, especially with something like isotretinoin, right? Your experience with the side effects is totally understandable, and it’s great that you’re exploring options in Ayurveda, known for its holistic approach. So, let’s dive into how Ayurveda might help!

In Ayurveda, acne is often tied to imbalances in the doshas, particularly Pitta – the heat in the body. It can be aggravated by things like stress, spicy or oily foods, and even certain lifestyle habits. Balancing these elements can bring lasting changes.

Given the dryness you’re facing, herbs like neem and manjistha are great but they need complementary strategies to work effectively. Neem purifies the blood, while manjistha supports the lymphatic system – both help reduce the internal heat and promote clearer skin. You could try taking them as capsules or powders daily, but be sure to chat with an Ayurvedic practitioner first because, you know, personal constitution matters.

As for lifestyle, incorporating cooling foods might help calm that internal heat. Think cucumber, melons, and coconut water. Reducing spicy and oily foods can help too. Hydrating with water is key but maybe focus also on teas like coriander, fennel or mint.

Your digestive issues might be linked to stress or dosha imbalance. Try Triphala – it’s a traditional blend that aids digestion, maybe take it before bedtime. And yoga or meditation could positively impact your mood swings and digestion, helping to ground you.

For Panchakarma, it’s a deeper cleanse involving five therapies that eliminate toxins. If you’re considering, it should be done with guidance from an experienced Ayurvedic doctor. It might help in rebalancing doshas but, it’s intense, so best to approach it when you’re ready.

Preventing acne’s return often involves maintaining a daily routine (dinacharya) - waking early, regular meals, meditation. It might not sound as strong as medication, but consistency matters.

And if you decide to step back from isotretinoin, keep in touch with your dermatologist. Combining modalities can sometimes be beneficial, but safety first, always.

Everyone’s path with Ayurveda is unique, honestly. It’s a journey, but one that can result in harmony and healing over time. Just keep exploring and be gentle with yourself!

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