How Can I Prevent Achy Joints from Accutane?

Question

I am beginning Accutane treatment in two weeks. My biggest conern is that almost everyone who uses the drug complains about achy joints. I am a professional dancer and have a huge gig coming up in August. Is there anything I can do while taking Accutane that can prevent/lessen this side effect? Are there certain dietary/supplementary changes I should make to ease the process along?

Otto Joseph Placik, MD · Answer

You may want to consider glucosamine-chondroitin supplements and you may want to consider premedicating with NSAIDS such as motrin if your stomach can handle it. I am sure that your dermatologist or prescribing physician has encountered and managed this condition before. Express your concerns and ask for your options.

Arnold R. Oppenheim, MD (retired) · Answer

I have been prescribing Accutane for 28 years, and have not had a patient develop joint pain. I think the key is to use a lower dosage and extend the period on the drug  by two months, i.e.  6 months rather than 4. I saw a young lady, a triathelete, who still has lingering joint pain two years after Accutane. She received a high dose by the PA of one of my colleagues. 
     My other suggestion would be to have your Vitamin D level checked. Many of us who are doing so are surprised at the number of people with  vague joint and muscle pains are actually Vitamin D deficient. If there is any suggestion of deficiency, I would recommend the Vitamin D3 form along with Cacitral + D.
     I hope your gig goes well. When you retire, please apply to our office. We have employed two former ballerinas (from major corps), and Stephanie our aesthetician is a former dancer/instructor. I catch her lifting her leg toward her head or lodging it on the front desk all the time!

How Can I Prevent Achy Joints from Accutane?

Answers (2)