I am a 34 year old male and I've suffered from acne since I was 14. Topicals have worked in the past however they always stop working. I've been on accutane 3 times. My most recent accutane dosage was 20mg/day for 1 yr. I have been off the tane for a few months and the breakouts have returned, mostly to my nose. For the past week I have been experimenting with 32,000-40,000 iu vitamin A /day and it seems to be working. Is this worse than going back on accutane at a dosage of 10mg/day?
Vitamin A Supplements for Acne?
Doctor Answers 2
Toxic dosages of Vitamin A not advised
The magic of Accutane is that research chemists were able to take a normally fat soluble vitamin, Vitamin A, and manipulate it into being a water soluble vitamin, Accutane. Normally, fat soluble vitamins are stored in the liver, and can reach toxic levels. The Vitamin A product you are taking over the counter, lacks any extra benefit over Accutane, but would carry far greater risk. So I would not advise taking this.
There was a company producing a product called Aquasol, which was, as its name implied, a water soluble Vitamin A. However, since this was given in large doses to achieve affect, I was always nervous prescribing this. The company that manufactured it stopped doing so, undoubtedly because Accutane was a superior product.
My suggestion, at this point, would be to try one of the light based therapies, such as photodynamic therapy, Isolaz or the Smoothbeam laser.
Vitamin A instead of Accutane
Taking high doses of Vitamin A isn't the same as taking Accutane. Though Accutane is derived from Vitamin A there is much more to it. Taking that high of a dose of straight Vitamin A can be damaging to your liver, as well as other vital organs. If you want to go back on Accutane, do so, but don't try to go around that by taking plain Vitamin A - it's not the same and is much more dangerous and toxic.