How Can I Prevent Achy Joints from Accutane?

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?

Doctor Answers 2

Lower Doses, ?? Vitamin D

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!

Virginia Beach Dermatologist
4.7 out of 5 stars 14 reviews

Joint pain with Accutane

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.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

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