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My son at age 21 developed Cystic Acne and now is on isotretinoin he recently had his vitamin D tested and his level was a 7.. The Dr put him on 50000 unit of vitamin D once a week. Could there be a connection between the 2.. As I told the dermatologist I don't think cystic acne just starts in your 20's… although he disagreed with me

Asked by  betty0135083900 on February 9, 2015

  •  betty0135083900 on

    See title

    Answered by  betty0135083900 on
  •  IAW on

    The following is from “Dear Dr Cannell: Acne, food allergy, and esophagitis”
    Jan from New York wrote “My other son got bad acne and I started him on 5k/day of vitamin D instead of Accutane and, no kidding, his acne has gotten much better. Thanks for your efforts. You have definitely helped my family.”
    Dr. Cannell responded:
    As far as acne is concerned, Dr Maynard reported that vitamin D was effective in 1938 but, to the best of my knowledge, no one has studied it since. The doses used in 1938 were between 5,000 and 14,000 IU/day. Dr Maynard went out of his way to report that many teenagers felt much better on vitamin D, not just that it helped their acne.

    Maynard MT. Vitamin D in Acne: A Comparison with X-Ray Treatment. Cal West Med. 1938 Aug;49(2):127-32

    Accutane (isotretinoin) does lower vitamin D levels and does so substantially. That may be the reason children on Accutane can have premature closure of the growth plates in their bones. (IAW says this is probably why Accutane can cause depression.)

    Ertugrul DT, Karadag AS, Tutal E, Akin KO. Therapeutic hotline. Does isotretinoin have effect on vitamin D physiology and bone metabolism in acne patients? Dermatol Ther. 2011 Mar-Apr;24(2):291-5.

    He probably had low Vitamin d levels to begin with and that is what is causing the acne. As you can see from the above that drug will cause even lower vitamin d levels. Your son’s is VERY LOW!!!
    I am not a doctor but a member of the VDC. I would highly recommend taking him off the Accutane. I am also going to assume that the Vitamin D he was put on is a prescription form of Vitamin D which is D2 and NOT D3. So you need to go out and get him D3. He should take this daily and 50,000 iu / 7 days is a little over 7000 iu per day. It will not hurt to round that up to 8000 iu a day. (10,000 iu is the safe upper limit) I would also read http://www.vitamindcouncil.org/about-vitamin-d/vitamin-d-and-other-vitamins-and-minerals/.
    I agree with you and not the doctor! Any more questions, just ask!

    Answered by  IAW on
  •  betty0135083900 on

    Thanks for the information….I would love to email Dr. Cannell and ask him a couple questions

    Answered by  betty0135083900 on
  •  IAW on

    Your welcome tor the information!
    He is an extremely busy doctor doing a lot of good for the world. So I think your best bet is to post your questions here.

    Answered by  IAW on

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