I am 27 yrs. old and I have had acne since high school. It was pretty severe nodular acne that has left many scars that have faded over the years. However, in some areas the scars cannot heal because they are still acne prone. My problem area now is around my nose, mouth, and chin. It didn't use to be like that and I am not sure why it changed. After several months of pretty bad acne I decided to see a dermatologist and was prescribed Accutane.
Note: Dan's regime works great. It reduced me to only having a few cysts once a month, sometimes less. But it is not a cure and the acne comes back if I miss a couple applications. Once I see results I get lazy and it often comes back full force.
Accutane Journey: 30mg per day Month 1
9/12/12 - Day 1
I down the first pill with a large plate of chicken and pasta. I felt pretty dizzy during my work out and fell asleep very fast at bed time. I stopped Dan's Regime today.
9/13/12 - Day 2:
My face is so oily from stopping Benzyl Peroxide. There are two large pustules around my lips. No dizziness today.
9/14/12 - Day 3:
My face is less oily than yesterday. It seems almost normal. It is kind of itchy in some places. The pustules popped during sleep and now I only have a red spot that appear to be acne but doesn’t feel like it.
9/15/12 - Day 4:
Small pimples are growing on my forehead and under my nose. They are itchy.
9/16/12 - Day 5:
Pustules outline my nose. They are itchy and uncomfortable. Each of my eyes has a red line from the inside to the iris. I have dry lips today.
9/17/12 - Day 6:
I woke up this morning and my problem area was very oily. It looked like I was sprayed with water. The red eye from yesterday went away thankfully, but there are still red veins. I woke up during the night to use the restroom and my eyes were very dry—So much so that it was hard to go back to sleep. Only 3 minor pustules today and the large ones popped during the night. My lips are dry throughout the day but no other side effects.
9/18/12 - Day 7:
Wow 1 week already. My lips dry as usual, but no more than when I used benzyl peroxide. Dry eyes are gone.
9/19/12 - Day 8:
Ugh, initial Break out? I don't know. I have clusters of pustules in a line from the right side of my lips to the left side of my nose. They are so itchy it's unbearable! I just had to pop a couple of them and now they itch even more! I also have two or three big pimples coming out the bottom of my chin! My lips are increasingly dry. No other side effects.
Update: Yes this is the initial breakout.
9/20/12 - Day 9:
It's just terrible! A colony of pustules has settled around near the left side of my nose and stretch all the way down to my lips. I have another big one on the other side with 3 pustules on it--another one matching this description above my chin—and another large one under my chin. It's so damn itchy sometimes! One or two of them actually popped during work and started oozing pus...right before I had to talk to someone! Lips are constantly dry. My problem area is also flaky!
9/21/12 - Day 10:
It is even worse than yesterday. It's spreading to the other side of my face. The ones above my chin hurt so much when I eat. Sometimes they pop and just reform. Small pustules are itchy and the large ones are painful. Dry lips and flaky skin after a wash but the oil comes back after a while.
9/22/12 - Day 11:
I wish my face would stop hurting so much.
9/23/12 - Day 12:
It hurts less and I can eat easily but the pustules keep popping and coming back and I have to call off work for the entire week. My lips have been drying but it didn’t start peeling until today.
9/24/12 - Day 13:
It is still very bad. I always thought to stop all other routines while on Accutane but the breakout has gotten so bad it made me desperate. I put benzoyl peroxide on the infected area and immediately it burns like heck! My skin has become so sensitive now that the five years of tolerance of benzoyl peroxide cream did nothing to ease the stinging. I washed off the benzoyl peroxide after a couple hours and felt instant relief! Having water fall down on my face is a great massage. I must have just sat in the shower for 10 minutes.
I was very unhappy earlier I had to make another post to rant about everything that has happened. It is night time now and the old spots do appear to be healing but at the same time new ones are popping up! The infected area has moved downwards by one inch. Scabs are falling everywhere. I notice a few nasty ones on my bed earlier, all over my pillows too. My upper lips are still swollen from all the acne and it is still difficult to take in big bites. I have to eat very slowly and in small portions.
I am better at applying Aquaphor on my lips. The trick is to not constantly drink water as your body is not dehydrated anyway. It always washes away the Aquaphor.
9/25/12 Day 14:
Today is good. Aside from the morning peek I decided to follow the phrase "out of sight out of mind". Today, there wasn't much pain and by day's end the pain was gone. I do feel a lot of dry scabs all over my infected area and some of them are even half way ready to fall off. I'm constantly worried about them falling into my food while I eat. Good news, my lips are no longer swollen, but they are even drier! A whole layer has peeled off when I wipe them after spilling some water. I felt one or two pimples in the shower 10 minutes ago and I'm sure there is more.
9/26/12 Day 15:
Today is MUCH better. I woke up with an unbearable itch but to only a few pustules. I don't look infected anymore. My face was covered in scabs from the past several days and I had to remove them because I had to go outside. I had hope they would fall off by now but I removed them myself to go outside. I think I went a bit far because two spots should have been left alone to heal the skin underneath.
9/27/12 Day 16:
A couple new pustules formed. The old ones are fading in color. Scabs are almost all gone and they leave red skin. I have to apply Aquaphor to my lips more frequently.
9/28/12 Day 17:
Initial breakout complete
I still have some old pustules around my chin and a couple around my nose but nothing too bad. The flaky skin has reduced dramatically as well from all the pimples going away. I bought some Burdock Root today after I read that it helps the liver and lower triglycerides. Now I hope my face heal enough by Monday so I can go back to work.
9/29/12 Day 18: My face is red from the initial break out. I am still having some new pimples. Aquaphor is so amazing for my lips. Sometimes it feels dry but it doesn't crack or peel anymore. I want the same for my face because it is increasingly dry and flaky. It is still flaky at night so I must be producing a lot less oil. But I don't like the feeling of moisturizing on my face. I am also getting random pimples on my arms and belly over the last couple of days.
9/30/12 Day 19: I'm finally comfortable enough to put a little moisturizer on my face. It doesn't burn or sting any more.
10/01/12 Day 20: Wow, two packets down already. My face is darker and red. I am getting a random pimple on my belly and a random pimple on the side of my neck. They are very small.