I'm SO excited to be writing this,
I've been waiting for this day for 3 years.
I've tried the Regimen, two types of birth control, antibiotics, retin-A micro, and countless other over-the counter oral/topical drugs for for my acne, and they just haven't been enough. So, at the advice of my dermatologist, I start my new journey tomorrow on Epuris, a form of Isotrentinion (aka Accutane).
Here are my reasons for taking Accutane, and reasons for anyone to consider if they have oily skin, persistent acne, and are relying on hormones to keep it under control.
First - I don't know if I mentioned this before, but I have had extremely oily skin since grade 8. And when I say extremely, I mean like, this stuff seeps out of my pores at a litre a minute. After exactly 60 minutes after blotting & powdering my skin will be a shiny oily slick mess. This makes keeping make-up on difficult. I've always been a maid, because I'm too embarrassed to work an 8 hour shift somewhere in the public eye, where I won't be able to touch-up every hour.
My dermatologist reccommended OC8 mattifying gel. I think it probably would work great for a normal oily skinned person. But on me, it was like trying to soak up an ocean with a cotton ball. Not happening.
Accutane is great for drying out skin. In fact, it's one of the very few drugs available that can slow oil production, and quite possibly the only one that has the potential for long lasting/permanent results.
Second- I've been on birth control for almost two years. Someday, I'm going to want a child. And when I do, I clearly can't be on any type of hormonal acne treatment. Besides hormones, Accutane is the only drug I'm aware of that can effectively control acne of my severity.
Third - My body acne is very persistant, and all the 'body acne' treatments I've ever tried just don't cut it. Birth control has been great, but I still have moderate body acne, and when I do someday go off birth control, it would probably go right back to the severity of my early teens. Gah.
Fourth, and possibly the most important - I won't be missing the acne on my face. I don't really need to explain this. It has been a psychologically damaging and emotionally draining journey battling with this. It has stolen many things from me, the greatest of which was my confidence. And I'm never going to stop fighting until I have beat it. I know that my confidence shouldn't be shattered by physical appearance, but even with that knowledge, I just can't get past this fear of looking people in the eye. I want to be confident in my skin and not be held back by it any longer.
So that is why I made the informed decision to go on Accutane, and I'll be praying every night that it will be effective, and that the effects last. Keep your fingers crossed for me.
PS. I laughed so hard when I saw the back of the blister pack containing the individual pills. First of all, I have at least 10 documents saying DO NOT GET PREGNANT ON THIS MEDICATION. The derm, the pharmacist, the sheets they both gave me, the drug information insert and information in the actual medication boxes ALL lecture on NOT GETTING PREGNANT ON THIS. There are manditory pregnancy tests, it's manditory you're on at least two forms of contraceptives at all times even if you're abstaining (which they really, really, really push by the way. ) There's a sheet of 'reminder cards' you can remind yourself with to not get preggo, there are two documents to sign promising you won't get pregnant, there's a booklet that explains over and over how not to get pregnant, aaaaaand in case all that didn't sink in, the back of the blister pack has a little NO sign over a pregnant lady, on the back of every single individual pill.