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myface

Complete resolution of my acne (2008).   This was after two courses of Accutane. While Accutane cured my cystic acne, my comedonal acne (blackheads and tiny whiteheads) kept returning every time I went off the Accutane.  I eventually figured out that eating a low-glycemic, reduced carb diet made my blood sugar better, and my skin smooth and less oily.  The differin also helps prevent comedonal acne, as does the spironolactone, Yasmin, and glucophage.  The medication and topicals are not enough to keep my skin completely clear (Holiday eating has proven this Posted Image).  Similarly, a healthy diet is also not sufficient (I've tried stopping the spironolactone and Differin).  However, everything together has really worked for me.  (BTW, when I took the picture, I put a yellow cast on it because I thought it made me look tanner Posted Image.  I don't have the original any longer, but just imagine my skin paler and with a light pink cast.)

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    Hi,

    Thanks for your story :)

    I am clear except I get really bad cystic acne near my lower chin right and left but it always changes from either side. Never on the same side at the same time. Strange huh?

    Well its effecting my career and confidence. I am trying to get some help to I can battle this negative part in my life.

    What was the mg of Accutane that you took? My cystic acne is very painful and server for the little around my chin that I do get. Would 20 mg a day work?

    I avoid doctors because I think they are a waste of money. What is your advice?
    Wow congratulations!

    Hi John,

     

    I have not logged into acne.org for a long time, and for some reason I never received e-mail notification that there were comments on my gallery!  I will answer your question anyhow in case it could still help you or anyone else.

     

    I believe I was on at least 40 mg of Accutane, but it was a while ago and I'd have to ask my doctor for my medical records to check for sure.  My cysts were also mostly on my chin.  They were large, deep, and extremely painful; at the time, I was getting corticosteroid injections on my chin a couple of times per month.  I was young and on my mom's awesome insurance that she got through a school district, so the dermatologist appointments and office procedures had zero copays, all bloodwork had zero copay, and prescriptions had $5 copay for 1 month supply, $10 for 3 month.

     

    I think an office visit with a dermatologist would be $100-$200.  I'm not sure how much bloodwork would be (cholesterol and triglycerides need to be checked before starting accutane).   Accutane itself is extremely expensive (http://www.goodrx.com/amnesteem/price).  It looks like it usually runs around $300-$600 per month.  (However, when I selected "sotret" as the generic instead of amnesteem, I found one for $118 at a local Walgreens, which isn't horrible). However, accutane is only taken temporarily, so that helps.  If you are young and healthy, you could look into an individual plan that covers prescriptions.  The yearly premium cost might be less than the cost for Accutane (plus insurance protects you from medical bankruptcy).  I have the Keep Fit plan by Blue Cross/Blue Shield of Michigan, with $120 per month premium, $3000 outpatient deductible, can't remember inpatient deductible, $6000 maximum out-of-pocket yearly expense, and no lifetime or yearly cap on coverage.  Because they want to encourage people to stay active, the deductible is waived for accidental injuries (but there is 30% coinsurance until yearly max out-of-pocket is reached).  There is no deductible for prescriptions; the copays are $10 for one month supply, $20 for 3 month supply.  The premium depends on age, and possibly gender (women pay more than men until they reach middle age; for one policy I looked at, my premium would have been over $200 per month, while a man the same age pays $90 per month).  I am fairly certain that the premium depends on weight, too.  The only things they asked me when they gave me a quote were age, gender and weight.  With the Affordable Care Act, young people (and especially young men) can expect to see a premium increase of about 40-100%, since gender rating is being eliminated and differences in rates due to age also must be decreased.  I will re-post when I renew my insurance for next year, and let you guys know if my premium increased (and by how much).  

    ....I forgot to add that with my plan, a yearly physical plus basic preventative bloodwork (which I think includes cholesterol and triglycerides, which you could probably use to go on Accutane as long as you saw the dermatologist soon after) is included with zero copay (I believe this is because of the Affordable Care Act).  Also, thanks to the affordable care act, birth control pills must be provided by all insurances, with zero copay.  My birth control pill is Yasmin/Syeda/Ocella, which is very effective for acne because of the type of progesterone it contains, and it would be around $60 per month without insurance.