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About wombat666

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  • Birthday 11/25/1990

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  • Gender Male
  • Location USA
  • Interests Getting clear, and staying that way


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  1. Fighting Stubborn Pustular / Cystic Acne

    I've been trucking along. Haven't been using BP all over my face, haven't been washing too much either. My acne is down to a minimum, but today towards the end of the workday I noticed at least two big pustular ones starting to come up... that really pissed me off, because I thought I was done with the big crazy ones. Apparently not!
  2. Fighting Stubborn Pustular / Cystic Acne

    I haven't been taking Vitamin D at all and so far, my acne has been pretty calm and non-inflamed. I still have small-ish pustules, but I find that when I calm down with the cleansing, the BP and the supplements and just take it easy, my skin always ends up looking better than when I put in the extra effort to treat every blemish. Now that I barely need to use BP, my face has returned to being the same color as the rest of my body, which is nice (before my face always had a reddish hue). I've started month 3 of doxycycline recently... I'm liking what it's doing so far. Too bad it's not a permanent fix, but I'll try to stay on it as long as I can.
  3. Fighting Stubborn Pustular / Cystic Acne

    So these days I've been getting the random smallish pustule on my face, and some random breakouts on my back. I only do all-over BP every other night, and find that I don't need to moisturize. My face stays more or less clear. I think I need to cut out Vitamin D3 after all, because every time I start taking it, my pimples get redder and more inflamed. But besides that, I am happy with how Doxycycline has cleared me up.
  4. Fighting Stubborn Pustular / Cystic Acne

    Looks like its a little over 6 weeks of doxy. My actives have been more and more under control, and my existing pimples continue to shrink. I've been on and off Vitamin D3 supplements I notice that if I take them for a while, my old pimples start to swell up for some reason. However, it's awesome at improving my mood and overall feeling of well-being. My current regimen is BP every other night, to avoid over-irritating my skin. I wash with Dove soap and don't apply moisturizer in the mornings, because I don't use enough BP to dry my skin out. Knock on wood, but so far everything is working, and my skin looks calmer than it has in forever. After this month of doxy is over, I'll have another month to go, and after that - hopefully - I can ask the derm for a prescription through summer.
  5. Fighting Stubborn Pustular / Cystic Acne

    So I've avoided putting BP directly on the spots, eased off on the BP and the cleanser, and used a lot of Hydrocortisone on the spots for a couple of days. The redness subsided and the itching / peeling / bumps have gone away. I've stopped using the cleanser completely, as I think it was causing me to get itchy / develop some kind of reaction. Now I'm just using soap and night-only BP (only moisturizer during day, no BP, even on active spots). Things seemed to have calmed down but I'm still getting breakouts. At this point it's been about 5 weeks of doxy, 100mg / day.
  6. Fighting Stubborn Pustular / Cystic Acne

    Okay, so things aren't looking good. Basically, I've been using BP as a "cover-up" for my active pimples / red marks. In the mornings I would put a glob of BP on each spot, and when the BP dried up, it would act as a sort of concealer. I would have white spots on my face - but still better than red bloody ones. Unfortunately, recently I've developed some serious dermatitis / eczema on the spots where I'd put BP. They are red, swollen, itchy, and have these little crusty bumps. It looked like an angry mosquito attacked and bit me all over. Fortunately, my girlfriend worked her magic and put some BB cream on my face to cover up a lot of the redness, so that I was at least able to look somewhat clean / professional for work this morning. But looks like I won't be using BP during the day anymore! Hopefully the eczema patches go away soon. The only other time I remember having those was during Accutane, when my skin was super-dry.
  7. So I've been using Cetaphil Antibacterial Gentle Cleansing Bar (and the CVS knockoff version) for about 6 months. I had also been using BP nightly for over a year, and had no problems with it, since I'd been on and off the Regimen since 2009. Anyway - a couple of days ago I switched cleansers to the Acne.org cleanser, because I knew that triclosan (the active ingredient in the antibacterial soaps) was bad for me, and I should probably stop using it sooner rather than later. Long story short, my face is all of a sudden a lot more itchy, I'm getting more comedonal pimples and pustules, and areas where I have BP 24/7 (I put large globs of BP on active pimples during the day to cover them up) have become swollen and developed some kind of itchy dermatitis. Why is it that all of a sudden I'm experiencing all these symptoms as if I'm applying a lot of BP for the first time? My skin should be used to it by now. I've been doing the same thing for a year, the only thing that changed is the cleanser.
  8. Fighting Stubborn Pustular / Cystic Acne

    Face has been itching a LOT. Not sure if that's a good thing or a bad thing. I guess that the BP is working better than before, or at least staying on my skin longer? Anyway, my red marks have been a LOT redder, I've gotten some new tiny comedonal pimples, but other than that, nothing to update. Face has also been redder and mega-oily. I took some vitamin D3 yesterday night because when I took it in the past, it helped with oiliness, and people have also had success with D3 combatting oil. I know I shouldn't be supplementing, but I think some D3 should be okay. Hopefully...
  9. Fighting Stubborn Pustular / Cystic Acne

    So I've been slacking with the washing / BP application due to stress and tiredness. Some nights I wouldn't even wash my face. As a result I got some fresh pimples (between 6 and 8) and some of them, especially ones near my jaw area, are quite painful. I finally picked up my new BP, and have started using the Acne.org cleanser, which I've used briefly before. I like the fact that it foams more than some other cleansers I've tried (aka Cetaphil), but doesn't completely strip the skin. My main reason for switching was that I didn't want to be using the antibacterial soap anymore. No matter how gentle it is, using a product with triclosan in it on my face for a prolonged period of time is just asking for trouble (and I'd actually been using it since fall of last year). My skin is redder and itchier right now than I'm used to. Still waiting for the doxy to start doing something, I guess. Overall, no noticeable change since I started this log, in fact things are a lot worse now. Tons of bumps and big red marks. Just have to take it all in stride.
  10. Fighting Stubborn Pustular / Cystic Acne

    Have gotten some smaller pimples (comedonal, not cystic), but still no new big ones, and the old big ones are not painful anymore. Hopefully it's the doxycycline starting to kick in. I've been using Duac on my face for the past two nights instead of Dan's BP, since I won't have a chance to pick up the BP until the weekend. Compared to Dan's BP, Duac is a lot rougher and not as easy to put on - makes me understand why Dan's BP gets so much praise. I've also been sick for the past week, and am only now starting to feel better (still congested though). Good times!
  11. Fighting Stubborn Pustular / Cystic Acne

    I've been running out of BP... I ordered more, but it's currently at a different address (I wanted it shipped there during the move, so that the package wouldn't get lost in transit somewhere). I'll have to pick it up when I get a free moment. I've also been avoiding washing my face / moisturizing on certain mornings / nights, just because I've been too tired. Luckily, it hasn't really done a number on my face. I've had only a couple of new pimples since my last update, and they haven't been too major. Going to pick up my second month's worth of doxy soon as well. Knock on wood...
  12. Fighting Stubborn Pustular / Cystic Acne

    I've been mega-stressed lately (moving into a new apartment, having to work late), but surprisingly my skin hasn't exploded. It's just the usual 1-pustule-a-day business. I guess stress just isn't a trigger for me. Doxy-related body breakouts haven't gotten any worse, so that's good as well.
  13. Fighting Stubborn Pustular / Cystic Acne

    Brief update - still breaking out in big painful lumps. The old ones don't hurt and are kinda flattened out but are still super-red. Starting to see more small pimples on my chest and back, probably a result of the doxy. Can't wait to see actual results (if they ever happen) and not just more breakouts.
  14. Fighting Stubborn Pustular / Cystic Acne

    That's unfortunate... I really think you should be on Doxy longer. Do you take probiotics at all? Or eat kefir / live yogurt? I know they are helpful while on antibiotics because they help replenish the gut flora. I haven't had much experience with probiotic supplements (I tried them once because someone said they "cured" their acne, but they only made me break out worse). Kefir, on the other hand, has never given me any problems. Have you ever had a culture test done on your pustules? Do you think you can get your dermatologist to do one? Sometimes this kind of bacteria isn't even p.acnes, so it won't respond well to BP. I know some people have had folliculitis that resembled acne (caused by staph bacteria or even fungus), so that might be worth looking into. If they know what kind of bacteria is responsible, maybe they can put you on a more appropriate topical regimen (like clindamycin or an anti fungal cream). That way you won't be damaging your gut by taking antibiotics internally, but you'll still be targeting the bacteria on your skin. I don't have much to update... I finally shaved last night. I know it's not advisable to shave with pustules, but I didn't have a choice, since I was starting to look like a hobo and it was really unprofessional. It was pretty traumatizing while I was doing it, since my acne was popping and peeling and bleeding all over the place. However, I'm glad I went through with it, since I looked a lot cleaner this morning. The Doxy is still not showing any signs of working. One thing it's been doing is drying me out and making my skin more sensitive, as well as causing small red pimples to spring up here and there on my body. I think I might be going through a bit of a purge right now, but hopefully it begins clearing up within the next couple of weeks.
  15. Best antibiotic experiences?

    Yup, I asked the doctor for an antibiotic and he put me on Doxycycline. It's been about two weeks on it, no results so far, but I know it takes time. Yup, the Regimen worked a lot better for me back when I used it 2x a day, but I just couldn't stand having a red lobster face all the time, as well as the constant staining of my clothes. I am considering switching to an SA-based moisturizer than I can use during the daytime instead of a regular moisturizer, so that I'm not spending half the day without any sort of acne medication on my face.
  16. Best antibiotic experiences?

    10 years? Geez... so does she come off doxy whenever the IBD flares up? Or was it more recently that the IBD developed? That's a pretty intense regimen... I imagine once you add the Tretinoin, the acne won't stand a chance. I'm currently using the Acne.org regimen at night only, and while it does do a decent job of keeping the upper half of my face clear, there's nothing it can do for the cystic acne that comes up on the lower half of my face. I've tried using the Regimen 2x a day before, but moisturizing afterwards burns my face off.
  17. Fighting Stubborn Pustular / Cystic Acne

    Well, if accutane doesn't work, there's always a second or third course... for some people, it takes multiple courses to get clear. When I was prescribed accutane, my acne wasn't nearly as intense as some people's - but my dermatologist decided it was the best course of action because my acne was leaving scars. Anyway, I've broken out more since my last update. These new breakouts are not as deep as the other ones, but they are still inflamed and painful. I'd say I have about 12 "active" pustules on my face (inflamed ones that push out pus and blood) as well as some older ones that aren't as inflamed, but aren't going away either. My morning regimen has become increasingly difficult: I've let my beard grow, but as a result it's more difficult to get rid of flaking that's happening around the pimples. Once I have all the flakes out, I moisturize and then dab BP on each individual pustule to try and conceal it somewhat. That's basically what I've been doing for the past month in order to try and look somewhat professional at work. I end up with white, flaky spots on my face where I applied BP, but it's better than showing up to work covered with pus and bloody scabs. I'm still waiting on doxycycline to kick in. I know it might take longer, especially since I'm only on 100mg nightly (not 100mg x 2 a day). How long did it take for you to start seeing improvement when you were on doxy?
  18. Best antibiotic experiences?

    Have you tried any stronger topicals? Benzoyl peroxide or any retinoids?
  19. Fighting Stubborn Pustular / Cystic Acne

    A month definitely doesn't seem enough, especially for doxy. I can imagine a month being enough for a strong antibiotic like Bactrim, but I know doxy can take as long as 4-6 weeks (or even a couple months) before the results finally become visible. Is this a GP or a dermatologist? Have you considered switching doctors? Accutane kept me "clear" for a couple of months after I finished, and then I started getting the odd pustule (but it was still manageable). Then, about 6 months after finishing accutane, the acne started getting worse and worse. About a month and a half ago it got worse than it ever had, that's what inspired me to start logging my acne progress (or lack thereof) again. Are you considering accutane? I would definitely recommend it, because it actually did manage to clear up my back and all the "weird" acne I got (pimples behind the ears, in the ears, on the neck, etc) that I couldn't reach with topicals. The acne on my back never returned. Unfortunately, like I mentioned, my face acne came back pretty quickly (although I have to say, my acne is a LOT better now than it was pre-accutane). The side effects were annoying but manageable, and I don't have any lasting damage that I know of.
  20. Fighting Stubborn Pustular / Cystic Acne

    Thank you for the encouragement! Although I have to say those pictures are a little outdated - right now my cysts have gotten bigger and are basically covering my cheeks. But, I always dab BP on each pimple before work - once the BP dries, it kinda masks the redness, so the acne isn't as noticeable. I think a bigger problem for me is the fact that it takes so long to treat, de-flake, and moisturize my skin - and when I shave, it takes forever to navigate around the pustules. I guess because I've been on Accutane and had a rigorous skincare regimen ever since, I feel like I should be done with acne, but I'm not - and no matter what I try, it never goes away.
  21. Fighting Stubborn Pustular / Cystic Acne

    Another update. Things haven't been looking up. Basically, none of my old cysts are going away, they're just staying there, red, swollen and painful. I've had some other small ones come up in the past couple days, and those have slowly grown to larger proportions. The top half of my face is staying more or less clear with some tiny comedonal stuff, but right now I am not feeling optimistic at all.
  22. Best antibiotic experiences?

    Thank you! Yes, from what I've heard it's a "last resort" because it's normally used for infections stronger than acne. I guess it's better to steer away from it unless my acne really gets out of control.
  23. Fighting Stubborn Pustular / Cystic Acne

    Interesting point about the BP. Unfortunately, I cannot rely solely on SA, as I have other pimples that will surface if I stop using BP. BP has been successful at keeping the upper part of my face clear - but the pustular types seem to be immune. An update - last night got frustrated and "popped" two of them. One didn't drain all the way, but popping it relieved some of the pain. I know I shouldn't be squeezing them, but it's almost impossible when they already start oozing and emptying on their own. I'd rather drain them out than have pus running down my face later in the day (sorry for the nastiness!). Overall, breakouts seem to have slowed, but the ones that I already had are still showing no signs of leaving. They are still red and tender, although a little bit drier (might be the combination of BP and Duac). It's been about 9 days on doxy now, 2 on Duac.
  24. Fighting Stubborn Pustular / Cystic Acne

    Hi, thanks for responding! Your English is fine - it's like a native's. My pustules are still going strong, and a couple of even smaller ones have formed. Tried Duac for the first time last night, basically just applied it to the beard, jaw and chin area. The rest of the face, I just used Dan's BP. Some things I know don't work for the pustules, from experience: > Acne.org BP. I have been applying it generously every night for over a year, and it has done nothing to prevent new ones from coming up. > Triclosan-based antibacterial soap. I'd been using this since September and it hasn't prevented new ones from appearing. > Hibiclens. To be fair, I didn't try it longer than a week, but from what I've read, Hibiclens (if it is going to work) is supposed to start working within a day or two since it is antibacterial and antiseptic. I was using it 2x a day, and it did nothing. I was afraid of eye damage, so I stopped. > "Doing nothing". At one point I thought it was moisturizer clogging my pores, or benzoyl peroxide irritating my skin. I began using only water, and while that worked for a little under a week, my skin slowly started going downhill, and eventually I broke out with a lot of pustules near my chin. > Supplementing multivitamins / fish oil. I have been on gummy multivitamins for over a year, and fish oil for about half of that time. They never made anything better. In fact, they may have worsened it - I need to stay off multivitamins longer to know for sure. The fact that BP does not do anything for them makes me think that the bacteria is something other than p.acnes, something that is BP-resistant. I have considered that it could be staph bacteria (the kind that causes folliculitis) or maybe even a fungal infection. However, the pustules don't itch and don't match the spread pattern of fungus, so I'm almost positive it's not that. I was put on dicloxicillin last year in September by a nurse practitioner for about a week. I didn't have insurance at the time but was desperate for a medical professional's opinion. She didn't do any culture tests, but interestingly enough, the dicloxicillin worked quickly. For about a week and a half I had no new breakouts, and then they came back. The time frame for the antibiotic was short, so maybe it was just a freak coincidence. I'll keep you updated. Right now, I am almost positive about three things: 1) Multivitamins make it way, way worse. 2) Diet elimination is not the answer. I've tried eliminating certain foods (sugar, caffeine, dairy) but all I got from that was a headache. 3) An oral antibiotic (or a topical) is the key.
  25. Best antibiotic experiences?

    Ah, that's unfortunate... are you using any topicals between the doxy and the mino, or just going completely cold turkey?