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sd85

Starting Accutane!!

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**********Day 24**********

My skin is looking pretty good today. No new pimples this morning, although I have had two cysts for....about as long as I can remember. I don't know what the issue is. They're just sitting there...not coming to a head, and not going away.

About my nose: I have huge sebaceous filaments in my nose. I usually squeeze all of the gunk out, but it's back the next day. Lately, I've been squeezing a bunch of it out, but I'm not sure whether it's coming back or not. My oil production has gone WAY done, (which is awesome), but I'm not sure whether it's going to be enough to get rid of the filaments. Time will tell.

Side effects: almost 0. I put chapstick on twice today.

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Those sebaceous should go away on their own. I had the same problem around week 2 and by the end of the first month they were nearly all pushed out. Squeaky clean nose!

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Those sebaceous should go away on their own. I had the same problem around week 2 and by the end of the first month they were nearly all pushed out. Squeaky clean nose!

Seriously.... I REALLY hope so. This would be the first time I have seen a "squeaky clean" nose in over 14 years. Ridiculous. My first month is almost up, so hopefully I can see some real results soon.

**********Day 25**********

Things are going fairly well at the moment. My skin is relatively clear except for the two cysts that have been hanging out for ever. Today I noticed one new possible side effect: I have a dry scaly patch on my hand about the size of a quarter. Definitely not a big deal, but this is not a common situation for me, so I'm tending to think it's the 'tane.

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**********Day 26**********

Unfortunately the sebaceous filaments that I squeezed out 2 days ago are all full of junk again :( Hopefully when I bump up my dose next week it can take care of this problem. One of the cysts that's been hanging out finally had three of the tiniest little white heads on it this morning. I could only get one of them to pop, but maybe by tomorrow morning things will come to a larger head. I also had one smaller pimple pop up on my forehead.

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**********Day 27**********

This morning I closely examined my face, which isn't something that I usually do. I noticed that my forehead seemed substantially better. Usually I have lots of little bumps poking up out of the skin, and I really don't have those any more. I still have a bunch on my jawline, but now that my forehead has gotten better I have hope that they will all go away eventually. The one cyst between my eyes is getting smaller, but it is still quite visible. It also looks like some of the tiny little blackheads that popped up are going away. I seem to have patches of them that have yet to go away. Unfortunately, my nose is still totally clogged.

Now, on to the side effects: My lips really aren't dry but they were extremely peelable this morning. I could pull the skin off like it was sunburned. I also put some lotion on the dry patch that popped up on my hand

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**********Day 28**********

I've been spending less and less time on these boards this past week, and I think that is because my skin is getting better. A bunch of the little bumps on my forehead have gone away, and my skin has become smother. Also, I've been getting fewer pimples for the last week or so. Mainly, I've been getting a bunch of tiny red marks where huge clogs of pores are starting to come out of my skin. They aren't pimples or anything. I can just squeeze the clog out and 36-48 hours later the skin surrounding the area has returned to its normal color. I forgot to take my pill yesterday, but I took one first thing this morning, (yesterday's pill) and I'll take another one around 11pm tonight (today's pill).

Tomorrow I have to go and get my blood drawn for my dermatologist appointment on Wednesday. Oh joy.

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Great to hear your skin is improving and that you're getting less pimples! I'm on the end of my first week of 40mg and my face is so damn oily.

Good luck with your course smile.png

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Great to hear your skin is improving and that you're getting less pimples! I'm on the end of my first week of 40mg and my face is so damn oily.

Good luck with your course smile.png

That will probably go away in the next 7-14 days. I dried up pretty well around day 17.

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**********Day 29**********

So today I went and got my blood drawn. Those of you that read Jamie Ann's log will find this story familiar:

This morning I go to the lab to get my blood drawn. Everything went just fine until the phlebotomist said, "This (my lab instructions) looks like it's for Accutane." I said, "it is." Then she goes on to say stuff like "are you really sure you need that?" "It has all of these side effects, yada yada yada." I'm thinking, "Yes, I'm sure I need it, I know all of the side effects and risks." I've read almost every paper on pub med that has to do with accutane. Urghhh.....Glad to hear they're teaching phlebotomists to be doctors these days.

Anyways, things are going very well. My dry lips have all but gone away. Yesterday I put chapstick on after I got out of the shower and that was it. Today I used it twice. I got another pimple today. Smack in the middle of my forehead. Too bad because my forehead was starting to look pretty good. Oh well. Overall though, my skin is still doing really well. Definitely not clear, but about as good as one of my really good days (on average).

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**********Day 30**********

Still doing well. I got one new pimple today.

I think the pores on my nose ARE starting to clear out. Unfortunately, I think my pores are really stretched out from having all of the junk in there for so long. Maybe they will go back to normal, but I doubt it. OH WELL. At least my skin is getting better.

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**********Day 31**********

I'm doing very well. I only have 3 pimples. I can't say for sure, but I think things are starting to clear up. I still have lots of red marks and little bumps (especially along my jawline). But, I can't wait to see how things go in the next few days.

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Awesome to hear! You could be one of the lucky ones who gets dramatic results within a month.

I think the pores on my nose have gotten a bit tighter since being on Accutane. Normally I would have to avoid powdering my nose because it would just settle into the holes and make it really obvious but yesterday when I wore makeup for the first time in months, the powder just glided over my nose area. I think my pores were really big to begin with because i kept squeezing stuff out of them religiously when I was younger.

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Awesome to hear! You could be one of the lucky ones who gets dramatic results within a month.

I think the pores on my nose have gotten a bit tighter since being on Accutane. Normally I would have to avoid powdering my nose because it would just settle into the holes and make it really obvious but yesterday when I wore makeup for the first time in months, the powder just glided over my nose area. I think my pores were really big to begin with because i kept squeezing stuff out of them religiously when I was younger.

I think you may be right. My skin is still pretty good today. I'll check it out more closely in the mirror tonight.

**********Day 32**********

Yesterday I went to the dermatologist. I didn't see the same one that I saw the first time, but it was within the same group/practice. He left my prescription at 30mgs, but I think that is probably fine. I know that when I go back to my original dermatologist in another month she will bump me up to the 60. But, I am seeing really good results even on the 30mgs, and I have hardly any side effects. I'm sure I would have more if I were on 60mgs.

Question regarding the Ipledge system:

My dermatologist always says my appointment should be 31-33 days after my current one, but I scheduled my next one only 29 days after. Is this going to be a problem in the ipledge system? My understanding is that they got rid of the 23 day blackout period, so I'm OK to have the appointment after 29 days right?

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**********Day 33**********

I got 3 new pimples today. They're pretty small though and not any more red than any of the other marks left on my face.

I've found that if I immediately exfoliate my lips after getting out of the shower I can go all day without using chapstick.

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**********Day 34**********

No new breakouts today. Not much is happening. I just keep on waiting for something to happen. Nose is still mostly clogged, but slightly better.

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**********Day 35**********

Tick tick tick. Yep, that's the days going by. Skin is OK today. No new pimples. Lips are rather dry again, even though my dosage hasn't changed. It's getting colder here though, so that probably has something to do with it. The heat and humidity are gone.

I answered my own question regarding the Ipledge system: There are no timing requirements for the office visits, so a visit after 29 days is OK. I was able to find the answer in the prescriber packets on the Ipledge website.

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**********Day 36**********

No new pimples today. I still have several that are healing up from the last few days.

I used chapstick a few times today and the dry lips are doing better.

I'm still plugging along at work. I'm kind of dissatisfied--things are pretty---stagnant. I'm ready to shake things up with our living situation, but I know that will probably be a couple of months.

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**********Day 37**********

I had one very small white head along my jawline today. Thats it. I'm starting to get bored with this accutane treatment. Nothing is happening. I've got a few spots healing up, and I get new pimples on occassion, but that's about it. My skin is definitely better on average than when I started, but not substantially. The only real change is the decrease in oil.

Even though I'm in my second month I've taken only about 15% of my necessary cumulative dose (1080mgs so far). I need to get back to the dermatologist in a few weeks to get my dosage bumped up so that I can get this over with.

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**********Day 38**********

I didn't have any new pimples today. I still have lots of red spots and a few larger bumps from left over ones, but overall I'm doing relatively well. It's basically one of my pre-accutane "good days." I mentioned in my last post that I had taken only about 15% of the necessary amount of accutane. BUT, if I have a 5 month course (which is what my dermatologist intends) then I am about 25% of the way through, so that's good news.

My lips are mildly dry, and the scaly dry patch on my hand comes and goes. Yesterday it wasn't there at all, and today it's back and larger than before. Oh well. Those are the only side effects right now. I can't wait to have my derm appointment in 3 weeks.

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**********Day 39*********

My skin looks really good today. I have a few spots which are almost completely gone, and one that is coming up close to my ear. But, this one is not inflamed, so it doesn't show much. This morning I also had on large comedone trapped under the skin, so I took care of that. After I showered most of the redness had gone down. If I don't get any new ones tomorrow or Saturday I should be looking REALLY good by Sunday. We shall see...

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**********Day 40**********

Well ya know my plan for not breaking out anymore? Yeah, that didn't work. I had another new one today. Still, given the fact that I haven't treated with any topicals in about 3 weeks I'm doing very well. I probably have 5 or 6 spots showing right now, when I could have as many as 20 before accutane (when not using topicals).

Anywho...I haven't taken my 40th pill yet today, but I'm saving that for dinner as we're probably going out for Mexican food....lots of fats to soak up all of the isotretinoin!

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**********Day 41**********

Not doing too bad today. Really, my only troublesome area is my right jawline/chin/lower cheek area. It's a mess there, but the rest of my face is pretty well clear.

Nothing new with the side effects. The dry patches on my hands are back, but that's no trouble to deal with. I just slap some lotion on it and it's usually gone within 24 hours. Lips are mildly chapped/dry.

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**********Day 42**********

I'm doing pretty well today. No new pimples, which gives everything a day to heal. A few days ago I tore a spot on my lips and I cannot get it to heal up! I've been keeping it covered with aquaphor, and hopefully that will help. It's been 5 days already....

I'm still breaking out, but I get fewer pimples than I did preTane. Instead of getting 1-3 everyday, I'm probably averaging 1 every other day.

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**********Day 43**********

I'm doing pretty well right now. I had one new one today that needed to get taken care of, but otherwise I'm good. I forgot to mention that I am on my 5th pack of pills now, which definitely feels good. I always love hauling those packs out to the garbage...that's one less that I have to deal with. The dry patch on my hand hasn't gotten any better, but it doesn't really bother me much, so I'm ok with it hanging around if necessary. Dry lips are gone again. I've found that rubbing off the huge amounts of dead skin after/while showering is key. I probably use chapstick 2x per day.

Anyways, I'm sailing along. I need to remember to go get and my blood drawn in about 10 days or so. My appointment is two weeks from Wednesday. Woohoo! Then I'll start the famously awesome month three. I CAN. NOT. WAIT.

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