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Hoping To Put Acne To An End. 19, Male

accutane log

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#21 The Outfield

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Posted 12 March 2012 - 10:45 PM

Thank you, good luck to you too Posted Image

Day 18:

Seems like the breakout has gone away a good bit. The cysts are still taking a while to go away - slowly but surely.

Still massively dry skin. I've stopped shampooing every day. I now do it every other day and use T-Sal shampoo. So far it's working to keep the dandruff to a minimum, and hopefully it will make my hair and scalp healthier to shampoo less often.

Edit: Oh! I forgot to add that my skin is so much less oily! By the end of the day, it used to be fairly "wet" on my forehead with oil. Now it's pretty much dry. :D

Edited by White Stang, 13 March 2012 - 01:13 AM.

My Accutane Log
Started February 24, 2012
5 month course

Month 1 - 40mg
Month 2 - 60mg
Month 3 - 60mg
Month 4 - 60mg
Month 5 - 60mg

#22 The Outfield

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Posted 15 March 2012 - 12:37 PM

Woops, I just realized I forgot to take a pill last night because I was so entranced in completing my final essay for class.

So I guess I will call this Day 20 rather than 21 Posted Image

Anyway, no real change. But I hope missing a day doesn't affect anything :\

Edited by White Stang, 15 March 2012 - 12:38 PM.

My Accutane Log
Started February 24, 2012
5 month course

Month 1 - 40mg
Month 2 - 60mg
Month 3 - 60mg
Month 4 - 60mg
Month 5 - 60mg

#23 The Outfield

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Posted 18 March 2012 - 11:26 PM

Day 23:

I had a few pimples/cysts pop up a few days ago, but they've slowly gone away. Looking clearer today.

My hair has been much better in terms of flakiness and itchiness since I started shampooing every other day rather than every other day and using T-Sal shampoo with a conditioner. I hope to cut my usage of T-Sal down to every-other shampooing as it makes my hair dry and I don't want to use it too much for too long. But I also don't want to flakiness/itchiness to return, so I've got to strike a balance.

Going to get my 2nd blood test tomorrow and then see the dermatologist about the next month on Tuesday.

Edited by White Stang, 18 March 2012 - 11:28 PM.

My Accutane Log
Started February 24, 2012
5 month course

Month 1 - 40mg
Month 2 - 60mg
Month 3 - 60mg
Month 4 - 60mg
Month 5 - 60mg

#24 The Outfield

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Posted 20 March 2012 - 07:00 PM

Day 25:

Visited the dermatologist today, blood test results were fine. She saw some improvement and decided to bump me up to a 60mg/day dose once my 40mg runs out. Kind of surprised me since I'm a light weight guy.

Edited by White Stang, 20 March 2012 - 07:02 PM.

My Accutane Log
Started February 24, 2012
5 month course

Month 1 - 40mg
Month 2 - 60mg
Month 3 - 60mg
Month 4 - 60mg
Month 5 - 60mg

#25 The Outfield

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Posted 25 March 2012 - 06:42 PM

Day 30:

Wrapping up my first prescription of a one-month supply of 40mg Amnesteem pills. It has gone pretty quick - people aren't lying when they tell you it will Posted Image. I picked up a supply of two 30mg packs of Clavaris from the pharmacy, because they didn't have the 30mg size of Amnesteem. I'm not really a fan of switching as Amnesteem seems to be working well for me, so I hope Clavaris works the same...

Since my initial breakout, the acne has subsided a fair amount. However, my face has been a little itchy the past few days, making me believe another breakout may be on the way. Posted Image My lips are still a significant issue in terms of dryness and peeling. The Aquaphor and Nivia balm don't seem to be working all that great. I hope I can get my lips under control.

Also, I've got an unusual, bumpy rash on my left hand which my derm told me might be eczema, that she said sometimes breaks out when on accutane. Great Posted Image However, I'm not so sure it's eczema because I read that itchiness usually accompanies eczema, and so far it hasn't been itchy at all.

Edited by White Stang, 25 March 2012 - 06:44 PM.

My Accutane Log
Started February 24, 2012
5 month course

Month 1 - 40mg
Month 2 - 60mg
Month 3 - 60mg
Month 4 - 60mg
Month 5 - 60mg

#26 Guest_*Spiro*_*

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Posted 26 March 2012 - 09:37 PM

Looks like I am 15 days behind your course, are you starting to peel or flake off skin? I was seeing what others are doing to remove the skin since I'm not supposed to use any chemicals on my face. Think just a washcloth?

#27 The Outfield

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Posted 26 March 2012 - 10:20 PM

Personally I think any dry skin will eventually come off without the need for scrubbing. The flakes on my face are small and thus there is nothing to really peel so the flakes seem to shed relatively easy. This is what I do with my face: At night, I use a wet wash cloth and press it all around my face, using both sides of the wash cloth and then moisturize afterward. In the morning, when I shower, I do the same thing with a wash cloth and also rinse my face in the water; again - not scrubbing or rubbing. I moisturize after the shower as well. However, sometimes it takes another one or two applications of moisturizer (like 30 minutes later) to get rid of all the residual flakes that reappear.

My scalp was also really flaky and that was significantly reduced by using Neutrogena T-Sal shampoo and reducing shampooing to every other one or two days rather than every day.

Edited by White Stang, 26 March 2012 - 10:22 PM.

My Accutane Log
Started February 24, 2012
5 month course

Month 1 - 40mg
Month 2 - 60mg
Month 3 - 60mg
Month 4 - 60mg
Month 5 - 60mg

#28 Guest_*Spiro*_*

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Posted 26 March 2012 - 10:41 PM

Personally I think any dry skin will eventually come off without the need for scrubbing. The flakes on my face are small and thus there is nothing to really peel so the flakes seem to shed relatively easy. This is what I do with my face: At night, I use a wet wash cloth and press it all around my face, using both sides of the wash cloth and then moisturize afterward. In the morning, when I shower, I do the same thing with a wash cloth and also rinse my face in the water; again - not scrubbing or rubbing. I moisturize after the shower as well. However, sometimes it takes another one or two applications of moisturizer (like 30 minutes later) to get rid of all the residual flakes that reappear.

My scalp was also really flaky and that was significantly reduced by using Neutrogena T-Sal shampoo and reducing shampooing to every other one or two days rather than every day.


Good to know, how your doing it. The less amount of things I can put on my face the better :) I will give your way a shot and see if it helps. I don't want my hair to dry out while being on the meds, I'm wondering if a t sal shampoo will help that. Right now I am showering and washing my hair every morning. I had read a lot of stories with people loosing their hair. I will cry if I lose any hair, so maybe washing it daily isn the best thing. That way I can keep whatever oil is there, there when it should be.

#29 The Outfield

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Posted 26 March 2012 - 11:03 PM

Well (i don't know how much you know about this) there's arguments and studies out there trying to determine whether it is a good idea to shampoo your hair every day or not. Generally, the experts seem to lean toward every day shampooing being a bad thing for the health of your hair and scalp. Glands in our scalps naturally produce oils and the shampoo strips those oils away, causing the scalp to be drier and the glands to attempt to produce more oil. You may want to do your own research on this (particularly for girls) to see what you think of the switch to less shampooing.

I have very short hair of about half an inch, so my hair is much different than most girls' hair. But in the past, even with using conditioner when I shampoo, my hair has been pretty dry for years. I've also struggled with flaking/dandruff off and on. When I started accutane, the flaking got MUCH worse (like blizzard conditions when I rubbed my head Posted Image) and my scalp was very itchy, so I read about and purchased both the Neutrogena T-Gel (for dandruff) and T-Sal (for flaking). The T-Gel didn't seem to work very well for me, and also seems to be some pretty brutal stuff. The T-Sal I found seems to be less brutal and work better to rid the flakes and itchiness, however it was drying out my hair significantly and I knew it wouldn't be good to use it every day. So I started reducing my usage to once every one or two days and my scalp has been much less flaky and my hair has seemed healthier.

I do still rinse my hair with water on those no-shampoo/conditioner days and use conditioner when I use the T-Sal.

Also, since my hair is so short, it is difficult for me to tell if I am losing any because it could easily go down the drain with it being so short. Posted Image However, I do not notice any shedded hair on my pillow as I would expect it to be if I was losing any.

Feel free to ask further questions if you have any that I can help with Posted Image

Edited by White Stang, 26 March 2012 - 11:07 PM.

My Accutane Log
Started February 24, 2012
5 month course

Month 1 - 40mg
Month 2 - 60mg
Month 3 - 60mg
Month 4 - 60mg
Month 5 - 60mg

#30 Guest_*Spiro*_*

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Posted 27 March 2012 - 08:26 PM

Well (i don't know how much you know about this) there's arguments and studies out there trying to determine whether it is a good idea to shampoo your hair every day or not. Generally, the experts seem to lean toward every day shampooing being a bad thing for the health of your hair and scalp. Glands in our scalps naturally produce oils and the shampoo strips those oils away, causing the scalp to be drier and the glands to attempt to produce more oil. You may want to do your own research on this (particularly for girls) to see what you think of the switch to less shampooing.

I have very short hair of about half an inch, so my hair is much different than most girls' hair. But in the past, even with using conditioner when I shampoo, my hair has been pretty dry for years. I've also struggled with flaking/dandruff off and on. When I started accutane, the flaking got MUCH worse (like blizzard conditions when I rubbed my head Posted Image) and my scalp was very itchy, so I read about and purchased both the Neutrogena T-Gel (for dandruff) and T-Sal (for flaking). The T-Gel didn't seem to work very well for me, and also seems to be some pretty brutal stuff. The T-Sal I found seems to be less brutal and work better to rid the flakes and itchiness, however it was drying out my hair significantly and I knew it wouldn't be good to use it every day. So I started reducing my usage to once every one or two days and my scalp has been much less flaky and my hair has seemed healthier.

I do still rinse my hair with water on those no-shampoo/conditioner days and use conditioner when I use the T-Sal.

Also, since my hair is so short, it is difficult for me to tell if I am losing any because it could easily go down the drain with it being so short. Posted Image However, I do not notice any shedded hair on my pillow as I would expect it to be if I was losing any.

Feel free to ask further questions if you have any that I can help with Posted Image


Yeah I am aware that shampooing everyday isn't a good thing. I tend to do it anyways :/ I have a oily scalp if I don't wash daily. Since the accutane reduces oils maybe I will be able to swing every other day. Actually no scratch that I will do every other day. I bleach my hair anyways so it dries out pretty good after getting it colored, so I don't need any further damage.

I was reding your log and I noticed a few posts ago you said that your lip balm isn't helping much. I am using auqaphor all the time I swear it's always loaded on my lips. I was trying to stay ahead of the chapped lips. Yeah well it has not worked. I find ipthe auqaphor just sits on my lips it doesn't absorb into my lips. Plus you take a drink and it's all on your cup or can. Did you find something that worked for you? Also are you using any supplements? I am thinking of picking up some fish oil tomorrow. My knees are starting to get sore :( I figure that will help with joint and muscle pain.

#31 The Outfield

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Posted 27 March 2012 - 10:10 PM

I actually had the same problem as you (before Accutane) when I tried to switch to shampooing less often - my hair would get too oily and also the dandruff/flaking would get worse it seemed. But I have not noticed that oiliness and flaking now since I started shampooing less often while on Accutane. It may indeed be a good time to switch to shampooing less often since your scalp may be producing less oils which otherwise would interfere with the switch.

I've been using a combination Aquaphor lip repair and Nivea "kiss of moisture" balm for my lips. I've realized that I was not applying enough of either after I purchased them because my lips were peeling ridiculously. I read that others were having problems with the Aquaphor staying on their lips (it could be licked away easily). So I thought that maybe applying Aquaphor, rubbing it around, and then applying the balm might make it stay on my lips better. I've been trying that the past two days and at the moment my lips are actually not peeling, which is unusual. I will keep trying these two products with this method and hopefully the peeling will lessen Posted Image

I'm not taking any supplements or anything. I wasn't recommended to take any and not really sure that I want to change anything and risk possibly worsening something. I'm kind of superstitious lol. But I also haven't been noticing any joint or muscle pains as a symptom. Are you taking anything besides potentially fish oil?

Edited by White Stang, 27 March 2012 - 10:11 PM.

My Accutane Log
Started February 24, 2012
5 month course

Month 1 - 40mg
Month 2 - 60mg
Month 3 - 60mg
Month 4 - 60mg
Month 5 - 60mg

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Posted 28 March 2012 - 07:14 AM

I think I am going to have to try something else with the lips. Im glad you figured out a way to combat your dry lips. Now I am going to have to work on a way for mine, the Aquaphor just isn't cutting it for me. I am using a B-12 supplement but that is because my body doesn't absorb B-12 nothing to do with Accutane. I have been taking B-12 supplements for years now. I will be starting to take fish oil today though. My knees are bothering me, I am really cautious of that because I reacted badly to minocycline. I woke up one morning and couldn't walk, and it was because I had a allergic reactions to the Minocycline and it was attacking my joints. I just want to make sure I am taking every precaution I can so I dont run into that problem again.

#33 The Outfield

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Posted 28 March 2012 - 10:24 AM

I think I am going to have to try something else with the lips. Im glad you figured out a way to combat your dry lips. Now I am going to have to work on a way for mine, the Aquaphor just isn't cutting it for me. I am using a B-12 supplement but that is because my body doesn't absorb B-12 nothing to do with Accutane. I have been taking B-12 supplements for years now. I will be starting to take fish oil today though. My knees are bothering me, I am really cautious of that because I reacted badly to minocycline. I woke up one morning and couldn't walk, and it was because I had a allergic reactions to the Minocycline and it was attacking my joints. I just want to make sure I am taking every precaution I can so I dont run into that problem again.


Please tell me if you do find a better solution than Aquaphor, as I would be interested to hear especially if my lips don't stay moisturized.

Hope the fish oil rids you of the knee pain.

Edited by White Stang, 28 March 2012 - 10:25 AM.

My Accutane Log
Started February 24, 2012
5 month course

Month 1 - 40mg
Month 2 - 60mg
Month 3 - 60mg
Month 4 - 60mg
Month 5 - 60mg

#34 Guest_*Spiro*_*

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Posted 28 March 2012 - 08:32 PM

I'll let you know if I find anything for the lips. I'll do some research and see if I can find something else. Although it does seem like the majority use aquaphor. I'm hopeful I will find something. I got some fish oil today and also bought some Biotin. So we will see how that works :)

#35 esa

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Posted 29 March 2012 - 04:45 PM

Hey man. Good to hear you're making progress. I had a small kind of rash on my hand too, although mine was on the right hand :P. Using a bit of moisturiser on it each morning seems to be getting rid of it though, I guess it was just dry skin for me.

We're both a month down!

Accutane log


Month 1 - 20mg/day

Month 2 - 20mg/day

Month 3 - 40mg/day

Month 4 - 40mg/day

Month 5 - 40mg/day
Month 6 - 40mg/day
Month 7 - 40mg/day

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Posted 29 March 2012 - 09:37 PM

How's it going for you this week? Any mass improvements to report?

#37 The Outfield

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Posted 29 March 2012 - 10:06 PM

Day 34:

Guess it is about time for an update Posted Image

- My face has stayed relatively the same but slowly improved over the past several days. I am not getting new pimples very often. Just a couple new ones came (and are starting to go away) along the bottom of my left jaw. One pimple began to arise above my nose, but fortunately stopped growing when it was relatively small. A couple stinkin cysts continue to linger - one below my left eye and one in front of my right ear. But I am SO grateful there are not as many as in the past.
- The rash on my hands has somewhat subsided for now. At least it is less noticeable. It seems, as esa stated, that moisturizing it often helps.
- My lips did not stay completely moisturized as they were a couple days ago, however the more frequent application of Aquaphor and the Nivea balm has seemed to decrease the issue significantly. I certainly have less dryness and gigantic flakes peeling off (maybe there's just no "skin" left there >.<).
- Interestingly, my facial skin is not seeming drier since I started taking the higher dosage 4 days ago. But maybe it takes more time to kick in, or maybe it won't have much of an effect at all.
- My scalp has remained mostly flake and itch free. I pray that this continues as it was probably the most unbearable part at the start of the treatment. I have skipped shampoo for two days in a row (shampoo-none-none-shampoo) two times now.

So this is what has happened as of late. I almost hate to report good news because I'm superstitious Posted Image

Edited by White Stang, 29 March 2012 - 10:07 PM.

My Accutane Log
Started February 24, 2012
5 month course

Month 1 - 40mg
Month 2 - 60mg
Month 3 - 60mg
Month 4 - 60mg
Month 5 - 60mg

#38 Guest_*Spiro*_*

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Posted 29 March 2012 - 10:18 PM

Sounds like the ance is being kept at bay now. No new breakouts, just healing up all the old ones!
Awesome you have your scalp under control. Itchy and flaky not something I would enjoy either.
What dose did you move up to? In 2 weeks I'm supposed to be moved up to 60mg assuming blood work comes back okay. I'm starting to think there isn't a way to avoid the chapped lips at all. Maybe all we can do is keep them at bay, which is a bummer. To think its going to be 5 months with extremely chapped lips sucks. Oh well such is life right :)
Keep on keeping on :D

#39 The Outfield

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Posted 30 March 2012 - 12:25 AM

Thanks Betsy :)

I was moved up from 40mg to 60mg. But being moved up to a higher dosage depends on your weight. I'm a lightweight guy, so I wouldn't be surprised if I'm not bumped up again. But I think I should hit a good cumulative dosage at this rate.

As for the lips, I just hope irreversible damage is not done. I agree, I think the only thing we can do is keep it at bay. Apply lots of Aquaphor and drink lots of water Posted Image
My Accutane Log
Started February 24, 2012
5 month course

Month 1 - 40mg
Month 2 - 60mg
Month 3 - 60mg
Month 4 - 60mg
Month 5 - 60mg

#40 Guest_*Spiro*_*

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Posted 02 April 2012 - 03:47 PM

Thanks Betsy Posted Image

I was moved up from 40mg to 60mg. But being moved up to a higher dosage depends on your weight. I'm a lightweight guy, so I wouldn't be surprised if I'm not bumped up again. But I think I should hit a good cumulative dosage at this rate.

As for the lips, I just hope irreversible damage is not done. I agree, I think the only thing we can do is keep it at bay. Apply lots of Aquaphor and drink lots of water Posted Image


Hey White Stang, It's Betsy. I changed my name on here now that somehow I am a veteran member I can do that. I wanted to check in and see how your doing? Plus I wanted to let you know I found out to put bacitracin ointment on your lips for quicker healing. I found some laying around at my house and put some on last night before bed and when I woke up today my lips didn't hurt anymore and aren't peeling anymore. Tastes like crap, but it works. As long as I am not eating it my derm says it safe. So Im good there. haha

When I go to dermatologist next week I am going to ask for something prescription for them. Until time I am using this because my lips feel so much better today. Turned them around quickly. I'd give it a try if you haven't found anything better for yours yet.