I am a 29 year old female, 110 pounds, and I just started on 60mg (30 mg twice a day) of claravis (accutane).
I have had acne for a long time and have tried pretty much every acne treatment on the market.
Started mild to moderate as a teen. Right after I finished college (age 23) I suddenly developed moderate to severe cystic, hormonal acne, mostly on my chin and to a lesser extent on my forehead.
Used prescription topicals regularly and antibiotics (mostly minocycline) on and off to control it 75-95% most of the time.
For the last 3 years I've used tazorac cream and rosula face wash and still got blackheads, but rarely ever a large cyst or anything more than a small whitehead pimple that was barely noticeable and quickly resolves itself. My face looked great from the time I started the tazorac until this September, save a few occasional cysts, then all hell broke loose, literally....
This is the the worst acne I've EVER had in my life and literally came up in a matter of days. I changed nothing about my diet , exercise, meds, etc. I've done everything right and by the book. I will say that for about a year leading up to this my face has been extremley oily, like wet looking and nothing I do could/would control it.
The acne this time is severe, inflammatory acne with pustules, cysts, and sinus tracts. Still affects the same places though (face only, most severely in the chin and mouth areas and mod to severe on the forehead and hairline with clear cheeks and only minor, barely noticeable blackheads on my nose. My back and chest has never had acne).
This time it itches like crazy and throbs/hurts a lot. It burns when it pops and crusts over if it drains and this process just keeps repeating itself.
I've broke down and decided to start accutane after years of resisting it for fear of the negative hype that it gets, but frankly, at this point I really don't care anymore. I have to have some relief so I can stop hurting and living like a hermit! Fingers crossed for now!
Does anyone else have any experience with severe, itchy, inflammatory acne?
How about accutane? Good experience or bad? How long til you started to notice any improvement?
I know I'm on kind of a high dosage for my weight/height, I'd be interested to know if there are anyone else who started out so high. What was your dosage in relation to weight?
I appreciate any helpful comments, product suggests, personal experiences, and encouragement offered, as well! Here goes!! Wish me luck!!!
Accutane by the weeks:
Week 1: No change really, good or bad, maybe a little oilier. IB slowly starting at end of week.
Week 2: IB starts and gets really bad. Cysts coming up and old spots getting worse. Oil seems to be purging out. Hair drying out a little bit. Face sore and itchy. Slight "sunburn" look. Old cysts getting large and draining then scabbing.
Week 3: Full blown IB at beginning of week subsiding by end. Begins with large cysts that were not there before, some coming to a head and popping themselves. Sore and tender in old spots and larger, redder, scabbing. Minor dry lips. IB stops spreading as bad. Hair only needs washed every 2 or 3 days.
Week 4: IB calming down at beginning of week, smaller and scabs going away, but still there. Getting muscle and lower back pain. Had first headache in middle of week. Chapped lips and dry skin starting to come on. By end of week forehead looking a lot better.
Week 5: Skin drying out more and needing moisturizer. Getting new spots but not as bad as initial IB. Mostly in same places as before. Drier lips and nose feeling dry inside. A couple small dry spots on arms. Back and muscle pain subsiding a bit. Most scabs gone, still several cysts around chin, but forehead is improving quite a bit.
Edited by Brownilocks, 03 January 2013 - 08:33 PM.