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Confused About Starting Accutane?

accutane starting blood tests help

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#1 hello880

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Posted 09 February 2013 - 05:31 PM

My derm prescribed accutane to me yesterday and she gave me the iPledge booklet and everything and I had a urine/pregnancy test. She gave me two forms for blood work in the booklet and I forgot what she said about them... I'm confused, am I supposed to get one blood test now and then another in a month, or did she accidentally give me two forms and I'm only supposed to get one blood test in a month?

 

Also, I logged into iPledge and it said on the calendar "March 10, First day you may have your next pregnancy test", and in the iPledge booklet, it said "within the first 5 days of your menstrual period"... what if my period doesn't come then? Mine is a bit irregular. Can I still get the blood/pregnancy test then?



#2 BMarieWantsNoAcne

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Posted 09 February 2013 - 10:35 PM

That's weird how it talks about a certain amount of days from your period. It didn't matter for me (which is good because I'm irregular too).

Edited by BMarieWantsNoAcne, 09 February 2013 - 10:36 PM.


#3 hello880

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Posted 09 February 2013 - 10:49 PM

That's weird how it talks about a certain amount of days from your period. It didn't matter for me (which is good because I'm irregular too).

 

Does that mean that I can just get my blood/pregnancy test without being on my period?


Edited by hello880, 09 February 2013 - 10:49 PM.


#4 BMarieWantsNoAcne

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Posted 09 February 2013 - 11:49 PM

I think you'll be fine. If you're really worried, just give your derm a call. That's what they're there for!

#5 hello880

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Posted 10 February 2013 - 01:15 AM

I think you'll be fine. If you're really worried, just give your derm a call. That's what they're there for!

 

Thanks for the advice! Did you have to get two blood tests done though? The first one right when you get prescribed accutane and the other one a month later?



#6 OldogNewTricks

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Posted 10 February 2013 - 12:01 PM

Hi,  we are parents (u may not want to listen to us-we are mid 50's smile.png) of 2 girls (our first is age 20) and our youngest is 14. Some background first, my husband's side of the family has a history of acne; moderate to severe. My wife's side has very mild acne. We are both hispanic so the hyper-pygmintation is an issue b/c we have darker skin. As to us as adults and for our children, we tried EVERYTHING out there for our acne. Ointments/antibiotics/home remedies, i mean everything! Nothing worked. With that being said, here is what we can tell you about our experiences for our children who took and are currently taking acutane: IT WORKS! But, you and your PARENTS NEED to educate yourself about this drug and the range of possible side effects. 

1. Research this post and get facts about what to expect. here is the link to the page to read first before taking acutane.  i wish we would have had this web site when my oldest took acutane. http://www.acne.org/...ge-information/   THIS IS A REALLY IMPORTANT LINK! READ IT! UNDERSTAND THE CALCULATIONS!

If this link doesn't work, search " acutane dosage".

2. After you read the do's and dont's figure out what is the best time period to start. Duh, my 14 yr old just started her 5 month course in Nov 20 2012 and this is really important. For example, she had to take a private school entrance exam and we never figured the acutane could affect her ability to focus. So make a 5-6 month plan.

3. Make sure your dermatologist,  not a regular DR, knows their stuff! Acutane is based on the cumulative intake; your body weight is what determines how much you can take. KNOW WHAT YOUR INTAKE SHOULD BE! If your derm doesn't discuss this in length with you plus any possible increase or decrease in dosage that you can take during a course of acutane, FIND A NEW DERM!

4. SIDE EFFECTS.  Each person varies. For our girls, my 14 yr old is in good health, weights 50kilgrams (you need to know how to convert) and is on 40mg of acutane for a 5 month course. She is very athletic; she plays club volleyball and this is intense! Here is what she is experiencing: Extremely sore knee joint pain; back pain; initial headaches which went away; on going rashes on elbows and hands; and we believe an inability to focus like she could before starting acutane (hence, time it with your school plans). Dry lips and eyes (she wears contacts), dry body. Nobody tells you this, but your skin becomes really tender and sensitive; like babyskin so be extremely gentle: FOLLOW THE REGIMEN for washing; 10 seconds to wash and no more; very gentle foam cleanser AND USE NO OTHER ACNE PRODUCTS! Your skin cannot handle it. Ok out of room but will post a second link with what to expect.



Well, if you got thru that, here is what you can expect: remember, your derm will really focus on the pregnancy issue, liver issues, cholesterol etc. Yes these are all extremely important but they won't tell you the side effects or really how to handle the course of treatment so continue to post questions. Here are the answers your seek

 

1. YES there will be an initial breakout (IB). My oldest daughter didn't have one but my 14 yr old after 3 months continues to have good and bad days. So expect things to get worse before they get better. i have read it can take up to the entire course before it kicks in.

2. As to the hyperpygmintation, for my 20 yr old, WOW, as best as we can recall, after 6 months, she was 100% clear and soft as a baby's bottom.Today, at age 20, you would never know she ever had any acne; her skin is so beautiful as parents who suffered acne, it makes us feel so good that we could do this for her.

3. Your course of treatment, figure it out! Question your derm, but 4-6 months seems to be the norm. Here's the issue: The shorter the course, the higher the dosage. I don't think my 14 yr old could have handled a higher dose than 40mg. Only you know how much you can handle.  Start low and if necessary build up; that's what we are considering for months 4&5 for our 14 yr old. Her 1st mo was w/o food, this meant about a 50% absorption rate; thereafter she took with food. That's how it's supposed to be taken with food. We think our derm knows what he is doing b/c 1st mo at 50% w/ later increase in mos 4-5. will get her the cumulative amt she needs.

4. Results. Who knows; each person varies and it takes time to build up the cumulative amt in your body for it to work; have patience b/c it is worth it!

5. Is acutane worth it? ABSOLUTELY! But, you need to do more research on this site; for example we forgot to mention our 20 yr old suffered from depression after taking it; we never made the connection until years later with the help of websites like the one DAN THE MAN has made here. It is a serious drug, but if taken with proper medical derm advice and educating yourself of the wide range of effects it can have, you can do it! It can be life changing. read the blogs and good luck if u go for it!  



#7 OldogNewTricks

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Posted 10 February 2013 - 12:51 PM

"My derm prescribed accutane to me yesterday and she gave me the iPledge booklet and everything and I had a urine/pregnancy test. She gave me two forms for blood work in the booklet and I forgot what she said about them... I'm confused, am I supposed to get one blood test now and then another in a month, or did she accidentally give me two forms and I'm only supposed to get one blood test in a month?

 

Also, I logged into iPledge and it said on the calendar "March 10, First day you may have your next pregnancy test", and in the iPledge booklet, it said "within the first 5 days of your menstrual period"... what if my period doesn't come then? Mine is a bit irregular. Can I still get the blood/pregnancy test then?"

 

sorry for putting those 2 other responses before answering your initial questions; we didn't start on the right foot with both of our daughters and we wanted you to avoid some of the mistakes we made. Get your parents involved if you can; they should be doing the ipledge logon/questions with you; but we are reading your posts so here's what we remember:

 

1. Since you are registered with ipledge, you have 7 days to get your prescription (rx) filed after your dr appt every month starting now!  Remember, you have 7 days from your dr appt each month to fill your rx,  if you don't fill the rx within 7 days of your appt, you have to go back to your derm and you have to start all over again! Timing is critical! the 7 days to fill the rx can't be missed or extended.

 

2. as to the  two blood test forms, we assume you took your first blood test thru your dr or you couldnt register and why the two forms, we don't know why you need two forms; we get 1 form each month and for us, our daughter takes her blood test one time per month at least 7 days before her next dr appt. so the results are sent to him by the time of our appt. check w/your lab how long it takes to process to get it to your dr for you appt.  

 

3. Check the "March 10 first day to have pregnancy test"; for us, this means a urine test for our daughter, and this test is done at her derms office every month and this has no connection to her menstrual cycle.

 

For our daughter, she does the blood work once a month about 7 days before her next dr appt; and 

at the dr appt, she takes her urine test for the pregnancy results. Her menstrual period for our Dr has no bearing to the urine pregnancy test. 

 

We hope this answers your questions and yes the ipledge and dates are VERY confusing! Call your dr's office and make them explain better! You are paying them!  Don't feel inadequate, EVERYONE goes thru this the first time! 



#8 BMarieWantsNoAcne

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Posted 10 February 2013 - 01:36 PM

I only got one blood test done before starting. A month before a had a urine pregnancy test, and then right when I started I had a blood test (and every month after that).