Thanks for the wishes everythingthatshimmers I hope things start lookin better soon too!!
Male/20 Yrs Old Accutane Journey
Posted 10 April 2013 - 01:10 AM
Just a quick update. It seems that I'm starting to get an eye stye on my right eye, located under it. It hurts every time I blink and coincidentally I just had a checkup appointment with my dermatologist today, and BOOM later tonight i get this baby haha.
I read that it's most likely an accutane side effect, as it dries all the oils in your skin including your oil glands for your eyelids/eyes. I'm just going to apply some eye drops and apply a warm compress to it, hopefully it dies down soon!
Edited by Tyrean, 14 April 2013 - 12:42 PM.
Posted 15 April 2013 - 05:05 PM
Day 49 (7 Week Mark)
Hey everyone. So I decided to add pictures from before accutane, my 3 week point (roughly), and today. I'll continue posting pictures so it's easier to see any progress. Unfortunately right now it seems like things are still getting worse... Don't think there's really much progress from pictures.
Only thing I can comment on is how my face feels SOMEWHAT smoother... Honestly besides my neck I don't even have that many pimples it seems, just more so red marks. I did just buy Eucerin Redness Relief in the cleanser, SPF, and night concealer so I'll see if that works.
I do have that VERY annoying huge bump right by my lip as you can see in that second picture. That is by far what's making my face look the worst. Kinda torn what to do with it to try and speed up the healing... Tea tree oil, aloe vera (store bought), polysporin... It's been like that for 3 days or so. Any ideas?
Posted 15 April 2013 - 07:28 PM
Your skin looks much much better! Obviously you still have some problem areas, and the one big cyst sucks I'm sure. But overally, there is significant and obvious progress.
For the cyst, I'd recommend icing it and using a sulfur topical. Clearisil makes one that is tinted and works well. It stinks, but it is a good coverup and I think it helps with cysts. Tea tree oil is also good for those, but don't overdo it or you might cause a bigger breakout. Use a little, once a day, and limit it to the cyst itself, without spreading it elsewhere.
Posted 15 April 2013 - 08:16 PM
going to run to walgreens right now to get it haha. hopefully the cyst is a little smaller tomorrow morning!
Posted 16 April 2013 - 05:38 PM
So I'd like to thank you kidchicago, the stuff works pretty well! My cyst was definitely smaller this morning and I'm thinking it should be gone by the weekend...
One thing that's very annoying though is the redness is getting worse on my left cheek. If you look at the first photo of Week 7, the redness there is now EXTREMELY dark, just looks like dark, dark blood underneath the skin that looks gross. I honestly don't know what it is, there appears to be a small head under my skin there but it can't be causing all that dark redness...
I doubt my derm would prescribe me prednisone again either, I was on it for 15 days of my course and any longer he said there'd be consequences. Too bad too, I loved that drug. ANYWAYS, has anyone tried anything to help with extreme, dark redness? I've heard it's one thing accutane brings out in people, but it's really embarrassing and I always feel like people are looking. Again, this isn't a redness look from sunburn, this is like a dark blood redness if that makes sense...
Also, I just counted my pills and I realized I'm gonna be out of accutane for about 5 days until my next visit since my appointment scheduling is a little over a month. I asked my dermatologist if this is a problem and he said it's not at all... just worries me a little. I'd hate to backtrack. Has anyone else gone days without pills?
Posted 21 April 2013 - 11:58 PM
So I don't wanna jinx myself, but things are really starting to improve!! That dark redness I was talking about is really starting to go down, and I actually use that sulfur topical as coverup during the day. I use very little as I don't want it to be noticeable, and I heard people can tell from what I read online, but honestly I barely can unless I'm staring directly at it. Honestly, I don't care if people can tell at this point haha, it looks better than redness. And, being my stubborn self, I picked a pimple that ended up becoming very red so I'll have to apply it on that ... my fault.
As far as acne, I'm still getting new pimples forming but they seem to be drying up and going away a lot quicker than they used to. Neck is clearing up slowly, hopefully things are gonna be only improving from here on out!
I'm still worried about my case of being without accutane for about 5 or so days though, anyone think it'll be a problem? Like... since I'm taking two 30mg pills a day, should I maybe take 1 a day and then 2 the next when getting closer to the date, to try and have some accutane in my system until the refill?
I'll add pictures soon, thanks!
Edited by Tyrean, 21 April 2013 - 11:58 PM.
Posted 22 April 2013 - 08:27 PM
It's probably not a bad idea to alternate your pills (30mg alt w/60mg) until your refill just to keep things smoother. But it's completely not a problem. The accutane will be on your system for 5 days, plus cumulative dosing is more important than the exact time frame.
Your pictures are looking better... really looks like the accutane is drying everything out and it's falling off. I know it's hard, but try not to obsess about it. Just take those pills twice a day, and let the time fly by. You'll be the clearest, best looking you you've ever seen in no time at all!
All the best.
Posted 22 April 2013 - 11:31 PM
Will go ahead and do that then. Thanks a lot richard, i'll try not to obsess over my skin as much! Can't wait for the final result
Posted 23 April 2013 - 04:42 PM
Hey everyone, sorry for bumping again so soon . Last question until updates I promise haha..
Just a general question about cumulative dosage. So I weigh about 152 pounds, and I researched that for your cumulative dose you want to be at the low end at least 120mg/kg and the high end 150 mg/kg. Since I'm on 60 mg/day, if I stayed on it for six months I'd be at 10,800 mg, and for my specific weight, I'd be a little past the 10,342 mg mark (the high end of 150mg/kg). My derm has said he wants to most likely have me go six months to lower remission chances.. but he also said he wants to bump me up to 80mg/day possibly next month.
So I guess my question is, is it bad to never increase your dose on accutane or does it really not matter as long as you hit your cumulative total? I feel like 80mg/day might just be unnecessary with more possible side effects. Then again I ultimately trust the dermatologist's decision, whatever he feels is best.
By the way I found a nice calculator someone made to easily input your weight and calculate your dosage here http://www.acne.org/...ion-calculator/
Thanks in advance if anyone has any input!
Posted 28 April 2013 - 09:04 AM
It doesn't matter what your daily dose is, as long as you hit the right cumulative dose. Some people take 20 mg per day for a year, others 80 mg per day for 5 months. It works the same, although if you have more serious acne, the higher daily dose will attack it more quickly and somewhat more effectively in the short term. But over the long term it doesn't matter.
Be careful not to overuse the sulfur - it can irritate skin that accutane is already drying out. Just watch out for signs that the sulfur is making you break out more. But if it isn't, I'm glad to hear it.
Posted 28 April 2013 - 09:22 AM
The higher the dose, the higher chance of remission and higher chance of side effects. One of those times in life you have to weigh the benefits. I'm definitely heading for the high end for my 3rd course, but I've taken probably 25,000mg cumulatively so far and my acne didn't stay in remission. So, depending on how bad it is, aim high, especially if insurance covers it, at least stock up on pills. This stuff is expensive.
Posted 29 April 2013 - 11:02 AM
Thanks for the posts kid and richard! Noted.
So just got back from my derm after my two month visit, my regular derm is out of town so another doctor saw me. He did decide to bump me up to 80mg/day and predicts I'll be completely clear within two months. Maybe he's being extremely optimistic, I don't know haha. I also told him I was worried about another initial breakout from increasing the dosage, he thinks that's very unlikely and things should only be improving, faster now too with the increase.
I'll post pictures soon I'm sorry everyone, I've been really busy with school since projects and finals are coming up!
Posted 29 April 2013 - 09:04 PM
I definitely want to see updated pictures! One other note for insurance. It varies, but mine will cover 5 months of treatment. So my doctor just overprescribes it so I have extra boxes and can take it longer. But it's something like $700 per box if it's not covered. I think it might be kosher because he prescribed a lot then told me not to take the full dose *yet*. In any event, it makes it more affordable, not sure if he should do that, but I'm just doing what I'm told.
Posted 05 May 2013 - 06:12 PM
So as far as my skin, I have much less actives on my face so that's a positive, but I look only a little bit better than the last pictures I posted due to red marks that just don't want to fade. It's a smooth surface for the most part, but the red marks are very visible and make it look like it's acne. I've read that some peoples' red marks fade while on accutane, and others never fade until MONTHS after they complete the course... I'm gonna ask my derm my next visit if he suggests anything but that's not for another three weeks, so I found one product that I'm curious about.
It's called PureDeming Intense Gel R-ALA, seems to get a pretty decent amount of good reviews here on acne.org, but my question is do you think it would be safe to use 3 days out of the week or so while on accutane?
Any other suggestions people have that help them with redness/red marks?
I'm very thankful my acne's getting better but at the same time it's going to be a bummer if my skin stays with these very visible red marks for another 6 months or so.
Posted 05 May 2013 - 06:43 PM
Hey man, I'm glad your acne is getting better now. Having read through quite a few logs it seems once things start improving past the 60 days mark it just keeps getting better and better, looking positive!
I'm only on day 9 now but my skin has been very red already, the best thing I have used so far is calamine lotion. It works pretty quick and really helps to keep the heat down, might be worth trying it out. I just use a cotton ball to dab it on and leave it there, its really soothing when you first put it on which is relieving!
Other than that I'm using cetraben cream which is mainly to moisturize and help with the dryness but its definitely helping a bit with the redness.
Good luck! The redness absolutely SUCKS but I'm just glad its not a worse side effect to put up with
Posted 05 May 2013 - 07:44 PM
Very interesting... I just searched up calamine lotion and am getting mixed reviews, some people claiming it works great for red marks/redness like yourself and others saying it didn't do much or just helped temporarily. I just remembered that I bought a 3 step Eucerin Redness Relief kit about a month ago that I never used a lot because my acne was too flaring and I didn't care about the redness, just the acne itself, so I resorted to regular cleanser.
But now that my acne has died down a lot, I'm gonna go ahead and try this Eucerin Redness that includes a cleanser, a sunscreen that's tinted you can wear throughout the day, and a night creme for a week or so to see if that does anything (I know that's not a lot of time to judge). I'll definitely keep you posted, and if anyone else has any suggestions that would be great!
Posted 05 May 2013 - 08:34 PM
I read Tyrean, think you're black, then see your pics and you're white, lol sorry =)
AAAnyways, it looks like your acne is looking kind of crusty, which is a great sign! When mine was at its worst on my first course, things became crusty like that, then just sort of all fell off and didn't come back.
I know we're all anxious (I'm on Course 3, Day 31), but try not to mess too much with your face. Don't expect it to be beautiful yet. Expect good signs (like the dried up acne), but be patient with the red marks.
Use something very light on the red marks, maybe some red apple cider vinegar and moisturizer. That will give it some acid but not too much.
Posted 05 May 2013 - 11:27 PM
hahaha richard you're definitely not the first person to think that, i've just used this name forever, even on different forums dont know why!
Yeah man thanks for the words of encouragement, honestly it's progressed a lot, like you said the acne turned real crusty and pretty much fell off. Now i'm just left with all these red marks but it's part of the course i guess.
Like i said though I just didn't feel like taking updated pictures yet because from the camera it looks almost the same... it's just most of the acne's not there anymore, it's just the red marks. Hopefully my skin will be less red soon!
Posted 06 May 2013 - 09:21 PM
It will fade, have patience! Those marks fade all the time, we're just unfortunate in that we get new acne to replace them and make new ones. So, once your acne stops reappearing, they will only get lighter.
Can't wait for a few weeks to go by and see what your face looks like then, and what mine will look like. But, I'm so early on in the course, mine will still probably look pretty bad. 2 months is pretty good! i'm about a month behind you.
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