Hello! Well first off I'm a 25-year-old lady in the U.S.A. I'm almost 2 months through my second course of Accutane. It's going pretty well but I wanted to share my experience with Accutane while it's still fresh in my mind. I've gotten a lot of help reading others' logs so I thought I would make my own contribution!
Okay, brief history:
I've been around acne.org for a while...
My acne has never been worse than mild-moderate, but it is very persistent. It's also in the central area of my face so it's hard to cover up and it bothers me a lot. When my skin is bad I get a lot of anxiety and depression over it. So Accutane was not a hard choice for me, despite the side effects and risks.
I took it for the first time when I was 19. This was just after Minocycline stopped working for me and my skin became very oily and probably in the worst state it's been in. The accutane course cleared me up really quickly, but a year later it came back. It was much more mild, but I was still disappointed. I've never thought my acne was hormonal (I never really have it on my chin or jawline and don't break out too much on my period) but I tried Spironolactone just for the hell of it. And it actually worked! I think it's because it decreased my oil production. It's kept me clear for a few years until this past fall, when I turned 25. My skin wasn't oily anymore, it actually became pretty dry before these breakouts started. Sooooo I'm not sure what made me break out. But here we are again.
I started Accutane on March 14. I'm 118 pounds (about 54 kg). The first month I was on 40 mg/day. Now I'm on 80 mg but I've been doing more like 60 since everyone on here seems to be on 1 mg per kg? Also my lips were getting super dry. But besides the dryness I haven't had a problem with side effects.
Here's a rundown of my course so far:
Weeks 1-2: Not much happened except my skin got a bit oilier actually.
Week 3: Bit of a breakout. Nothing different from the breakouts I had gotten before. Skin got drier.
Week 4-5: Some small pimples, but at this point I was certainly noticing progress
Week 6: Broke out before my period, I don't usually have problems with this but then again I'm not on Spiro anymore. It wasn't bad and the zits kind of came up fast and left fast
Week 7-present: I've had a couple spots come up. Again, they come fast and leave fast. Right now I'm pretty clear.
However, I think all of the lip balm I use has caused some breaking out a bit on my chin and around my lips. Not super flattering as they look a bit like herpes, haha. I tried to take a break from my lip balm but I neeeeeed it!
Dryness, especially lips. I'm always whisking away little flakes of dead skin, ugh. Also flushing, especially after running outside. My pores look a little larger sometimes and the scars more noticeable. But I guess I shouldn't expect so much from my skin already!
That's all to report thus far, besides products I use:
Lips: Dr. Dan's Cortibalm. I survived my first Accutane course with just Aquaphor but this time I needed something more.
Moisturizer: Elta MD AM Therapy and in extra dry spots the Cetaphil Moisturizing Creme in the tub
Sunscreen: Elta MD UV Clear SPF 46: http://www.eltamd.co...etail.aspx?p=18
Cleanser: Cetaphil Gentle Formula
Makeup: I usually don't wear any but about once or twice a week I use Physicians Formula Mineral Wear Liquid Foundation: https://www.physicia...ions/02447.html
Sometimes I spot treat healing zits with Neosporin, but it's just what I had on hand
I also try to run a humidifier at all times.
Here is a picture of me at Week 6 which was a fairly bad week and in some harsh lighting. It's pretty mild, but again, very persistent. I'm happy to answer any questions about Accutane!