I started getting acne when I was ten, and I'm twenty now. I'm seeing my dermatologist in five months and I've been considering accutane for a while now. My skin fluctuates constantly, from mild to moderate, but then out of the blue it will spike to severe and then go back down again. I've tried every single topical treatment, I've used birth control, prescribed antibiotics, clean diet and excercise etc.
So though my skin doesn't look too terrible, it is definitely persistant and I'm really at the end of my rope for clearing my skin. The last time I was comfortable going out without foundation was the seventh grade!
Also, for accutane in Canada what's the price range?
Hey I think I can help you on this one! Our situations sound exactly the same. I'm 23, F, live in Canada and also suffered from the same kind of fluctuating acne for 10 or 11 years. I too tried a lot of topicals, rx's, antibiotics, birth control and the whole shebang. I've been on Accutane for one month. I had been considering Accutane for a long time but was turned down twice. Once because it was early and they wanted to exhaust other options, understandable. The second time was because it was a bad time for me during a bout of depression and joint issues. (Both reasonable reasons to not prescribe it to me haha).
When I went to see my derm the last time, I brought a list of the different over the counter products and prescription pills and topicals I had tried and a timeline of my acne. Also with my age (and yours as well) it was obvious I was there because the acne is persistent despite trying all of those things. I told her I was extremely fed up, self conscious, and that the acne was really hindering my quality of line (which is was). Like how I didn't want to go to the beach anymore, or wear skin baring clothes, etc. Also some of the cysts I got/get were really painful and made it hard to sleep or shave. When i went to see her my skin was.. well, fine on my face. No breakouts really. My back was pretty average though. She asked me "How is your skin today, being that 1 (its at its worst) or 10 (its at its best). I said mine was an 8.5 or a 9. I made it pretty clear that it was a great day for my acne. Then I said that I was really considering accutane because I was so discouraged with all the other treatments, and made it clear that I had given them all at least 3-6 months before saying that they didn't work.
We discussed it, side effects, depression issues, bloodwork requirements, birth control requirements etc, and she actually sent me for bloodwork to make sure my liver was fine and I wasn't pregnant later that day, and called in the prescription.
I am on 40mg/day and I do not have health insurance, just the mandatory Canadian medicare care for the province and it cost me 91 dollars. However the generic brand is cheaper by 10 or 15 dollars I think. I'll be asking for the generic brand tomorrow (my next appointment).
I hope this helps you a little bit! Keep an open mind when you discuss the drug, it does come with some pretty serious risks but for me, it was worth it to at least try.
Edited by meowza, 22 May 2013 - 05:45 PM.