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Mittensxo

Last Resort! 20Mg/female/uk

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Hi all

I actually had a log about 2yrs ago when I followed the regimen (benzoyl peroxide) but unfortately after working moderately well, my skin fought back with avengeance. :/ I had my first dermatologist appointment on 20 May & after hearing how many things I'd tried, basically described isotretinoin as the only thing that was going to work 100%. If I'm honest I was a bit surprised as although my skin had gotten worse over the last few months, I didn't think it would warrant such a strong drug but he told me it was more because I had no effect with the other drugs & how my acne presented itself, (cheeks & painful jaw/neck ones....pleasant I know!)

So I'm now on Day 8 & needless to say I am fully in IB mode. It's been constant whiteheads since around day 5 Everywhere & my confidence is taking a huge knock. :/

In terms of side effects I have the chapped lips, eczema on my stomach (not normal for me) & increased fatigue, although I do have low iron levels so could be down to that.

If anyone has any tips on how to get through this please let me know! :P & good luck to any other isotretinoin users out there reading. :)

Jess

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I used Cetaphil cream for dry skin. Would spritz face with Evian spritz(water) and then slather on the cream. Aquafor for lips. I am getting ready to start month five of 40mg. My face completely cleared up on about day 33 and has been clear since. At work right now and not a stich of makeup on which is unheard of for me. Hope it gets better for you.

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My break out was horrendous, white heads everywhere! It was really embarrassing looking back, I actually cringe at the thought... not to put you off though things do get much better!!! I've heard it's good to take isotretinoin with fatty food as its fat soluble, I wasn't told this before taking it, I actually went on a low fat diet as I was scared about my lipids in the blood tests. I think thats why i didn't see an improvement until month 3.

Good luck with you course anyway!!!!!

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Thanks for comments! It helps coming on here & reading that it *does* get better, even though right now I'd do anything to just hide away from the world. (Although work makes this impossible unfortunately!)

I'm going to try and get hold of some cetaphil moisteriser although I hate switching up my products as my skin is so sensitive I'm terrified of changing in case it increases my acne. :/ one thing I am using which I'm not sure is advisable is sudocrem on any painful spots as its the one thing over the years which has really helped with calming things down. I know my dermatologist advised that topicals wouldn't be necessary but I think I can kind of get away with it? (It's an antiseptic healing cream) I'll keep up with it unless my skin starts to get irritated.

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Yeah sudocream should be fine, it shouldn't irritate you skin anyway. In a few months or even weeks time (fingers crossed) you shouldn't be getting any painful spots. I'd recommend you use Nivea Lip Essential Care (Dark Blue) for your lips, it was the only one that worked for me!

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Day 10!

Ooh thanks for the tip with the Nivea. My lips have been INSANELY dry and the worst thing is I've had three pimples come up right at the corners of my mouth and above so when using Vaseline to rub my lips together it's been so painful because they hurt. :/ typical really!

In terms of skin I feel like its starting to get a tiny bit less bumpy but I have a small cystic spot coming up on my cheek which isn't fun....am icing it in the hope it won't get as huge as previous ones I've had! I'm still crazy unconfident at work, and am dreading when meetings start up again (I work as a Committee officer, so clerk a lot of meetings...very exciting stuff there.. ;) ) but keeping my fingers crossed the initial breakout is starting to go away now so I won't be sitting in meetings feeling like everyone is staring at my awful skin. :/ (which in reality I know my skin is not a top priority to these people, but my irrational side can't see that!)

Not really any other side effects now apart from the dry lips although i think my skin in general is getting drier. I'm also a bit gutted I had to cancel my tattoo appointment this weekend, but from what I've read tattoos & isotretinoin are a huge nono. :/

Hope everyone else's skin is treating them nicely!

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Oh right! & I'm assuming all went well? I googled it out of curiosity and it seemed like a lot of people were against it due to your skin being so fragile at this time. I'll probably see how I go & then reschedule in the future. I think I'm going to be on this for about 6 months so I'm not sure i can wait that long anyhow. Or I'll maybe bring it up to my dermatologist in a few weeks. :)

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Day 13

So I think my initial breakout is starting to subside a tiny bit in terms of my cheeks, but my chin and jaw is still ridiculous. I have a huge painful spot just below my lip and about four on my chin which won't go away. The teeny cystic one has basically come to a head (more like three!) but it should start to subside now as I may have messed around with it earlier...(I can't help it!)

Lips are very sore and when I got home I realised it had split open a little bit and was bleeding so that's not great, but other than that feeling OK. :) just hoping my skin continues to get better although I know to keep realistic!

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I know it's said 1000 times but don't mess with them! I did and have regretted it as my scarring is visible now (not as bad as it could have been though!)

My skin cleared up 95% but you're only on day 13 and my skin was still terrible until 2 months into the treatment (probably not what you wanted to hear but just being truthful!)

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I'm always happy to hear when it's worked for someone! Even if secretly I wish it was a quick fix. :P

Day 16

My skin is back to being pretty terrible. :/ I'm hoping it goes away in time for Download festival next weekend but trying not to stress too much. I know it's not as bad as it was a week ago, but it seems that the second I think it's getting better, I wake up to more 'friends' D:

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Have you got any signs of scarring? It took me ages to get Roaccutane (seems they give it out a lot easier these days) and I wish I'd got it earlier!

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I have quite a lot of hyperpigmentation but not any other type of scarring. I know what you mean though! I was quite shocked to be given it my first time there, but I have gone privately so I know that might've been one reason I got it so quickly. I also didn't have to do any blood tests or anything which by what I've read, seems really weird! I am glad I'm taking it though, even if it is messing with me right now. :P

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That is a bit strange if you're not having blood tests done but to be honest mine were fine every month and I drank when on the drug (I know you shouldn't)

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Day 19

My skin is not being kind to me at all. I feel like I'm back at day 7. I had a huge emotional outburst yesterday to my boyfriend (the words 'you don't understand!!' were deffinately shouted...) but feeling a bit better today and starting to not be so irrational. I know it's going to be hard but I didn't feel prepared for this. (For an idea of my skin, it's around 5 whiteheads/pimples on my left cheek, god knows how many on my right jaw/upper cheek and yeah...beautiful image right now!)

Side effects wise my lips are still very dry, my skin is now starting to get very dry/tight on my face, I have a patch of eczema on my neck and that's about it really. I'm not going to blame accutane for my outburst yesterday because I've had them many times before over my skin & don't think it's the drug.

Hope everyone's skin is treating them well. X

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Day 22

Skin is still awful. Painful large spots now and I'm off tomorrow to a festival for the weekend. :/ I'm determined not to let my skin dictate how much fun I have but I know I'm going to be horribly self concious whilst I'm there. Urgh, least I see my dermatologist next week so maybe he can offer some advice for this awful initial breakout.

Side effects wise, lips still awful and skin dry. My joints also ache today a lot but hopefully this won't last long.

Hope everyone else's skin is being kind! X

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Day 22

Skin is still awful. Painful large spots now and I'm off tomorrow to a festival for the weekend. :/ I'm determined not to let my skin dictate how much fun I have but I know I'm going to be horribly self concious whilst I'm there. Urgh, least I see my dermatologist next week so maybe he can offer some advice for this awful initial breakout.

Side effects wise, lips still awful and skin dry. My joints also ache today a lot but hopefully this won't last long.

Hope everyone else's skin is being kind! X

Hang in there! And you've got exactly the right attitude... don't let your skin dictate how much fun you have indeed! I have never let it stop me doing stuff although I can see why it would stop people!

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Thanks for the encouragement. :) I'm actually in my hotel at the mo. unfortunately my skin is still being unkind, I feel like I break out more everyday but I actually am pretty sunburnt which I think has irritated my skin a lot. I didn't bother with a high SPF because its been raining mostly! But obviously I needed one.

I've surprisingly been enjoying myself loads though. :D

Side effects wise I'm now waking up every morning looking like I'm wearing black lipstick (my lips are so dry & bloody at the mo, I smiled yesterday and they starting bleeding!) & joints aching. I'm on day 26 so first month, nearly done!

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Will give it a go!

Day 29

Had my dermatologist appointment today. He agreed that my face had flared up but did tell me that the first month was always going to be the worst! Because of my awful initial break out he has also prescribed me predisone (I think I've spelt that wrong!) and I have to say I was hoping that'd be the case because I just need something to take the inflammation away. He's also upped my dose to 30mg and told me this would be the highest I would go for my weight? i find this super low compared to other logs but I'll trust his judgement. He's said that although my skin is 'tricky' (still not sure what he means by that !) I will be very happy with the results....lets hope he's right!

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Either that or try the cocoa butter one... The normal one didn't help as much.

Th low dose might be to not over dry your skin as I made that mistake! More isn't always better.

Honestly though, I saw nxt to no difference the first month... Chin up :)

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Day 36

So I've been on 30mg now for six days! My skin has gotten slightly better, deffinately no where near perfect, but a noticeable improvement compared to my initial break out - my left cheek is still pretty broken out however my forehead, chin and right jaw are a lot lot better. I am loving not having an oily face also! it's amazing to not have to worry about shininess throughout the day and not waking up like an oil slick! (Attractive I know..!)

Not much to say really. As expected my lips are still dry, perhaps a bit drier, but nothing else I can really pinpoint at the moment. :)

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Hiya, I'm not doing toooo bad thanks! How's your course going?

Day 42

My left cheek is still broken out pretty bad but my right cheek is clearing up really good and apart from a couple of tiny ones is all good. :) in terms of dryness my lips are still pretty bad but as long as I reapply Vaseline constantly I'm good. I keep getting frustrated with my skin as it is still so damaging to self esteem but am surprised at how positive I'm being if I'm honest. XD only other side effect I keep getting is really bad pains in that area under your ribs? I can't really explain but I've had it the last three/four days and its just a bit strange. If course could be completely unrelated but worth noting.

Is it around the 3rd month you can expect to see more improvements? I hope so! X

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Hey mittens! Glad to hear you're staying positive, its all in the perspective :) Im less than a week behind you on the tane treatment with very similar results, still getting breakouts on my cheeks but seem to be clearing(fingers crossed). I keep wanting to get frustrated too but that's much too easy, to sit back and just feel bad for myself. Much better use of my time to focus on enjoying the little things!

It seems to me like the majority of people don't see improvements till at least somewhere in month two, but most still don't see them until the middle of month three. We just gotta keep on going and be patient.

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