I'm starting this up to help me prepare for my next dermatologist appointment. My treatment began on 06/11/2013.
In the last three months my skin went from being relatively clear with some issues with a few clogged pores and non-inflamed small pimples that would go away pretty quickly to having very painful papules and pustules on the left side of my jaw and hairline with tons of clogged pores all over my cheeks. I've been using the pill since I was 17 and at 25 I'm not certain this is hormonal acne or just caused by stress or something irritating my skin or something else. I've also had consistent breakouts on my back, but they've been responding well to apple cider vinegar and honestly don't bother me that much. As for my face, blemishes were also forming much quicker that they normally would, a few times I took a nap and woke up with new inflamed pores in the course of an hour. I'm hoping to nip this problem in the bud before it became far worse - and while I'm not happy with the current state of my skin I'm still fortunate enough to be experiencing mild to moderate acne on only a portion of my face.
At present, these are the prescription products involved in my regimen:
Doryx (doxycycline hyclate - delayed release) - 150 mg/day
Acella cleanser (10% sodium sulfacetamide, 5% sulfur) - Use once a day on face and body
Tretinoin Cream at .025% - I've been using this for two days in a row and then taking a day off, I think I'm going to switch to using it every other day
Other things I'm using:
Organic honey as spot treatment, cleanser, and mask
Sulfur mask to calm redness and inflammation - mine is the Equate brand from Walmart
Jojoba oil to remove makeup and the oil cleansing method to help loosen up the clogs once every few days
Possible other factors in my skin's sudden change:
Humidity (I live in Atlanta, Georgia and we've had a fairly rainy summer)
Avalon Organics Vitamin C cleanser - I've stopped using it but I've read some reviews where people seem to have had similar reactions to mine
Wellbutrin - I'm on Wellbutrin to treat depression, but one of the side effects is I'm prone to hot flashes (yuck) which might be making me sweat more and subsequently break out more. I'm pretty certain this isn't the problem though.
A week in I can report that any inflamed acne I've had has pretty much subsided - I think this is mostly due to the Doryx. My left jawline looks pretty bad with healing spots and new whiteheads coming up daily. Lots of debris seems to be coming out my pores and I'm expecting that I'm on the cusp of my tretinoin purge period. I'm hoping by using sulfur products and Doryx that the inflammation will not be so bad during this phase and that most of what arises is whiteheads, blackheads, and clogged pores rather than really painful bumps. The painful spots make me want to pick my skin like crazy to release the pressure/infection from under my skin and I know I really shouldn't be doing this when my skin is in such a fragile state with the use of tretinoin. Other than that, I haven't had any bad reactions to tretinoin outside of flakey skin on my forehead. Here's to hoping I'll be through with the purging phase in the next two weeks.
Edited by backtoblack, 27 June 2013 - 07:36 PM.