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Stick With Epiduo Or Go With Accutane? *pics Shown*

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#1 smileyt

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Posted 04 July 2013 - 06:52 PM

I have been on epiduo and doxycycline hyclate for almost 2 months and i have not seen any improvements sad.png. I think it's actually making my acne worse. 

My dermatologist was advising me to take accutane, and i am not sure if i should listen to my dermatologist's advice. I am scared of the possible side effects of accutane like depression. I don't know if it's worth the risk. I am scared. I rather have acne forever than taking anything that would cause any long term damages to my health. Can someone give me some advice?

 

This is my left cheek without flash:

2luatkp.jpg

 

This is my right cheek with flash:

snkth0.jpg

 

 

My t zone is pretty clear. I have been struggling with acne for more than 5 years. Any thoughts?



#2 AghhNe

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Posted 04 July 2013 - 07:48 PM

Your skin looks irritated. Have you tried giving you skin a break? Sometimes that works for others. Try it out for a month or two.
Diet changes may help as well.

If you arent prepared to take the risks of accutane i suggest do not. I have read a lot of post and seen videos of a permanent if not long term side effect of accutane. This drug is SERIOUS. There is a thread here where people are trying to find a cure for their side effects from accutane and a lot of them still have them years later. But of course, there are LUCKY people who had accutane and came out with no to temporary side effects. Sometimes, even with accutane, acne comes back. Depends on an individual though.

That's all i can suggest. Im sorry you have to go through this. :(

#3 AyeAye

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Posted 04 July 2013 - 09:48 PM

My skin doctor is dead against accutane as he feels the long term health risks are too real.  Are you using the topical antibiotic twice a day and the epiduo just once a day?  It  looks like your skin is quite irritated, which can happen if you're using too much epiduo. 


After remaining clear for around 1.5 years following DKR (The Regimen), in March 2013 I decided to change to Epiduo.  I use a pea size amount of epiduo each night, followed by a layer of topical antibiotic (Eryacne). I also apply Eryacne every morning and moisturise twice a day. After switching to Epiduo from the regimen I found that it took a good 3 months to get back to being perfectly clear again and now I might get one small pimple appear per month.  I can live with that :)

I started following Dan's Regimen in September 2011 after suffering with acne for 20 years or so. I followed the Regimen instructions exactly and became 100% clear within 9-11 weeks. In December 2011 and after being consistently clear for over a month, I started to slowly reduce the amount of BP I used until I was only applying BP at night. My skin still remained clear however I sometimes switched to applying BP twice a day for a few days (perhaps once a month) if I felt a few under skin bumps starting to come up. I used acne.org products (including AHA and jojoba oil) and sometimes cetaphil moisturiser at night if I felt my skin was especially dry.  In the gallery I show my week by week progress following the regimen.


#4 smileyt

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Posted 04 July 2013 - 10:05 PM

@AghhNe, Before i was prescribed to epiduo and doxycycline hyclate, i was giving my skin a break from using differin, however, i started breaking out again and couldn't find a way to control my acne from growing, so i decided to see a dermatologist again.  As for diet changes, i eat very clean and healthy. I drink a lot of water, eat a lot of fruits, vegetables, and fish. I dislike eating fast foods and junk foods. And i guess i have to stick with using epiduo. 

 

@AyeAye, I take doxycycline hyclate once a day after dinner and apply epiduo all over my face once a day before i go to sleep. 



#5 spartan32

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Posted 04 July 2013 - 10:43 PM

Accutane.  Save yourself the possible mental rollercoaster that I have had the past 13 years of trying various things.  Opinions vary but i have talked to 2 derms in real life and both never see the long term side effects reported on here so chances are you will be okay.



#6 AyeAye

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Posted 04 July 2013 - 10:50 PM

try applying the doxy twice a day on top of the epiduo, and also make sure you're moisturising too. 


After remaining clear for around 1.5 years following DKR (The Regimen), in March 2013 I decided to change to Epiduo.  I use a pea size amount of epiduo each night, followed by a layer of topical antibiotic (Eryacne). I also apply Eryacne every morning and moisturise twice a day. After switching to Epiduo from the regimen I found that it took a good 3 months to get back to being perfectly clear again and now I might get one small pimple appear per month.  I can live with that :)

I started following Dan's Regimen in September 2011 after suffering with acne for 20 years or so. I followed the Regimen instructions exactly and became 100% clear within 9-11 weeks. In December 2011 and after being consistently clear for over a month, I started to slowly reduce the amount of BP I used until I was only applying BP at night. My skin still remained clear however I sometimes switched to applying BP twice a day for a few days (perhaps once a month) if I felt a few under skin bumps starting to come up. I used acne.org products (including AHA and jojoba oil) and sometimes cetaphil moisturiser at night if I felt my skin was especially dry.  In the gallery I show my week by week progress following the regimen.


#7 WishClean

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Posted 13 July 2013 - 02:38 PM

Do yourself a favor and go see an allergist, not a dermatologist because they often just try to treat the symptom (acne) not the cause. Get your IgE and IgG levels tested to see if you are reactive to something. It may not be a full blown allergy, just a sensitivity/intolerance to a chemical, preservative, or something else that you are using/taking daily. Sulfites or salicylates. It looks like a reaction. If you do have a sulfite sensitivity, then antibiotics, acne cleansers, topicals, as well as other products you use (also food with sulfites as preservatives) are only going to make the situation worse. The most helpful thing I did for my acne was to go see an allergist.


Supplements: inositol, DIM, digestive enzymes [don't need them every day anymore, only on cheat days], herpanacine & vitamin C with rose hips [not every day], regular sun exposure for vitamin D3.

Lifestyle & Skin Care: Low histamine diet, avoiding unnecessary stress, balancing skin's PH (using Image Ormedics), using distilled/ filtered water to wash face, occasional high frequency facials... (although I have been slacking lately)

** Find the cause, find the cure **

 


#8 chgeorgina

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Posted 16 July 2013 - 07:23 AM

it's usual that the ance gets worse before it gets better when using retinoids, you need to give it at least 12 weeks depending on how bad your acne was when you started. As a person that has been on accutane I would suggest that you go for it and save yourself the hassle. Although it has serious side effects and it can be pretty pricey it is a permanent solution. I was zit free for 10 years, only the occasional ones. The only thing you need to be very cautious about is if you are a female and you are planning to get pregnant within the next 1-2 years, that's when you need to think it over.



#9 WishClean

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Posted 16 July 2013 - 09:42 AM

FInd the cause of this, don't just suppress the symtoms with drugs. It looks like an allergic reaction or irritation. And no, it doesn't always get worse before it gets better. If you find that you have an allergy to something, it only gets better!


Supplements: inositol, DIM, digestive enzymes [don't need them every day anymore, only on cheat days], herpanacine & vitamin C with rose hips [not every day], regular sun exposure for vitamin D3.

Lifestyle & Skin Care: Low histamine diet, avoiding unnecessary stress, balancing skin's PH (using Image Ormedics), using distilled/ filtered water to wash face, occasional high frequency facials... (although I have been slacking lately)

** Find the cause, find the cure **

 


#10 meowza

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Posted 16 July 2013 - 10:14 AM

I don't like to push Accutane but I don't like to tell people to run from it either. The people with long term side effects are the exception and not the rule in the Accutane game. I'm not downplaying anyones long term damage, and I'm not saying it won't happen to you. I'm just saying its a small percentage of people. You mostly see the horror stories on the internet because lets be honest here, where else can you go to reach an audience this massive? I'm 3 months in so I am no reliable source. I dont know what I'll be left with when this is over. However you gotta see your treatment you are using now through for a full 3-4 months to see if it is going to work for you, if it doesn't, then you can go see an allergist but it could also be hormones. There are SO many possibilities which is why Doctors like to exhaust all possibilities before trying Accutane. If you know your mind and you know your body then you can monitor how Accutane is affecting you and how you can handle it. Many people see success, a few people see long term side effects, most (including me) all see some during their treatment. Talk to your derm, see what you think is best for you :)



#11 AyeAye

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Posted 17 July 2013 - 12:23 AM

I'm an idiot....I just realised that you're taking oral antibiotics not applying topical antibiotic.  Ignore my post until I learn to read much more gooder ;)


After remaining clear for around 1.5 years following DKR (The Regimen), in March 2013 I decided to change to Epiduo.  I use a pea size amount of epiduo each night, followed by a layer of topical antibiotic (Eryacne). I also apply Eryacne every morning and moisturise twice a day. After switching to Epiduo from the regimen I found that it took a good 3 months to get back to being perfectly clear again and now I might get one small pimple appear per month.  I can live with that :)

I started following Dan's Regimen in September 2011 after suffering with acne for 20 years or so. I followed the Regimen instructions exactly and became 100% clear within 9-11 weeks. In December 2011 and after being consistently clear for over a month, I started to slowly reduce the amount of BP I used until I was only applying BP at night. My skin still remained clear however I sometimes switched to applying BP twice a day for a few days (perhaps once a month) if I felt a few under skin bumps starting to come up. I used acne.org products (including AHA and jojoba oil) and sometimes cetaphil moisturiser at night if I felt my skin was especially dry.  In the gallery I show my week by week progress following the regimen.