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Caleido

Acne Is Coming Back?!

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Hi,

It's been about five months since I stopped taking accutane, I didn't experience a lot of side effects, non too serious. I never stopped taking it during those five months I was on it.

Collectively I took 140 mg/kg. I had nicer skin than I've had for years up until June when stubborn spots started to appear, now in July they won't go away. I have it on my forehead, cheeks, nose, chin and one or two around my mouth. I think you can understand me when I say this is beyond horrible for me.

I clean my face as usual, up until July I was using a very gentle cleanser but it was too gentle and wouldn't wash away any type of greasiness (however it was good while I was immediately post-accutane).

I don't know what to do, I'll probably end up having to take a second course but I'm honestly not feeling up for it. Acne is such a pain in the ass and I've done so many things to prevent it and spent so much money trying to get rid of it it's ridiculous.

Any help accepted

Caleido

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How old are you? What was your initial acne severity/location? Is your acne associated with oily skin?

It is unfortunate that your Derm did not prescribe a maintenance therapy (e.g. topical retinoid) following your Accutane course to retain the improvement produced by Accutane. Acne is a chronic disease and, especially if you are young, ongoing therapy is usually required to control it.

If you are female, you could try a hormonal treatment such as spironolactone (with/without topical) before trying Accutane again.

http://pediatrics.aappublications.org/content/131/Supplement_3/S163.full.pdf

Good luck

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How old are you? What was your initial acne severity/location? Is your acne associated with oily skin?

http://www.acne.org/messageboard/topic/331126-14-year-old-son-about-to-start-accutane/?p=3367391

http://www.acne.org/messageboard/topic/331276-what-type-of-skincare-should-you-do-after-accutane/?p=3367732

It is unfortunate that your Derm did not prescribe a maintenance therapy (e.g. topical retinoid) following your Accutane course to retain the improvement produced by Accutane. Acne is a chronic disease and, especially if you are young, ongoing therapy is usually required to control it.

If you are female, you could try a hormonal treatment such as spironolactone (with/without topical) before trying Accutane again.

http://pediatrics.aappublications.org/content/131/Supplement_3/S163.full.pdf

Good luck

I'm 18 and female and I would say my acne was moderate. It wasn't mild-moderate and it was not moderate-severe because I didn't typically suffer from cysts and the like and I was relatively spared from any bodily acne. The thing is that my acne was so very, very stubborn and as soon as one spot disappeared (which took some time) at least one other would turn up. My skin was always harassed by bumps, puss and scars.

I think my acne was/is hormonal, because acne was present no matter if my skin was dry or oily. I don't find salicylic acid to be especially helpful because it's not harsh enough and BP did work but eventually lost its effect.

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