Greetings from Bangkok, Thailand.
I will try to make this as short as possible.
I'm 34 years old, male.
I had been on Accutane for 3-4 courses. The first 2 courses I used Roaccutane by Roche. The first course was only 6 months and I was taking 20 mg every 2 days. I do not want to count this as a course because only 45 days after the derm put me off it, acne returned.
The 2nd time was good. I was acne free for 2.5 years.
The 3rd time I switched to a Chinese brand. Acne free for 2 years.
The 4th time I switched again to Acnotin, a Thai brand and this time only 1 year later some mild acne came back around Nov 2012.
Please note that each course I took it was up to my weight, say 75 kgs x 120 mg = 9,000 mg in total. 9,000 / 10 mg = 900 pills which covered about 2-3 years to finish.
After acne started to return in Nov 2012, it got worse in April and the worst in May. I ordered Paula's Choice CLEAR system, the blue bottle, and use all of them. Gel wash, BHA, and BP 2.5%.
It works! I have used it for a bit more than 2 months now. My face is almost acne free, but full of red mark as every time I see acne that can be squeezed, I will squeeze it.
Well, although things are improving. I am sure that one day my skin will not respond to topical treatment I am on. And so I am thinking of healing it from the deeper root, the oil gland. Now Acnotin is so cheap here, you pay 1 dollar you get 3 pills (10 mg). However, I am saying no to the risks from this wonderful drug. 4 courses are enough.
Guess what! Yes, the famous B5 and Pantethine are on my mind. I have read a lot on this site before posting this question. That's because I am still confused about how to begin.
Let's see my current supplements.
Country's Life - Buffered C 1000mg
Swansons Hair, Skin & Nails
NOW Foods L-OptiZinc
Swansons AjiPure N-Acetyl-L-Cysteine
Doctor's Best Astaxantin
Swansons Saw Palmetto extract 160 mg
Swansons Royal Jelly
Swansons Betacarotene 25,000 IU
Swansons Vit E (dry) 400 IU
Carlson Salmon Oil
Country Life Natural Vitamin D3 400 IU
Swansons Dr. Stephen Langer's Ultimate 15 Strain Probiotic with FOS
I'd like to take whether B5 or Pantethine but cannot decide which one. Does Pantethine cause hair loss like B5? I am taking Saw Palmetto because of hair loss, not sure if it's caused by Accutane I took for a long time. I do not lose more than 60 / day though.
Also, I read that B5 should be taken with L-Cysteine. But since I am taking NAC, still do I have to take L-Cysteine?
And if I choose Pantethine, do I have to take NAC out or I just add Pantethine and continue with the rest?
Do I have to add B complex? I notice that it stimulates acne for me. I have it but not taking it.
I am unhappy with oily skin. 2 hours after washing my face it's already oily again. And new acne occurs almost every day. Although mild, it leads to red mark as I squeeze it. You may wonder why I squeeze it. I used to leave it alone, apply BP or clindamycin like Dalacin T yet it grew bigger and in the end I had to see the derm.
For red mark I am using BHA 9 as the last step. After BP 2.5%. I put BHA 9 on red marks and it helps.
Please kindly suggest how should I welcome B5 or Pantethine into my regimen and how much should I start with, and what else I have to add.
Thank you very much.
Edited by Kiat, 07 August 2013 - 03:19 PM.