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How Long Do Antibiotics Generally Take To Work?

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#1 MoonlitRiver

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Posted 09 August 2013 - 05:52 AM

Hey, I was just wondering if anybody could tell me how long it usually takes antibiotics to work for acne? I know it's not an exact science or anything but if anyone can suggest a general timeframe it would be much appreciated! I've been on Lymecycline 408mg/day for 4 weeks now and I'm still breaking out really badly in certain places (mainly my forehead) so I'm starting to wonder if antibiotics even work for acne at all. sad.png What are your experiences? 


My Current Treatment Plan

 

Morning: Lymecycline
 

Evening: Dianette + Epiduo

Diet: eliminated dairy

 

My Log: http://www.acne.org/messageboard/topic/331567-diary-of-a-three-pronged-attack-my-mission-to-get-clear-skin-and-avoid-roaccutane/#entry3369787 

 

Acne status: essentially clear and just waiting for hyperpigmentation to fade

 

"I would rather learn what it feels like to burn than feel nothing at all." ~ Ron Pope
 


#2 Lilly75

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Posted 09 August 2013 - 06:20 AM

When I took antibiotics for acne my doctor told me 3 to 4 months - which ended up being true. I took doxycycline, and at another point I took bactrim, and I was on them for about 3 - 4 months before my skin was clear. That's the general 'rule' I follow for any skin treatment now - give it at least 3 months to see if it works. I think my doctor said something about 3 months being the time for all the skin layers to move up to be the surface layer or for any of the acne deep in the skin to surface... Don't quote me on that though! I'm probably remembering that part wrong because it was a while ago!

So antibiotics can work while you take them! You're still in the early days so breakouts are to be expected :)


Started The Acne.org Regimen 2nd July 2013

 


#3 Paperboy Bike

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Posted 09 August 2013 - 06:32 AM

Yeah with any Acne treatment you're supposed to give it 3 months before judging if you should continue with it or not. Lookign at your routine, have you considered using a topical in the morning? I hated the way BP made my skin feel but I found that BP in the morning, Retin-A at night along with an Antibiotic was very effective.



#4 biggs881

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Posted 09 August 2013 - 07:12 AM

Yeah 3 months at least:

 

http://www.acne.org/...-log/?p=3367616



#5 MoonlitRiver

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Posted 09 August 2013 - 09:04 AM

When I took antibiotics for acne my doctor told me 3 to 4 months - which ended up being true. I took doxycycline, and at another point I took bactrim, and I was on them for about 3 - 4 months before my skin was clear. That's the general 'rule' I follow for any skin treatment now - give it at least 3 months to see if it works. I think my doctor said something about 3 months being the time for all the skin layers to move up to be the surface layer or for any of the acne deep in the skin to surface... Don't quote me on that though! I'm probably remembering that part wrong because it was a while ago!

So antibiotics can work while you take them! You're still in the early days so breakouts are to be expected smile.png

 

Thanks for the reassurance again Lilly! My doctor said that I should see some improvement from the 4-5 week mark but it might well be that she was just trying to inject a little bit of hope into my obvious despair haha! Like you, I usually give new treatments 3 months before deciding if they're working or not but for some reason I was hoping that antibiotics might work faster. I remember reading someone else's comment on these forums saying that skin sheds in a 30 day cycle so assuming that the skin has a few layers you probably are remembering what your doctor told you correctly :) It's really good to know that breaking out at this stage is probably normal and doesn't mean they won't work though! 

 

Yeah with any Acne treatment you're supposed to give it 3 months before judging if you should continue with it or not. Lookign at your routine, have you considered using a topical in the morning? I hated the way BP made my skin feel but I found that BP in the morning, Retin-A at night along with an Antibiotic was very effective.

 

Thanks Paperboy Bike, I probably am worrying about it all a bit too early then! It's good to hear that Retin A, BP and antibiotics worked well for you in combination. I'm using Epiduo in the evening so that has BP and a retinoid in it as well so hopefully that should be enough to cover the topical side of things? I would worry about adding any other topical into my regime because my skin's really sensitive and is already a bit dry and irritated from the Epiduo as it is. 

 

Yeah 3 months at least:

 

http://www.acne.org/...-log/?p=3367616

 

Thanks biggs881, the link to that other post was really helpful! The graph was especially interesting for me because I'm also using Epiduo which contains 0.1% adapalene so according to that my skin should theoretically start improving at a faster rate from week 8 onwards! :D Here's hoping! 


My Current Treatment Plan

 

Morning: Lymecycline
 

Evening: Dianette + Epiduo

Diet: eliminated dairy

 

My Log: http://www.acne.org/messageboard/topic/331567-diary-of-a-three-pronged-attack-my-mission-to-get-clear-skin-and-avoid-roaccutane/#entry3369787 

 

Acne status: essentially clear and just waiting for hyperpigmentation to fade

 

"I would rather learn what it feels like to burn than feel nothing at all." ~ Ron Pope
 


#6 Lilly75

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Posted 09 August 2013 - 06:56 PM

When I took antibiotics for acne my doctor told me 3 to 4 months - which ended up being true. I took doxycycline, and at another point I took bactrim, and I was on them for about 3 - 4 months before my skin was clear. That's the general 'rule' I follow for any skin treatment now - give it at least 3 months to see if it works. I think my doctor said something about 3 months being the time for all the skin layers to move up to be the surface layer or for any of the acne deep in the skin to surface... Don't quote me on that though! I'm probably remembering that part wrong because it was a while ago!

So antibiotics can work while you take them! You're still in the early days so breakouts are to be expected smile.png

 

Thanks for the reassurance again Lilly! My doctor said that I should see some improvement from the 4-5 week mark but it might well be that she was just trying to inject a little bit of hope into my obvious despair haha! Like you, I usually give new treatments 3 months before deciding if they're working or not but for some reason I was hoping that antibiotics might work faster. I remember reading someone else's comment on these forums saying that skin sheds in a 30 day cycle so assuming that the skin has a few layers you probably are remembering what your doctor told you correctly smile.png It's really good to know that breaking out at this stage is probably normal and doesn't mean they won't work though! 

Haha yeah me again - I swear I'm not stalking your posts! :P I think we might have had similar experiences with acne and treating it though

 

I think you should start seeing some improvements soon - even if they are just slight. But just keep in mind the 3-4 month idea. I think that's when you should be seeing more dramatic improvements hopefully :)

 

And yay - maybe my memory isn't as bad as I thought :P


Started The Acne.org Regimen 2nd July 2013

 


#7 Feelin'SomeRhythm

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Posted 10 August 2013 - 02:52 AM

In the past, I've taken both Oxytetracycline and Doxycycline. I started the Oxy in October '09 and I didn't clear until March 2010; similarly, the Doxycycline took me from November 2011 'til March 2012 to work. Antibiotics do eventually work, but just be prepared for your acne to eventually come back, likely worse than what it was before. The failure of Oxy to keep me clear led to me taking Doxy and, similarly, the fact that Doxy has stopped working has resulted in me going on Roaccutane from next Monday.



#8 MoonlitRiver

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Posted 10 August 2013 - 04:06 AM

Haha yeah me again - I swear I'm not stalking your posts! tongue.png I think we might have had similar experiences with acne and treating it though

 

I think you should start seeing some improvements soon - even if they are just slight. But just keep in mind the 3-4 month idea. I think that's when you should be seeing more dramatic improvements hopefully smile.png

 

And yay - maybe my memory isn't as bad as I thought tongue.png

 

Haha thanks Lilly. Like you say we've obviously had similar acne experiences and I do really appreciate your replies. You always manage to inject a sense of rationality into my unnecessary panic so thank you very much for that! :)

 

I will keep in mind the 3 month marker and put any current breakouts down to my skin adjusting. I think I just got it into my head that antibiotics work faster because for other things you usually have a 10 day course or whatever and it clears the problem completely. Obviously acne is just a bit more stubborn than that! Just our luck!

 

In the past, I've taken both Oxytetracycline and Doxycycline. I started the Oxy in October '09 and I didn't clear until March 2010; similarly, the Doxycycline took me from November 2011 'til March 2012 to work. Antibiotics do eventually work, but just be prepared for your acne to eventually come back, likely worse than what it was before. The failure of Oxy to keep me clear led to me taking Doxy and, similarly, the fact that Doxy has stopped working has resulted in me going on Roaccutane from next Monday.

 

Thank you for the reply :) It's good to know that I'm not meant to be seeing results yet so I will give it a bit more time before I start to panic! I'm not too reassured by you saying that my acne will come back worse though unsure.png does that always happen?! I literally couldn't cope with it coming back worse than before because before I started on this treatment it had got so bad that the cysts were making my eyes, lips and glands swell up and my whole face was constantly throbbing with pain. How many different antibiotics do they usually try you on before resorting to Roaccutane? I really want to avoid taking Roaccutane because I don't trust it with the side-effects at all. I really hope it goes well for you though! I'd be interested to see your progress with it.


My Current Treatment Plan

 

Morning: Lymecycline
 

Evening: Dianette + Epiduo

Diet: eliminated dairy

 

My Log: http://www.acne.org/messageboard/topic/331567-diary-of-a-three-pronged-attack-my-mission-to-get-clear-skin-and-avoid-roaccutane/#entry3369787 

 

Acne status: essentially clear and just waiting for hyperpigmentation to fade

 

"I would rather learn what it feels like to burn than feel nothing at all." ~ Ron Pope
 


#9 NurseSugarTits

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Posted 10 August 2013 - 04:22 AM

Just make sure you keep taking it and if it is a twice a day, keep a strict schedule of a dose every 12 hrs (general rule with any antibiotics). Evenly spaces doses keep a constant stream in your system. Also, certain antibiotics have certain restrictions. Such as doxycycline. Don't take it within an hour of dairy or antacids. It decreases absorption. And expired doxycycline can be toxic. Good luck!!

#10 MoonlitRiver

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Posted 10 August 2013 - 04:38 AM

Just make sure you keep taking it and if it is a twice a day, keep a strict schedule of a dose every 12 hrs (general rule with any antibiotics). Evenly spaces doses keep a constant stream in your system. Also, certain antibiotics have certain restrictions. Such as doxycycline. Don't take it within an hour of dairy or antacids. It decreases absorption. And expired doxycycline can be toxic. Good luck!!

 

Thank you so much for the advice! I'm only taking it once a day so I just take it at the same time each morning. It's Lymecycline so it shouldn't be affected by dairy I don't think but I've pretty much cut dairy out of my diet now in any case! Do you know if there any difference if you take it with or without food? The packet information is really unclear, it just says it won't be affected by a glass of milk but says nothing at all about food. Thanks again! :)


My Current Treatment Plan

 

Morning: Lymecycline
 

Evening: Dianette + Epiduo

Diet: eliminated dairy

 

My Log: http://www.acne.org/messageboard/topic/331567-diary-of-a-three-pronged-attack-my-mission-to-get-clear-skin-and-avoid-roaccutane/#entry3369787 

 

Acne status: essentially clear and just waiting for hyperpigmentation to fade

 

"I would rather learn what it feels like to burn than feel nothing at all." ~ Ron Pope
 


#11 Lilly75

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Posted 10 August 2013 - 04:39 AM

When I stopped antibiotics and my acne came back, I don't think it was worse than before for me. I think at first I might have though it was worse than before but I think that's because I got used to seeing clear skin for a while!

 

If you don't want to take accutane then you don't have to! Even if your doctor is recommending it, you don't have to take it if you're not comfortable with it. You can find another way of treating it that works for you - even if that means something like rotating antibiotics every few months (or a few months on, a few months off) and using different topicals constantly. I know that doesn't sound as appealing as taking accutane and then hopefully not having acne again (but I know what you mean about being worried of the potential side effects). Talk to your derm / doctor next time you see them and ask them 'if I don't want to take accutane, what are my options?' You might feel like you've tried everything there is but maybe trying those things in a different combination could be what works.

 

Last time I saw my doctor I was asking about birth control or spiro for my acne. She mentioned accutane being an option if I wanted but she wanted me to try birth control first. I ended up deciding to try the regimen before going the pill / hormonal route. Have you tried spironolactone for your acne before? There's also a treatment called SGA (sebaceous gland ablation) that's fairly new - so I'm a bit weary of it as there haven't really been any studies done on it but it's done in a few clinics in Australia and I think I heard they were looking to open clinics somewhere in the UK sometime soon. Basically, as far as I know, they take a needle and go into the sebaceous gland and destroy it with an electric impulse I think - so that means that you can't get acne from that gland anymore. It would be a long process and probably quite expensive but it's supposed to be permanent...  So there may still be other options available if you don't want accutane :) If I hear anymore about where they're opening a clinic in the UK I'll let you know if you're interested.


Started The Acne.org Regimen 2nd July 2013

 


#12 MoonlitRiver

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Posted 10 August 2013 - 05:41 AM

When I stopped antibiotics and my acne came back, I don't think it was worse than before for me. I think at first I might have though it was worse than before but I think that's because I got used to seeing clear skin for a while!

 

If you don't want to take accutane then you don't have to! Even if your doctor is recommending it, you don't have to take it if you're not comfortable with it. You can find another way of treating it that works for you - even if that means something like rotating antibiotics every few months (or a few months on, a few months off) and using different topicals constantly. I know that doesn't sound as appealing as taking accutane and then hopefully not having acne again (but I know what you mean about being worried of the potential side effects). Talk to your derm / doctor next time you see them and ask them 'if I don't want to take accutane, what are my options?' You might feel like you've tried everything there is but maybe trying those things in a different combination could be what works.

 

Last time I saw my doctor I was asking about birth control or spiro for my acne. She mentioned accutane being an option if I wanted but she wanted me to try birth control first. I ended up deciding to try the regimen before going the pill / hormonal route. Have you tried spironolactone for your acne before? There's also a treatment called SGA (sebaceous gland ablation) that's fairly new - so I'm a bit weary of it as there haven't really been any studies done on it but it's done in a few clinics in Australia and I think I heard they were looking to open clinics somewhere in the UK sometime soon. Basically, as far as I know, they take a needle and go into the sebaceous gland and destroy it with an electric impulse I think - so that means that you can't get acne from that gland anymore. It would be a long process and probably quite expensive but it's supposed to be permanent...  So there may still be other options available if you don't want accutane smile.png If I hear anymore about where they're opening a clinic in the UK I'll let you know if you're interested.

 

Oh no, I literally can't deal with it coming back worse than before, it would just be too much for me. :(

 

I've always said that I really don't want to take Roaccutane because of the side effects but if I did end up with acne worse than it was before these treatments then I think I'd have to unless I could find an effective alternative. My doctor really freaked me out the last time I saw her by bringing up Roaccutane and saying I'd be a good candidate for it. Hearing that was so disheartening! I knew my acne was bad, but the look she gave me when I came in the room made me feel like it must have been some of the worst she'd seen :( At the moment it's so much better than it was a month or two ago though so hopefully there are other things I can try that might keep it vaguely under control. I have a dermatology appointment in September so I will definitely do as you suggest and ask what my options are if I don't want to go down the Roaccutane route. I really really hope they can offer me some alternatives!!

 

I'm on Dianette/Diane-35 at the moment (I started it about a week before the antibiotics) and I'm really hoping that will work for me as I know my hormones were pretty out of whack before I started taking it. The problem I'll then have is that even if it does clear me up they won't usually prescribe it for more than 6 months because of the higher risk of blood clots and no doubt as soon as I stopped it the acne would all come back again anyway. Some people say that it comes back worse after taking birth control and if it's the same with antibiotics then it sounds like I'm in for a seriously rough ride! I'd love to be able to take Spironolactone instead because I've heard such good things about it but they don't prescribe it for acne in the UK at all as far as I know. Maybe I could ask the dermatologist about it though. 

 

The SGA treatment you mention sounds interesting. Like you, I think I'd be a bit wary of it with it being so new and seemingly quite invasive but I'd still be interested to hear if you find out anything about them opening a clinic in the UK. No doubt it would be pretty expensive as well of course but if it was actually a permanent solution it would be tempting as long as they could prove it would be safe and not cause long-term damage. You never know, by the time they open one in the UK I might just be desperate enough to try anything! 

 

Thanks again for all your support and advice Lilly! By the way, how is the Regimen working for you at the moment? I really hope it's going well :)


My Current Treatment Plan

 

Morning: Lymecycline
 

Evening: Dianette + Epiduo

Diet: eliminated dairy

 

My Log: http://www.acne.org/messageboard/topic/331567-diary-of-a-three-pronged-attack-my-mission-to-get-clear-skin-and-avoid-roaccutane/#entry3369787 

 

Acne status: essentially clear and just waiting for hyperpigmentation to fade

 

"I would rather learn what it feels like to burn than feel nothing at all." ~ Ron Pope
 


#13 MaskedOne

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Posted 10 August 2013 - 06:23 AM

My derm would not prescribe antibiotics for 3-4 months unless the dosage significantly decreased.  It's just not good for your body.  You're basically killing ALL bacteria, good and bad.  This is the reason some antibiotics can cause yeast infections in women because it changes the normal flora (good bacteria) "down there." (sorry if TMI, but it can happen).  Taking a probiotic just a few times a week, not with the antibiotic, but 2-3 hours after its taken, can help keep good bacteria in your system.  The other potential issue is it can wreak havoc on your digestive system for the same reason -- there's good bacteria in your GI tract and taking the antibiotics kill them all off. 

 

The prescription bottle should list any specific instructions for taking the meds.  (i.e., take with food, take on an empty stomach, do not take with antacids or magnesium supplements).  I know Doxy definitely has specific instructions; I took it last year.  If you are taking other meds, the antibiotic could also interact with them causing it to be less effective.  If you have questions, you could always ask the pharmacist about drug interactions.   

 

The biggest overall problem with antibiotics is the more you take, the more potential there is to become immune to their effectiveness. This is becoming a worldwide problem as certain strains of bacteria are not receptive to any antibiotics currently offered.  I've already become immune to Doxy and wondered if there's other antibiotics I've become immune to as well.

 

That all said, I'm not trying to scare you! I'm on antibiotics myself right now (Cefadroxil, 1000/mg a day, which is a large dose). I'm doing this for 30 days, then I hope my derm will let me take a smaller dose just for a short time.  (I'm also on OTC and Spiro 100mg/day).. I was told it would take a few weeks for the antibiotic to kick in, and maybe as many as four weeks, which sucks.  However, I know some people have had their breakouts stop pretty quickly on this. 

 

I have also been struggling with a hormonal imbalance which has produced cystic acne, which is brutal.


Edited by MaskedOne, 10 August 2013 - 06:26 AM.


#14 Lilly75

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Posted 10 August 2013 - 07:11 AM

When I stopped antibiotics and my acne came back, I don't think it was worse than before for me. I think at first I might have though it was worse than before but I think that's because I got used to seeing clear skin for a while!

 

If you don't want to take accutane then you don't have to! Even if your doctor is recommending it, you don't have to take it if you're not comfortable with it. You can find another way of treating it that works for you - even if that means something like rotating antibiotics every few months (or a few months on, a few months off) and using different topicals constantly. I know that doesn't sound as appealing as taking accutane and then hopefully not having acne again (but I know what you mean about being worried of the potential side effects). Talk to your derm / doctor next time you see them and ask them 'if I don't want to take accutane, what are my options?' You might feel like you've tried everything there is but maybe trying those things in a different combination could be what works.

 

Last time I saw my doctor I was asking about birth control or spiro for my acne. She mentioned accutane being an option if I wanted but she wanted me to try birth control first. I ended up deciding to try the regimen before going the pill / hormonal route. Have you tried spironolactone for your acne before? There's also a treatment called SGA (sebaceous gland ablation) that's fairly new - so I'm a bit weary of it as there haven't really been any studies done on it but it's done in a few clinics in Australia and I think I heard they were looking to open clinics somewhere in the UK sometime soon. Basically, as far as I know, they take a needle and go into the sebaceous gland and destroy it with an electric impulse I think - so that means that you can't get acne from that gland anymore. It would be a long process and probably quite expensive but it's supposed to be permanent...  So there may still be other options available if you don't want accutane smile.png If I hear anymore about where they're opening a clinic in the UK I'll let you know if you're interested.

 

Oh no, I literally can't deal with it coming back worse than before, it would just be too much for me. sad.png

 

I've always said that I really don't want to take Roaccutane because of the side effects but if I did end up with acne worse than it was before these treatments then I think I'd have to unless I could find an effective alternative. My doctor really freaked me out the last time I saw her by bringing up Roaccutane and saying I'd be a good candidate for it. Hearing that was so disheartening! I knew my acne was bad, but the look she gave me when I came in the room made me feel like it must have been some of the worst she'd seen sad.png At the moment it's so much better than it was a month or two ago though so hopefully there are other things I can try that might keep it vaguely under control. I have a dermatology appointment in September so I will definitely do as you suggest and ask what my options are if I don't want to go down the Roaccutane route. I really really hope they can offer me some alternatives!!

 

I'm on Dianette/Diane-35 at the moment (I started it about a week before the antibiotics) and I'm really hoping that will work for me as I know my hormones were pretty out of whack before I started taking it. The problem I'll then have is that even if it does clear me up they won't usually prescribe it for more than 6 months because of the higher risk of blood clots and no doubt as soon as I stopped it the acne would all come back again anyway. Some people say that it comes back worse after taking birth control and if it's the same with antibiotics then it sounds like I'm in for a seriously rough ride! I'd love to be able to take Spironolactone instead because I've heard such good things about it but they don't prescribe it for acne in the UK at all as far as I know. Maybe I could ask the dermatologist about it though. 

 

The SGA treatment you mention sounds interesting. Like you, I think I'd be a bit wary of it with it being so new and seemingly quite invasive but I'd still be interested to hear if you find out anything about them opening a clinic in the UK. No doubt it would be pretty expensive as well of course but if it was actually a permanent solution it would be tempting as long as they could prove it would be safe and not cause long-term damage. You never know, by the time they open one in the UK I might just be desperate enough to try anything! 

 

Thanks again for all your support and advice Lilly! By the way, how is the Regimen working for you at the moment? I really hope it's going well smile.png

Oops maybe I should've been clearer! I didn't mean to make you more worried about your skin! - When I stopped antibiotics and my acne returned I don't think it was worse than before. It was the same as before. I just thought it looked worse at first because I'd become used to seeing clear skin for a little while. Yes it's annoying that the results don't always last but I've seen some threads around here where people have stopped antibiotics and had clear skin for a number of months after! Maybe that will be the case for you! Either way, try not to focus on that too much now. Worry about that if it happens :)

 

Hopefully your derm appointment does help you. Asking about spiro then would be a good idea too. Like I said, my doc suggested accutane to me too and when I told my mum about this she was so surprised! She thought it was only the really severe cases that would be prescribed it and didn't  believe me when I told her a lot of people use it for mild acne or even just oily skin. I guess that's comforting in a way that my mum didn't think my skin was severely bad? haha

But don't be disheartened that accutane was mentioned to you. It seems to be prescribed for any type of acne these days. I feel like some doctors want you to take it or just assume that you want to take it because you're pressumably over dealing with acne. I completely understand why people take accutane - I'm just not sure it's something I want to take (at least not yet anyway).

 

Diane is one of the pills I was considering starting for my acne too. I've heard that can take around 4 months before really showing results in your skin. Hopefully it (in combination with the other things you're doing) works well for you!

 

And no worries :) glad to be able to help or offer support where I can!

The regimen has been going pretty well for me lately which is great. I have a log going but haven't written a proper update for a little while... I plan to add in AHA in the next week. Thanks for asking :)


Started The Acne.org Regimen 2nd July 2013

 


#15 MoonlitRiver

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Posted 10 August 2013 - 08:30 AM

Oops maybe I should've been clearer! I didn't mean to make you more worried about your skin! - When I stopped antibiotics and my acne returned I don't think it was worse than before. It was the same as before. I just thought it looked worse at first because I'd become used to seeing clear skin for a little while. Yes it's annoying that the results don't always last but I've seen some threads around here where people have stopped antibiotics and had clear skin for a number of months after! Maybe that will be the case for you! Either way, try not to focus on that too much now. Worry about that if it happens smile.png

 

Hopefully your derm appointment does help you. Asking about spiro then would be a good idea too. Like I said, my doc suggested accutane to me too and when I told my mum about this she was so surprised! She thought it was only the really severe cases that would be prescribed it and didn't  believe me when I told her a lot of people use it for mild acne or even just oily skin. I guess that's comforting in a way that my mum didn't think my skin was severely bad? haha

But don't be disheartened that accutane was mentioned to you. It seems to be prescribed for any type of acne these days. I feel like some doctors want you to take it or just assume that you want to take it because you're pressumably over dealing with acne. I completely understand why people take accutane - I'm just not sure it's something I want to take (at least not yet anyway).

 

Diane is one of the pills I was considering starting for my acne too. I've heard that can take around 4 months before really showing results in your skin. Hopefully it (in combination with the other things you're doing) works well for you!

 

And no worries smile.png glad to be able to help or offer support where I can!

The regimen has been going pretty well for me lately which is great. I have a log going but haven't written a proper update for a little while... I plan to add in AHA in the next week. Thanks for asking smile.png

 

Don't worry Lilly it was one of the other posts before that made me worry more not yours! :) Obviously I'm expecting that the acne will probably return as and when I stop the antibiotics but it's good to know that you don't think yours was significantly worse than before. I'm holding out some hope that by then the hormonal treatment will have kicked in and keep me clear, at least for a little while... I can't imagine what it feels like to have clear skin, even for a single day, so I'll take whatever I can get! However you are of course right that I'm getting a bit ahead of myself here. I'm clearly just too much of a worrier haha! I will try my best to focus on the here and now :)

 

Thanks, I really hope the dermatologist can offer me something that helps. In the UK you can only be prescribed Roaccutane on the NHS for severe cystic acne that is scarring (which is what the doctor said mine was when she saw me, hence the disheartenment :( ) But it has got massively better since then and is definitely no longer cystic like it was so as long as it doesn't relapse between now and September I don't think the dermatologist would want to prescribe it to me anyway. I can also totally sympathise with people trying Roaccutane for severe acne but I really want to explore every other possible option first. I'm just not sure what else the dermatologists can offer me but I guess I'll just have to wait and see what they say when they see my skin. 

 

Yeh I've also heard that Dianette takes 3-4 months to see any results but I'm really hoping it will work for me. I've seen that it gives a lot of other people bad mood swings and depressive feelings but I swear it's actually made me feel quite a bit better in myself so I'm hoping that's a sign that it's adjusting my hormones in a way that suits my body well. I guess only time will tell though! 

 

I'm really glad to hear that the Regimen's going well for you! It's such a frustrating patience test but if you can stick it out you will definitely see good results and the AHA should smooth out your skin a bit when you add that in too :)


My Current Treatment Plan

 

Morning: Lymecycline
 

Evening: Dianette + Epiduo

Diet: eliminated dairy

 

My Log: http://www.acne.org/messageboard/topic/331567-diary-of-a-three-pronged-attack-my-mission-to-get-clear-skin-and-avoid-roaccutane/#entry3369787 

 

Acne status: essentially clear and just waiting for hyperpigmentation to fade

 

"I would rather learn what it feels like to burn than feel nothing at all." ~ Ron Pope
 


#16 MoonlitRiver

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Posted 10 August 2013 - 09:05 AM

My derm would not prescribe antibiotics for 3-4 months unless the dosage significantly decreased.  It's just not good for your body.  You're basically killing ALL bacteria, good and bad.  This is the reason some antibiotics can cause yeast infections in women because it changes the normal flora (good bacteria) "down there." (sorry if TMI, but it can happen).  Taking a probiotic just a few times a week, not with the antibiotic, but 2-3 hours after its taken, can help keep good bacteria in your system.  The other potential issue is it can wreak havoc on your digestive system for the same reason -- there's good bacteria in your GI tract and taking the antibiotics kill them all off. 

 

The prescription bottle should list any specific instructions for taking the meds.  (i.e., take with food, take on an empty stomach, do not take with antacids or magnesium supplements).  I know Doxy definitely has specific instructions; I took it last year.  If you are taking other meds, the antibiotic could also interact with them causing it to be less effective.  If you have questions, you could always ask the pharmacist about drug interactions.   

 

The biggest overall problem with antibiotics is the more you take, the more potential there is to become immune to their effectiveness. This is becoming a worldwide problem as certain strains of bacteria are not receptive to any antibiotics currently offered.  I've already become immune to Doxy and wondered if there's other antibiotics I've become immune to as well.

 

That all said, I'm not trying to scare you! I'm on antibiotics myself right now (Cefadroxil, 1000/mg a day, which is a large dose). I'm doing this for 30 days, then I hope my derm will let me take a smaller dose just for a short time.  (I'm also on OTC and Spiro 100mg/day).. I was told it would take a few weeks for the antibiotic to kick in, and maybe as many as four weeks, which sucks.  However, I know some people have had their breakouts stop pretty quickly on this. 

 

I have also been struggling with a hormonal imbalance which has produced cystic acne, which is brutal.

 

Thank you for the warning MaskedOne! Although I am now worrying a little bit. I will try to get hold of some probiotics and hopefully that will ward off too many problems... Here's hoping my body can cope with the antibiotics! My doctor didn't seem to have any qualms about prescribing a 3 month supply so I don't know why she didn't warn me about the dangers of taking antibiotics long term. I just hope she knows what she's doing! Like you I had horrific cystic acne so I needed to do something and couldn't get a dermatology referral until September so antibiotics were one of my only options. 

 

My prescription info leaflet is literally useless. Under the food and drink section it just says that their effectiveness is not diminished by a small amount of milk (up to a glass) and that's it. Very unhelpful! I'm taking them about an hour after breakfast and hoping that will be ok. I hope they don't interact with anything else I'm taking, I might ask the pharmacist next time I pick up a prescription. Presumably my doctor wouldn't prescribe me antibiotics that mixed badly my other prescriptions or would at least have told me to take them a certain way if there was likely to be a problem? 

 

I get what you mean about becoming immune to them if you take lots of different types of antibiotics. I just don't know what else to do for my acne and I'm running out of options. I'm on Dianette so hopefully that will help and then maybe I can come off antibiotics once it does but I just don't know. My doctor didn't discuss any kind of long-term plan for me she just prescribed me Dianette, Lymecycline and Epiduo and referred me to a dermatologist. Hopefully they'll be able to help me formulate a better game plan when I eventually get to see them.

 

I was also told that they'd start to kick in after 4-5 weeks and I'm at the end of week 4 now. I have no cysts anymore and the rest of it is improving as well but I am still getting new acne come up and have got a minor breakout going on at the moment which is quite frustrating! I hope yours start to work for you soon as well and thank you for your reply! :) 


My Current Treatment Plan

 

Morning: Lymecycline
 

Evening: Dianette + Epiduo

Diet: eliminated dairy

 

My Log: http://www.acne.org/messageboard/topic/331567-diary-of-a-three-pronged-attack-my-mission-to-get-clear-skin-and-avoid-roaccutane/#entry3369787 

 

Acne status: essentially clear and just waiting for hyperpigmentation to fade

 

"I would rather learn what it feels like to burn than feel nothing at all." ~ Ron Pope
 


#17 Feelin'SomeRhythm

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Posted 10 August 2013 - 03:04 PM

In the past, I've taken both Oxytetracycline and Doxycycline. I started the Oxy in October '09 and I didn't clear until March 2010; similarly, the Doxycycline took me from November 2011 'til March 2012 to work. Antibiotics do eventually work, but just be prepared for your acne to eventually come back, likely worse than what it was before. The failure of Oxy to keep me clear led to me taking Doxy and, similarly, the fact that Doxy has stopped working has resulted in me going on Roaccutane from next Monday.

 

Thank you for the reply smile.png It's good to know that I'm not meant to be seeing results yet so I will give it a bit more time before I start to panic! I'm not too reassured by you saying that my acne will come back worse though unsure.png does that always happen?! I literally couldn't cope with it coming back worse than before because before I started on this treatment it had got so bad that the cysts were making my eyes, lips and glands swell up and my whole face was constantly throbbing with pain. How many different antibiotics do they usually try you on before resorting to Roaccutane? I really want to avoid taking Roaccutane because I don't trust it with the side-effects at all. I really hope it goes well for you though! I'd be interested to see your progress with it.

 

Hey, sorry it's took me a while to reply - been in work. I wouldn't worry about it at all as it doesn't always come back worse for all people. By way of example, my skin in September-October 2011 really was terrible and a lot worse than it was pre-Oxy, however even now it's nowhere near as bad as it was then, despite coming off the Doxycycline. Just keep taking your course like your doctor recommended and, hopefully, in another 1-2 months you should be gaining clear skin. Good luck! smile.png

 

I'm quite nervous about starting Roaccutane but, for me, this feels like the right time. I put up with acne all through my university life and it completely changed me as a person - I'm fast approaching 23 and this thing isn't going on its own or with any other treatments the docs seem to have. Time to call in the big guns!


Edited by Feelin'SomeRhythm, 10 August 2013 - 03:05 PM.


#18 Lilly75

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Posted 10 August 2013 - 11:58 PM

Hey, sorry it's took me a while to reply - been in work. I wouldn't worry about it at all as it doesn't always come back worse for all people. By way of example, my skin in September-October 2011 really was terrible and a lot worse than it was pre-Oxy, however even now it's nowhere near as bad as it was then, despite coming off the Doxycycline. Just keep taking your course like your doctor recommended and, hopefully, in another 1-2 months you should be gaining clear skin. Good luck! smile.png

 

I'm quite nervous about starting Roaccutane but, for me, this feels like the right time. I put up with acne all through my university life and it completely changed me as a person - I'm fast approaching 23 and this thing isn't going on its own or with any other treatments the docs seem to have. Time to call in the big guns!

 

I think if in another 2 or 3 years I'm still dealing with acne or it's gotten worse, I'll start considering accutane more seriously. The idea of having finished uni and to be entering the 'professional workforce' and to still be dealing with acne really gets to me... it's been hard enough dealing with it through uni (like you said).

 

Good luck for when you start Roaccutane :) Not much longer to wait now!


Started The Acne.org Regimen 2nd July 2013

 


#19 MoonlitRiver

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Posted 11 August 2013 - 04:27 AM

Hey, sorry it's took me a while to reply - been in work. I wouldn't worry about it at all as it doesn't always come back worse for all people. By way of example, my skin in September-October 2011 really was terrible and a lot worse than it was pre-Oxy, however even now it's nowhere near as bad as it was then, despite coming off the Doxycycline. Just keep taking your course like your doctor recommended and, hopefully, in another 1-2 months you should be gaining clear skin. Good luck! smile.png

 

I'm quite nervous about starting Roaccutane but, for me, this feels like the right time. I put up with acne all through my university life and it completely changed me as a person - I'm fast approaching 23 and this thing isn't going on its own or with any other treatments the docs seem to have. Time to call in the big guns!

 

Ok, hopefully it won't come back worse for me!! I'm also attacking it with hormonal treatment so I'm hoping by the time I come off the antibiotics that will have taken effect. Everybody says antibiotics do clear your skin, but I'm trying not to get my hopes up too much. I literally can't even remember what it's like to have clear skin even for a single day so I can't quite believe it as a possibility. But anyway I guess we'll see in a month or two! 

 

I totally get why you would take Roaccutane. I'm 21 and have had acne all through university as well and it's such a nightmare. If I'm still dealing with it at 23 and it hasn't significantly improved I might well consider taking it as well. I really hope it clears your skin up beautifully for you! :)

 

 

I think if in another 2 or 3 years I'm still dealing with acne or it's gotten worse, I'll start considering accutane more seriously. The idea of having finished uni and to be entering the 'professional workforce' and to still be dealing with acne really gets to me... it's been hard enough dealing with it through uni (like you said).

 

Good luck for when you start Roaccutane smile.png Not much longer to wait now!

 

I'm thinking exactly the same Lilly. Here's hoping it improves for both of us before we get to that stage!! :)


My Current Treatment Plan

 

Morning: Lymecycline
 

Evening: Dianette + Epiduo

Diet: eliminated dairy

 

My Log: http://www.acne.org/messageboard/topic/331567-diary-of-a-three-pronged-attack-my-mission-to-get-clear-skin-and-avoid-roaccutane/#entry3369787 

 

Acne status: essentially clear and just waiting for hyperpigmentation to fade

 

"I would rather learn what it feels like to burn than feel nothing at all." ~ Ron Pope
 


#20 dupa

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Posted 14 August 2013 - 02:50 PM

I started DUAC (clindamycin + BP) 2 days ago and I've already noticed an improvement. But I'm coming from a well developed regime of salicylic(?) acid so maybe that's why.