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Hello,

I'm 20, male, 90 kg and has been suffering from moderate to sever acne but only on the face for number of years. I've been prescribed Roaccutane by an NHS dermatologist, starting out on 20 mg for first month followed by 40 mg in second before I see him again.

I need some advice regarding looking after my face and skin,

What face cleanser, moisturizer etc... should I get? please recommend me products that I can easily get from a high street store or super market and are not that expensive as I'm an student so low on budget, I live in UK btw.

As I'm starting on low dose, will I have initial outbreak in the first month or second month? will I have more outbreaks when my dosage is increased in month 3.

When does initial outbreak and how long does it last and how frequent are they.

I'll really appreciate your advice.

Thank you,

Lugo

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Lugo, I've moved your post to the prescription meds forum where I'm sure you will get many supportive responses from the many accutane users that use this site.


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.


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I think the two most popular brands for gentle cleansers and moisturizers are probably Cetaphil and CeraVe. I personally use Cetpahil cleanser as well as a Cetaphil moisturizer w/ SPF for day time and Cetaphil cream for night time/extra dry patches. The Cetaphil cream is quite a lot thicker and greasier so that's why I only use it at night time. If i do use it in the morning or through out the day it's just on extra dry places. Also, for dry lips the only chap stick that works for me is Dr. Dans cortibalm which unfortunately is quite pricey. I also use vaseline on my lips when I'm at home.

Cleanser: http://www.cetaphil.com/products/gentle-skin-cleanser

Moisturizer: http://www.cetaphil.com/products/dermacontrol-oil-control-moisturizer-spf30

Cream: http://www.cetaphil.com/products/moisturizing-cream

Lip balm: http://www.drdanslipbalm.com

The lip balm I had to order from www.ebeauty.ca because I'm in Canada. I assume you should be able to get all this in the UK.

As far as an initial outbreak goes I think most people experience it during the first month, however starting at such a low dose if you do experience an IB I don't think it would be too severe. And when I went from 40mg/day to 80mg/day in my second month I did experience a bit of an IB but not too bad.

Good luck!

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As the above poster noted. Either cerave or cetaphil is very gentle on skin. My son used both. As for lip balm , we found Bag Balm from local costco or rite aid to work wonders. It comes in a green can. You will find it in the first aid ( think neosporin) isle. We put some into a little container from target so he could carry it around in his pocket. The bag balm is also good to put on any open pimples or cuts. You may notice your hands and arms my become easier to get scrapes and cuts as accutane thins the skin somewhat. For the body use a moisturizing soap such as dove body wash. It does leave a somewhat oily film but that's what you need right now.

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Hi Lugo,

I started on a low dose as well (10mg and I weigh 50kg) and it's been going well so far. I definitely think that starting at a lower dose minimizes the IB, which is why I specifically asked my doctor for this dose. Like you, I might double my dose after the first month depending on how things go.

I use Cetaphil cleanser and Cetaphil moisturizer, and Aquaphor for my lips.

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Eucerin cleansing gel is also very gentle and they also have Eucerin cleansing milk which is good when your on Accutane becuase it´s better for dry skin(more moist in it).


Accutane empire


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Lugo, I've moved your post to the prescription meds forum where I'm sure you will get many supportive responses from the many accutane users that use this site.

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The link I posted of the cetaphil moisturizer with SPF has a matte finish so it never leaves me looking greasy/shiny.

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The A-Derma brand is also awesome for sensetive and irritade skin from accutane check it out it´s really an awesome brand.


Accutane empire


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one month done on 20 mg

just started second month on 40 mg

1st month:

no side effects (minor dry lips on some days)

not using any moisturizers or lotions on my face as i don't have dry skin or feel any irritation.

hopefully this second month goes smoothly as the first month.

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Hi Lugo!

I started out on 20mg, and broke out awfully during month 2. Hang in there!

I'm also in the UK and have found it difficult to get hold of so many of the products that people recommend on here so I've had to find my own.

So...

Burt's Bees for your lips, a generic pharmacy Aqueous cream moisturiser to use as a face wash and Palmer's cocoa butter (solid formula) as a moisturiser.

These are all available from Boots :)

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16th May-27th October 2013

15 Years Old/Female/52kg

Month 1- 20mg

Month 2- 40mg

Month 3- 40mg

Month 4- 50mg

Month 5 and 1/2- 50mg

Also see page 4 on my log for the before and after photos :)

"You can't make a rainbow without a little rain"


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I use Sanex for Sensitive skin and Vaseline Aloe Vera moisturiser (it's oil free, light and non-clogging). These keep the skin clean and balanced, it's tempting to use harsh products on skin but you need to be gentle. I'm sorry to hear you are using accutane, that can't be nice, be sure to get hormones checked and a food intolerance test incase that's causing your acne & maybe Google demodex parasites, they live on the skin and can cause acne.

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My derm told me not to regular wash and cleanse my face when on roaccutane, just moisturize and wash every few days.

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Hi Lugo!

I started out on 20mg, and broke out awfully during month 2. Hang in there!

I'm also in the UK and have found it difficult to get hold of so many of the products that people recommend on here so I've had to find my own.

So...

Burt's Bees for your lips, a generic pharmacy Aqueous cream moisturiser to use as a face wash and Palmer's cocoa butter (solid formula) as a moisturiser.

These are all available from Boots smile.png

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Hi Lugo!

I started out on 20mg, and broke out awfully during month 2. Hang in there!

smile.png

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Hi Lugo!

I started out on 20mg, and broke out awfully during month 2. Hang in there!

smile.png

u were right, its only been a week into second month and i've broken out on my chin and lips.

how long does it last? do you break out every time the dose is increased


16th May-27th October 2013

15 Years Old/Female/52kg

Month 1- 20mg

Month 2- 40mg

Month 3- 40mg

Month 4- 50mg

Month 5 and 1/2- 50mg

Also see page 4 on my log for the before and after photos :)

"You can't make a rainbow without a little rain"


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