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Any Suggestions Welcome. Doxycycline And Tretinoin Not Working.

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Hi there everyone! I am new to posting but have been reading the forums on and off for about a year.

I've had acne for years, I am 24 and it's increased exponentially for about the last 5 years. As a teenager I would have a pimple and it would be no big deal. Now I always have one or two or five. I had blackheads whiteheads and cystic pimples for about a year before I visited the derm.

I told him I tried everything over the counter possible. Drugstore stuff. Expensive sephora and ulta stuff. And proactiv. None of it worked. He put me on one daily dose of doxycycline 100 mg and tretinoin at night. After three months it still wasn't great. He urged me to try accutane but I am scared bc I have heard terrible things. He then prescribed me clindamycin lotion to use every morning.

Now, seven months after initially going to the derm, I must admit it's a little better. I only have a cyst now and then. But I still have little dots And bumps and clogged pores all over. I significantly reduced the amount of makeup I put on as well. It's limited to mascara eyeliner and if necessary a touch of concealer. The worst part is when people try to tell me I don't have acne or that it's not that bad. I know my face. I am the one who has to look in the mirror everyday. It shouldn't be like this.

I should also mention I have been on numerous different types of birth control and none make a difference negatively or positively. I am currently on the depo shot.

I am about to throw in the towel. I am so unsure about accutane and it's apparently very expensive too. Anyone have any alternative suggestions? Open to anything. Thanks :)

The pic keeps coming up upside down :Ppost-216119-0-26298100-1376946737_thumb.

post-216119-0-26298100-1376946737_thumb.

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I was in the same situation as you. I just couldnt get my breakouts under control with topicals so I decided on a second round of Accutane. My first round gave me amazing results. Accutane is a serious drug but I think it has gotten a bad rap. I dont know really what else you could do maybe try Sprionolactone?

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Absorica Aug 2013 -Feb2014

Claravis March 211 - July 2011


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Same story as you, but I tried accutane, sadly I'm one of the few it didn't work for...but it does work for most.

For me I control it by avoiding gluten and dairy, totally avoiding, yes it's hard but the cysts have almost stopped.

The good news for you is that your scarring is minimal...so all you need to do is find your triggers.

The spiro suggestion is a good one to check out, only easily open to the ladies....

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Hi! I was in a very similar situation as you. I'm 20 and I had very minimal acne as a young teenager but around the age of 18 it got pretty bad. All the skincare products at Sephora made me broke... Story of a woman's life I suppose! I also tried antibiotics and they improved my acne slightly, but suddenly it all came back just as bad as before.

If you had asked me 6 months ago to take Accutane, I would have said absolutely not. I was terrified of the drug and what it would do to me... Actually, I still am terrified of it. But these other treatments continued to have no effect and I was becoming increasingly depressed about my face. I came to the conclusion that although I am scared out of my mind to take Accutane, it scares me just as much if not more to live with acne any longer. It scared me to talk to people some days, scared me to leave the house, scared me to live in general. So I might as well be scared while fighting off acne for good, right?

I'm on my 7th day, taking a low dose of 10mg because I felt more comfortable easing into the medication as to reduce side effects and initial breakout. If you do decide to take Accutane, starting at a low dose might make you less anxious about the whole thing as well.

Good luck!

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There is a study that showed that a topical retinoid help topical Antibiotics and BP to penetrate deeper into the skin cuasing better results and better eliminitating of bacteria. So try Duac in the morning if your skin is not to sensetive from the tretinoin if BP is to irritating try Clindamycin only shouldn´t be irritating.


Accutane empire


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Hi Jennlynette... I know you say you're ready to throw in the towel and I have been there too. I have suffered with acne for about 15 years. It's finally under control with generic Yaz and 2.5% benzoyl peroxide (used according to the Regimen's instructions). 2 of my siblings have been on accutane for their moderate acne and it was a miracle drug for them. Both have been acne free for 10+ years. I regret not getting on it myself back in high school.

ANother suggestion- You mentioned you tried Proactiv without success (so have I), but have you tried using 2.5% benzoyl peroxide the way it is spelled out in "The Regimen"? I started following the regimen a week ago with my own gentle cleanser, BP, and moisturizer and my skin is smoother. This seems to be the only topical that works for me.

Another comment- I'm kind of iffy about using topical or oral antibiotics for acne. They don't work that well for most people in the first place and I work in health care and I know antibiotics are over-prescribed causing more drug-resistant bacteria.

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I was in the same situation as you. I just couldnt get my breakouts under control with topicals so I decided on a second round of Accutane. My first round gave me amazing results. Accutane is a serious drug but I think it has gotten a bad rap. I dont know really what else you could do maybe try Sprionolactone?

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Hi! I was in a very similar situation as you. I'm 20 and I had very minimal acne as a young teenager but around the age of 18 it got pretty bad. All the skincare products at Sephora made me broke... Story of a woman's life I suppose! I also tried antibiotics and they improved my acne slightly, but suddenly it all came back just as bad as before.

If you had asked me 6 months ago to take Accutane, I would have said absolutely not. I was terrified of the drug and what it would do to me... Actually, I still am terrified of it. But these other treatments continued to have no effect and I was becoming increasingly depressed about my face. I came to the conclusion that although I am scared out of my mind to take Accutane, it scares me just as much if not more to live with acne any longer. It scared me to talk to people some days, scared me to leave the house, scared me to live in general. So I might as well be scared while fighting off acne for good, right?

I'm on my 7th day, taking a low dose of 10mg because I felt more comfortable easing into the medication as to reduce side effects and initial breakout. If you do decide to take Accutane, starting at a low dose might make you less anxious about the whole thing as well.

Good luck!

Thank you! I know it's gotten so expensive I have literally tried everything. And the expensive stuff is not any better than the drugstore junk. I really applaud you for taking the jump into accutane! What you said about the low dose is def something to take into consideration. If a low dose is 10mg (once a day?) then what's a typical dose? How much does your insurance cover? If you have insurance and don't mind my asking. Thanks so much for your story. I'm sure I will get to the point where I feel like I have nothing left to lose too.

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