Archived

This topic is now archived and is closed to further replies.

I Need Advice

12 posts in this topic

I've had acne since around 7th grade. I'm now 21. Only around 6-7 months ago I decided to see a dermatologist for acne. I have no idea why it took me so long, but my acne was starting to get terrible at that time. I got on some topical treatments and doxycycline, and it seemed to be doing the trick but it has really started to come back after I've been done with the doxycycline because I was never really fully cured in the first place.

In about 15-20 weeks I'll be doing over the road trucking and my acne is starting to get bad again. I want to punch a hole in the wall right now because of this. I feel like I need to get on accutane to actually cure my acne in time to have my face fully cleared by the time i start my job. Once I'm clear, it should be much easier to maintain good skin quality. The problem with trucking is that you're home pretty much only on the weekends. If the topical medication is not working, then it will be nearly impossible to schedule an appointment to try something else. If I do end up scheduling an appointment and trying something else, or wasting my time and having the dermatologist to tell me to keep doing what I'm doing, then how am I going to balance and find time to always do some sort of treatment regimen. Simply put, I am really not seeing topical medication working for me (as it hasn't been) and definitely not while being a trucker. Probably the main reason that I need to get rid of my acne before I start a job as a trucker is because the job will take dedication and being on top of things. This is what I want to do for a few years at least and I really don't want to deal with the emotional burden of knowing that I'm stuck with worsening acne on top of a probably stressful job.

The problem is that my dermatologist seems reluctant to prescribe accutane and reluctant to listen to me. If I go to another dermatologist, I know that they will say they need to start me on something else and then consider accutane after I have tried everything. FUCK, I don't have time to try shit out... I rarely get acne that isn't cystic. Its about 1 or 2 new cystic nodules every time I wake up. From what I've read, accutane is a harsh drug, but often overhyped. Without trying to boast here, I'm an active and healthy individual and I've dealt with intense physical pain and recovery periods. I have no doubt I'd be able to handle chapped lips and dry skin. Perhaps cystic acne is even more painful? There really isn't that high of a risk, especially when you consider the blood tests.

If you read this, thank you. Now, I'm going to try to sleep, despite feeling like I want to punch a hole in the wall.

Share this post


Link to post
Share on other sites

In my experience any many others' cystic acne that seems to randomly pop up is often due to a food sensitivity. To what food - I don't know. It's different for everyone. But you can start by taking out obvious stuff: dairy and wheat. Citrus seems to be a common antigen too.

The thing with accutane is that it's not really causing pain or discomfort in the short term (I mean dry skin, yeah ok not really a problem). The problem is that it can cause permanent damage to your body, sometimes crippling. Things you can't recover from. Accutane is a chemotherapy - a drug used for treating cancer. It works by killing off stem cells/inhibiting their growth (which is why some people experience hair loss).

I would try some diet changes mentioned above first. You could also try another topical treatment at the same time. BP could work, but cystic/nodular acne really needs an internal approach.

Share this post


Link to post
Share on other sites

Fuck the derm, go to your local GP like I did and refuse to leave until he sends off a letter to your derm and tells him to put you on Accutane. Beg if you have too. If you've had it your whole life, then it's not going to go away on it's own. They should know that. You said 15-20 weeks right? See, usually a Tane treatment is 6 months, so even if you did go on it, you would be practically in the middle of treatment.

But unfortunately, you do have try shitloads of crap before they put you on it. I had to failed 3 different medications before they even let me go for a blood test. You never know, one of them may work. You may just have to tough it out for this one and try a few things. You'll eventually end up on Tane (if you don't, you've probably found something that works for you) but in the mean time, all you can do is test. I hope everything works out for you. I know how awful it feels, but that's just what we have to deal with when we have acne :/

Just think, by this time next year, you'll have a clear face :)

Good luck.

Also, it's not just dry lips and chapped skin. You're going to be a truck driver, so you will have to wear sunscreen literally every moment you're out in the sun. And don't forget that it can also cause depression, despite your fitness level. Just make sure you're prepared to deal with the side effects.

1 person likes this

Share this post


Link to post
Share on other sites

In my experience any many others' cystic acne that seems to randomly pop up is often due to a food sensitivity. To what food - I don't know. It's different for everyone. But you can start by taking out obvious stuff: dairy and wheat. Citrus seems to be a common antigen too.

The thing with accutane is that it's not really causing pain or discomfort in the short term (I mean dry skin, yeah ok not really a problem). The problem is that it can cause permanent damage to your body, sometimes crippling. Things you can't recover from. Accutane is a chemotherapy - a drug used for treating cancer. It works by killing off stem cells/inhibiting their growth (which is why some people experience hair loss).

I would try some diet changes mentioned above first. You could also try another topical treatment at the same time. BP could work, but cystic/nodular acne really needs an internal approach.

Share this post


Link to post
Share on other sites

In that case I would try the accutane immediately. If you really are having no luck at all with doctors and feel like you want to take the risk, you can buy accutane from an online pharmacy and have them ship it to you. Inhousepharmacy.biz I believe is the one I would use, they're located on an island north of New Zealand. I've ordered several prescription medications from them (bactrim, fluconazone, itraconazole) and they always arrived within the specified date and were actually the correct drug. I say this is risky because it's risky to be on accutane without a doctor's supervision. But if you feel that you have no other choice, then you should be able to make the choice yourself.

Share this post


Link to post
Share on other sites

I know what you mean about the depression. I have suffered it for years, and it was at it's worst before I started the tane. If you can already handle it, then it shouldn't effect you on the cycle. Honestly, the positives outweigh the negatives with Accutane, and I highly suggest you go for it. I honestly know how much acne contributes to depression, I feel your pain. But in the end, they are just pimples, and while they can be such a massive blow to your self-esteem, we are our own worst critics and most people don't think of us as bad as we do.

Sunscreen honestly is such a big thing. I forgot to put it on yesterday, and after being in the sun for 10 minutes, I was as red as a beetroot.

I'm not sure if it's available anywhere else, but in Australia we have a sunscreen called "Sunsense" and that's pretty good. Most sunscreens with moisturizers and pretty good for acne prone skin. Make sure you have a 30+ - 50+ SPF sunscreen, otherwise the weak crap won't help.

Good luck. Message me if you have any other questions or need advice :)

1 person likes this

Share this post


Link to post
Share on other sites

I know what you mean about the depression. I have suffered it for years, and it was at it's worst before I started the tane. If you can already handle it, then it shouldn't effect you on the cycle. Honestly, the positives outweigh the negatives with Accutane, and I highly suggest you go for it. I honestly know how much acne contributes to depression, I feel your pain. But in the end, they are just pimples, and while they can be such a massive blow to your self-esteem, we are our own worst critics and most people don't think of us as bad as we do.

Sunscreen honestly is such a big thing. I forgot to put it on yesterday, and after being in the sun for 10 minutes, I was as red as a beetroot.

I'm not sure if it's available anywhere else, but in Australia we have a sunscreen called "Sunsense" and that's pretty good. Most sunscreens with moisturizers and pretty good for acne prone skin. Make sure you have a 30+ - 50+ SPF sunscreen, otherwise the weak crap won't help.

Good luck. Message me if you have any other questions or need advice smile.png

Share this post


Link to post
Share on other sites

I agree with you 100% that as an adult job seeker acne makes you look sloppy and unprofessional. It sucks. But going on accutane is a very serious decision.

I had moderate acne in high school and the dermatologist I had been seeing for a few years refused to write scripts for accutane because he thought it was ethically irresponsible. I switched dermatologists to get accutane and 7 years later I still have acne. I was a three sport athlete with great grades, a good looking girl and lots of friends and I plunged into a serious depression that eventually spiraled into social anxiety which still lingers today. I had monthly blood tests done and it jacked up my blood pressure and cholesterol and eventually had to stop after 4 months. More side effects I have to live with are excessive hair growth and arthritis in my wrists, hands, knees and hips... I'm 23.

I think a lot of us believe accutane is the cure for acne and we get upset when our derms deny it from us. It helps a lot of people but it is not the only way to clear up your skin. My first derm frustrated me SO much for not writing me that script but god damn was he looking out for me. Down the road this arthritis will most likely lower my quality of life more than acne ever could.

It's impossible to know for sure that accutane caused all these side effects but my doctors and I agree that it took a serious toll on my body.

Share this post


Link to post
Share on other sites

Accutane requires monitoring your blood every month, coming in for check ups, and avoiding the sun. If your trucking job interferes with that, you need to take some time off to work on your skin if you can.

Accutane is a temporary problem stopper, but its not permanent. My acne came back after accutane, but it do a good job at getting rid of my worst acne at that time and I'm glad I did it.

Share this post


Link to post
Share on other sites

Accutane requires monitoring your blood every month, coming in for check ups, and avoiding the sun. If your trucking job interferes with that, you need to take some time off to work on your skin if you can.

Accutane is a temporary problem stopper, but its not permanent. My acne came back after accutane, but it do a good job at getting rid of my worst acne at that time and I'm glad I did it.

Share this post


Link to post
Share on other sites

Accutane requires monitoring your blood every month, coming in for check ups, and avoiding the sun. If your trucking job interferes with that, you need to take some time off to work on your skin if you can.

Accutane is a temporary problem stopper, but its not permanent. My acne came back after accutane, but it do a good job at getting rid of my worst acne at that time and I'm glad I did it.

I've been having better results than topicals using absolutely nothing lately. I've been washing my face with honey and trying to do it only twice a day. I've also been trying to clean up my diet. The problem is when I think I need to wash my face 3-4 times or more a day which dries it out and makes it more oily. I'm positive that I can prevent acne from coming back after it is GONE out of my system completely. This is why accutane is something I wish I could go on. I need acne out of my system completely, or I feel it may linger on forever.

>I agree with you 100% that as an adult job seeker acne makes you look sloppy and unprofessional. It sucks. But going on accutane is a very serious decision.

I had moderate acne in high school and the dermatologist I had been seeing for a few years refused to write scripts for accutane because he thought it was ethically irresponsible. I switched dermatologists to get accutane and 7 years later I still have acne. I was a three sport athlete with great grades, a good looking girl and lots of friends and I plunged into a serious depression that eventually spiraled into social anxiety which still lingers today. I had monthly blood tests done and it jacked up my blood pressure and cholesterol and eventually had to stop after 4 months. More side effects I have to live with are excessive hair growth and arthritis in my wrists, hands, knees and hips... I'm 23.

I think a lot of us believe accutane is the cure for acne and we get upset when our derms deny it from us. It helps a lot of people but it is not the only way to clear up your skin. My first derm frustrated me SO much for not writing me that script but god damn was he looking out for me. Down the road this arthritis will most likely lower my quality of life more than acne ever could.

It's impossible to know for sure that accutane caused all these side effects but my doctors and I agree that it took a serious toll on my body.

Share this post


Link to post
Share on other sites

I experienced for excessive hair growth for a bit. For guys, it shouldn't be too much of a hassle but when you're a girl, it's not pleasant.

You know, people all experience medications differently, so don't take someones advice just because they had it worse off than most. Arthritis must be ones of the rarest side effects, and I feel really bad that someone actually had to experience that. When acne takes over your life though, some of those side effects seem like a small price to pay when you think of clear skin.

There may be a reason that your derm/doctor doesn't want you to go on accutane. It's a super high maintenance drug. I'm having my 3rd blood test next week, and I've barely been on it for 2 weeks. It also affects your love/sex life. You have to be super super careful during sex, because accutane had a 99% chance of birth defects.

As much as we all wish it could happen, we can't just get rid of acne when we decide too. You may just have to try out some of the medications. Derms will only put you on Accutane if it is your last resort (which it never usually is for most people.)

You need to have a long talk with your doctor because it sounds like you would respond well to the drug. If they disagree, ask them why. Why won't they put you on it? Doctors bullshit a lot. It took my doctor 6 years to stop pissing me around before he said I could go on Roaccutane. Even then, I had to ask. Not him telling me.

I honestly hope that you find something that works for you. Good luck.

Share this post


Link to post
Share on other sites