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3 Months On Dianette, Still Breaking Out

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Is this normal? Apparently after 3 months people have clear skin. I still break out most days. I've less oily though.

Does this mean this treatment isn't working?

Accutane is next as I've tried everything, BC, 2 different antibiotics and topicals. Nothing has worked :(

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I'm in the middle of month 6 on Dianette and am still breaking out so I'll be interested to see what responses you get to this thread. Hang in there!

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My Current Treatment Plan

Morning: Lymecycline

Evening: Dianette + Epiduo

Diet: eliminated dairy

My Log:

Acne status: continuing to break out, so demoralising!

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


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I WANT ACCUTAAAAANE!

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Me tooooo! And I've been denied it for 5 whole months already with no sign of that changing!! :(


My Current Treatment Plan

Morning: Lymecycline

Evening: Dianette + Epiduo

Diet: eliminated dairy

My Log:

Acne status: continuing to break out, so demoralising!

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


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I've just hit the 5 month mark of Diane...but I've taken 6 packs already (I keep skipping my period.......and I plan to have only 4 periods a year :D). I just hit a nasty breakout again....so I know how you feel ladies. But don't you guys kinda feel that after each break out, your skin looks better??

Idk I've had persistent, stubborn acne for 10 years now (varying degrees of severity), so I'm giving it the full 6 months. I feel like it's been improving my skin, but very slowly....and every month I break out once. -_- But if you really don't feel like sticking to it, I guess go for accutane? I've been avoiding accutane for years...the side effects are just not worth it to me, and I never want to put retinoids in me EVER because I want a baby and you NEVER KNOW (I'm paranoid lol).


How I Stay Clear:
AM: Cetaphil DermaControl Oil Control Foam Wash, Cetaphil Moisturising Lotion, Cetaphil DermaControl Oil-Absorbing Lotion (SPF30)
PM: Cetaphil DermaControl Oil Control Foam Wash, Tactuo (Epiduo), MUAC 10% Mandelic Acid Serum
Extras: Diane 35 (since July 2 2013), Borghese Fango Delicato Mud Mask (2x/week), 25% Mandelic Acid Peel (2x/week)


My personal log here:


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Dianette (Diane 35) worked for me but I developed blood clots on it. In comparison, Accutane was much safer. If you are concerned about blood clots, you could try speaking with your dermatologist about that concern and ask if you are a candidate for isotretinoin. A bit of searching around will dig up many anecdotes of the increased risk of blood clots for patients on Dianette when compared to other BCP. In any case, Dianette is supposed to show results in three months, so if you're still having trouble after five months, I don't see any reason not to try isotretinoin, as long as you are carefully monitored and are watching for adverse effects yourself.

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Dianette (Diane 35) worked for me but I developed blood clots on it. In comparison, Accutane was much safer. If you are concerned about blood clots, you could try speaking with your dermatologist about that concern and ask if you are a candidate for isotretinoin. A bit of searching around will dig up many anecdotes of the increased risk of blood clots for patients on Dianette when compared to other BCP. In any case, Dianette is supposed to show results in three months, so if you're still having trouble after five months, I don't see any reason not to try isotretinoin, as long as you are carefully monitored and are watching for adverse effects yourself.


My Current Treatment Plan

Morning: Lymecycline

Evening: Dianette + Epiduo

Diet: eliminated dairy

My Log:

Acne status: continuing to break out, so demoralising!

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


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Change your dermatologist! Accutane only made me happier (since my pimples were gone, LOL)! But you do have to watch for any signs of a further depressed mood and tell someone (parents, another adult or very mature friend) that you're experiencing them, and then quit accutane immediately.

Can you ask your GP for a referral to a different derm?

As for symptoms of blood clots, I had a weird pain in my calf, which got worse when i was walking on flat ground or uphill, and I also had a headache that wouldn't quit. These are textbook symptoms (especially the leg pain - that is often the first sign). Look up DVT for more info. My derm (who was also my GP at the time) almost killed me when she found out I was walking around with a headache for weeks before telling her, had me in a CT scan the next morning and took me off Dianette for good. Thankfully symptoms resolved relatively quickly after that.

However, the problem is that many people have NO symptoms, because the clot doesn't get lodged anywhere you can feel, until it causes a serious blockage. I admit I am biased due to my experience, but I would really not recommend Dianette to anyone. If your acne is hormonal, then a low-dose BCP coupled with spironolactone should be an equally effective, and much less risky solution. But even in that case, I would try accutane, just watch for side effects and behave responsibly.

Keep us posted!

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Dianette (Diane 35) worked for me but I developed blood clots on it. In comparison, Accutane was much safer. If you are concerned about blood clots, you could try speaking with your dermatologist about that concern and ask if you are a candidate for isotretinoin. A bit of searching around will dig up many anecdotes of the increased risk of blood clots for patients on Dianette when compared to other BCP. In any case, Dianette is supposed to show results in three months, so if you're still having trouble after five months, I don't see any reason not to try isotretinoin, as long as you are carefully monitored and are watching for adverse effects yourself.

I've been really paranoid about blood clots the entire time I've been on it but I don't even know what the sign of getting them is. I didn't realise Dianette was supposed to show results after only three months. At three months I still had cysts everywhere and now at five and a half months I'm still breaking out pretty much daily. sad.png My GP and dermatologist both say that isotretinoin would be the best treatment for my skin but my dermatologist refuses to let me have it every time I see him because of my depression so it would appear that I am not allowed to get treated properly for my acne like everybody else.


How I Stay Clear:
AM: Cetaphil DermaControl Oil Control Foam Wash, Cetaphil Moisturising Lotion, Cetaphil DermaControl Oil-Absorbing Lotion (SPF30)
PM: Cetaphil DermaControl Oil Control Foam Wash, Tactuo (Epiduo), MUAC 10% Mandelic Acid Serum
Extras: Diane 35 (since July 2 2013), Borghese Fango Delicato Mud Mask (2x/week), 25% Mandelic Acid Peel (2x/week)


My personal log here:


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Change your dermatologist! Accutane only made me happier (since my pimples were gone, LOL)! But you do have to watch for any signs of a further depressed mood and tell someone (parents, another adult or very mature friend) that you're experiencing them, and then quit accutane immediately.

Can you ask your GP for a referral to a different derm?

As for symptoms of blood clots, I had a weird pain in my calf, which got worse when i was walking on flat ground or uphill, and I also had a headache that wouldn't quit. These are textbook symptoms (especially the leg pain - that is often the first sign). Look up DVT for more info. My derm (who was also my GP at the time) almost killed me when she found out I was walking around with a headache for weeks before telling her, had me in a CT scan the next morning and took me off Dianette for good. Thankfully symptoms resolved relatively quickly after that.

However, the problem is that many people have NO symptoms, because the clot doesn't get lodged anywhere you can feel, until it causes a serious blockage. I admit I am biased due to my experience, but I would really not recommend Dianette to anyone. If your acne is hormonal, then a low-dose BCP coupled with spironolactone should be an equally effective, and much less risky solution. But even in that case, I would try accutane, just watch for side effects and behave responsibly.

Keep us posted!


My Current Treatment Plan

Morning: Lymecycline

Evening: Dianette + Epiduo

Diet: eliminated dairy

My Log:

Acne status: continuing to break out, so demoralising!

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


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That is crazy! I can't believe the UK derms won't prescribe it! Actually, I can believe it, what with all the health and safety paranoia... My favorite related episode from the other day was seeing a sign, on a perfectly navigable staircase: "Please use caution while descending these steps." (I'm visiting the UK at the moment, although I live in the US, and I'm originally from neither.) I still love the place, though...

Can you offer to sign a pre-nup? I.e., can you sign a statement that you won't sue? Otherwise, can you threaten to order spiro online and take it unsupervised? I know it's a very non-confrontational culture, but something's gotta give here!! There is an acne medication out there, and no good reason for keeping you from it. This is injustice of the highest order! bs.gif

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Hey I just came across your post because I am on dianette, I'm on month six and seeing good results with it, but I had to go to a dermatologist before they would take me seriously about my skin and give me a treatment plan, my derm said if the dianette didn't start working in three months then he would not hessitate to put me on accutane, I would say my acne was moderate but he said that if it was affecting my daily life then why not treat it effectively. I also suffer from depression, mainly because of my skin which I told my derm, he, very wisely said that he had read extensive studies on accutane and depression and throught that not all the eveidence was accurate, he also said, which I agree, that acne itself makes people depressed (which is likely why people of accutane have depression, I know that even though my skin is clearing up I still have days where it all gets too much). He said that treating the acne in most cases helps with the depression, and that someones people have been so depressed about their acne for so long that by the time the take accutane they are already very depressed which is hard to just snap out of. Sorry I went on a bit of a rant there, but I see you're from the UK. I paid and went private it cost me £ 130.00, not cheap but I saved some of my wages back and it was money well spent, I'm not sure if you are private but what I am trying to say is that if you're not, any you can afford it then I would seek a different opinion from another dermatologist. If the prescribe the accutane you would still get it on NHS and only pay the £130.00 for your consultation. I hope that advice helps a little x

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Current Routine

AM:

Cleanse: Merumaya cleansing balm, removed with damp hands and a cotton wipe. Followed by la Roche Posse La Toleraine cleaner followed again by rinsing with damp hands, patting my face and a cotton wipe
Tone: Pixi glow tonic, simply apply some to the palm of my hands and pat on my face

Moisturise: Aveene rich, or light moisturising lotion (oil free) spf 20

Topicals: Vitage protect and perfect serum, after I moisturise now that it's coming into fall and winter

PM

Same as morning but occasionally will thrown in a priori aha cleanser and use Differin after I moisturise a few nights a week

Bliss aha mask once a week/every two weeks followed by Nuxe crème fraiche moisturising mask

Oral medication: Cilest BCP

Supplements: No current supplements

Current make up: Various foundations depending on my mood, Estee lauder double wear light, Vichy Dermablend, Charlotte Tilbury and Skin 79 BB cream, NARS creamy concealer or Naked concealer, Dollish CC cream for days when I don't want to wear foundation and Jane Iredale mineral powder to finish. For some colour I use tea to tan By Terry, it's water base tint to give me some colour and various cream and powder blushes (love my blushes) currently loving Orgasm by Nars for a pop of colour on my cheeks and Vita Liberata mineral tan is amazing for the summer

Tools: Sigma F80 Kabuki for foundation or Real Techniques beauty blender and pretty much every other real techniques bruses for the rest of my make up


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That is crazy! I can't believe the UK derms won't prescribe it! Actually, I can believe it, what with all the health and safety paranoia... My favorite related episode from the other day was seeing a sign, on a perfectly navigable staircase: "Please use caution while descending these steps." (I'm visiting the UK at the moment, although I live in the US, and I'm originally from neither.) I still love the place, though...

Can you offer to sign a pre-nup? I.e., can you sign a statement that you won't sue? Otherwise, can you threaten to order spiro online and take it unsupervised? I know it's a very non-confrontational culture, but something's gotta give here!! There is an acne medication out there, and no good reason for keeping you from it. This is injustice of the highest order! bs.gif

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My Current Treatment Plan

Morning: Lymecycline

Evening: Dianette + Epiduo

Diet: eliminated dairy

My Log:

Acne status: continuing to break out, so demoralising!

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


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Good to hear the derm now realizes how damaging acne is emotionally!

As for isotretinoin and depression, it's important to note that depression isn't rational, it's chemical, and while it's not clear what the mechanism of action might be, it does sound like isotretinoin promotes depression in SOME people. They key is to listen to our bodies and stop taking any meds if adverse effects are suspected. So, if you take roaccutane, and if you find yourself experiencing symptoms of depression (lack of interest in activities that used to be pleasurable, low energy, mood swings, appetite changes, etc. etc.), then don't chance it getting worse, get OFF the drug. I personally didn't experience negative mood changes on it, but that doesn't mean someone else won't. In short, be informed and listen to your body.

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Good to hear the derm now realizes how damaging acne is emotionally!

As for isotretinoin and depression, it's important to note that depression isn't rational, it's chemical, and while it's not clear what the mechanism of action might be, it does sound like isotretinoin promotes depression in SOME people. They key is to listen to our bodies and stop taking any meds if adverse effects are suspected. So, if you take roaccutane, and if you find yourself experiencing symptoms of depression (lack of interest in activities that used to be pleasurable, low energy, mood swings, appetite changes, etc. etc.), then don't chance it getting worse, get OFF the drug. I personally didn't experience negative mood changes on it, but that doesn't mean someone else won't. In short, be informed and listen to your body.


My Current Treatment Plan

Morning: Lymecycline

Evening: Dianette + Epiduo

Diet: eliminated dairy

My Log:

Acne status: continuing to break out, so demoralising!

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


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Good stuff. It sounds like you know what to watch for! And yes, there's no doubt accutane can indirectly improve one's mood... smile.png

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