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Low Dose Accutane Log (60Mg/week)


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#21 JJ

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Posted 28 January 2014 - 04:06 AM

Day 93

 

First day of my 4th month of Accutane. Feeling thoroughly discouraged. I have 3 of the most inflamed pimples I have had on the whole course at the moment. One is still the one along my left jawline, I have another one lower down on my left jawline and a very inflamed spot right under my lip on the left hand side. I had hoped I would have ceased breaking out by this point. Not sure if I just need to be patient with this low dose, or is this dose simply too low. The rest of my face only has very minor blemishes and comedones, it's just these 3 biggies that are making me miserable. There's a good chance all 3 with leave indented scars too - sigh.



#22 JJ

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Posted 29 January 2014 - 04:48 AM

Day 94

The 3 inflamed spots are getting smaller. I notice I have 3 or 4 clogged pores/slightly inflamed spots on my left chin ready and eager to spring up at any moment. Seriously so fucking fed up with this. WTF is Accutane actually doing for me. I have had more than 10 pimples on my chin in these 3 months on tane. It is normally the easiest place on my face to keep clear - I could go a year without a spot sometimes. I had high hopes that after 3 months or so most of the work would be done but I am breaking out no less than when I started. So jacked off. I'm starting to think that Accutane is not going to be the magic answer I had hoped for and that I am going to have to continue to suffer with acne and scarring well beyond the 18 years I have already suffered from it. This thought depresses me beyond belief. 18 years of torture with no respite in sight, I don't know what I ever did wrong to have to suffer so much.



#23 JJ

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Posted 29 January 2014 - 08:32 PM

zits

 

Bad quality picture of my left side where I am broken out. 3 large zits - one under my lip, one on my jawline, one on my cheek/jawline. 2 small ones - one on my jawline, one on my chin. Hard to see extent with crap picture quality. Had an emotional breakdown today - cried, just feel so helpless. Am convinced now that I won't clear up properly as I had hoped.



#24 Kim28

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Posted 29 January 2014 - 11:14 PM

No no no! You WILL clear up, it will just take a little more time due to your low dose. I have only just started to see some positive outcomes, and I am on more than twice the dose you are and only a week or so behind you.

I hate that you are feeling sad. Acne sucks so much. It blows my mind how much different of a person I have been just in the last couple weeks that I have not been in constant pain. I feel like myself again, and it is a self I didn't even know existed before my first course of Accutane.

You will find yourself again soon too. This course was so much harder than my first, and I almost lost faith in it working a lot of times. I still might, too. There isn't more than an hour that goes by that I don't imagine some itch and then feel a tremendous amount of fear. But this too shall pass.

Hang in there.

When is your next derm appt? Maybe they will have some suggestions to speed up your process.



#25 JJ

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Posted 01 February 2014 - 02:20 AM

Day 97

First up, thanks so much for the message of hope and support Kim28. I am in a little bit better frame of mind now although sadly my skin has not improved. I currently have around 7 actives, 6 are on the left jawline and left side of my chin. I have just the solitary pustule on my right face. My inflamed spots from day 93 are healing up slowly, but they will no doubt be replaced.

 

I am trying to be optimistic and believe that I will clear up, it will just take some time. I wish I knew roughly how long. I honestly have no idea how long I took to clear up on my other 2 courses of tane as it was more than 12 years ago now. I don't see my derm for another 7 weeks. I saw him at the 2 month mark and this next appointment will be 5 months since starting. Would be a lot easier if I saw my derm every month or so, so I could voice my concerns and get some feedback.



#26 Kim28

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Posted 02 February 2014 - 07:28 PM

Could you call the derm to go sooner?

And BTW, although I know you said the quality of the pic is bad, your skin actually looks pretty good in it!



#27 yunchang

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Posted 07 February 2014 - 11:18 PM

u are on month 3 and only taking so little, so you gotta wait. it will take longer to work than traditional course.

 

how are your oil levels? does your skin seem dry? any tightness? it is highly important to keep your skin from being irritated and red. 

 

the thing about low dosing is (from my experience so far), is that it is a marathon and a long term commitment. And when you do something like this for so long, your skin must be comfortable and babied (even if it means slower results!) otherwise everyday will feel like a grind. eat healthy, exercise, and keep your skin moisturized. those things will go a long way in helping you cope with the stress of acne. it's not just about a miracle pill, cuz it aint. 

 

even if ur skin is oily, id rather you put on a good heavy cream to keep your face moist and smooth, rather than dry and flaky.



#28 Nicolacat

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Posted 09 February 2014 - 10:25 AM

Hi.. seriously your skin looks fine?! You are being your own worst critic. Your skin looks normal with the odd blemish- like a normal person really! Even my hubby who is definitely not acne prone gets the odd 2 or 3 zits now and again. He doesn't even notice them,I do because that's what acne does, it makes you zone in on what nobody else would even notice or care about. The  roaccutane will work. You hang in there. Just remember that everyone and I mean everyone will get the odd breakout. xx



#29 JJ

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Posted 09 February 2014 - 10:49 PM

Hey guys,

 

Thanks for the support, much appreciated. I am just trying to be patient. I am at day 106 now, 6 weeks till my next derm appointment. I am waiting it out till then.I have another largish inflamed pustule on my left cheek, about 5 or 6 actives total but they are healing up. I have had a couple of clogged pores/comedones that have been sitting on my skin for like months become inflamed so I am wondering if the dose increase is pushing clogs out now.

yunchang, my skin isn't too dry or tight. I used the regimen for many years and my skin is not as tight and dry as it was whilst using BP. I use cetaphil moisturiser which is pretty heavy and don't really have any problems with dry patches or flakes.

Well nothing for it but to be patient and positive and keep trucking along. My faith is being tested along the way, but it's still there :)



#30 JJ

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Posted 11 February 2014 - 05:57 AM

Day 107

Got about 4 actives at the moment. I new inflamed angry hurty one on my right cheek, one on my left cheek and a couple along my left jawline.



#31 JJ

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Posted 13 February 2014 - 10:54 PM

Day 110

Inflamed angry red bump on right cheek now has a big yellowy head on it. Still big and painful. Got a new tiny papule near it. The spot on my left cheek healed up within a week without incident. Still got a couple of healing actives on my left cheek and left jawline from previous breakouts.

I also keep getting medium sized recurring papules right at the corner of my mouth on both sides. Might be cause this is an area that gets dry easily.



#32 Kim28

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Posted 18 February 2014 - 11:15 PM

Oh I hate those 'corner of the mouth' things - I get them too! The ol' 'hurts to smile' ones. Argh!

Sounds like you are making a little progress, though, no?

Thinking of you.

Let me know how it's going.

:)



#33 JJ

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Posted 21 February 2014 - 01:38 AM

Day 117 (almost 4 months)

 

First off, thanks a bunch for the message and the support kim! It has been a long and difficult almost 4 months on the tane and I have often struggled going through this - it's heartening to know I am not alone.

My skin is still refusing to get totally clear - I am stuck in a cycle of 3 - 5 actives which take a week or two to heal by which point they will have been replaced by a new 3-5 actives. I'm also getting too many big inflamed pustules (that take 2 weeks or so to shrink) for my liking lately

Right now I have one healing big pustule near my right ear. The big angry bump on my right cheek has healed up a lot but is still there and will leave hyperpigmentation for a while (and prob a small scar).

Still got two of the largish inflamed papules on my left jawline healing up/pigmentation marks. In the last couple of days I've had 2 smallish inflamed papules spring up on my left cheek. I'm hoping and they should go away without too much of a problem. I have a large inflamed pustule with another beautiful big yellowy head near the left side of my chin and as of yesterday a new medium sized papule near my left sideburn.

I know that this stuff will all heal up in a week or so (red marks longer) but I am getting pretty frustrated as the breakouts just keep coming. I have now almost completed four months of Accutane and I had hoped I would have reached the stage of not breaking out by now. If it doesn't come in the next month I am starting to wonder if it will. I realise I am on a low dose, but having said that I have been on the drug for a fair while now.

Got my next derm appointment in just over 4 weeks at which point I will have been on Accutane for almost 5 months. If I am not clear at this point I guess I'll have to look at my options - hopefully it's just a matter of waiting it out a bit longer as I'm not that keen on increasing the dose. Be interested in what my derm has to say.



#34 JJ

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Posted 10 March 2014 - 05:02 AM

Day 134 (First day of week 20)

 

Haven't updated for a little while. The last 2 and a half weeks have been decent. I haven't had any of the big, inflamed nasty pustules and the ones I did have, have been healing up. The frequency and severity of my breaking out has definitely improved - I am hoping this continues. I have still been getting small comedonal and inflamed stuff, particularly along my jawline and around my chin. But nothing big and nasty that lasts weeks before it flattens out and would be obviously noticeable to somebody else. Got my 5 month follow up derm appointment in 2 weeks.



#35 JJ

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Posted 25 March 2014 - 06:11 AM

Day 149

 

Almost 5 months on Accutane now. Haven't been breaking out much. At the moment I have 1 large pustule healing up on the left side of my chin, and a smallish papule that has just cropped up today on the right side of my chin. This is my first pimple on the right side of my face for around 4 weeks. I continue to get 1-2 a week on the left hand side, including some nastier inflammatory stuff. Other than that my forehead seems to be getting bumpier, but it is non-inflamed stuff (or just a tiny bit inflamed).

 

Had my derm appointment on Monday. As I am still breaking out a little bit, he bumped my dosage up to 20mg/day to try and stop these breakouts in their tracks. He said I am going to be on Accutane for a good long while to really try and put it into remission, which I am happy about.

 

Hope everyone else on tane is going well. If anyone is interested in my side effects, they are very minor - just slightly dry lips and skin. Compared to my two previous courses (I took 60mg/day each time) they are much milder as well.



#36 JJ

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Posted 03 April 2014 - 07:56 PM

Day 158

 

Update about the same as last one. Large pustule on left side of chin has almost healed. I have 2 actives right now - a mediumish pustule has cropped up on the left side of my chin. It was a soft clogged pore for weeks and weeks so it was inevitably going to get inflamed I guess. I also have a small papule on the right side of my chin. My forehead is still bumpy but it is non-inflamed.

 

Getting a bit frustrated that I am still getting breakouts. I realise it has been a lower dose but it has been a fair amount of time now. I have now been on 20mg/day for 12 days.



#37 Kim28

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Posted 04 April 2014 - 10:47 AM

How annoying. I wish I could come over there and tell your acne to go the heck away already. I am feeling frustrated, and I'm not even you! Sheesh. But, if this higher dose is bringing up some stuff that has been just sitting there for a while, maybe that is a good thing. Even 20mg a day is still a pretty low dose, but hopefully it will be the bit more you need. Did it take you a long time to clear up on your 'regular' courses? Do you know what your cumulative dose is up to this point? I am at about 6500 total at this point, on my way to my goal of 8400 (works out to about 130 mg/k for me. I am super tall so I weigh about 64 k).

Keep us updated with the new dose. Wishing you all the best.



#38 JJ

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Posted 08 April 2014 - 05:45 AM

Day 163

 

Got around 4 - 5 activies. The mediumish pustule got pretty big and inflamed and is just starting to settle down. I also have 2 or 3 smaller pustules nearby it. Just the one papule still on the right side of my chin. I think my forehead seems less bumpy so I am hoping the increased dosage is having an affect on the comedonal and non-inflamed stuff that is persisting there.

I have noticed my lips are definitely drier now that I am on 20mg/day. Hope this is a good sign.

 

Hey Kim, to be honest I can't really remember exactly how long I took to clear on my other courses. I am 32 now on this third course. I was 18 for my first course and 19 for my second course so it's a long time ago! I wasn't very knowledgeable about acne back then (I didn't even wash my face during the courses) and I didn't really monitor my skin during the course. I was pretty unhappy with my appearance (I had a face covered in inflammatory papules and pustules) at the time, so I basically never looked in the mirror, took my pills and waited for the time to go by. I was clear by the end of my courses which was about 5 months, I can't remember if I cleared up before this point.

 

As far as cumulative dose so far:

I took 60mg/week for the first 8 weeks = 480mg

I then took 100mg/week for the next 13 weeks = 1300mg

I have now been taking 20mg/day for 16 days = 320mg

 

So in total that is 2100mg. I am around 75kg. So far that works out to 28mg/kg. I don't think my derm is shooting for the 120-150mg/kg cumulative dose though. It's more about stopping the breakouts, rather than reaching a dose. He did say I'll be on tane for a good long time to really try and knock it out. The first step of stopping the breakouts would be nice though! My patience and faith are being tested.

 

Glad to read your course is still going well.



#39 JJ

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Posted 09 April 2014 - 08:57 PM

Day 165

 

Meh, got 2 new pimples above my lip of all places. I don't think I've had one there for around 2 months at least. One was a softish clogged pore that had been there for weeks and weeks. My razor got snagged on it whilst shaving on Tuesday, which was enough irritation to cause it to become inflamed. It's right on my lipline and is painful. The other one is just a tiny pustule right smack in the middle. Should die pretty quickly but still annoying (and puzzling).

 

Anytime these breakouts want to stop I would be much obliged.



#40 JJ

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Posted 16 April 2014 - 07:06 AM

Day 171

 

Skin still about the same. Decent enough but not completely clear and still breaking out. Pimples above lip have almost healed up as has the stuff on the left side of my chin. New breakouts along my jawline on both sides. Just the one pimple on the right side. 4 or 5 on the left. They are inflamed but not particularly big. Still annoying and frustrating that I'm still breaking out.






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