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Low Dose Accutane Log (60Mg/week)


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#61 JJ

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Posted 15 July 2014 - 12:04 AM

The small pustule on my right cheek came and went as did the one on my left cheekbone. The inflamed spots under my lip died but the clogged pores that spored them remain. I'm guessing it might inflame again. In the last few days I've had a couple of small papules pop up next to the right side of my mouth. Could be from dryness, they only lasted a couple of days and they've died. I've potentially got another springing up on either corner of my mouth. It's sore there and I can feel them brewing. I've also got a tiny pinprick papule/comedone right at the top of my forehead.

 

In summary, still getting zits but they are pretty small, not too inflamed and aren't hanging around too long fortunately. Haven't had a big inflamed spot for over 3 weeks. My forehead and cheeks continue to have plenty of closed comedones, tiny papules (some slightly inflamed). Accutane doesn't seem to budge these at all. They don't get bigger and inflame or get pushed out, they just sit there.

 

I've now been on tane for just over 8 and a half months.

 

First 8 weeks @ 60mg/week = 480mg

Next 13 weeks @ 100mg/week = 1300mg

Next 6 weeks at 20mg/day = 840mg

Next 2 weeks at 170mg/week = 340mg

Next 5 weeks at 180mg = 900mg

100 mg till Friday 27th June = 100mg

From Friday 27th June 30mg/day alternating 40/20 starting with 40 = 580mg (including 40mg taken today, Tuesday 15th July)

 

Total = 4540mg, Weight approx. 75kg = 60.5mg/kg



#62 Kim28

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Posted 16 July 2014 - 08:33 AM

;)


Edited by Kim28, 24 July 2014 - 12:42 PM.


#63 JJ

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Posted 23 July 2014 - 11:08 PM

Hi Kim

 

Thanks for the pic. You look great. I don't really want to post a recognisable pic on here, but if you want to see what I look like I can PM you or give you my facebook privately.

 

I've just been getting really small tiny papules and pustules the last few days or so. About 4 on my chin and 1 above my lip which is weird because I haven't had anything on my chin for about 8 weeks. Maybe 30mg/day is pushing stuff out. They're tiny and barely noticeable but it is inflammatory acne.



#64 Kim28

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Posted 24 July 2014 - 12:49 PM

I don't post pics either. Just been waiting for you to check your log and deleted it.

Happy to share in a PM if you want a pic of me that lasts forever . . . ha ha ha ha!

 

Sorry to hear about the inflammatory crap. Hopefully the Accutane is pushing out the last of it.

1 month out of my course and still doing well. Still pretty worried as this acne I recently had was like a whole new breed of pain - so maybe the Accutane will not keep it away as well this time? Hoping that's just my paranoia speaking.



#65 JJ

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Posted 28 July 2014 - 05:37 PM

Into month 10 now. I haven't had a medium sized zit for over 2 weeks now or a largish one for over 5 weeks. I'm getting a couple of new zits most days ATM but they are typically small or tiny, not very inflamed and are healing quickly. Small enough that even I may not notice them unless I look closely. Some of them pop up and die within a day or 2. I think Accutane might be pushing stuff out, not sure though.

 

I'll be on 30mg/day for the next 8 weeks at least till my next derm appointment. Have now taken 4920mg total. At my weight of 75kg (approx. haven't weighed myself during course) that's 65.5mg/kg.



#66 JJ

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Posted 08 August 2014 - 07:33 AM

Well after being pretty content with my skin for the last month or so, I have had a nasty reality check today. Just shaved for the first time in 6 days revealing my jawline is badly broken out :( the right side is okay and only has 2 or 3 zits. The left side however had around 10 inflammatory papules and pustules. Most aren't too big but there are a couple of quite large ones too.

This is the worst my skin gas been for a few months and I had hoped I was past getting this number of zits at one time. My diet has been shocking lately and I've been having too much caffeine. For some reason not shaving for a few days always reveals zits when I do shave. I have been pretty carefree about my skin lately, not worrying about my diet and neglecting to shave.

Need to get this back on track, will take at least a week or two for this breakout to heal up. Hoping for a better few days skin wise as this latest development sucks. I had been feeling great, this is hopefully just a blip.

#67 Kim28

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Posted 18 August 2014 - 12:10 AM

Well darn. Hopefully it's just from upping your dose recently. Hoping for a happy update soon. Hang in there pal!



#68 JJ

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Posted 21 August 2014 - 09:23 PM

Hey thanks Kim. That outbreak has all pretty much healed up now. Nearly 10 months down now. I'm still getting active breakouts on my jawline and around my mouth. Most days I have at least 1 new zit. They are not too big though, don't seem to have much gunk in them and seem to heal pretty quick. Got about 2 actives on my right jawline, 3 on my left. Now taken 5600mg of Accutane which for 75kg is around 75mg/kg. As I am still getting actives, I am going to request to go past 12 months and also look at trying for a cumulative dose of 120-150mg/kg.

 

I've also developed some quite bad angular chellitis on one side of my mouth. Tried just using extra moisturiser or lip balm but it's not helping. Do I need something like a cortisone cream? Any suggestions. Thanks.



#69 JJ

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Posted 24 August 2014 - 07:08 PM

Feeling pretty shit and defeated today. Got a big, deep Zit near my right sideburns. It hasn't got all inflamed yet but it's big and I can't see it healing without getting inflamed.

Almost 10 months on tane. Still not at the point of no breakouts :(

#70 JJ

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Posted 27 August 2014 - 08:01 PM

10 months of taking accutane today. I've been breaking out the last few days with small inflammatory stuff on the lower half of my face.

It's pretty much been the same story throughout my whole course. My acne has stayed pretty mild and controlled but I've never gotten to the point of not breaking out and staying that way.

Got me pretty down an depressed if I'm honest. I really thought after 10 months I would have ceased the breakouts. I guess either the daily dose has been too low or the cumulative dose not enough. So frustrating particularly as I see other people's logs who stopped breaking out even on low doses after a couple of months.

I've now taken 5840 mg in total which for my weight is approx 78mg/kg.

Send any prayers, good luck, karma etc. my way, I need it.

#71 Kim28

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Posted 28 August 2014 - 11:09 PM

Sorry to hear this, JJ. Sending my best thoughts your way.

You will get through this. It will not be forever.



#72 boneknuckleskin

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Posted 05 September 2014 - 11:09 PM

JJ,

 

Hi. I'm 30 years old and have also dealt with acne for a solid 18 years. Concerning Accutane, in my early 20s, I required a lengthy course of Accutane. I kept breaking out in months 5 through 9, but I was on a higher dose of the drug. My dermatologist maxed out at 80mg a day, and yes, there were major side effects toward the end of the year. I ended up taking Accutane for about 13 months I was about 96% clear, and then I had a month off and some light acne returned which necessitated another 4 month course at 80mg. I basically took moderate-to-high-dose Accutane for 1.5 years. I eventually cleared completely, and stayed clear for about 8 years. The month of my 30th birthday, my acne returned like it's 1999. ninja.gif

 

I'm doing topical Adapelene 0.3%, Bactrim, and low dose Accutane now. Good luck with yours, if I were to give any advice, don't lose all hope. My skin continued to clear even after stopping Accutane due to insanely out of range lab work.  You might, however, want to consider getting the opinion of another dermatologist. You have a lot of time, money, and emotion tied up into your current treatment regimen. Hope things continue or begin to improve for you. 



#73 GetMeTheResults

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Posted 06 September 2014 - 04:50 AM

Wow Jj,

I was thinking of doing a low dose of Accutane as well at first, because I was scared of the medicine, but with time I got used to the idea of being on the regular dose so I didn't even discuss the low dose treatment with my accutane dermatologist.
Do you have links of blogs of other people on the low dose? Probably their acne was very mild to begin with which is why they may have cleared.

#74 JJ

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Posted 10 September 2014 - 07:49 PM

Hi,

 

Thanks for the info and the support. Can I ask what dose of Accutane you are on? Are you taking a course or is it a continuous maintenance dose? I got another derm appointment in 2 weeks.

JJ,

 

Hi. I'm 30 years old and have also dealt with acne for a solid 18 years. Concerning Accutane, in my early 20s, I required a lengthy course of Accutane. I kept breaking out in months 5 through 9, but I was on a higher dose of the drug. My dermatologist maxed out at 80mg a day, and yes, there were major side effects toward the end of the year. I ended up taking Accutane for about 13 months I was about 96% clear, and then I had a month off and some light acne returned which necessitated another 4 month course at 80mg. I basically took moderate-to-high-dose Accutane for 1.5 years. I eventually cleared completely, and stayed clear for about 8 years. The month of my 30th birthday, my acne returned like it's 1999. 

 

I'm doing topical Adapelene 0.3%, Bactrim, and low dose Accutane now. Good luck with yours, if I were to give any advice, don't lose all hope. My skin continued to clear even after stopping Accutane due to insanely out of range lab work.  You might, however, want to consider getting the opinion of another dermatologist. You have a lot of time, money, and emotion tied up into your current treatment regimen. Hope things continue or begin to improve for you. 



#75 JJ

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Posted 10 September 2014 - 08:44 PM

Hi GetMeTheResults

 

This is a good thread for low dose Accutane.

 

http://www.acne.org/...ane-users-help/

Wow Jj,

I was thinking of doing a low dose of Accutane as well at first, because I was scared of the medicine, but with time I got used to the idea of being on the regular dose so I didn't even discuss the low dose treatment with my accutane dermatologist.
Do you have links of blogs of other people on the low dose? Probably their acne was very mild to begin with which is why they may have cleared.



#76 JJ

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Posted 16 September 2014 - 07:16 PM

Another day another zit. Same old same old. No big inflammatory zits but still papules and small inflammatory zits particularly along my jawline.

My last ounce of optimism and resolve is now gone. With this now being almost my third course of accutane done I now face the realty that I will not achieve remission and that even after 19 years of acne, including the scarring it inflicts on me are going nowhere.

Never felt this low or this hopeless and that's saying something.

Wish I wasn't here

#77 leelowe1

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Posted 17 September 2014 - 04:57 PM

Another day another zit. Same old same old. No big inflammatory zits but still papules and small inflammatory zits particularly along my jawline.

My last ounce of optimism and resolve is now gone. With this now being almost my third course of accutane done I now face the realty that I will not achieve remission and that even after 19 years of acne, including the scarring it inflicts on me are going nowhere.

Never felt this low or this hopeless and that's saying something.

Wish I wasn't here

Hey JJ - i know exactly how you feel.  If you ever need to talk PM me.






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