Good Luck with your appointment Meg! I hope he can recommend something to help with the pain, and encourage the IB to finally wear itself out.
Thanks Jess! He actually gave me cortisone shots for the larger cysts, which has helped somewhat (he felt the risk of scarring far outweighed the risk of atrophy at this point, and I was inclined to agree). The shots helped a little bit, but boy these suckers are STUBBORN!
Meg - my IB was definitely at it's worst around day 25. It seemed to me that things slowly started turning around very shortly after that. I could hardly leave the house between about day 15 to 30. By day 30 I noticed it was slowing down, and by day 45 I was seeing some improvement even. Don't worry! This is supposed to be the worst part, and on a positive note, it does make everything else seem not so bad. Oy!
Oh, thank you so much for the encouragement Kim. I was about to say that you have no idea how comforting your comment was, but I stopped myself because of course you do! I know you are probably right, and I don't want to to dwell on the IB too much because I know it will get better...but I cant help but whine a little bit: why can't I EVER be in that minority of people that acne stuff actually works for without making me go through a trial by fire?!? WHYYYYYY?!?!?
Day 26, 27 -
I had my doctor's appointment today. As soon as he walked into the office he took one look at me and said "yeah...it's definitely worse than when you started...". I just nodded and smiled, but I felt like screaming "NO SH** SHERLOCK! WHAT OTHER GENIUS SUPPOSITIONS WOULD YOU LIKE TO PROVIDE SINCE YOU WERE PROMOTED TO CAPTAIN FREAKING OBVIOUS?!?!". He was planning on upping my dosage, but ultimately decided against it as he was concerned it would make my flare-up worse. He said that flare-ups do happen and that it's just luck of the draw most of the time. I guess he didn't like being supportive and comforting though, because he followed it up with "but it doesn't happen to people as often as you would think". Great. Can I EVER just ONCE be in THAT wonderfully lucky group of people?!?
He then proceeded to fill my face up with about 5 or 6 of the most painful cortisone shots I have ever experienced. On an after-thought, he noted my cholesterol had gone up a little bit, but he didn't seem very concerned. I always feel like crap after I go to the dermatologist. I cant help but feel like something is broken when it comes to my skin. I do know I need to shake that feeling, it's a dark thought-road to travel down, and awful-izing isn't going to help me. Disappointment just really, really sucks, and I feel like it's a constant companion in my life as an acne - sufferer.
Day 27 - nothing very new to report, I have 2 more cysts popping up next to 2 already established cysts, making for a very, very ugly day. They just hurt SO much! I could almost handle the ugliness if it wasn't for the deep itchy pain that just means it's only going to get worse. Blah.
I believe the pain party in my face has brought in a DJ to drop the bass, and now they're all drunk-dancing to dub step. At least someone is having fun....BRRrrrRRRRrrrBOWOWOWOOWOWOOWOW.
The new official count is:
Left: 1 healing stage /active, 1 dormant in the "about to pop up" stage/inactive
Right: 2 popping up, 5 just hanging out, all active
Forehead: clear, except one little stubborn tiny papule that never seems to go away.
Chin: 1 little pustule that came to a head, popped, and is now just chillin', enjoying being a red mark.
Now ladies and gentleman, it's that time we all love and love to hate, SIDE EFFECTS REPORT TIME!!
My face is a desert, the oiliness of before is gone completely. My nose has started to dry out, and my nostrils are flaking up very badly. This is making me look like I have some very unsavory habits. I feel like saying "That white stuff under my nose is skin, not cocaine" every time someone glances at my nose. My forehead is also dry and flaky. It really accentuates all the beautiful fine lines on my face and gives me that wonderfully desirable "older than her years" look that is so in-vogue these days. :\ I think I need to find a new night-time moisturizer. Any suggestions? My day time one is still working fine - but I wake up with super dry skin.
I have also developed a small exczema patch/rash on the back of my right hand. It doesn't itch and doesn't seem to be spreading, so I am leaving it alone for now. I may get some cortisone tonight just in case.
Hair: An absolute disaster (not that it was great before). It is very dry and frizzy. On the other hand, I can now go about 5 days without washing my hair - so that is nice in terms of time-management. I may start washing with shampoo and conditioner only once a week and using just conditioner every other day instead. Question to anyone reading: I really need to fix my roots, but I am scared the bleach in the toner will aggravate my dry scalp. Has anyone had any issues with this?
Stomach/ bowels: No noticeable issues. Drinking water seems to keep everything regular, and I definitely notice when I don't drink enough. No notable problems with reflux.
Joints: a little bit of pain here and there, especially in the morning. Nothing debilitating.
Mood: Pretty down. I think it has absolutely nothing to do with the Iso and everything to do with the flare-up. Hopefully I will feel better as it starts to heal.
Edited by megtree, 22 January 2014 - 02:18 PM.
My Accutane log (with pictures):
26 y/o female- approx. 54kg
Absorica -40 mg, 1 daily, December 26, 2013 - February, 25, 2014
Absorica - 60 mg, 1 daily. February 26, 2014 -
Probiotic - 1 daily
Fish oil supplement w/ vit D - 1 daily
Food Grade Rose water - Toner
La Roche Posay Mineral Water Spray
Vichy 50+ Capital Soleil Cream for Sensitive Skin
Food grade Rose Water - Toner
La Roche Posay Mineral Water Spray
Aveeno Positively Radiant intensive night cream
Cerave Facial Moisturizing Lotion- PM
Cerave Moisturizing cream
Avene Cicalfate (as needed)