kylenixon12

Accutane - Very Mild, But Persistent Acne

71 posts in this topic

Day 13 - Progress

Thought I'd better update again as I have had some new events today. I believe I've begun to have my initial breakout, which while not severe, it has gave me a lot more active acne than usual. I've decided to use a low strength BP to combat these. Has anyone got any advice on BP while on accutane?

I also had 3 nose bleeds this morning, 2 not so bad ones while getting ready for work, then 1 quite bad one later on, which was mid-work, so was kinda embarrassing, but something I have to deal with. Hope I don't get too many more of these!

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Hey there,

Good luck with starting your accutane journey :)

Progression pictures are nice to see and spice up the thread from normal posts, if you're comfortable posting them of course!

You mentioned drinking two posts up and when I did my course two years ago I promised myself to quit drinking all together for the time. Afterwards, I didn't even crave to drink that much and it was definitely a big plus; saving the money, hangovers and the possible complications!

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Hey there,

Good luck with starting your accutane journey

Progression pictures are nice to see and spice up the thread from normal posts, if you're comfortable posting them of course!

You mentioned drinking two posts up and when I did my course two years ago I promised myself to quit drinking all together for the time. Afterwards, I didn't even crave to drink that much and it was definitely a big plus; saving the money, hangovers and the possible complications!

Thank you!

It's the lack of courage when posting pictures! As I said previously, I don't suffer from lots of active acne, but I do have a lot of marks from the past few months that I still have to deal with! Boo!

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Day 17 - Progress

So Day 17. Pretty sure I've had my initial breakout now. I had quite a large cyst on my cheek (about the size of a penny) which developed over the weekend, (cysts are extremely rare for me) though it seems to be shrinking now. The pain has gone due to lots of Sudocrem/Neosporin, though it is now quite dry. I've been struggling to sleep the whole night through for this past week, constant tossing and turning, which is taking a toll.. Got a feeling it could be Accutane related?


My blackheads have began sticking out a lot more but I believe this means they'll start falling out soon, as I've noticed a few of the ones on my upper cheek have now gone. I am not as dry as I thought I'd be by now, but my chin seems to be the driest area.

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Day 19 - Progress

So today is the first day I've had significant peeling on my lips. They're not particularly dry but a layer of skin(?) seems to be peeling off. I'm continuing to get new acne. :( However, the cyst on my cheek has almost gone completely, which is a relief.. Just got to persevere I guess until I start to see some results!

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Day 22! Progress

So day 22. I've started to get quite dry on my face.. with some peeling on my top lip and chin. Also on the tip of my nose.... Odd. Got a couple of pimples at the minute, but nothing major. I definitely think the tablets are affecting my sleep to a degree as I often wake up several times in the night now when I never used to. Apart from that... Nothing noticeably different, though I am waiting for the day that I don't have pimples. Fingers crossed!

PS. My new best friends are moisturiser and a couple of lip balms.

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Day 26

I haven't been posting as frequently due to lack of changes, but I thought I'd better do an update. So, my face is getting very dry, even with the frequent use of moisturiser, still on the top lip and chin mainly, but have noticed it on my forehead and cheeks now also... Pimples are still coming here and there, which I question whether I should still be getting new ones(?) However, they are less frequent, and less numerous than before.. I think. I also have tried to start drinking more water, as I notice I get thirsty far more easily than I used to do.

I also think I'm starting to look a little bit red, unfortunately, but I will cope I'm sure. I did on the other hand get a compliment on my face yesterday, saying my skin looked great, which made me feel quite happy. Personally, I hadn't thought there'd been that much change! So maybe this helps reinforce the fact that sometimes we think our skin is worse than it actually is, because we're so used to acne.

Just to note. I went on a night out for the first time on the medication and drank far too much... Head over the toilet drunk. Which I know not to do, but I thought for a one off, go for it (it's so hard being a uni student and not drinking!!!) However, despite the amount of alcohol I drank, I haven't been all that ill today, which I was not expecting due to the effects Accutane has on your liver. Finally... Month 1 is nearly at its end!

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Day 28

Well, I thought I better update again as my skin seems to be getting a little worse... Which I found very strange at this point in my course? As normally people's skin seems to be getting better by this point? Is this me being ignorant or is this a possible thing?


The only thing that I can think of is that the alcohol that I subjected myself to on Thursday has had an effect on my skin. So, looks like no more alcohol AT ALL because I don't want my skin to get worse at such a point! Continuing dry skin as always.

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Day 30

So more or less a month from first beginning treatment and my skin is not great! I've had a bit of a breakout, more so than what I thought I had when I thought I was going through the "initial breakout". Does anyone know if this is normal at this late stage? How annoying.


Blackheads have started falling out which is a plus.

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Day 34

So recently I began to notice my face has started to get oilier, though only very very slightly.. But this isn't a good sign. I am back to see my dermatologist on Tuesday, so will mention this to him. I am wondering whether a higher dose will be beneficial, though he may have planned to do this in the first place. I'm still getting pimples, usually one a day, which is still not great as this is exactly the same as pre-Accutane... I was hoping to expect at least a small difference by now. Maybe this is the time that I should just brace myself and be patient, as being on a low dose of 20mg with a weight of 60kg, I know staying on this dose, it will take a long time for things to get better...


I will see what the dermatologist has to say and let you all know!

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Hey, I've been following along your log! I also have mild, persistent acne and now on 3rd week of accutane. I haven't really seen much improvement either! I still get 1 or 2 pimples a day, which is consistent with pre-accutane. Good luck and will continue to follow along!

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Hey, I've been following along your log! I also have mild, persistent acne and now on 3rd week of accutane. I haven't really seen much improvement either! I still get 1 or 2 pimples a day, which is consistent with pre-accutane. Good luck and will continue to follow along!

Hey its great to hear from you! I'm glad I can give you some information. I hope that you see results too :) Good luck!

Day 37

Today I went back to the dermatologist for my month (kinda) check up. They asked me a few questions about my acne, side effects, mood etc, then upped my dose from 20mg to 40mg. She warned me that due to this rise, I may have another IB or a flare up at some point, but I am willing to accept that and wait it out. Today I have taken my first 40mg dose.

My skin is pretty good at the moment with only one active pimple, which only has a small head so I have avoided squeezing it, hoping it will go away on its own. I'm also hoping that this increase doesn't bring along with it any new or increased side effects! I will keep you posted on what is going down from this point :)

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Day 39

Hi again everyone! I think we're finally getting somewhere! I believe it to be officially 3 days since I have had a new active, which is pretty amazing for me! I have a tiny bump on my chin, that will go in time, but not one which will ever come to a head (which I am very used to). Though I do suspect I have a bit of a bump forming on my chin... But still, 3 days is a breakthrough!

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Day 42

So my skin has got slightly worse since I've had my dose upped. I have quite a large one near my cheekbone on the left side of my face, which I am hoping will go soon. I also had a couple on my chin (quite swollen ones) which I ended up squeezing! Oops. But apart from that not all that bad.. I have noticed my lips slightly drier than usual, but I have a night out drinking, which probably dehydrated me a little extra, so that's taken into consideration.

Apart from that all is well. I just need to back off from the alcohol a bit. But unfortunately, university life does not make it easy! Boo.

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Day 44

I've begun to notice an increase in mouth ulcers recently. I had a large on in my cheek, and two on my tongue now! One which hurts and is quite unsightly. I have heard that there are side effects which do cause this, so I am wondering if it is the fault of the 'tane. It has recently started to push out a lump I've had under the skin for a long time, which isn't great, but at least it's getting rid of it.

I think i'm down to 2 pimples. Which isn't all that bad! Neither of which have come to a head, or i believe, will.

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Day 46

So today I'm down to 3, which isn't too bad. Read to take my.. 46th dose very shortly. It seems as if the time has flown since I first started my medication! You honestly don't think about it all that much, so the time just goes by. This morning I did have quite peeley (yes, yes, that's not a word) skin, I guess from the dryness, but no soreness or anything. Lips are still dry but nothing bad. My ulcer however, seems to be going! As it was very sore the last few days and it was right at the end of my tongue. It was particularly large too, but a healthy dose of Anbesol regularly has seemed to help.

I can't remember if i mentioned, but I have seemed to be gaining a lot of cuts on my hand, due to the thinning of my skin(?), which is a pain! As it makes my hands look a mess! I think i'm down to 4 cuts now, but still, not a great thing to have!

My 20th birthday is in 11 days, so I'm hoping that I'm not particularly spotty then! As I occasionally have flare up's on Accutane. Pray for me guys! :)

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Day 49

I thought I better write as today - officially - my upped dose, initial break out has occurred. I have multiple lumps (which seem to be cyst-like), which I've counted as 4. Not great. As I've said previously, I'm not really used to getting. This sucks!


Anyway, just got to hang in there. Luckily, the Easter holidays have begun and I don't have to leave the house much, as I think I'll end up being pretty self conscious. Wish me luck!

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Day 53

I've begun to notice my skin is getting even drier and the dreaded cracked lips seems to be happening. I've been continuously using lip balm (carmex and blistex) but they don't seem to be working so much.... Which isn't great. The cysts I have are still there, though they do seem to be shrinking and the pain is now gone. I haven't had any other pimples since these cysts came up however, which is pretty good, though, I'm not holding my breath!

If anyone has any tips for shrinking cysts, it'd be much appreciated! Going out for my 20th on Sunday and I'm praying for the best!

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Day 57

So my skin is at the worst its been in a long time. I seem to have reached the point where my body is just pushing every little bump and lump out, then they're becoming inflamed pimples/cysts. Great. Not the best new but something I will deal with. Just hoping this flare up hurries up and goes away!!! I'm just using lots of sudocrem to help heal them and maybe some ice if they get too big.

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Day 59

My mouth is incredibly sore today.. Yet again a side effect I believe. The top of my mouth hurts and I seem to have something that appear to be inflamed taste buds on the end of my tongue. Which I've been dealing with for maybe 2 week now? It stings like a... yeah. Skin is not doing too bad... Seems to be getting a little bit better. Not too many new pimples at the moment which is good. The lump I had on my nose is now shrinking, however I have a small one on my right cheek that seems to be sitting there.

I have noticed slight mood changes recently. I was watching, get this, Harry Potter and I felt a rush of emotions at a non-emotional part of the film. Like I was going to burst out crying! The same happened during an episode of Britains Got Talent! It was kinda funny afterwards though... But it does show that it does effect our moods.

I'm kinda at the point where I'm waiting for some real results, though I mainly read that they come during the third month, and I'm almost about to enter it.... If any past Accutane users can tell me when they started to see real results, that'd be great! Thanks.

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May i ask if your acne is genetic related ?.. Because if it is mild,and you know that i will go away (you know by watching your parents and related) why are you using such a powerful drug?. I do have acne,a little bit more than mild,and my father offered me to pay for acuttane,but he told me that he had it till his 19/20 (my brother also did). So it doesn't have sense probably harming your body for something it will go away by it's own.

Anyways if your acne have passed the genetic "barrier" (i mean,lets suppose your mum had it till her 18 but are still getting it),i wish you the best of lucks.

Edited by mahninja

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Hey! I'm glad you made this log! I also am in the same boat, I have had acne since I was 12, and now I'm 23. It's mild, but nothing has worked. I am on day 15 of Accutane except my doctor started me on 60mg. My derm did tell me that patients who start on low dosages usually see results around the end of their treatment.

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May i ask if your acne is genetic related ?.. Because if it is mild,and you know that i will go away (you know by watching your parents and related) why are you using such a powerful drug?. I do have acne,a little bit more than mild,and my father offered me to pay for acuttane,but he told me that he had it till his 19/20 (my brother also did). So it doesn't have sense probably harming your body for something it will go away by it's own.

Anyways if your acne have passed the genetic "barrier" (i mean,lets suppose your mum had it till her 18 but are still getting it),i wish you the best of lucks.

Hi Mahninja,

I'm not a hundred percent sure, though personally I believe it is genetic. I've suffered with different degrees of Acne since I was 17, I am now 20. It moderate at the age of 17-18, then had clear skin through the use of Lymecycline, then after a year and half of use, it failed and I broke out in multiple cysts along my chin. When I got to this point, I managed to get to see the dermatologist, maybe 5 month after it begun to worsen and decided to start Accutane.

My mother is now 46 and still gets very mild acne, which I am hoping doing this will avoid me having to face at her age. The fact I begun it was due to the severity of the individual pimples, as though I do not have a huge quantity, I often get swollen lumps and, more recently cysts. I mark very easily and I think Accutane is my final option.

I think it takes a long time to think, but personally I could no longer wait around for it to go when my skin was being ruined. So think hard and you'll know what to do :)

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Hey! I'm glad you made this log! I also am in the same boat, I have had acne since I was 12, and now I'm 23. It's mild, but nothing has worked. I am on day 15 of Accutane except my doctor started me on 60mg. My derm did tell me that patients who start on low dosages usually see results around the end of their treatment.

Hi Shel! I'm glad I can help! Unforuntately, its the persistence of the acne isn't it! That is a very high dose, so you may experience more side effects than those of us who started at a lower dose. How is it going for you so far? :) Good luck!!

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Day 64

Yet again my skin is pretty bad.. popped up with quite a few new lumps this week. A few of them cysts, however, very small cysts which is unusual. Since I started accutane, the types of acne I've had has changed dramatically. Originally, I used to just get yellow heads, with cysts very occasionally, however now, I rarely get yellow heads, and mainly just get these lumps... They're seem to become just very tiny cysts now, which I find odd, they're hard lumps that, if they do come to a head, they take a very long time. Blows my mind. They also take dramatically longer to go, which is the worst part.

Oh well, lets keep at it, and hopefully they'll be gone before I know it. However, it's times like these that really test you.... Facing the IB. Stupid flare ups. But on a side note, I've been sleeping pretty badly recently, so I think they may be interlinked.

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