Hey, I just wanted to start a log of my progress since beginning Isotretinoin (my doctor prescribed me Absorica). I am a 26yo M with mild, persistent acne. I definitely don't fit the typical profile of severe cystic, scar-forming acne. My acne is primarily small/medium sized white and blackheads. I have 4-5 blemishes (combination of active pimples, popped and red pimples, and scabs) at a time with one new one forming when another one subsides. I don't think there are many logs from people with my type of acne and I would like to share some light on my progress so other people can benefit.
I started having acne sometime during middle school which persisted till now. I never really went to the dermatologist because my acne was never that severe and I simply thought I would outgrow it. At 26yo, I continue to have acne and extremely oily skin and I figured a more aggressive treatment would be best. I started becoming self-conscious of my acne due to my occupation. I work in a field that interacts and sees a lot of people and for some reason, I found myself noticing and worrying about my complexion, particularly when I was meeting a new client. 2 years ago, I finally visited a dermatologist.
The following is a list of the treatments I have tried thus far: OTC (benzoyl peroxide--including acne.org--neutrogenia, clean and clear, etc, salicylic acid, sulfur, Proactiv. As for prescription medications: Duac (worked well for a while), Retin A micro, and Doxycycline (couldn't take it for that long due to severe stomachaches). I was prescribed Isotretinoin on March 12, which makes today my day 4 of my treatment.
I am 175lbs (80kg) male and I am currently on 30mg twice a day for 1 month, which will later be increased to 40mg twice a day. Per my doctor, the recommended dosage is 1mg/kg/day which means I should be taking 80mg/day (40mg x twice a day) to see full results. To minimize the initial breakout and potential side effects, my doctor recommended a smaller dose of 60mg/day for a month followed by the full 80mg/day dosage.
Pros: None really seen. My complexion is about the same at this point. A few pimples, but no cysts. No breakout.
Side effects: No initial breakout. No dry lips/skin. No dry eyes. I had a mild headache that went away quickly. I'm unsure whether to attribute this to isotretinoin or not. I have noticed that my lymph nodes on my neck a.k.a. submandibular lymph nodes for those who care have been slightly tender. Swollen LN are one of the severe SE of isotretinoin, so I have been careful to monitor my neck to make sure they are not overly tender or swollen.
Overall, nothing much to report. No extreme pro's and no real SE. Will update in a few days time.