Jump to content

Photo

After 1 Year On Regimen Not Working Going To The Derm For The First Time. What To Expect?


22 replies to this topic

#1 AnnaFabBanana

AnnaFabBanana

    Junior Member

  • Members
  • Posts & Likes
    Posts: 38
    Blog Entries: 14
    Likes: 4
About Me
  • Joined: 08-October 13

Posted 09 July 2014 - 11:42 AM

Hey!

Im a 27yr old female and I began breaking out in adult cystic acne all over my face a year ago.

I don't know what caused it.

I did the regimen religiously for a year now and it has kept it "under control" but I still have atleast 15 pimples and 5 cyst on my face still.

I finally broke down and im seeing a derm next week. Im very very nervous and embarrassed. What do you guys think they will prescribe me? and im guessing I have to go bare faced with no make up? thanks!



#2 leelowe1

leelowe1

    Senior Member

  • Site Watch
  • Posts & Likes
    Posts: 2,406
    Gallery Images: 10
    Blog Entries: 8
    Likes: 553
About Me
  • Gender:Female
  • Location:NYC
  • Interests:Reading, writing, trying new things, finding my inner strength through this struggle.

    Acne has broken me down but i am hopefully that one day things will get better.
  • Joined: 18-August 11

Achievements

     

Posted 09 July 2014 - 12:14 PM

No need to be scared or embarrassed.  Derms have seen it all, trust me.  Most likely they'll prescribe an oral antibiotic if your acne is moderate (turn it down as antibiotics never help acne in the long run and can make it worse once you stop), a retinoid (defferin, tazorac, retin -a) and something to help with the bacteria (BP or topical antibiotic).  Is your acne related to your periods?  If it's hormonal then you may want to mention that as topicals don't do much to quell hormonal acne. 

 

Have you tried diet changes (one of the easiest changes you can make IMO.

 

Good Luck and keep us posted.



#3 AnnaFabBanana

AnnaFabBanana

    Junior Member

  • Members
  • Posts & Likes
    Posts: 38
    Blog Entries: 14
    Likes: 4
About Me
  • Joined: 08-October 13

Posted 10 July 2014 - 11:07 AM

Yes I really believe my acne is hormonal because I have been using BP for a year now and it has not helped.

do you think it would be okay to take antibiotics for the first 3 months so I don't purge and then wean myself off?



#4 surf15

surf15

    New Member

  • Members
  • Posts & Likes
    Posts: 2
    Likes: 0
About Me
  • Joined: 07-July 14

Posted 10 July 2014 - 11:55 AM

Modifying my diet and using a clean pillowcase helped me a lot. Of course, there are other factors as well. Good luck!



#5 leelowe1

leelowe1

    Senior Member

  • Site Watch
  • Posts & Likes
    Posts: 2,406
    Gallery Images: 10
    Blog Entries: 8
    Likes: 553
About Me
  • Gender:Female
  • Location:NYC
  • Interests:Reading, writing, trying new things, finding my inner strength through this struggle.

    Acne has broken me down but i am hopefully that one day things will get better.
  • Joined: 18-August 11

Achievements

     

Posted 10 July 2014 - 06:53 PM

Yes I really believe my acne is hormonal because I have been using BP for a year now and it has not helped.

do you think it would be okay to take antibiotics for the first 3 months so I don't purge and then wean myself off?

That's a personal decision you'll have to make.   Some people are fine with a short course of antibiotics and others aren't (digestive issues, etc).  If the purge is going to be distressing for you, then its something to consider.



#6 AnnaFabBanana

AnnaFabBanana

    Junior Member

  • Members
  • Posts & Likes
    Posts: 38
    Blog Entries: 14
    Likes: 4
About Me
  • Joined: 08-October 13

Posted 11 July 2014 - 09:24 AM

okay thanks guys for your input! help a lot!

 

And to answer the diet question, yes I cut dairy out and I change my pillow cases and face towels twice a week for the passed year too.

 

I think when I go see the derm for the first time on weds I will ask to be on antibiotics so the purging doesn't happen. I just cant emotionally go through purging again.



#7 missamua

missamua

    Member

  • Veteran Members
  • Posts & Likes
    Posts: 131
    Likes: 22
About Me
  • Gender:Female
  • Location:U.S.
  • Joined: 17-December 11

Posted 12 July 2014 - 03:27 AM

Hi there, I've had severe acne for 8 years, and unfortunately I went through literally every antibiotic there was to try, which always kept it under control for a while before becoming resistant. I even went on amoxicillin which isn't commonly prescribed for acne. All of those years of antibiotics honestly were a decision I regret because not only am I resistant to them, but I struggle with digestive issues now. I'm not trying to discourage you by any means, but I'd consider going in a different direction because once you're resistant it's back to square one. 

 

The absolute ONLY thing that has helped me in all my awful years of cystic acne was the regimen, except replacing Dan's AHA with tazorac which is much more potent. You can get it prescribed by your dermatologist. I switch between this and a low strength glycolic acid toner every other night. It took about two months but it finally cleared my skin. 

 

I've also been on Accutane, at the very highest dose, twice. It kept me clear while I was on it and for three months after both courses. Unfortunately, I was left with even more health problems and couldn't take it again. It's a miracle drug for many but it was a mean joke for me.

okay thanks guys for your input! help a lot!

 

And to answer the diet question, yes I cut dairy out and I change my pillow cases and face towels twice a week for the passed year too.

 

I think when I go see the derm for the first time on weds I will ask to be on antibiotics so the purging doesn't happen. I just cant emotionally go through purging again.



#8 AnnaFabBanana

AnnaFabBanana

    Junior Member

  • Members
  • Posts & Likes
    Posts: 38
    Blog Entries: 14
    Likes: 4
About Me
  • Joined: 08-October 13

Posted 12 July 2014 - 09:15 AM

Thanks so much for your advice!

Im so happy for you that you finally are clear! (I pray for the day I am!!)

 

I was only thinking of going on antibiotics for only 3 months so that I do not purge again and then wean myself off. (its the purging im so afraid of because when I went thru it with dans regimen I was very VERY upset and wasn't myself and I cant emotionally go through that again.



#9 missamua

missamua

    Member

  • Veteran Members
  • Posts & Likes
    Posts: 131
    Likes: 22
About Me
  • Gender:Female
  • Location:U.S.
  • Joined: 17-December 11

Posted 12 July 2014 - 04:45 PM

That may work, I've never weaned off of antibiotics although I've read that you're supposed as to help prevent a huge breakout. This makes sense, since every time I've quit antibiotics cold turkey I've ended up with the WORST breakout a few weeks after. 

Thanks so much for your advice!

Im so happy for you that you finally are clear! (I pray for the day I am!!)

 

I was only thinking of going on antibiotics for only 3 months so that I do not purge again and then wean myself off. (its the purging im so afraid of because when I went thru it with dans regimen I was very VERY upset and wasn't myself and I cant emotionally go through that again.



#10 invisiblenetrix

invisiblenetrix

    Junior Member

  • Members
  • Posts & Likes
    Posts: 46
    Likes: 4
About Me
  • Gender:Male
  • Location:Australia
  • Interests:Comedy, Soccer, Gadgets, Food and much more!
  • Joined: 15-March 13

Posted 13 July 2014 - 09:21 AM

have u tried birth control pills?

 

My sister jumped on that when she was 20 and to this day she never got a single pimple since.



#11 AnnaFabBanana

AnnaFabBanana

    Junior Member

  • Members
  • Posts & Likes
    Posts: 38
    Blog Entries: 14
    Likes: 4
About Me
  • Joined: 08-October 13

Posted 13 July 2014 - 10:18 AM

have u tried birth control pills?
 
My sister jumped on that when she was 20 and to this day she never got a single pimple since.



I was on birth control for 6 years and i was clear. It was when i stopped it got really bad.
Hopefully the derm. Will help me.

#12 invisiblenetrix

invisiblenetrix

    Junior Member

  • Members
  • Posts & Likes
    Posts: 46
    Likes: 4
About Me
  • Gender:Male
  • Location:Australia
  • Interests:Comedy, Soccer, Gadgets, Food and much more!
  • Joined: 15-March 13

Posted 14 July 2014 - 02:07 AM

Is there a reason why u decided to go off the pills?

 

good luck with the derm and keep us posted on what they had to say.



#13 AnnaFabBanana

AnnaFabBanana

    Junior Member

  • Members
  • Posts & Likes
    Posts: 38
    Blog Entries: 14
    Likes: 4
About Me
  • Joined: 08-October 13

Posted 14 July 2014 - 05:26 AM

Is there a reason why u decided to go off the pills?
 
good luck with the derm and keep us posted on what they had to say.

Yea there was.
I had my daughter back in 2006 and that's why I went on the pill. (Not for acne because I never had it before)
As I was on the pill for 6 years (ortho tri cyclen) it made me feel very sick each month. My prescription ended so I decided to stop.

I will definitely keep you posted. 2 more days!

Edited by AnnaFabBanana, 14 July 2014 - 05:27 AM.


#14 AnnaFabBanana

AnnaFabBanana

    Junior Member

  • Members
  • Posts & Likes
    Posts: 38
    Blog Entries: 14
    Likes: 4
About Me
  • Joined: 08-October 13

Posted 16 July 2014 - 01:46 PM

Hey guys.
I just got back from my first derm. Appointment
She put me in doxycycline 100mg twice day
Finacea 15% gel in the morning
Clindamycin and benzoyl peroxide at night.

Is anyone else on any of these? I'm very nervous of starting all of this all at once.

#15 megtree

megtree

    Member

  • Veteran Members
  • Posts & Likes
    Posts: 456
    Likes: 105
About Me
  • Gender:Female
  • Location:USA
  • Interests:Everything! Seriously.
  • Joined: 18-June 13

Posted 18 July 2014 - 12:31 PM

That sounds like a pretty normal regimen. Your skin is going to be very dry and red for a while. Moisturize morning and night. Do not stop using the BP, it is INCREDIBLY important that you use the BP while you are on antibiotics to reduce the chance of bacterial resistance. 



#16 cvd

cvd

    Member

  • Veteran Members
  • Posts & Likes
    Posts: 752
    Blog Entries: 1
    Likes: 113
About Me
  • Gender:Female
  • Joined: 15-May 07

Achievements

     

Posted 18 July 2014 - 05:18 PM

I agree --- this is a pretty normal approach to treating acne.  Here's an important thing to remember though.  Your derm has determined your skin type and what could work for you.  It is essential to follow through.  Do NOT decide on your own to wean off any of the treatment or change how you do it.  First discuss with your derm!  Also keep a log of what you are doing and how your skin looks each day.  Take this with you to your appointments.  It will help your derm immensely in figuring out if something is working right or not.  I finally started to do this and together my derm and I figured out a treatment approach that works.  Don't be afraid to express you concerns...even dry skin, etc.  I really like DML lotion.  It was developed specifically for sensitive acne prone skin.  It goes on light, absorbs quickly and is a great base for powder makeup.    Good luck!



#17 AnnaFabBanana

AnnaFabBanana

    Junior Member

  • Members
  • Posts & Likes
    Posts: 38
    Blog Entries: 14
    Likes: 4
About Me
  • Joined: 08-October 13

Posted 23 July 2014 - 09:21 AM

Thanks Everyone! I took everyones advice for this past week!

 

So ive been on the regimen of:

doxycycline 100mg twice a day

Finacea 15% gel in the morning

and clindamycin + BP at night

 

It has been 1 week and here my update:

it seems to actually be working very well. By all means im not CLEAR but it seems to be clearing me up.

My skin isn't dry either and im guessing it must be because ive been using BP for a year now twice a day. and I always moisturize. I do get a little tingle from the Finacea in the morning but nothing to bad.

The doxycycline has made me a little dizzy sometimes (but it goes away) and I do have a little burning feeling 10 min after I take it but that goes away too.

 

I did hear that week two is usually HELL for people because that is when you have your initial breakout. Im so afraid its going to happen :( (I had an IB when starting dans regimen and it was a very emotional low point in me life) Fingers crossed!! Ill check back next weds!



#18 cvd

cvd

    Member

  • Veteran Members
  • Posts & Likes
    Posts: 752
    Blog Entries: 1
    Likes: 113
About Me
  • Gender:Female
  • Joined: 15-May 07

Achievements

     

Posted 25 July 2014 - 03:14 PM

I never got an initial breakout when using doxy.  All I got was a continuation of my usual acne, although less, as the pores finally cleaned out.  This process took months.  But as each month went by my acne was less.  And a change in diet finally got me totally clear.  You'll be fine as long as you continue with all aspects of your tx regime.  And then when you get clear continue the regime until your derm decides it is time to wean off some things.  If you have chronic acne then you'll always have to use something but it will be more streamlined...and you won't mind because you'll be clear!



#19 AnnaFabBanana

AnnaFabBanana

    Junior Member

  • Members
  • Posts & Likes
    Posts: 38
    Blog Entries: 14
    Likes: 4
About Me
  • Joined: 08-October 13

Posted 31 July 2014 - 11:03 AM

I understand what you are saying about the acne getting better but very slow.



So week #2 has ended since I started the Doxy, finacea, clindamycin +BP regimen.

 

I have not had any initial breakout at all and have not had any dryness!! ( I really do believe the reason for not having any dryness is because I was on dans reg for a year)

 

My acne is getting better... very SLOWLY. but HEY! that is better then nothing!!

I still am getting new pimples every day. but they seem to go away by the end of the night.

 

ill check back in next week!



#20 cvd

cvd

    Member

  • Veteran Members
  • Posts & Likes
    Posts: 752
    Blog Entries: 1
    Likes: 113
About Me
  • Gender:Female
  • Joined: 15-May 07

Achievements

     

Posted 31 July 2014 - 11:28 AM

This is great!  So glad to hear it's working.  You'll have setbacks from time to time...usually when hormones surge monthly but overall things will be under control and easier to live with.  FYI --- biggest mistake most people make is stopping tx when clear.  If you have acne as an adult you usually have to continue doing a maintenance regime of some kind to stay clear.  Your derm will guide you in what is best for your skin and acne type.  A researcher once wrote that adult acne is like diabetes of the skin so if that is even remotely true then it makes sense that you have to continue doing something...just like diabetics do.  Also try modifying diet to help with keeping clear. The diet that has worked best for me is avoiding dairy, sugary foods, alcohol, processed oils (dressings, fried foods, etc.) and eating whole fresh foods versus junk.  Just an idea to consider.






0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users