So first of all I have a little confession that I'd like to make. I'm already on day 40 of my Accutane journey so basically I'm going to start off this log with a basic summary about myself and of how the past 40 days have gone and then I will be regularly updating this log every couple of days, starting from today.
Now for a little background info of myself. I'm an 18 year old Canadian male that has been suffering from mild/moderate acne since I was around 13-14 years old. But on top of acne, I also have been suffering from mild seborrheic dermatitis on my face and scalp. Basically once I hit full-fledged puberty at age 12-13 I start getting a really itchy and flaky scalp and a year later I started to develop some acne. The acne and seborrheic dermatitis were mild but the seborrheic dermatitis was really starting to annoy me after a year or two and so I asked my family doctor for a referral to a dermatologist. So i went to the dermatologist and got a couple of prescriptions. The prescriptions actually helped and started to control the dermatitis on my scalp, but over all these years it has still been a problem to this very day for my face and scalp. My skin has always looked a little bit unhealthy and more inflamed than the average person but It's never been really noticeable unless you study my face close up for 10 minutes. None of the prescriptions I have prevent the dermatitis flare ups, but the prescriptions do heal the flare ups after they have occurred.
Now let's move onto my acne history. So like I said, I've been getting mild-moderate acne since i was around 13 to 14 years old. At first I was getting acne on the upper part of my face, and as I got older it seems to keep travelling downwards. For the past 2 years my forehead never breaks out, but I've gotten more acne on my jaw/neck area and near my mouth and chin. My cheeks, nose, and the rest of my upper part of the face are almost always clear for the most part. Also I get quite a bit of acne on my upper back, but my arms and chest are completely clear. I get lots of black heads all over the place, and usually the pimples are almost always white heads, and I get the occasional cystic acne spots a couple times a month.
The reason I wanted to start accutane is because as I have gotten older I've been noticing more and more scarring on my upper back and some scars around the lower part of my face where I normally break out and I don't want to continue getting more and more scars. Over the span of 5 years my dermatologist has prescribed me a couple of different cleansers and what not but they only prevented my from getting moderate acne, but did nothing for mild - moderate acne. I never did try any anti biotics, probably because my acne was not severe enough, and they were never offered to me, nor did I ask about them. I think the fact that I got prescribed Accutane was based on luck and that my skin looked pretty bad on the day of my dermatologist appoint, plus I sold them the idea that I want Accutane really well.
During the appointment the nurse and dermatologist told me that they typically prescribe a 6 month course of Accutane 40Mg per day and they don't really prescribe high doses because of all the side effects. Right now today is day 40 on Accutane for me and I have my third blood test done on August 8th, my 2 month Accutane follow up appointment with the dermatologist on August 15th and then I will have taken my 60th pill on August 18th, so I will already have my Accutane prescription for months 3 and 4 ready before I run out of pills. I do think 40Mg a day might be low for me because I'm a 170lbs 6'2" male but I know that I have mild acne and I'm scared of what a higher dose might do with my seborrheic dermatitis. I actually researched Accutane and sebborheic dermatitis before I started accutane and it turns out that accutane has cured seborrheic dermatitis before in many patients that were suffering from it and took accutane, also there were tests done as well to see if Accutane can cure seborrheic dermatitis and apparently it can. If i remember correctly this is because Accutane targets the sebum glands and reduces sebum production. So it would be a miracle for me if Accutane helped my acne and sebborheic dermatitis.
Over the past 40 days on 40Mg of Clarus Accutane I have noticed some changes.
Week 1:The first week on Accutane my seborrheic dermatitis flared up really bad on my face and scalp, and it took about a week for it to calm down after using my prescriptions. I didn't see any change in my acne of course, and my lips started to become a little dry towards the end of the week.
Week 2: My scalp was still itchy but the dermatitis on my face was gone. Lips were really dry and I was regularly breaking out but nothing IB worthy. Skin also became noticeably drier.
Week 3: Scalp was still itchy, and face was still dermatitis free. Lips are extremely dry. Skin was pretty decent but still getting 1-3 actives per day. My nose and chin area also started to push out blackheads which is something I've read that happens to other Accutane patients, so it was nice to see something positive happening because of Accutane.
Week 4: Hell broke loose again with the dermatitis on my scalp and face. Also I'm pretty sure I had my initial breakout over the span of 3 days between week 4-5 because I had at least 10-20 actives over those 3 days, and a couple cysts on my back, plus the dermatitis was really kicking in again on the face and scalp. Also I started to experience a tiny bit of dry eyes during week 4. Lips still very dry, and face was dry as well.
Week 5: At the end of week 5 I started recovering from Week 4 and the beginning of week 5. My scalp was calming down again, and most of the acne was healing but now I had a lot of red spots that were once white heads. Black heads still being pushed out by Accutane in my chin and nose area. Lips and face are still very dry. I also felt that were eyes were mildy dry.
Day 40: I haven't had any dermatitis on my face since the initial breakout of week 4-5. My scalp is still itchy but I haven't had any dermatitis growing on my scalp. I've also only had maybe 3-4 white heads on my face and one cystic spot near my ear over the past 5 days. However today I also have 2 big cystic spots and 2 big white heads on my back which hurt really bad. I forgot to mention that over the past 2 weeks my skin has felt a lot softer whenever I wash it with water in the morning or at night after I finish using the cetaphil gentle cleanser. And one more thing I forgot to mention is that over the past 40 days my routine is just washing my face with water in the morning and then I use my cetaphil gentle cleanser like 2 or 3 times a week at night time. I also use Eucerin Aquaphor for my lips, and an aveeno moisturizer for my face. A couple of black heads are still being pushed out around the crevice of my nose. So for all my skin is doing pretty well except for my back.
I will post some pictures soon and I will post another update in a few days.