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Member Since 06 Dec 2012
Offline Last Active Aug 19 2015 07:57 PM

#3433788 Just Started Accutane + Prednisone; Have Some Questions!

Posted by Karen* on 28 May 2014 - 11:12 PM

Hi! Ever since I turned 18 I've been struggling with cystic acne (almost 20 now), and after trying lots of topical medications like Differin and Stieva-A, and also some antibiotics, my dermatologist finally agreed to prescribe me with Accutane. He's also given me some Prednisone, which I'm supposed to take for 4 weeks, to prevent an IB.


Today is my third day of it, and I really hope this is what will finally help me (I mean if it doesn't, I am really out of options here). I do know that while a lot of people swear by Accutane, unfortunately there are also lots of people that get nothing but really bad side effects out of it, even months into the treatment, so I hope I'm not the latter. Is there any particular reason why Accutane seems to work so well for some people, and just ends terribly for some? Sorry if that's a stupid question, there just seems to be a lot of extremes, from "my skin was completely cleared after a few months" to "all I got out of Accutane is a list of side effects as long as my arm".


One of the more common side effects that I am really dreading here is the nosebleeds. I know that your skin will dry out, as will your lips and the inside of your nostrils, which causes nosebleeds in some people. I used to get nosebleeds a lot when I was little and I'm pretty terrified of them, so I want to know if there is anything I can do to prevent them? Should I put Vaseline up my nose or something, or would that not help, and just make a mess?


Also, when should I start expecting to see side effects? Will they be present all throughout my treatment, or do they subside after some time even while I'm still on Accutane?


I know all this varies from person to person, and there are lots of factors involved, but I'd like to hear what kind of input you guys have from personal experience and such.


Also, I have a questions about the Prednisone. I wasn't the one that picked up my medication, but I was told that the pharmacist seemed very reluctant and skeptical of the dosage, so I'm wondering what's wrong with it. I am directed to take two 5mg tablets for two weeks, then after that just one 5mg tablet for another two weeks, and stop after that. 


When I Google Prednisone and acne, what seems to pop up is only that the steroid seems to cause acne, so I am also a little confused about that now - is that only in the long term?


Oh, and about the Accutane dosage, I am 94.7 lbs and I have the 40mg tablets. I have cystic acne on both of my cheeks and along my jawline. Should have probably opened with that.


I know, these are probably all things I should ask my derm, but it doesn't hurt to leave a post here and see if anyone has any advice or input. c:

#3316172 Holes In Skin After Popping Cysts/acne

Posted by Karen* on 06 January 2013 - 02:02 AM

So, first, I gotta confess that I've always been a pimple popper. I've always heard it's bad and all, and you shouldn't do it, but it's never been a problem for me - I always make sure my hands are clean, my face is clean, and I only pop the ones that visibly have pus in it or are "ready". The skin usually flattens after, and it may leave a mark, but it usually fades in a few days.

But that was a couple years back, when I had normal puberty acne - I'm 18 now, and for some reason, I started getting a lot of blackheads, white heads and pimples and everything on my cheeks of all places, it started a couple months ago, and it's been a very persistent and awful problem ever since. I've been to a derm, and they prescribed me with Differin - I've been using that for 11 weeks now, and all that's done is make my skin even worse, and I've been getting cystic acne along with all the other stuff ever since using Differin.

I never had cystic acne before, so I didn't really know how to deal with them - maybe it's because of where it was (I hear cheek acne takes longer to go away), or just the type of acne, but it seemed to never heal. So I decided to lance it myself and squeeze out all the stuff that was in it. I did this to 2-3 of them, along with some large pimples that also took a long time to heal. This appeared to do the trick - the spots flattened, and all I had were scars left in where they were, and I expected them to go away in time, as usual. The scars are taking much longer to heal now, which is fine and all, but what really scares me is that there are holes in my skin, where the cysts and large pimples used to be. They are not going away, and I fear they may be permanent.

I have no one to blame but myself for this, I know, so please don't give me a lecture on why popping cysts is wrong. I just want to know if this could be permanent, and if it is, is there any way at all to treat it?

TLDR; - I tend to type a lot and I know a lot of people see lots of words and backspace right away, so in short:
When you pop a cyst or pimple and it leaves a hole, is it possible for it to heal like that and leave a permanent dent in your face? Some of these holes have been on my face for weeks, which is why I feel like it has already healed over and will not "fill" back up. What kind of treatments are there for situations like this, and will I have to go to a professional to fix it, or can I possibly do it myself?

Thank you!