Hi everyone -
I am back on here after about 7 months of being away. I joined in 2012 because I had moved to Colorado and started having worse break outs than I had ever had in my life. I tried the oil cleansing method, amongst other things, which led me to getting very infected inflamed and cystic breakouts all over. I was put on antibiotics and spironolactone for a while, and it finally calmed down the inflamed acne. I had tons of clogged pores at the time caused by the oil cleansing method - after about 10 months of anxiety ridden acne hell, things got back to a manageable level. I moved back to Texas and got off all oral medications, but continued to use Retin a Micro and sometimes Differin when the Retin a was too harsh. After a few months I started getting more and more inflamed acne, including the occasional cyst. My face has not gotten back to the level it was in CO, but it goes in cycles throughout the month. I got back on Spironolactone for several months, but I still can't seem to get it completely under control. I have had mild acne since I was a teenager, but it has only recently turned into mild to moderate that is just so darn persistent. I am 28 and the Dermatologist has told me hormones sometimes do weird things at that age for females. Antibiotics help some, but can't be used long term. The Spirinolactone improves me about 20-30%, but the problem is, I am so petite that I can't take over 25mg without my period completely disappearing and muscle cramps starting. A higher dose might work better, but I can't go any higher. I have used every retinoid on the market over the years- Retin a micro and Differin work the best, but cause a lot of constant flaking and sun sensitivity after a while. I have been using Finacea for the past few months, which is much gentler than the retinoids, but still isn't cutting it. At current, my skin is super oily and always has clogged pores and black heads. I get inflamed pimples weekly, which increase 5 fold twice a month, especially around the period, with occasional cysts. I am starting to get some small scars now, which I attribute to aging.
My dermatologist has recommended accutane and we are talking about going on a low dose - maybe starting on 10-20 mg and then doing 20-30 mg for 8-9 months. Since my acne is not severe, just persistent, the low dose might work with less side effects. There are a lot of new studies showing that accutane is just as successful in lower doses for mild to moderate acne as it is in people on higher doses with severe acne. I have done my initial pregnancy test and am now waiting 3 weeks until the big plunge! I am hoping to get some advise from anyone who has fought moderate acne or used low dose accutane.
Initial break out?
What chapsticks and moisturizers did you use?
How long until results show and what kind of side effects?
How long was your course?
Anything to avoid?
Any tips are greatly appreciated as I begin this journey!