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Member Since 10 Nov 2013
Offline Last Active Nov 29 2014 04:42 PM

#3459484 Low Dose Accutane Log (60Mg/week)

Posted by Kim28 on 11 November 2014 - 01:21 PM

Have you tried BP or anything else yet? It's working well for me, but I know it can be irritating. I just use a tiny bit in my moisturizer and that helps my skin not get irritated. Tazorac is supposed to be really good, but I've never tried it as retinoids are generally not my friends.

I really hope you find your happy place soon. Maybe going off the tane and trying something else is a good idea.

Let me know how it goes.

#3455161 I'm Willing To Try Anything You Say

Posted by Kim28 on 08 October 2014 - 04:03 PM



The BEST way to get rid of acne scars is with a fully ablative laser. Unfortunately, they are very painful, require a lot of downtime (several weeks), come with a high risk of infection, and are known to cause permanent hypo-pigmentation quite regularly - even on fair skin. Ergo, these types of lasers are usually only reserved for people with SEVERE scarring.

Non-ablative lasers are less invasive, and fraxel (which I see you have done) is one of the more popular ones for acne scars. You will not get as much improvement as with ablative lasers, but they are much safer with a much reduced risk of hypo-pigmentation. I thought you had some succes with this before - do you not want to go this way again?


Dermarolling and stamping:

There is not a lot of good research evidence supporting the efficacy of these devices. Some people say they are great, others say they do nothing. Although they might work okay when treating individual scars, you have to do it a lot to see improvement, and are quite ineffective most of the time. Lots of people on here do it, though, so it's not hard to find logs and make your own conclusions about whether or not it works.



Another painful option with mixed results. You get your face sanded off and hope it grows back smoother. Like an ablative laser, there is a lot of downtime and a greater risk of infection. Usually reserved for severe scarring, but can yield impressive results. However, I knew someone who had it done and it did nothing. Other than cause them a lot of pain, of course.



This is a new treatment where you first have dermabrasion, and then new skin is sprayed onto you (manufactured from your own cells). It is a rare and hard to find treatment. It is used for burn victims and other types of scarring that have different pigmentation that your regular skin. However, it has been found to be effective for acne scars. There is a thread on here somewhere about it. It is not common yet, especially in the states, so it is hard to find info. It appears to be a pretty intense process, and is probably quite costly and with similar risks to dermabrasion or ablative lasers.


TCA cross:

Another one that lots of people on here have tried, so it's easy to find comments about it. It is usually used to treat icepick scars - the ones that are little and really deep. It appears to be quite effective when done properly, but only on this particular type of scarring.



Cut out the scar, and then sew it up. Can be useful for treating individual large, deep scars, but not much else, and results are mixed.



SO . . .

Although one would think we would have a great way to treat acne scars by now, there really isn't. If you've looked through the posts in this forum, you've probably already encountered most of what is available, and it's not that exciting. Either you are taking huge, painful risks, or you are doing something like fraxel that will give you some results, but nothing magical.


I found that during and right after Accutane my scars all looked worse and I thought for sure I would want to do something. Now, a few months later, things are so much better. Accutane even made scars I had barely noticed for years suddenly appear again - but now they are not noticeable again.

Also, skin is so much more easily damaged on Accutane, and the scars you get on it will tend to be worse, so what you want to do as much as possible is NOT get a lot of scars now. Don't pick (I'm sure you know), and treat your skin nicely - lots of moisturizer, nothing drying, and everything gentle. You are playing with fire a bit by continuing to put so many topicals on your face while taking this drug. They will not speed up the Accutane process or reduce chances of relapse, but they will just make your skin weaker and more prone to scarring. The best way to get rid of a scar is not to get it in the first place. There is not a single method out there that can completely get rid of scars - once you have it, you will always have it, even if you can make it 'better' through cosmetic lasers or surgery.


Do your research, read lots of reviews, go see more than one specialist to get more than one opinion, and wait for a while before deciding because your skin will change a lot after you come off Accutane.


Best of luck.

#3454194 Warning- Roaccutane Is Poison!

Posted by Kim28 on 01 October 2014 - 09:31 PM

I agree with the above poster. While hair loss is a rare, but not unheard of, side effect of Accutane, it is a very common side effect of spiro. Although the Accutane may have played a role in some hair loss, it is more likely that the spiro is what is causing you to continue to experience this issue. So I think further investigation is warranted before deciding on "poison" status.

#3453167 Absorbica 40Mg

Posted by Kim28 on 23 September 2014 - 05:28 PM

Hello! Just wanted to say hi after reading your log. I just finished a course at 40 mg/day and it is not an unusual dose. There are conflicting beliefs about dose, but generally anything between .5 and 1 mg/kg is considered normal - you usually just take a longer course if you choose a lower dose. I could never get my dose up over 40 without throwing up.


Anyway - I can so relate to your picking struggles. I have been good for a long time, but I was very compulsive about it when I was younger and have the scars to prove it. Over time they have faded a lot, though. Less redness makes a big difference. Avoiding spending a lot of time with the mirror has been the most helpful. Also Accutane was very helpful. I did a course ten years ago and stayed clear up until last year, when I had a bit of a flare (not as bad as before my first course though), and opted to do it again as it has been the only thing that really helped me. When things don't itch and hurt, the urge to pick goes away a lot.


Hope everything goes well for your course!

#3452098 Canadians On Accutane (& Generics) Please Help!

Posted by Kim28 on 14 September 2014 - 08:53 PM

Also Canadian.

Everything the above poster said is exactly my experience, except that I had to do blood tests every month for my second course as well as my first.


Best of luck.

#3449504 Holy Isotretinoin Batman, It's Another Accutane Log!

Posted by Kim28 on 28 August 2014 - 11:15 PM

Glad to hear all is well! Going smoothly over here too.


And since you asked . . . (and I think your sciency brain will appreciate it), my thesis is on biological complexity as a metaphor for the way disciplines grow and change over time.

My proposal was accepted and I have my advisory panel put together, so I am starting research now. SO NICE to be able to think about what my brain WANTS to think about.


Sorry about the stress! Hope you get some time to relax and enjoy yourself soon.

#3449323 1500 Negative Posts About Accutane

Posted by Kim28 on 27 August 2014 - 10:40 PM

However, the known stats on side effects only reflect what is KNOWN. For example, I have permanent night vision loss as a result of Accutane. But, the acne bothered me way more than having to wait a minute more for my eyes to adjust at night, so I have never reported this and never will. I would be willing to bet there are others out there like me who DO have side effects, but find them more manageable than acne, so they just don't say anything. Just a thought since we are getting into stats.

Yet, as I said, I would take it again if I had to because life isn't perfect and sometimes you take the good with the bad a little. I also agree that the issues on this site and many others are greatly overstated because most people who have positive experiences aren't posting in these forums. Even with the side effect I have, I am incredibly pro-Accutane. But you need to be in a place where the risk is worth the reward to you, and if your acne isn't that bad then maybe it isn't, but if it deeply affects your life on a daily basis like it did for me, then maybe it is.

Best of luck.


#3449276 Diane Diary

Posted by Kim28 on 27 August 2014 - 03:34 PM

Diane and BP (benzoyl peroxide, which is the main ingredient clearogen uses also) do a GREAT job of keeping me clear. Just be patient, it takes several months to see improvement from Diane, but the Clearogen will help lots in the meantime.


#3447751 New Member Accutane 2Nd Round 16 Yo Male

Posted by Kim28 on 18 August 2014 - 12:35 AM

Good luck!

#3447749 Kim's Log

Posted by Kim28 on 18 August 2014 - 12:32 AM

Just got back from my brother's wedding in one of the hottest, most humid countries in the world. Holy crap, there was no hope of keeping my makeup on. BUT - although it was certainly easier not being around too many people I knew (just family), I felt okay about it. Most of my redness is gone, and the scars I endured have faded so much, I didn't even feel like they were noticeable. It was pretty liberating to not feel like I NEEDED makeup just to look normal. And nice to jump on the sea and not care if my face got wet!

Skin is still doing great. Still paranoid every time I think I feel something, but so far, nothing has actually happened. My nose has gone back to getting a bit oily throughout the day, but I have had a shiny nose for as long as I can remember, so no shocker there. Otherwise, the oiliness has not returned anywhere else, so that makes me hopeful that the zits will stay away too as oiliness and acne generally go hand in hand for me.

Glad I did this second course, and thankful for the results I have so far.

#3444663 Old Lady On Accutane—50, Female, 40Mg

Posted by Kim28 on 31 July 2014 - 04:07 PM

Lol, I totally noticed that while on Accutane every little scar and wrinkle I had looked way worse, and I felt like I aged 10 years. Now that I've been off for a couple months, this effect has definitely gone away. It wasn't even as bad towards the end of my course as it was at the beginning.

Clear days ahead!

#3444661 Holy Isotretinoin Batman, It's Another Accutane Log!

Posted by Kim28 on 31 July 2014 - 03:59 PM

F**k retinoids, my skin hates them topically so there is no way I'm going there. They were what ended me up back on Accutane in the first place so I'm not playing around with that. On the other hand, my skin loves BP, so I have been continuing to use that. I think we all just have to go with our gut instinct on what to do 'after-Tane', and try to keep it simple.

I did SO much research on relapse (due to having one!) and learned that basically there isn't anything you can do. As long as you take your whole course and end it being clear, the rest is in the hands of the universe. High dose, low dose, taking dose while riding unicorn, none of it makes any difference.


Anyway - SO glad to hear things are going great! Things are great over here, too. I've actually gotten some work done on my thesis, and am heading to Jakarta in a week for my brother's wedding - not even worried about my skin! Gotta love the freedom this drug creates.

#3443999 Old Lady On Accutane—50, Female, 40Mg

Posted by Kim28 on 28 July 2014 - 12:07 PM

Hello! Glad to hear you're having some good days!

I also had a wonderful first course around age 25 - started looking better from day 1. This time, not so much. Being older is sucky in so many ways. But I also noticed that things finally started to subside after about day 30. It took a while after that to get to totally clear, but nothing was as crappy as that first month.


And don't worry if you don't up your dose. There's some pretty good research out there that staying on it longer is more effective anyway.

Best of luck!

#3442350 Feeling Like A Million Bucks! I Know It Will Work This Time :d

Posted by Kim28 on 19 July 2014 - 08:56 PM

Oh, and I haven't yet found much good evidence on whether or not a high daily dose will clear you up faster, just that the sebaceous gland can be suppressed with as little as 2-5 mg per day.

And there is LOTS of research evidence that high daily doses are far more likely to lead to permanent scarring.


So I guess what I've been trying to say through all this is that getmetheresults has an excellent plan that is supported by plenty of current research, and anyone who says different doesn't have much current info to back them up.


Okay, now I'm done.

I just find people who are misinformed about Accutane and insistent with their misinformation incredibly frustrating.

#3442152 Feeling Like A Million Bucks! I Know It Will Work This Time :d

Posted by Kim28 on 18 July 2014 - 05:42 PM

WOW! First, the person who says you have to take a high dose is just wrong. There is no research evidence to support their claims. It may take longer to get clear, and you will have to take it for a long time, but I get the feeling that this is what Getmehheresults wants to do. Long term low dose therapy is actually quite common now.

And why come on someone's log and be so negative? That is odd.


And to the person complaining (in several places) about this site being for the regimen, you should read Dan's intentions more closely. He offers the regimen as what has worked for him, but created this site to support all of us going through this struggle, including those of us who have chosen Accutane. And I think it's offensive to show up on someone's log to raise this issue.


Sorry for being ranty in your space getmetheresults, those two just got my goat a little!