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Member Since 10 Aug 2008
Offline Last Active May 30 2013 07:13 PM

Topics I've Started

Does Anybody Else Here *not* Believe In Skin Purging With Effective Treatments?

03 March 2013 - 10:50 AM

This is an odd question, but I wondered if anyone else agrees with me on this... 

I've had acne since at least age 11, and I've never used any treatment that made my skin "purge" or get worse before it got better. If my skin became worse (as in having a lot more acne), or didn't improve almost immediately, the treatment never worked in the long run. I was always very fastidious about following the doctor's treatment protocol, so it wasn't as if I didn't "wait long enough" for the medication/treatment to work. 

I've been on Accutane twice, and neither time then did I have a "worse" period before my skin improved. The acne that was already existing on my skin became slightly more red and tender, but my skin didn't break out before it improved. 

After being off Accutane for a couple months recently, the doctor put me on Acanya gel and Tazorac since I was having a very slight relapse. The Acanya gel didn't work when I used it on my skin prior to my second round of Accutane, but this time it seems to help-- again, though, I didn't have to endure any "skin purging" before my skin cleared up. 

I can't think of any other medical problem, aside from treatment for cancer, where a person is expected to deal with worse symptoms before improvement! It's not as if you go to see the doctor for an ear infection, he/she gives you antibiotics, and you're told "Your ear is going to hurt a lot more for a while, and THEN it will get better!" It seems almost like a cop-out, since acne (at least for me) seems to go in cycles. Sometimes it will get better on it's own. If I wait six weeks for my skin to "purge", it will almost always go through a week or two where it's better, and then will get worse. 



Doctor Ok'd Accutane? Prepare To Wait...

01 November 2011 - 10:51 AM

I wanted to post this topic because I wanted to save frustration for people (especially females) who have been "cleared" by their doctors to take Accutane... Prepare yourself to wait....
My first round of Accutane was in 2008. I wasn't prepared for what was in store for me when the doctor said "Let's try Accutane!". I always figured it was one of those things where you drop the script off at the pharmacy and get the pills. Wrong.
First (being female) I had to take a pregnancy test and confirm my types of birth control.  Then I had to wait a month for my next follow up appointment. In the meantime, I had to register on the ipledge website after getting my id number in them mail. Then I had to get a full fasting blood test. Then my doctor had to post my lab results to the ipledge program and OK me to answer the questions. Then I had to answer a bunch of questions on the ipledge site. NEXT I had to fill the prescription at the pharmacy, only to find out that I needed a pre-authorization with my medical insurance.. and I was extremely anxious because there was a short seven day window where I could pick up the Accutane script. I was ready to rip my hair out.
Yesterday I started my second round of Accutane. I was prepared to wait, but had issues on the website while tyring to confirm my two forms of birth control. If you haven't taken Accutane before (especially if you're a female), you have to answer some questions correctly regarding Accutane and birth control before you are able to fill your prescription. Apparently, someone at the dermatologist's office registered me incorrectly into the ipledge website, saying I was using birth control pills instead of an IUD. Since my answers on the ipledge website didn't mirror what the dermatologist's office said, the website kept telling me I had to "call the provider". I must have called the office four times to get the issue straightened out-- luckily they were patient with me-- I think this is because I was being nice on the phone with them despite their error. PS, be nice to the office people and nurses at your dermatologist's office. Trust me. If your insurance changes or you get a new card, make sure they get a copy! If you need a new referral, get one! If any medication your derm wants you to try need a prior-authorization, they'll need the phone numbers and ID number on your card!
Anyhow, as I mentioned before, I wanted to post this warning. I believe if I had known more about how long the process would be the first time around, I wouldn't have been so anxious and irritated.