So after years of trying everything with mixed results, I'm finally starting Accutane. I am a registered nurse so I'm trying to go about this scientifically I had mild-moderate acne in high school that I got under control with a course of minocycline and topical Benza-Clin gel. While I was in college I was able to get off the benza-clin and had good control of my acne by using the 3-step acne line from Clinique. Then around my 25th birthday my acne came back with a vengeance, it was worse than when I was in high school. My skin has always been very oily and prone to hyper pigmentation also. I finally went back to the dermatologist and used Acanya (a benzoyl peroxide/clindamycin combo) and Atralin (topical isotretinoin) for a year that improved my acne some but not much. Then I went to a new dermatologist who had me take Doxycycline for 6 weeks and I used Aczone (dapsone gel) twice a day and Atralin once a day for 16 weeks. I had zero results, in fact my acne got worse. Here's a photo when I was near the end of that treatment.
When I asked my derm if I could try accutane she suggested that I add some supplements to my diet and I also switched to a mixture of Cetaphil and CeraVe products (also recommended by my derm). So here's my current regimen: Cetaphil face wash Tea tree oil toner from The Body Shop Cetaphil oil control moisturizer in the AM CeraVe PM moisturizer at night Vitamins: Omega 3, 6 & 9 1gram of each daily Vitamin E: 400/day Vitamin D-3: 1000/day Vitamin C: 500/day Niacinimide: 500/day Biotin: 10/day
I think once I start getting dry I may need to switch my toner to something more moisturizing and hopefully I won't need the oil control moisturizer anymore either. I've got the CeraVe AM moisturizer in mind for when that happens
I started on "Amnesteem" 60mg/day a week ago and so far I noticed my lips getting dry on day 3 and my nose and eyes started getting really dry on day 5. At the end of week 1 I'm also noticing my face starting to dry a little but not bad. Here's my starting labs: Liver enzymes: AST 16 ALT 21 Lipids: triglycerides 77 LDL 84 HDL 54 total cholesterol 153
And finally Day 1 photos:
thanks in advance for the love and support! It helps a ton to know I'm not alone in this.