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Month 2 - Bit Dissapointed!

So yesterday I had my dermatology appointment for month 2! I was so excited to get there and get my dose upped as I have had no side effects whatsoever! My dermatologist told me the way to show it is doing its job is to see how much dryness you get in your lips and skin, and as I was getting nothing I was sooo ready to get my dose increased. 

When I got there I forgot I had to do a urine sample for a pregnancy test and had just gone to the toilet like 5 minutes before my appointment so I couldn't get a DROP out!! I had to wait 20 minutes and down a litre of water in order to get some sort of movement haha! 

She said that she can't see many active spots on my face right now which is true i only have about 2 tiny ones but i expressed my concern over no dryness. I was SURE she was going to up my dose to 40mg but she has only bumped me up to 30mg. I am really disappointed as I feel like 30mg isn't going to do much either if I have felt NOTHING on 20!

Once again I can't really complain because my skin is under control which is great but I just want to reep the benefits of roaccutane now that I am on it! 

I would love to hear from people on 30mg and how they are getting along on this dose. Also people that were on 20 and are now on 30!!

Elouise Guilder

Elouise Guilder


Last Reply:


No Side Effects Roaccutane?!

Okay so today is day 17 of Roaccutane and still 0 side effects?! I know I am only on 20mg which is the lowest dose but I was seriously expecting at least some dry lips and skin but absolutely NOTHING!! 

My skin is looking really good at the moment I don't have any active spots and the ones I have had have gone/dried up really really quickly. 
I can't really complain because my skin is looking good however my dermatologist said dryness is a sign that the roaccutane is doing its job and I have none of it?!

To be honest I am looking forward to starting next month on 40mg to see if I notice any changes!!

Elouise Guilder

Elouise Guilder


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1 week on Roaccutane

So today marks my first week on Roaccutane!!

I have to say I haven't noticed any side effects whatsoever! No dryness of the lips and skin, no headaches, no joint or back pain, no nosebleeds. But i know it is very early on! I am thinking this may be due to my low 20mg dose and I have also been drinking 3 litres of water, keeping aquaphor on my lips and cleansing and moisturising with cetaphil and cerave. 

I can't tell if I am experiencing an initial breakout (IB) or if I just have a few spots at the moment. But either way they are nothing unbearable, no cysts just rather small pimples that have come to a head  and go down within a day or two. I am praying this doesn't get any worse!!

I am booking in my bloods for next Friday as I go to Ireland on Sunday so rather than a week before my derm appointment it will be 10 days but I am sure this will be okay! I used to be extremely squeemish with needles and blood tests but because I know this will all be worth it in the end is doesn't phase me!

I am going to keep an eye on any side effects and if anything major I will blog but if not I will be doing a weekly update  


Elouise Guilder

Elouise Guilder


Last Reply:


First day on Roaccutane

Hey guys!

So yesterday I had my appointment at the hospital to start my Roaccutane journey. I was so excited and couldn't wait to get started.
After doing a pregnancy test and a long chat with the dermatologist I signed the papers regarding pregnancy and birth defects and was prescribed Roaccutane YAY.

I am only on 20mg to start which is the lowest dose but said I will go up to 40mg in month two. Was just wondering if anyone who is on 20mg could let me know when to expect side effects e.g dryness and if they are bad because I am not expecting anything to major on this low dose.

I am continuing to take erythromycin alongside roaccutane as my dermatologist said this helps with inflammation and can suppress the initial breakout so I am hoping this does the trick. My skin is not at its worst I have no cysts just a few whiteheads at the moment so I would hate to get a terrible IB

I am already moisturising like hell and have aquaphor beside me at all times ready to combat this dryness!! 

Anyone who is on 20mg I would love to hear from you and how your getting on!


Elouise Guilder

Elouise Guilder


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The beginning of my accutane journey... a bit of background!

Hey guys! My name is Elouise, I am 22 years old from London and I am officially starting my isotretinoin journey (also known as accutane and roaccutane)! 

Just some quick info which you probably all know: Isotretinoin is an oral retinoid deriving from vitamin A which is used to treat persistent cystic acne which has not responded to previous treatments. Isotretinoin works by reducing the production of sebum in your sebaceous glands whilst shrinking the oil glands. This ultimately diminishes the acne bacteria in the skin whilst reducing inflammation. A course typically lasts 6-9 months and is found to extremely successful in curing acne. My acne started when I was roughly 15 and has always been moderate to severe. What started off as blackheads and whiteheads has more recently become increasingly cystic with cysts lasting up to 10 weeks and even preventing me from lying on my side or smiling without it hurting!! Over the last seven years I have used several face washes, topical creams and antibiotics from my GP, contraceptive pills, changed my diet to incorporate healthy fats and greens, cut out dairy drank 3 litres of water a day. You name it.. I have tried it! Anyone with acne will understand how disheartening it feels when every product and medication fails to cure your acne. The damage to your self-esteem and confidence is indescribable and the constant eruption of spots makes the dream of clear skin seem further and further away.

After exhausting each and every option , my GP suggested seeing a dermatologist to be prescribed something stronger…isotretinoin. After lots of research and hours of blog reading and vlog watching I have decided to take the plunge! The side effects of this drug can be moderate to severe ranging from dry skin and lips which is the norm, bone ache, nose bleeds, dry scalp, headaches to depression and suicidal thoughts – this is VERY rare, don’t let this scare you off but do keep an eye on your moods. Monthly blood tests are compulsory to check lipids, triglycerides and liver functioning and you CANNOT get pregnant whatever you do as children can be born with birth defects (another scary fact!). Gosh this is sounding negative?!

During my first meeting with the dermatologist he examined my skin, asked me all the routes I had previously taken and after becoming very teary and emotional from feeling hopeless in my own skin, he was 100% sure Isotretinoin will be the answer. Due to the initial breakout that is commonly caused in the first few weeks of the course, my dermatologist has started me on erythromycin – an antibiotic with great anti inflammatory agents. The aim of this is to suppress the initial breakout so hopefully I will avoid this! I have since had my first lot of blood tests and I CANNOT WAIT for the 30th of August when I pick up my first prescription of what will hopefully change my life! I am not expecting this to be an easy road. I have already stocked up on products to make the journey a lot easier (uber prepared!). I have also warned my boyfriend my lips will probably be too crusty to kiss LOL, but everyone is behind me as they know how much acne has trodden me down over the years.
Despite the negatives, I am looking forward to my isotretinoin journey and I will be doing frequent updates to keep you all in the loop! If anybody has any questions please just ask.
Lots of love, Elouise xx

Elouise Guilder

Elouise Guilder