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First Month On Accutane



Hello everyone!

So I should have started this blog when I first began Accutane,(I am on day 21 today) but I was too nervous to and didn't know whether or not I should. But I think this will be a good way for me to keep track of my progress and hopefully it might be encouraging for others if they decide they want to start Accutane.

So if you don't know, "Accutane" is a medication used to treat severe cases of acne that don't respond to other treatments.

The real name is Isotretinoin, and the generic brand that I was prescribed is Amnesteem.

In order to start isotretinoin, I first needed to make an appointment with my dermatologist, and after deciding that it was right for me I got blood work done and did a pregnancy test because, YOU CANNOT BE PREGNANT on isotretinoin. Then I had to register for iPledge, it's a pledge that is required for all women who can become pregnant. You have to then select your two forms of birth control, such as the pill for the primary form, and a condom as the secondary form.

For men you obviously don't have to do this and you can be prescribed isotretinoin the day of your derm. visit.

So after I did all of that and filled out paperwork for ipledge, I then had to take birth control for a whole month before I could come back for my second visit at the Derm. and take my second pregnancy test.

After it was confirmed that I wasn't with child, I was then given the prescription to be filled and I could start right away!

Oh and my derm. started me on 40mg once daily with food.

After starting isotretinoin....

First week- No side effects, no dryness, no change in acne.

Second week- Lips became very dry. They began to split open, and peel off, even when applying blistex constantly.

Third week- My lips are still very dry, and new acne is coming to the surface, and it's very upsetting sad.png

Fourth week-IB is getting worse, and skin is flaky

I am obviously wearing makeup in attempt to cover my hideous skin in these pictures but I didn't feel comfortable posting pictures without makeup sad.png

But you can still see the cystic acne and nastiness underneath the makeup.blogentry-189527-0-25316000-1352694475_tblogentry-0-0-21818400-1352694551_thumb.


Yeah I heard iPledge is a royal pain. Be sure to get all of your tests done in time for your next prescription. Your initial breakout doesn't look too bad. It looks like it's mostly pustules. Some people get tons of cysts. I had one right away, but everyone responds to accutane differently. Once the IB passes it's all downhill from there :)

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I think you were brave to post pics. You are definitely taking the disease head on. I have seen so many before and after Accutane pics that I am a true believer. Just chalk these photos up to "before pics" and let accutane slowly work it's magic. My acne responds really well to conventional treatment so I don't take accutane but I am sure glad its there in case my anti-biotics quit working. Hope that day never comes! Anyways good luck!

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inndem- Yeah, right now it's mostly pustules, but I get cysts frequently. It's so frustrating because even when some start to go away, I get new ones everyday, it's just a horrible cycle. I can't wait for the day when I don't have to deal with it anymore. But so far my acne hasn't really changed since starting accutane, just some pustules in different spots than usual. :/

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i think im about 4 or 5 days behind you. on my third week, i had a nasty IB and i went to the derm and she shot all my cystic acne with cortisone and three days later my skin is looking okay. no raised bumps! maybe you should ask your derm about it?! good luck and keep your head up!

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