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1st Month on Accutane - Day by Day



Below is day to day log for the whole first month of Accutane. 

Started 03/02/16 - 40mg - Once a day

Did not see any side-effects till day 6 - lips felt dry/burning & i got super thirsty. not sure if its the start of my inital breakout but i got 5 or 6 white heads & some cystic acne on my neck and they hurt.~joy~

Day7 - woke up lips were fine but did cake on the Carmex at bedtime. about 10 am lips felt a little dry / little burning. back hurts a little bit. took some ibp. still thristy. still got breakouts.

Day8 - Noticeable more dryness (yay!) not as many whiteheads but still have some.  the cystic acne on my lower jaw/neck area doesn't seem to hurt as bad today. hope this is the first & only wave of initial breakout but i fear it isn't. lips felt a little tingly this morning. got some Aquaphor will probably use it at night. makeup lasted almost all day - 1-2 pm! I've never had that happen. Nose is super dry - got Vaseline & nasal spray at work. still thirsty!

My eyes are super dry.
Chugged 34 oz of water before i even left for work.
I am going to have to moisturize tonight. I did start using the Cetaphil for face wash this morning! so glad i did! went to Ulta after work (forgot how wonderful that store is) got some rosebud salve lip balm - absolutely love it! & a more moisturizing shampoo. $9! is all i spent! Did order some first aid beauty online..next day shipping. dry! but so much better than oil. a sacrifice i will endure to get rid of this acne.

Day10-19- No real change. Same ol same ol. I am starting to notice a gradual dryness coming on. But still oily - just not as oily. Still got the shine! Still purging (ugh!) but it is mostly focused on my neck, jaw line; basically from upper lip down. I've had 2 pimples break that barrier, one on my NOSE, like for the whole world to see, whitehead to boot! & one almost between my eyebrows! Seriously!! lol. The one thing i'm starting to notice is they come & go way way quicker than before. The one by my eyebrow was big ugly cystic acne; popped up Friday 3/18 by Monday 3/21 its already going away! My jaw line tho is another story...thats where its the worst & its the cystic acne. Big, ugly, painful. Those seem to be hanging around, haven't really gone down or flattened out. I do have a cluster right side, chin area. Several whiteheads that are drying out, getting flaky. Have to put some moisturizer on it & then it looks better. But definitely not putting moisturizer on my whole face...i just cant... still oily...goes against everything I've ever done for 20+ years...

Been watching YouTube videos, some people had acne way worse than me & it just breaks my heart! 

Day20 - Can it be??! I'm not oily and i'm not super dry.... is this what "normal skin" is like? If it is, its heaven!!!!!!!!!! I've been wondering when this day would come! No new acne so thats pretty awesome. Still got the big ones on my jawline and the one by my eyebrows is just fading away. Starting to see some flakiness around the muzzle (heard some one reference that on a YouTube video & loved it) area, not bad, probably not real noticeable to anyone but me. Back of my hands feel a little sand-papery, a few flaky spots. Also my hair isn't as oily, its....fluffy. Hard to describe, products i have been using seem to work better, Probably cause the oil isn't there to weigh it all down. Have started using a leave in conditioner...so foreign to me! lol 
So today i didn't use as much hair product (shocking for anyone who knows me!) to see what it looks like tmrrw. I did put on some mineral eyeshadow to see how long it will take before it creases from my oily skin.... 

But so far its been 4+ hours since i did my makeup & i see a smidgen of shine, nothing really bad. I'm super excited but i know i will cross over to the desert land soon enough. Getting ready for that, been moisturizing at night before bed, got a humidifier going in the bedroom. Keep applying lip stuff. Lips are definitely leaning towards the drier side, still got that wind burnt/burning feel to them. Hard not to be excited for the less oily side, keep thinking BAM! i'm going back to super super oily.... To me, maintaining dry skin would be easier than oily. When you can wipe the back of your hand across your forehead and it comes away glistening....ugh. I will definitely update tomorrow the makeup status!

DAY 21- Drier & drier i become! Noticed the first signs of flakiness on my nose last night after washing my face. My makeup lasted all day - a little oily at the end of the day but nothing a little blot would have gotten rid of. This morning, my hair was slightly oily not real bad but bad enough to need to wash my hair. I noticed some little bumps on the back of hands and on my lower legs, not itchy just bumpy.... My eyes are still dry - no way can i wear my contacts. which is OK will save $$$ in the long run. I do so much computer work, its better to wear my glasses.

DAY22 - I GOT FLAKINESS! Mostly chin area but its there! Doing my best not to pick off the flakes...kinda hard. The unicorn pimple i had, it got to the point of being all scabby & the scab just fell off while washing my face. Even tho i was super gentle it just fell off. it looks a lot better, definitely faster healing time. I do have a couple more cystic ones on my jaw line - little guys. still got the 2 big guys on my jaw line and the big guy on my neck... 
Switched to a creamer foundation & it looks a lot better. may have to shelf the mineral powder. Lips more dry today & my hands but the cold/snow may be to blame. 

DAY23 - Skin about the same from yesterday, if not a little better & a little worse. Better cause i went & bought the First Aid Beauty Face Wash & its AMAZING!!!!!! Perfect amount of moisturizing & effectiveness of getting the makeup off. I did wash with Cetaphil first to get most of the makeup off just cause i have it & i'm leery about using face wipes..maybe once my skin clears up more. Also bought the Bite Agave Lip Mask i heard so much about on YouTube, $26 but totally worth it. Put it on before bed & this morning, lips felt amazing!!!!!! Brought it to work to see how it will do during the day, i put some of the Rosebud Salve on top...we'll see. On both products, a little goes a long way so to me very much worth the $50! Skin worse cause i have a few breakouts but i think its from the creamy foundation i used, so i did the BareMinerals today, i do use a lot less makeup :) Still putting lotion at bedtime, so i'm doing pretty good... cant wait for dr. appt. & they up my dosage... maybe lol

DAY24: Pretty much the same, nothing new EXCEPT the unicorn is gone. Still have a scab & its all dry around it but the cyst is gone. Took a week. The big guys on my jaw line seem smaller but it could just be wishful thinking. The big one on my neck is still there, big as ever! I must say the Aguava Lip Mask & FAB Face Wash are making my life easier! Glad i found them now instead of being miserable.
My face is so soft now especially my forehead - no pimples there! very little oil accumulates during the day or night. I had a few small pimples/blackheads show up on right cheek, face seems kinda bumpy there. With all of this being said, its not horrible, i'm not embarrassed about going out in public. It was obvious pre-accutane i had acne, I'm not fooling anyone, i know my acne would be so much worse if i didn't go on accutane. Whats coming thru is what would have happened sooner or later. The concoction of the Bite Agave Lip Mask and Rosebud Salve lasted almost all day - i even brushed my teeth in that time frame! 

Day25&26: I am just loving the dryness!! I ventured to not wash my hair Sunday morning & it looked just fine all day, even into the evening! I did get new shampoo - just the Suave brand with Moroccan oil & its wonderful! I may totally embrace this new dry hair & cut my hair. So much more bounce & life! Doesn't get oily to weigh it down. 
Also got Aveeno body wash - fragrance free. I think i'm going to go that route, so hopefully i wont get the burn others have mentioned on YouTube. I started noticing i was getting itchy...

Day27: Still dry but not overly so - Experimenting with my FAB moisturizer. Didn't put any on today & still used my BareMinerals...got some flakiness going on...may have to start putting it on all over instead of just under my eyes.... we shall see! This thirst i have, is just crazy! Its super great for my skin & body but its always there! I have noticed the more water i drink the less my lips/skin are dry. I am averaging about 150 oz of water - a little shy of a gallon & half! Update to skin - definitely need to put on moisturizer - 4 1/2 hours into my day & I got some flakiness going on.

Day28: Definitely need moisturizer in the AM now, makeup looks way better today. Still using BareMinerals power foundation. I am absolutely loving drier skin! Makeup stays all day. No touch-ups. Makeup has become fun for me again instead of a necessity. Rest of my body is fine since switching to the Aveeno Body Wash & Aveeno 24 hour lotion. I put it on in the morning and before i go to bed. Lips still dry but not peeling or cracked, all thanks to the lip mask (BEST STUFF EVER!!!!). 

The big guys on my jaw line & neck are definitely going down! Yay!

I do go to dermatologist Friday (it's Tuesday) and assuming all blood-work comes back normal, she will probably bump my dose to the alternating 40mg one 80 the next....what will my side effects be then? Kinda nervous cause they haven't been bad at all... I plan on asking if another IB (Initial Breakout) will happen when the up my dose. Should I take any supplements or vitamins? Maybe Omega 3 Fish Oil - Vitamin D..

Day29-33: Everything stayed the same while i was on a mini-vacation as far as side-effects go. 

Dermatologist appointment went really fast! Labs were done the previous day, so when i went in, had to take a pregnancy test (negative) then i met with the CNP (Certified Nurse Practitioner), the lab ppl drew the wrong labs, didn't include the white blood cell count. So Saturday i had to go back in to get labs done again, i have to fast - thankful they are open first thing Saturday morning! 

CNP kept my dosage at the same (40mg - 1 pill per day) for month 2. I am totally OK with that! Leery about the side-effects of doubling my dose.... She did say I will probably see total clearing at month 3. She did fill my prescription for another month.

My face is definitely getting better, my mom came to town & immediately commented on my face. I only have 2 big ones left on my jawline, the others are almost flat. Yay! The only issue i had on my mini-vacation was I had an Orthodontist appointment (yes i have braces....acne...ugh! lol) and when the gal tightened my wire, the tool they used rubbed on the corner of my mouth like normal, this time I got like a rug burn. It didn't cut me or make me bleed but rubbed it raw. I didn't think my skin was sensitive yet... guessed wrong! Put some Aquaphor on it over the week now its flaky! Can't win! LOL! 

Got my hair cut as i noticed the ends of my hair were super dry, back to being short...wonder what would happen if I colored my hair.... I'll have to research that....

As I was home for 5 days, I did notice I wasn't as dry at home cause of the humidifier I had going in the living room. There is also one in our bedroom. Totally made a difference. 

First month wasn't bad at all - totally manageable - totally worth it!


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Awesome day-by-day account! My month has been very similar, still got breakouts but overall manageable and its just awesome feeling less oily all the time. Good luck on month 2, I will be following :) 

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18 hours ago, MauveCompany said:

Hey Thanks! 

Whats your dose?

Less oily is super fantastic!!!!!!!! 

I am at 40mg of Absorbica for this month, and then in 10 days we're doing the body weight dose (not sure how much yet, im 115lbs)?? My course is 5 months. Also, have you done any research on coloring your hair? I have really been wanting to go a few shades lighter, which I know is already damaging, so I am curious to see what the internet says, haha. 

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I am going to research coloring your hair - i did ask my hair stylist and she said we could try a test strand. She hasn't had a client on Accutane before... 

I wanted to do some highlights, may go for more of a Baylage look...

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I was bumped up to 80mg per day on my 2nd month and the side effects pretty much stayed the same for me.  Some increased dryness on other parts of my body, but some eucerine does the trick.  The dermatologist told me that doubling the dose does not equal double the side effects. I'm about to start month 3 and my skin has improved dramatically!  It's dry but nothing I can't handle.  My skin was super oily prior to accutane.

Wishing you all the best on your journey to clearer skin.  Stay moisturized and good luck! :)

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