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Ok so I started having acne about 6 years ago when I was 12-13, now I'm 18 and my acne is probably worse than ever. I went to the doctor over a year ago and he started me on duac, unfortunately it didn't work and my treatment changed onto epiduo (0.1% adapalene, 2.5% BP) and to my anguish it didn't work either. I went onto a 8 month course of lymecycline using epiduo as a topical still. Again this hasn't worked, for the past 4-5 months I've been using erythromycin oral and epiduo and it's just become worse than ever. I have an appointment with my derm on Thursday and I just feel like crap. It really has started to take its toll on me and I'm always avoiding social situations now even with my family, I just stay in my room all day and try to avoid any human contact. Not sure what to do now and I'm thinking if maybe it's time I try isotretinoin but I am scared of the side effects so have no idea what to do.
Thought I'd just post my thoughts on here to atleast get it somewhat in the open and not just bottled up inside of me.
Before accutane you can try:
The Regimen (i did accutane 3 times and my acne was still around - the regimen is helping)
Diet changes: Dairy and gluten free for 2-3 months or possibly PALEO.
You're not alone and brighter days are ahead.
Chin Up
A diet change will not change your genes. I have years of experience with this. No matter how healthy you eat and how many of these supposed trigger foods you avoid it will not stop your skin from overproducing sebum or your pores from congesting.
People that are acne prone carry a gene that erroneously causes them to produce excess oil, even when hormones are at an optimal level. This does not change regardless of diet. However keeping your BMI at a lower level sometimes helps to temporarily stall sebum production which is why some people think that a diet change was their "magic bullet" little do they know once they regain the weight or stop losing the acne will return.
Accutane is the best bet to curb sebum production without resorting to starvation (which only works in the short term).
Before accutane you can try:
The Regimen (i did accutane 3 times and my acne was still around - the regimen is helping)
Diet changes: Dairy and gluten free for 2-3 months or possibly PALEO.
You're not alone and brighter days are ahead.
Chin Up
Not sure about the regimen as I really don't think it will favour me by the looks of it but maybe it is something I will look to.
I keep trying to think that brighter times are ahead but with psorasis starting to flare up on my face it just seems like an impossible job ahead of me, one thing works to clear the acne but flares up psorasis and visa versa.
Before accutane you can try:
The Regimen (i did accutane 3 times and my acne was still around - the regimen is helping)
Diet changes: Dairy and gluten free for 2-3 months or possibly PALEO.
You're not alone and brighter days are ahead.
Chin Up
A diet change will not change your genes. I have years of experience with this. No matter how healthy you eat and how many of these supposed trigger foods you avoid it will not stop your skin from overproducing sebum or your pores from congesting.
People that are acne prone carry a gene that erroneously causes them to produce excess oil, even when hormones are at an optimal level. This does not change regardless of diet. However keeping your BMI at a lower level sometimes helps to temporarily stall sebum production which is why some people think that a diet change was their "magic bullet" little do they know once they regain the weight or stop losing the acne will return.
Accutane is the best bet to curb sebum production without resorting to starvation (which only works in the short term).
I agree with you really. My BMI is what you would class as normal and probably to the left of it slightly so it's not like im overweight. The oily skin really is a hinderence and just makes everything look a whole lot worse, not really found anything to control it as it just seeps through after an hour and not prepared to waste anymore money on rubbish products.
So I went to my derm today and he has prescribed me Trimethoprim and a dose of 600mg daily. Never really of heard of this so would really like some views on it? Have seen some threads about it on here but still not too sure about it, really hope it clears me up but I have from reading on here it does tend to have more severe side effects than normal tetracycline antibiotics because of it's added potent capabilities.
Also looking for a face wash that doesnt break me out, any tips on one?
Is there anyone out there in their 40s????? I've been dealing with acne since giving birth to my daughter who is now 10. I always had compliments on my skin and how clear it was... Now it seems I can't put enough concealer on to hide my acne scars. I've been on the regime for only one day and I'm looking forward to clear skin. I've been on acne.org everyday since I discovered it two weeks ago and can't find anyone who is dealing with adult acne.....I can use some advice. I've studied the regime and plan on following it to the T. Wish me luck 
Blobar123 Good luck with your new meds. ...hope it works!!!
Have you tried baby wash????? That's very gentle.
keep the faith
Thanks, I'm breaking out atm 
! Baby wash? That sounds weird putting it on my face, I have seen a few people recommend it so may just have to try it out, thanks.
I feel the same as you do blobar123. Except I'm nearly 27 and my acne has persisted for over 15 years. For those of us who are genetically predisposed to acne ( my mom, brother, uncles, and cousins have it), diet and topicals won't do much. Believe me, I've starved myself trying to get rid of the acne. It just isn't that simple. I've been on every medication under the sun with no results, and my new dermatologist suggested isotretinoin. I start on December 3. He said that "acne that has persisted as long as yours has and has a genetic component, isn't going to respond to anything but isotretinoin."
Do yourself a favor and don't obsess about what you eat, and your pillowcases. I wish I hadn't wasted my time or energy doing those things. Because here I am at this age, hiding in my room, refusing to leave the house. Had I jumped on the isotretinoin bandwagon soner, I wouldn't be in this position.
I feel the same as you do blobar123. Except I'm nearly 27 and my acne has persisted for over 15 years. For those of us who are genetically predisposed to acne ( my mom, brother, uncles, and cousins have it), diet and topicals won't do much. Believe me, I've starved myself trying to get rid of the acne. It just isn't that simple. I've been on every medication under the sun with no results, and my new dermatologist suggested isotretinoin. I start on December 3. He said that "acne that has persisted as long as yours has and has a genetic component, isn't going to respond to anything but isotretinoin."
Do yourself a favor and don't obsess about what you eat, and your pillowcases. I wish I hadn't wasted my time or energy doing those things. Because here I am at this age, hiding in my room, refusing to leave the house. Had I jumped on the isotretinoin bandwagon soner, I wouldn't be in this position.
She's right.. I will be starting accutane soon as well even though I gave up a couple times before but now this is my chance to take it once and for all.