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Hey guy so basically suffered mild/ moderate acne but thing got better once I started birth control. But then I also produced a lot of oil in my tzone which makes me break out at random times an since I'm noticing some scarring thought I should just take care of it for good.
So I got a few derms opinions. I feel like most of what I have is hyper pigmentation but the derms I saw said it will help with oil and I had some under the skin pimples ( I swear they're just little papules flattening out). Anyways the second derm I saw said it is like a godsend gift and I should be lucky I have it.
So so with the positive go ahead advice I started my antibiotic with lunch 400 mg of erthrymycin which I'm meant to take 3 times a day but Damn that's a lot I thought I would see how I go with just one dose for day one.
Not good . Started feeling really fatigued and low mood but I brushed it off and had dinner, took my first 20mg accutane pill and went to bed not too long after
I was was nervous most of the night I felt I had nervous energy, I ended up getting up because I knew I either had to throw up or take a dump , soz guys.
Anyway i I did the latter whilst feeling like I was gonna vomit, started feeling hot and just sick overall in the bathroom.
I stood up looked at myself in the mirror and things didn't feel good. My head felt heavy , and then ringing in my ears came which meant everything I heard sounded muffled. I knew I was gonna pass out if I didn't sit down so I sat on the floor and called for help to my boyfriend. He sees me on the ground says "oh shit" and I'm just like I can't hear anything. It passes within maybe 10-20 secs after I don't know. Then I just feel my legs and hands tingling like if you've sat them on them a bit. All up the episode was maybe 5 mins including the pre sickness
The nausea leaves and then I just feel really cold for about an hour like shaky ingues
fewbthings to point out, I was probably a bit dehydrated that day, it was a hot day and I remember actually losing interest to drink water like I wasn't thirsty anymore. Is that a sign of dehydration?
I know now that wouldn't have helped
I'm taking a break from the accutane today and yesterday . I took the one dose of the antibiotic today to see if it was from. That. Well I did feel way more fatigued and a bit dizzy after taking it but nothing like two nights ago. I woke up in the middle of the night and yes I did feel dizzied than normal but that's about it nothing serious
another point- I'm low in iron not too much, I'm not anemic. so I've been eating more meats but taking a break from my iron pills because they gave me terrible bowel stuff.
So maybe I'm naturally lower in iron right now and the accutane made me feel more faint?
Ive had blood tests and they were all good but I was taking my iron pills then.. Which was about 2 weeks ago
naturally im scared to try accutane again but I really wanna give it a shot, has anyone else experienced this and what duidyou do?
Ps sorry for the shit grammar this iPad sucks and i cbf
To be honest, being on both an antibiotic + accutane program is probably too much for most people.. Of course, you should stop taking anymore of any of them and then seek the derm once again and tell him/her about the experience because it can be dangerous or atleast unhealthy..
400mg of the erthrymycinantibiotics is the minimum dosage it goes from 400-800mg every 6 hours. But it could be the mix of both as i said, that is just too much for your body too handle.. Both have high impact on the body and i also feel to prescribe you both at the same time is over the top. It is also generally not wise to use more prescriptions at the same time because then you wont know if you get bad side effects which of the drugs it is thats causing that specific side effect.. Plus if you get healed from your acne you wont really know which one actually helped you mostly for future reference.
But either way, you have to stop taking them for now, then contact your derm again and tell about the episode and then ask if you really need to be on both things at the same time..
20 mg accutane is also low dosage for your bodyweight so it is on the cautious side..
QuoteThe recommended dosage range for Accutane is 0.5 to 1.0 mg/kg/day given in two divided doses with food
So your dose should be approx 25mg-50mg per day split into 2 doses.
Thanks for the reply @MichaelHELP. I did suspect the antibiotic was a bit much as well. My derm wanted me to take 400mg 3x a day! I of course told her it seemed too much and she suggested twice a day but i think even once and my body is starting to go nooope. I'm confused because when i was on antibiotics for acne just alone i was prescribed only 250 mg once a day. So yeah i nt understand whats with the high dosages with accutane?
I tried calling multiple times.. she never gets back to me.
So I kind of have to take it into my own hands. I'll stop the antibiotic today and just take the accutane I think to see if it's both cancelling each other out. I might do this tomorrow actually because i didnt get enough sleep last night and i know im gonna feel terrible if i take it tonight without lack of sleep..
Hmm i thought maybe i need to be on 10 mg to start off with lol but if the 20 seems adequate then we'll see how i go.
sooo I havn't taken the 2nd dose yet. I still have an anxiety type feeling taking it just because that night was so bad. I don't wanna have to worry about this my entire 6 month course 
I guess I'm weighing up if its worth having some occassional breakouts and oily skin or suffering for 6 months.. not an easy decisison because both is suffering haha
Nevermind it's so hot today and i already feel so tired. Gonna get some rest and anticipate tomorrow which is meant to be raining and much cooler. I hate putting it off but whats the point in feeling even worse. Wish me luck. I'll be speaking to my derm about it tomorrow too.
update: took a 20 mg pill at lunch yesterday, no side affects noted apart from more fatigue and i noticed i felt a little sick but thats about it. Must have been something i did that day for sure.
Ii'm taking 20 mg every other day = 10 mg a day, to get my body use to it and to decrease oil which is my main problem. My derm isn't getting back to me, so if all goes well i'm gonna try and convince her to put me on a low dose course so i can rid the oil and not have the other bad side affects, seems a little much to go 40 mg a day for mild acne and oil . Anyway I'll keep the space updated with how things go.
Guessing this is from experience?
I have stopped the medication because it's already broken my skin out just from a second dose. And really.. I notice now I don't have acne. I have congestion and oil, so I don't see the point in taking something that's gonna give me more acne. I'm still on the fence but yeah.
Ps it's not always the best approach to tell someone what to do in terms of their acne , in such a forward way. You're experiences will be different to a lot of people's and accutane has saved a lot of people grief and depression. So just be aware of how you're spreading your message