Hello, so I've had moderate/severe acne for over 20 years, my derm said I had an extreme case all over my back. So I have never used accutane. I have been on minocycline for over a year and I use panoxyl 10 bar too. This regimen combined has kept me about 97% clear. I just saw my derm again, and she said I can stay on this regimen indefinitely, and resistance is not as common as people think. I'm scared of accutane, and I want this to keep working.
Anyways, my purpose of starting this thread is to find out if there is anyone else out there that has been on oral antibiotics for many years and had success. I have had no side effects since being on these either, so is bacterial resistance just hype?
I cant really answer your question directly because antibiotics never really worked for me but I would say if youre 97 percent clear just keep using it. Worst case you do become resistant from it (which youll tell when you start breaking out more) and then you can move onto accutane. I would not keep switching antibiotics once one stops working however.
But thats just my opinion. I know it didnt really answer your question.
perhaps you can taper off a bit, to half the dose you are taking now...keep taking it, but try for less, and over time try to reduce it all together....also at your age, time should be on your side and hopefully you are outgrowing it to some extent....
but small steps, always small steps, no major changes
good luck to you!
I was on Doxycycline from Jan. 2011 til March 2013 and it worked pretty well the whole time. I began using it when I was having pretty consistent breakouts and having them for longer than usual. After it started becoming effective I had the occasional few zits, but nothing major all the way up until I discontinued using it. I was only on 20mg twice a day, so a relatively low dose. My current dermatologist just started out giving me Accutane after explaining there will probably be some bacterial resistance over time. Then I'd have to keep switching antibiotics til nothing worked. Accutane should be the end all for most people.