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5 years on Tazorac and still chronically red

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(@alabamaboy)

Posted : 03/31/2016 7:27 pm

I have suffered from acne since I was 16. I was on Tazorac Cream 0.1% for 4.5 years. I am now 22 and  I was switched to Tazorac Gel 0.1% back in October 2015. I still have a nose covered in blackheads and a forehead covered in close comedones and I break out frequently. It is mentally exhausting to deal with the constantly changing state of my skin to be honest. My skin looks as if I always have a sunburn but its worse because the color is blotchy and uneven looking to top it off. Sometimes I will have I day or two were my skin looks okay and have only a couple active acne marks. Or like this week when I have several cysts on my forehead and several inflamed papules on my cheeks. Like most people with acne that care a lot about their appearance, I feel like I have tried everything under the sun without success. Since starting the Gel I have noticed my skin has this glossy plastic look to it. To counter the irritation I tried washing my face only with water in the morning before moisturizing. I got excited for a few day that my face was less red but within a few days I had dozens of new blackheads and whitehead erupt. I could spends hours typing up the OTC products and regimen i have tried but I will spare you :) so here is my current regimen I have been on since October.

My current regimen is as follows: 
AM:
Wash with Cerave foaming facial cleanser,
Tone with Thayers witch hazel (which I spray on, applying with a cotton ball irritated my skin too much)
Moisturize with PCA Skin Clearskin cream.

Whenever I know I am going to be in the sun longer than a couple minutes I apply sunscreen which is EltaMD UV Clear Broad-spectrum SPF46 Facial suncreen. (I hate that it adds to the oiliness and I feel like it is making me breakout but its ingredients are the best noncomedometic formula could find).
Throughout the day my face progressively becomes a red and oily looking mess.
PM:
Wash with GloTherapuetics Polishing Cleanser
Moisturize with SebaMed Clear Face Care gel
Treat with Tazorac 0.1% Gel (When I apply the Tazorac I use a pea size amount and dab several times all around my face and then wet my fingers before spreading it around otherwise I cannot apply an even layer unless I use more gel which I know would just cause more irritation.)

***all of these below I would take 2-3 days off of Tazorac before doing
I've tried 30% salicylic acid peels a few times but ended up with good looking skin for a day and then peeling and severe breakouts  shortly after.
I recently tried a few months ago doing Aztec healing clay masks once a week. Skin looked great for a day or so and turned into a breakout shortly after.
I am forever done with facials as well I get those every so often and end up with severe breakouts as well.

I am lost to what is going on, its been 5+ years on this stuff and all my doctor says is this is the strongest stuff and there's no other options unless I take oral meds, which is one thing I won't do.

Any suggestions welcomed. Thanks in advance!

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MemberMember
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(@misssac17)

Posted : 04/01/2016 2:16 am

First of all have you always been religious about wearing sunscreen since using it all those years?
What was the strength of the cream you were using?

I honestly haven't heard much good reviews about Tazorac , it's possibly time that you maybe switch to a different retinoid seen as though it's not really working for you.

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