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OK folks, perhaps this wise bunch could help me out.

I took Accutane X 10 years ago with total remission, then a mild form of acne returned last summer and I finshed my 3rd course last Oct, I am now faced with another round as the acne (although, milder) has returned.

I am debating between yet another round of Tane or Spiro. (female, 39y/o, no other health conditons, not having more children as mine are in high school) I've had the full doesage for my weight of tane so that

is not the problem. The acne that has come back appears to be hormonal in nature so I am debating the Spiro alternative. I know nothing about Sprio, does it have an "initial breakout period" like tane? I remember that being pretty discouraging. Also, anyone here on a low dose of Tane rather than the full monty? I dont know if I could do another full round.

Thanks in advance for your help

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OK folks, perhaps this wise bunch could help me out.

I took Accutane X 10 years ago with total remission, then a mild form of acne returned last summer and I finshed my 3rd course last Oct, I am now faced with another round as the acne (although, milder) has returned.

I am debating between yet another round of Tane or Spiro. (female, 39y/o, no other health conditons, not having more children as mine are in high school) I've had the full doesage for my weight of tane so that

is not the problem. The acne that has come back appears to be hormonal in nature so I am debating the Spiro alternative. I know nothing about Sprio, does it have an "initial breakout period" like tane? I remember that being pretty discouraging. Also, anyone here on a low dose of Tane rather than the full monty? I dont know if I could do another full round.

Thanks in advance for your help

Normally I wouldn't reply because I have no experience with birth control (i'm a guy). It really depends on how long ago you took the accutane, your exact dosage, and the time-frame you were on it. If you think your acne is hormonal then give Spiro a try. You will most likely experience an initial breakout with any new remedy/treatment you try...it's just part of life ;)

If you'd like to learn more about microdosing accutane check my signature.

gluck!

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Definitely look into the spiro. My mom's been on it for the last 15 years, and it's helped her hormonal acne tremendously.

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I am taking my daughter to an endocrinologist this week and I hope to get an answer to this question. She's either going on a 2nd course of tane or getting on hormone treatment.

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Majick,

Given your age and your history, I would say give spiro a shot b/c it is prob. hormonal. I've been on it for over a year, and it is amazing. Also, I had no inital breakouts (a few have claimed this to be the case, but I don't think it is expected). All it did was reduce oil on my skin- almost immediately. I love this medication! I have a log on here too if you are interested in learning more about my experience.

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I don't think spiro has an IB as far as I know. I have read that it takes a long while to kick in; 3-4 months for a slight improvement and 8-9 for full benefits. This medicine has been around for 50 years so it seems pretty safe. Taking spiro will be a long-term medication unlike tane so that is something to consider as well. ;)

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I'm 19. I took Accutane for acne that was getting worse and wouldn't respond to anything. My acne also didn't respond well to Accutane. I have PCOS, but we never thought it was causing my acne until after we tried Accutane. I went to a reproductive endocrinologist and I now take 200 mg of Spironolactone (aka Aldactone) a day. My acne has improved as much as it possibly could. I get about one pimple a month now compared to three whiteheads a day. Look into it, it is worth a shot.

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I'm 19. I took Accutane for acne that was getting worse and wouldn't respond to anything. My acne also didn't respond well to Accutane. I have PCOS, but we never thought it was causing my acne until after we tried Accutane. I went to a reproductive endocrinologist and I now take 200 mg of Spironolactone (aka Aldactone) a day. My acne has improved as much as it possibly could. I get about one pimple a month now compared to three whiteheads a day. Look into it, it is worth a shot.

How long did it take for your acne to respond to Spironolactone? Can you tell me how your experience with accutane went? I am just curious because my daughter did not respond well and I think that is because it is primarily a hormone problem. I hope to get this confirmed when we go to the reproductive endo. Do you also take a BC pill along with Spiro?

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Yes, sure, I'll be happy to tell you. Literally it took about two weeks (and my face was horribly broken out at the time, it was a miracle), but I assume it doesn't always work that way for everyone. I was told it could take months, but my hormones were causing everything. I do also take Yasmin (it is a birth control pill, which I've been on since October 2004, when I was diagnosed with PCOS), which is why I had to see the repro endo (sorry, I abbreviate this since I used to work in a gyne office, force of habit). My gynecologist didn't feel comfortable giving me Aldactone and Yasmin together because they are similar, but the repro endo said it was okay and I take 200 mg of Spironolactone a day now. I never really had a big problem with Accutane. I did get some mild clearing, but barely anything and it would flare right back up right before my period. It was also a pain to keep going back and forth to the dermatologist to get my blood checked every month and I did get some mild joint pain and swelling that may have been due to the Accutane. The one thing I can thank Accutane for though is that my skin is much less oily now, still, 8 months after I've been off of it.

When you go see the repro endo, expect your daughter to get blood drawn and probably an ultrasound to check for cysts on her ovaries. They will probably want to try and do a transvaginal ultrasound because it is easier to see that way, but they will do an abdominal if it's too uncomfortable for her (I know because I had the abdominal, but the lady who did the ultrasound complained the whole time that she wanted to do a transvaginal one, because she couldn't see anything well). If she does have PCOS, the repro endo may also try to put your daughter on Metformin or also just some birth control pills. I used Metformin though and I couldn't tolerate it because it lowered my already low blood sugar and it had no effect on my acne. This may be different for your daughter, but if it's acne she's looking to get rid of, I think Spironolactone is probably her best choice.

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Well, we got the results back from the blood test today and our regular doc said everything looked normal. Tomorrow we go to the appt. with the repro endo. I'm sure our regular doc thinks I'm still crazy. She said I needed counselling to deal with my daughter's acne. grrrrrrr. still mad about that. I'll let you know what happens. I was really hoping for elevated levels in her tests. My hormones always tested normal too but I definately had hormonal acne. My daughter's is very similar to what mine was like and I cleared within one week taking bc pills (soooo many years ago.

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They can test the blood for certain hormones and also if it doesn't respond to normal acne medications, it is usually seen as hormonal, as mine was. Also too, if your acne happens to flare up right before your period they see it as hormonal as well. I hope that helps.

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Ladies (and guys I guess)

So given my blood work came back "normal" i.e. its not my thyroid, Lupus or

anything like that, do I still push to see a hormone specialist? I suppose I should call my

insurance co and see if it would even be covered if I'm "normal"

What tests do I ask for?

Thanks guys...I mean girls

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Ladies (and guys I guess)

So given my blood work came back "normal" i.e. its not my thyroid, Lupus or

anything like that, do I still push to see a hormone specialist? I suppose I should call my

insurance co and see if it would even be covered if I'm "normal"

What tests do I ask for?

Thanks guys...I mean girls

Yeah all my daughter's blood work has come back normal so far. There might be a cyst on her ovary but it could be just a follicle about to pop too. She appears to not have PCOS. Her testosterone came back at 45. Normal range is 18 - 100 I guess. Confusing. She Appears to be "normal". I was normal normal normal too but still had bad acne that cleared up when I took hormones! I feel the solution is to find a sympathetic doctor who is open to looking at drugs that lower testosterone levles. I am having to send our endocrinologist a book to "educate" him. I may send the book to two or three doctors until I get them to see it my way or at least consider my way. Apparently doctors in Calif. feel that if it isn't written in a medical journal, it's not true. I feel that Spironolactone and Yasmin or just Yasmin alone is a good place to start. For us, seeing a hormone specialist will rule out the problem being a big hormone problem like PCOS, or insulin resistance or something like that. That does not mean that an acne problem can't still be taken care of with hormones and that is where it gets tricky - as far as getting prescriptions goes. I don't know if this helps. I am still trying to work it all through myself.

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