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daria

accutane for mild to moderate acne

i've had mild-moderate acne for the past 3 years (had consistent moderate acne for the past year and a half) and i finally went to see a derm specifically to give me a prescription for accutane but he was against it at first, but after begging him, he realized how desperate i was for this drug. he finally gave me a prescription for 10mg twice a day but the thing is i've been waiting for about 3 weeks now because of this new ipledge program which enables females of child-bearing potential to get the medication untill after 30-31 days have passed since their pregnacy test. which i think is ridiculous if you swear to be abstinent and you're only 16 years old...well i have about 2 more weeks left untill i can get the accutane! anyway, i'll get back to the point, does accutnae work for those with mild-moderate acne or does it work only for those w/ severe acne?

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Yes it can work. It works by the same mechanism for the various degrees of acne. However as you can tell from the derms reluctance it is a potent druge, which deserves respect.

The issue with it only being prescribed for severe cases, or rather the recommendation for that, is that it is only at that point considering the risks of the drug it becomes a viable option. Its this trade off that reserves the professional opinion, and more to real root the pharm companies, wish to expressly make clear. They do not wish for everyone with acne to use it specifically because the percentage increase of people with severe side effects will not go up in themselves(if used correctly), but the numbers of actual people with them will in real terms. Resulting in a negative effect on them both fiscally and in a p.r. sense.

It is suggested that accutane may increase the risk of scaring, this is also one of the factors. Best of luck and remeber that the drug is probably the most powerfull medicine your going to take in your younger life, so treat it with the respect it deserves. Best of luck.

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i've had mild-moderate acne for the past 3 years (had consistent moderate acne for the past year and a half) and i finally went to see a derm specifically to give me a prescription for accutane but he was against it at first, but after begging him, he realized how desperate i was for this drug. he finally gave me a prescription for 10mg twice a day but the thing is i've been waiting for about 3 weeks now because of this new ipledge program which enables females of child-bearing potential to get the medication untill after 30-31 days have passed since their pregnacy test. which i think is ridiculous if you swear to be abstinent and you're only 16 years old...well i have about 2 more weeks left untill i can get the accutane! anyway, i'll get back to the point, does accutnae work for those with mild-moderate acne or does it work only for those w/ severe acne?

I have mild-moderate acne also. I want to start using accutane but i'm so scared that it will make my acne worse than it is now. And its really expensive! i've been trying to find an insurance company but i dunno if thats gonna happen since they say it has nothing to do with health. well anyways i hope it works for you.

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reposting:

I've struggled with acne for years. I've experimented with different regimens and cleansers. I tried most of the home remedies and over-the-counters. I was prescribed every topical cream and gel. I even went for laser and long term antibiotics.

Looking back on the last TEN YEARS I view all that stuff as a waste of time and money. Few helped, and most made it worse. At best, a select few kept acne "under control" but the persistence of the lesions lead to scarring.

But then I found Isotretinoin (accutane). I had to do my own research. Dermatologist after dermatologist never made mention of it?. Yet they prescribed long-term antibiotics and lasers for God's sake! (BTW, the side effects of these are far worse than my Isotretinoin.)

There is FAR too much NEGATIVE HYPE surrounding this drug. It took me a year to decide to go on it; during which time I was burned by laser "therapy." I'm now in month-two of my five month dose. My acne is greatly reduced and pimples I do get are smaller and heal in a day or two (without scarring).

My face is much less oily. My pores are smaller. The blackheads are gone. The only side effect is dry lips and to a lesser extent dry face. Both are easily remedied and far less of a side effect than some cleansers I tried.

For 60 percent of patients Isotretinoin puts their acne into prolonged remission (years). Of that 60 percent, 90 percent are CURED for life. Patients that do not respond from one treatment course can be put on a second, third, and even fourth round. The percentage of acne remission goes up with each course of Isotretinoin. So the odds are it will CURE you.

It took me 9 years to find out about Isotretinoin (accutane) and another 1 to decide to go on it. I really think Isotretinoin should be given as a prophylactic at puberty. Especially in those who have a family history of acne in parents or older siblings.

There is no excuse for CHILDREN to go through what I did. My "moderate/persistent, papular/pustular acne" was a daily torment. It kept me from dating and making friends. It lead to obsessive compulsive behavior regarding clean sheets, handwashing, face touching, mirrors, etc.

I was even afraid to go to sleep at night for fear of waking up with fresh crop of zits. My mood deteriorated. I became depressed and at worst suicidal.

Of course I couldn't tell my dermatologist any of this. I'd never have been prescribed the WONDER DRUG. But I as I suspected, Isotretinoin indirectly acted as an ANTIDEPRESSANT. It gave me initial hope after so many let downs. And now finally, the acne is clearing. I am a completely different person. I have a life again. Thanks to Isotretinoin.

Sadly, the iPLEDGE program is now making it more difficult to obtain the drug. It violates patient privacy laws. There are impractical regulations you, your doctor, the blood lab, the pharmacy, and the iPLEDGE processing center must coordinate with. There is usually a gap of 3 days at the end of every month during which you will be unable to get your medication. It can be weeks if your pharmacy has to order the correct dosage or become "iPLEDGE registered."

I can't stress enough how important early intervention is. If I was put on Isotretinoin even as late as 2-3 years into my acne I would not have scarring now. New scars also respond much better to treatment than scars older than six months.

That doesn't mean one should rush into scar treatment. It is important to note: SCARS SHOULD NOT BE TREATED WHILE ON Isotretinoin and for six months afterwards. The skin is far too sensitive and scarring could worsen.

Acne scars are extremely DIFFICULT and EXPENSIVE to treat once you have them. Even with current treatments, deeper scars can never be erased. Nevertheless, there are treatments that can LESSEN the appearance of deep scars. Superficial scars can more-or-less be "erased." But it is still EXPENSIVE; I've probably spent $10,000 easy.

Before Isotretinoin I tried several lasers to ameliorate my scars. I tried the NON-ABLATIVE lasers: CoolTouch, SmoothBeam, N-Lite, Intense Pulsed Light (IPL), and a diode laser. One session with any of these lasers can cost more than $1000. NONE WORKED EVEN SLIGHTLY. Not even on superficial scars. In fact, the IRRITATION they caused exacerbated my acne and led to a few small, new scars.

I can only blame myself. I did not exhaustively RESEARCH them. The company websites are questionable and the patient stories on message boards show these lasers don't work.

For the last year or so I've been doing my homework. I looked into ablative procedures. Carbon dioxide laser has been around for 20 years and has demonstrated results. However the down time was considerable and the risks high. I've come to the same conclusion for dermabrasion and microdermabrasion (the latter just being a gimmick).

The FRAXEL laser seems to be the best choice right now. The majority of patient reports are positive. The downtime and risks are minimal. But it only got FDA approval for acne scars this month. I'm glad I have to wait at least another year to get it.

I'm not sure I believe the company's claim that Fraxel treats the skin microscopically. It's supposed to damage the skin in "microscopic" dots that are .1 millimeters wide and 1.0 millimeter deep. That's about twice the size of a large pore and still visible to the naked eye. I guess it would work for deep scar tissue. But probably will probably make normal skin seem mottled. I guess a bad complexion is a trade off for reducing scars.

I realize this is a long post. I just wanted to contribute my thoughts. I hope it's helpful to anyone struggling with acne/scars and trying to make sense of it all.

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thanks you guys i really appreciate your responses

i'm going to go for it because as crazy as this sounds, having acne is taking over my life...i just hope it will CURE it!

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that we post replys means you are not, or at least are not alone, in letting acne be a massive issue for you.

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Accutane should not be prescribed for mild acne or for moderate acne initially.

persistane moderate acne should be prescribed accutane to prevent severe acne and scars developing.

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It does work. I plan on asking my new derm for it after I go through a trial of prescribe this and prescribe that (none them will work for me.. I've gone through them before).

I know a few people who took Accutane (2, to be exact) for mild to moderate acne, and it has literally been a MIRACLE. They took the stuff over 5 years ago and haven't had ONE breakout since. It's honestly amazing.

I'm not saying this will be the case for you or anyone else, but it's just my experience with it through friends.

I'm getting accutane because, at 24, I'm really tired of the constant acne. Looks like I ain't growin' out of this one!

Take care and good luck.

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I'm 20 and I'm taking Accutane for mild to moderate acne, but at 16 you should think about it! It's often something you will grow out of at the end of puberty, and if you can possibly get away with NOT taking accutane, then you should go for that option. Generally, if you're at risk of serious scarring, you can get the perscription, but make sure you weigh up the side effects vs how bad your acne is!

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This is interesting because I have suffered from mild to moderate acne since I've been about 15. I'm now 31, and it shows no signs of stopping. I have gone through retin A (harsh and ineffective), many antibiotics, steriod injections, countless over the counter products, and was thinking of visiting my derm soon to ask about Accutane. From what I've read on these posts, it seems to be the only tried and true remedy for persistent acne. I am a female too, so I guess I will have to go through that red tape of taking a pregnancy test, too. At this point, I will jump through whatever hoops I have to to get Accutane. Let us know how it works for you!! Good luck.

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