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Sarah345

The Erythromycin Way!

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Sunday - 7th October 2007

Hi everyone, I’m Sarah, and I’m 22 years old. I have been battling with my acne for the past 7/8 months. As a teenager I didn’t suffer too badly with spots a few every now and again nothing too troublesome. But now my face is looking like a pepperoni pizza! Here’s my story!

I went on the pill (microgynon) when I was 18 years old, and came off it 7 months ago (end of Feb), as I had high blood pressure, and was a risk for me. I had a period 2 months later (end of April) and haven’t had a period since. I’ve been to the doctors and I’m not pregnant. Doc thinks I’ve got polycystic ovaries (PCO‘s). I’m not missing my period too much but I know in the long run (if I want to have kids) I need to get it seen to. I asked doc what I could do for the acne, she said there was nothing! Usually people go back on the pill (dianette is the one used for skin) but I can’t because it is a risk for me. She said I could go on antibiotics again (took doxycycline for 2 months from April) but I wasn’t keen as they didn’t work last time, and why feed my body with antibiotics if their not going to work!

Friends had advised roaccutane as it did the trick for them. So I asked my doc for a referral to the dermatologist. On the NHS there is usually a waiting list (about 3 months in my case) but clever me phoned the local PCT and the lady there was magnificent and got me a cancellation appointment for the upcoming Monday! Which is now tomorrow, I can’t wait, I’m ready to start pleading with the dermatologist as being the NHS they probably won’t let me have roaccutane.

I had a blood test on Thursday to check my testosterone levels (to do with my supposedly PCO’s), my doc also told them to do a liver test as well (as your liver needs to be checked if your on roaccutane).

End of Jan I was recommended to use glytone (glycolic acid based). As I go to a laser hair removal salon and the therapist there noticed I had blackheads and this would help my oily skin, so I thought why not let’s give it ago. Worse thing I ever did! I had a breakout soon after I started using it and I haven’t had a spot free day since! Plus because I came off the pill, I guess it’s all related. I persevered for about 2 months (End of Jan - end of march) but my face was having new spots appear constantly so I switched to boots own brand (wash, tone, and moisturiser) for oily skin with tea tree oil. I persevered with this from end of march until mid August nothing improved the whole of this time still new spots appearing constantly, and I had a course of antibiotics during this time as well, but had to stop as I was going on holiday and you can’t expose yourself to sun, so this wasn’t convenient so I stopped after speaking to a pharmacist who advised just soap and water and freederm. Then a friend said a friend of hers used environ products (South African product - google it) and it worked well for him. You need to know what products is best for you with environ so I went to an environ specialist (£55/facial, and about £100 on all the products! Remember I was desperate by this time-money is no object when you have a face full of spots!) who recommended me to use the b-active range (acne based products). I went to her 3 times from mid Aug to about 2 weeks ago, she would extract all my spots put oxygen on them and she done a peel, the 1st time my skin cleared a bit and I thought oh wow this is going to do the trick, but then I got a break out again, and what ever she did would not help improve my skin (even though she did try her best - her facials were really amazing!). So I said to her I couldn’t go on as it was too expensive and it wasn’t helping. She took me off the environ products and now I’m just using dermalogica wash, tone and moisturiser, and the freederm.

End of Jan - end of march Glytone products

End of march - mid august Boots own brand

April - June antibiotic (doxycycline)

June - mid Aug Freederm

Mid Aug - End of Sept Environ products (with 3 facials/peels)

End of Sept - present Dermalogica wash, tone, moisturiser, freederm

I’ve tried everything I can externally, and the whole of this time I’ve increased the amount of water I drink (about 5 glasses a day). I am now putting this down to a hormonal problem, and websites I’ve visited, have said roaccutane should help your acne if you have PCO’s, so roll on my dermatologist appointment tomorrow and please let me take roaccutane!

I am so self conscious now, constantly looking down avoiding people, went out Saturday night took me numerous attempts with the foundation as my face was looking “caked†and covering that well, was late meeting people because of this.

I have added photo’s and will keep up to date with my diary and include photo’s of how I am progressing.

Please feel free to respond with any advice you can give and tips that will help me once I go on roaccutane.

Thanks for reading my story!

UPDATE - Monday 8th October

So I saw the NHS dermatologist, i said that I had been on the antibiotics before. but she was not backing down she said to try a higher dose of antibiotics and all these antibiotic creams. I said to her I didnt want to do this as was not keen on antibiotics and didnt think it would work, and didn't want to be in the situation that i was using the antibiotics for 3 months and not seeing any improvement then i would have to start roaccutane, when i could just start now! It would be a waste of time suffering for another 3 months with acne and feeding myself with more antibiotics!

she said she couldn't perscribe me roaccutane, she would have to refer me to the hospital.

So now i am taking erythromycin 500mg 2 x a day, duac in the evenings (clindamycin + benzoyl peroxide), and adapalene gel in the mornings. and to wash my face with hibiscrub (antimicrobial wash) 2 a day.

I bet if I went to the private dermatologist they would give me roaccutane! any1 else been in the same situation?

If I use all these antibiotics and creams for 3 months and dont see an improvement I will def be complaining to the PCT!

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Day 1 - Tuesday 9th October 07

started last night, 2day has been my 1st full day.

am - wash with hibiscrub, apply differin,

500mg erythromycin

pm - wash with hibiscrub, apply duac

500mg erythromycin

differin - doesn't seem to be doing much, except drying on my face and peeling even though applied a very thin layer. annoying because the dermatologist said I shouldn't use a moisturiser as it's putting oil back on my face. used a wet tissue to remove peeling. by end of day face was feeling slightly imflammed until I did the pm procedure.

duac - this is quite good, makes ur face feel tight for a while, seems to reduce the imflammation. no peeling

would prefer to swap these products around duac am. differin pm, ill see how it goes the next few days.

photo taken after pm procedure

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Day 4

Duac still helping, applying differin in morning but not good if u want to use foundation.

half way through day had to wash face to take off foundation that was looking caked. in doin this made my face sting, and when dryed my face was all peeling where differin had been applied face all sore and seemed to be having a reaction. had to apply moisturiser (even though against derm's orders), but seemed to settle my skin down. im only gonna use in future if i don't need foundation (i.e if i dont go out!)

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Day 6

skin is looking better, still got few spots mostly jaw area, cheeks still have red scarring marks. skin hs gone quite dry. hard to open mouth fully. gonna stop applyng the creams for a day or 2, to help stop the dryness.

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Day 12

My face is just getting better and better!

Quite surprised I was quite skeptical towards the dermatologists advice. I thought roaccutane was the only way to go.

But yet with Dan's regimen and dermatologists prescription things are looking on the up!

Started applying more BP as advised by dan's regimen I have 5% BP though not 2.5% so face is getting quite dry. when this runs out though I will be looking into getting 2.5%, also derm said not to use moisturiser, but I will if I have to, using E45 which seems to be ok.

I'm not having anymore breakouts like I used to.

I'm amazed as I thought nothing was going to help me, and over the last 7 months my acne was just getting worse and worse evryday. But in the last 2 weeks since seeing the derm, things have improved so so much!

I still have acne scarring but at least my face is getting spot free, just a few left around my jaw. Feeling better facing people in public than I did before, so I am much happier.

Good luck to every1 who is still on their journey!

P.S i would post another photo, but didn't realise minimal space.

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I spoke to soon! Day 14 5 white heads appear, that'ss serve me right for wearing make up at the weekend!

Now it's day 16, I feel like i'm back at the begining again! spots all over the place! please-please go away!! aaaarghhh!

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Maybe you should get a new derm. It doesnt sound like your derm is helpful and is very argumentative. Moisturizer does break me out though and Im sure it breaks other people out too. That is the one part I do agree with your derm on.

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Your not that far in, keep realistic and keep on takin the prescription and keep up the reg.

If you really really want accutane, I can only suggest you go private. Although costly I cant see even a change of NHS derm being so different from the one you have now.

I'm on erythro myself, though a lower dosage and I have no idea if its doing anything as I'm still breaking out but the reg is helping I'm sure. I mostly use erythro as an anti-immflamatory to be honest :confused:

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I think that is the main problem I have that I went to a nhs dermatologist, i'm goin to persevere with the erythro as i've started it. I work in a dentist, and I know we're always pushing private as there's not enough funding from the nhs. Just my view is why should I go private when i'm contributing my taxes to the nhs and the governments giving our money to all the wrong people.

The poor oap's, (as on the bbc news bulletin last night) enough money isn't being used to help them and they've worked all their lives!

I think the UK should lower are taxes so we can invest our money in private healthcare schemes!

Back to my skin! I have to apply moisturiser in the morning as my face gets dry and flaky, otherwise it's an embarrassment on top of the spots!

Any make up tips MOLLY? Do u apply makeup without using moisturiser?

If I do that it looks worse as then the foundationn looks flaky as well! so best just not to wear makeup and suffer the embarrassment of the spots! aaargghh !!

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I think that is the main problem I have that I went to a nhs dermatologist, i'm goin to persevere with the erythro as i've started it. I work in a dentist, and I know we're always pushing private as there's not enough funding from the nhs. Just my view is why should I go private when i'm contributing my taxes to the nhs and the governments giving our money to all the wrong people.

The poor oap's, (as on the bbc news bulletin last night) enough money isn't being used to help them and they've worked all their lives!

I think the UK should lower are taxes so we can invest our money in private healthcare schemes!

Back to my skin! I have to apply moisturiser in the morning as my face gets dry and flaky, otherwise it's an embarrassment on top of the spots!

Any make up tips MOLLY? Do u apply makeup without using moisturiser?

If I do that it looks worse as then the foundationn looks flaky as well! so best just not to wear makeup and suffer the embarrassment of the spots! aaargghh !!

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Im on Erythro aswell , i think by the sounds of it , you need a topical treatment , -- also drinking lots of water with this antibiotic seems to help ALOT :D x

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wow i forgot all about this thread!!

so heres an update nearly 2 yrs on!!

My skin is really quite good now..i stopped taking erythromycin ages ago, and was just using dermologica which kept my skin clear.. few months ago I changed to clinique 3 step as all my friends were recommending it..its ok but dont think it suits my skin type compared to dermologica, so just using up products then will go bk to demologica.

I still get a few spots now and again nothing concealer wont cover tho..my skin is looking much better, still my skin is ever so slightly red...and people that didnt kno I had an acne prob say ive got good skin..

oh and turns out scan showed I do have pco's and I have bn off the pill for 2 1/2 yrs now..and dont want to bk on incase I have to go thru all that again!!

I'm just glad I got past it all now :-)

Good luck to all u's that are still on ur journey..there is always light at the end of the tunnel.u just need to find the right way to get there!!

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