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BarCap

Accutane log

- I started Accutane on Nov 9, 2007.

- Derm put me on 20mg 1xday for first month, which I think is the lowest initial dose I've seen from all other logs.

- I live in London and I saw Dr. Harris from the London Clinic of Dermatology (you can google it). The initial consultation cost £200 (which I think is about $400000000 USD, hehe just kidding)... But my insurance AXA PPP will pay for it. The Dr. seemed quite knowledgable, I get the impression that he is well respected in the UK Derm. community. He said during his career he has put 2800 patients on accutane and had to take off 10, most of which were taken off because of pre-existing conditions which accutane "exposed" rather than caused. He also said the drug has been around since the 60s and there are people with skin so bad that they can only live on accutane and have been taking it for 50 years, every single day... I guess he was ensuring me that even though accutane has risks he feels it's overall a safe drug and there is lots of data over many years to support that. I also talked to him about diet and my experimentation with diet - he didn't have much of an opinion on the matter either way, which I quite liked (he pretty much said, it's possible but I don't know). He did state that there now seems to be scientific evidence that Milk can affect acne and he even told me of a website to check out acnemilk.com. This Dr. mainly does a lot of cosmetic procedures, and before going I thought he would try to sell me expensive N-Lite laser treatment... He actually mentioned the treatment as an alternative option, but he told me that it's relatively new, it's unknown how long it lasts and finally he advised I do Accutane instead.

- I am 29, male, 5'10'', 165lbs

- Not using any topicals or other orals

- Before accutane I have tried all the standard antibiotics and topicals in a period of 3 years

- My acne started around age 25 and progressively got worse

- Over the past 8 months I've experimented with dietary changes which def. improve the situation if a keep a SUPER SUPER strict diet. However if I cheat even a bit, and even very infrequently then my skin pays for it. eating 100% fruit and veg for who knows how long makes life pretty impractical.

- As I start this treatment I have about 5 large scabs from healing acne from last week. And maybe 2 active under skin pimples which are pretty small at the moment. I also have lots of black heads on forehead and nose. Pores on my upper cheeks are relatively large (though i never get acne in that area)

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Hello Barcap,

I started a few day's later then you did. How about we keep eachother company in the logs :) Good luck man. Im now on day 4, still have a long way to go. Keep posting.

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I wish you the best of luck Barcap! :) I'm sure you'll get good results on Accutane!=D

I'll check out your log to see your progress!;D So take care! :)

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Day 13

Still have not notice any effects from the accutane; Skin not dry; lips dry, but my lips are always dry, so not any more than usual...

Acne not too bad at the moment, but it's not unusual for me to go through a "clear phase"

I think due to my lose dose it's perhaps still too early to tell.... may be a few more weeks before i even start noticing the usual side effects...

Appt with derm. on Dec 5th to check progress and blood... we'll see if he raises dose by then.

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Good show barcap :) nice to see you don't have any side-effects. I didn't have my IB yet, and by the looks of it you didn't either. Good luck and keep us posted!

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Day 19

- Still no side effects at all; Lips continue to be dry but not any more than before accutane

- Skin - over the past week about 5 new spots - two easy to pop and now fading; one on nose can't pop; but it's not too horrible and i think it will be gone in 1-2 days; one above eye brow; can't pop, painful but not too big and seems like it will be flat when i wake up tomorrow... and then one horribly painful one in my ear-lobe (WTF?) which lasted about 2 days and is almost gone now....

- one thing which has always helped me with inflamed spots is exercise; i do intensive cardio 5 times/week; about 45mins of cardio/day... when i sweat like a pig, active inflamed spots reduce... now that i'm on accutane it seems like the exercise and the medicine work together to reduce the inflimation a bit faster... oh and combining that with a long sleep works even better for me; when i wake up the next day my face is always "calmer"

- Overall skin condition not too bad at the moment

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Wow...great news barcap. Seems things are going well :) Im glad tane seems to be well tollerated by your body. Hopefully the side-effects will stay away. It's a joy to read your log :) you should write more often!

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Day 32

- Visited dermatologist last week for 1st month check-up. He increased my dose from 20mg to 40mg for the next 6 weeks and said that after that he'll likely put me on 70-80mg.

- My overall condition remains more or less the same. Continuing to get spots, but only about 2-3 per/week and they are not big. Some are painful, under the skin and almost can't be seen on the surface (i can feel them by touching my face)...

- I continue to have lots of clogged pores and many many black heads (sort of bumpy forehead with blackheads). The dermatologist said as we continue the accutane those should go away.

- I still have no side effects of any kind; my lips are perhaps a bit drier than before accutane though that could also be to the colder weather.

Martin, i haven't written daily updates mainly because there isn't any interesting change in my condition.... If I start experiencing some of the usual side effects of any unusual things I'll be sure to add the info... seems like my accutane journey so far is quite boring :)... (hehe, i hope i don't regret saying this)....i guess it will be interesting to see what happens in the coming weeks on the increased dose.

- oh, i have a nasty cold from walking in cold/wet/wind all weekend, that's the only "update" and obviously unrelated to the rest.

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Hi - I have been on accutane for nearly 5 months and I still get painful spots on my forehead and on top of my scalp. I get about 1-2 per week. They don't get as big as they used to; but they are still there and painful and last for days. I get virtually none on my cheekcs/nose/chin.

My dosage progression was as follows: 1 month on 20mg; 6 weeks on 40 mg; 6 weeks on 60mg; and 6 weeks on 70mg......

The 70mg dose will finish in 2 weeks. Last time i saw the derm he said that he expects i'll be "almost finished" when I see him on April 8. I'm not sure what "almost" finished means, plus, i don't see how i could be finished given that i still get painful spots on my forehead, regularly.... I don't get many of them, but they are persistent.

some more side effects - dry hands and arms; dry nose (inside). dry lips.. but all these side effects are quite managable...

i'm a bit unease with the fact that after nearly 5 months i still get these painful spots on my forhead. i would have expected to be writing "i haven't had a spot in 2 months" by now - but unfortunately i'm not in this position....

i'm wondering whether this accutane will work... not sure... we'll see what the derm says in 2 weeks.

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5-months into Accutane treatment the Dermatologist today said that my situation hasn't improved that much and he is not happy that my forehead is as active with cysts this late into the treatment.

He asked about family history of cysts - my father had some when he was my age but he doesn't seem to remember many detail, but there is def something there.

Then the Derm injected my cysts with some stuff which supposedly should make them go away in about 24 hrs and asked me to keep track of how long it takes for them to go away after the injections.

He then said that I may have some special cystic condition, he even told me the name but i cannot even pronounce it so I don't remember it.

He said that he may need to inject the areas of my face where the cysts persist (mostly my forehead) with something which will supposedly work under the surface to kill them and prevent them from reoccuring.

I get them mostly on my forehad and some in earlobes etc.

I will finish off the remaining 1000mg of accutane during next month and then i have to get off it.

seeing the Derm in 1 month to determine next steps and see what my state is then.

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Hi - 6 months on roaccutane and i still get cysts on my forehead. Rest of my face/body is 100% clear.

Went to see the Derm on May 8th. He is surprised and confused (disappointed) why I still get this on my forehead. By this point he had wanted to take me off roaccutane. However, he lowered my dose from 70mg to 40mg and prescribed a 6 week course of a steroid called prednisolone. After 2 days on prednisolone active cysts have significantly reduced (it's pretty cool).

The derm also ordered some additional blood tests and said that there may be something going on which we are missing. I'm going to call him in 2 weeks to get blood results. And i'll be seeing him in 6 weeks again.

the battle continues :)

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