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zen.garden

question before I start

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My derm is planning to start me on Accutane toward the end of June. Right now I am mostly clear (no cysts, just blackheads) on spiro and doxy, but my skin is just SOO incredibly oily that he thinks Accutane will end this madness once and for all.

I'm very nervous about starting, like everyone else who posts here, but I'm wondering if it's too drastic given the fact that I'm cleared up right now. Is Accutane the right solution for excessive oiliness? Even on spiro, which has dried me up a lot, my face is sopping with oil after a few hours. I really think I could stop the other medicines if the oil would go away, but I don't know if it will return after the course is finished.

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My derm is planning to start me on Accutane toward the end of June. Right now I am mostly clear (no cysts, just blackheads) on spiro and doxy, but my skin is just SOO incredibly oily that he thinks Accutane will end this madness once and for all.

I'm very nervous about starting, like everyone else who posts here, but I'm wondering if it's too drastic given the fact that I'm cleared up right now. Is Accutane the right solution for excessive oiliness? Even on spiro, which has dried me up a lot, my face is sopping with oil after a few hours. I really think I could stop the other medicines if the oil would go away, but I don't know if it will return after the course is finished.

Uhm, I would not take accutane if it is just for oiliness. I am a little distrub that ur derm would suggest such a dangerous drug for just oily skin. escpecially when it is for severe cystic acne that hasn't responded to other tx. You may want to get a second opinion on that.

There might be safer alternative to use with the spiro and doxy. maybe a topical someone on here might suggest.

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Well, that's kind of what I thought too. However, I have had severe cystic acne for about 14 years that hasn't responded to treatment at all until now, so it's not like blackheads are all I've dealt with and he's giving me Accutane. I also have severe scarring (actual indented scars, not talking about just red marks). For the moment, I am free of cysts using the other medicines, but he says my skin still isn't where it ought to be.

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That will be easy enough - the minute I stop spiro, my cysts will come back. I think that's why he wants me to start Accutane. I would like to try it to see if remission lasts awhile instead of remaining on spiro for the rest of my life. What I'm wondering is if people see a long-term reduction in oil after their course ends, or if my oil is going to come right back and I'll have to start spiro again. If so, it's not really worth it to me to stop what is working okay.

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That will be easy enough - the minute I stop spiro, my cysts will come back. I think that's why he wants me to start Accutane. I would like to try it to see if remission lasts awhile instead of remaining on spiro for the rest of my life. What I'm wondering is if people see a long-term reduction in oil after their course ends, or if my oil is going to come right back and I'll have to start spiro again. If so, it's not really worth it to me to stop what is working okay.

I don't think anyone can tell u if u will achieve long term oil reduction or permenant remisson of acne when u stop accutane. It will reduce oil reduction while ur on it though... Everyone is diffrent. Some have achieved long term, some short term, some accutane didn't work for at all. Some people's acne came back but milder.

Everyone has had diffrent experinces...My cysts came back 5 months after right in the same spots.

Depends too is your cystic acne hormonal?

I believe most people on here do a topical regimin shortly after they are done also to try and maintain.

check out the postive and negative pinned threads, there are some stories there and all over the board.

Good luck

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This is such a tough question to answer because as you know, everyone is so different, and you just can't predict how accutane is going to work for you until you go through it. Why can't we have a crystal ball and see how treatment is going to turn out and last, darn it - it would make life SO much easier! lol

If I were in your situation, I would try the accutane for two reasons. First, your derm recommends it. S/he has been treating you and has a better idea of your skin and what it needs better than any of us would, KWIM? Second, you can only take the spiro/doxy combo for so long. Well, I know spiro might be OK long-term, but not so much the doxy.

I've gone through two rounds of accutane. The first time, I was mostly clear for 8 years. The second time, 3 years. So, unfortunately for me, it hasn't been the magic bullet. It seems like you've done your research, though, and you know it may not be the end-all, be-all for you. Maybe you'll be one of the lucky ones. The odds are on your side. Good luck, whatever you decide. :)

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This is such a tough question to answer because as you know, everyone is so different, and you just can't predict how accutane is going to work for you until you go through it. Why can't we have a crystal ball and see how treatment is going to turn out and last, darn it - it would make life SO much easier! lol

Very true. :) I guess what I'm asking (and poorly, I might add) is whether people who took Accutane experienced reduced oil after their course ended, or if it came back. As I said, if I'm going to end up with oily skin either way, I'd rather not risk the side effects. But if there is a chance that I could end up with drier skin overall after finishing Accutane, even if it only lasts a few years, that might make it worth it for me.

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Well my oiliness came back after accutane so it doesn't really help with oiliness. However it came back somewhat less sticky?? My face still greases up but its not as sticky as its used to and I no longer have acne so it was a good for me to have taken accutane.

I think your derm might have a plan because accutane is the only drug in the market that has the ability to bring remission to acne. The others have not and definitely for antibiotics, once you stop, the acne will come back and sometimes even worse than before. I'm thinking your derm probably now sees that your face is starting to clear up, it may be a good thing to try accutane and clear it up once and for all as a double measure.

Also some people have breakouts while on accutane, its a side effect that causes you to breakout first before clearing up completely. Maybe by doing this, your derm is hoping you can avoid the breakouts. I mean its possible as well.

If you are taking it solely just for oiliness and not for acne. Than its not worth going for it. Reduced oiliness might happen with multiple courses but for 1 course, it won't happen.

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If you had acne for 14 years then get on the accutane. I've had acne for a similar amount of time and i'm starting (ro)accutane next month. I have no doubts about starting with this medication. Read up on the sideeffects and what you can do to make them more bearable. Check out popfry's excellent roaccutane diary (http://www.youtube.com/user/Popfry) and also check out http://reclaimyourskin.co.uk/ for lots of good tips.

I wish you good luck with your treatment :)

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Hi zen. I've always had oily skin so I know how annoying it can be. I took accutane in early 2005 because I was getting a bit of cystic acne and had dealt with persistent acne for 12 years. After accutane my skin was amazing- the oil was gone and so was the acne. I refrained from topicals for probably 6 months and then I started tretinoin gel (retin-a generic) at the lowest dose- .01%.

I continued with tretinoin .01% until last month (l used it about 3 years). My skin is now oilier and because of this I sometimes get a few small inflamed pimples- but really nothing I should even complain about. My derm has now increased me to .025% tretinoin and this is already drying me out.

Overall accutane dramatically decreased the oil on my face but it has come back. It is easier to control and not having much acne makes it waaay more bearable. Yes I do go though tons of the blue face papers but whatever- I've gotten all my friends addicted to them:) For me I know I will have oily skin for awhile- my mom's skin was oily well into her 40s.

For me accutane was extremely worthwhile and I'm glad I took it. The 5-6 months of 'tane are doable- especially if you're already a healthy, motivated individual. Good luck!

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Thank you for the info and encouragement. The thought of being un-oily, even for a little while, is so exciting! I've had oily skin since I was 10 years old; I'd just like to go for awhile without wiping my face down a million times every day. If I could ever stay oil-free and clear long enough to have my scars removed, I could actually go without makeup for the first time since 5th grade.

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accutane is bad. try topical ointments first. i have had acne since 6th grade, 12 yrs old, i am now 21. in reality if someone likes you as a person they dont even notice the imperfections. try topical ointments. accutane is bad. and it is a drastic desperate measure. a dna altering medication. for people who dont love who they are and how they were made. like me. think about it. patience is a virtue, acne isnt forever, why force fate?

peace

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"If you are taking it solely just for oiliness and not for acne. Than its not worth going for it. Reduced oiliness might happen with multiple courses but for 1 course, it won't happen."

1 course gave me permanent dry skin, dry eyes, dry hair, dry mouth, etc which all came on after treatment, it can happen

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"If you are taking it solely just for oiliness and not for acne. Than its not worth going for it. Reduced oiliness might happen with multiple courses but for 1 course, it won't happen."

1 course gave me permanent dry skin, dry eyes, dry hair, dry mouth, etc which all came on after treatment, it can happen

And your point is???? Reduced oiliness in a good way or to get permanent chronic dry effects as one of accutane's terrible side effects?

What I meant for that sentence is for those who heal well after accutane, those who did not suffer any severe side effects, its not meant for those who had permanent severe side effects. I'm guessing the OP doesn't want your side effect either. I'm sure what she wants is to heal well after accutane and have reduced oiliness at the same time.

I'm writing base on my experience and what my derm told me because he told me after my course, 80% of my oiliness will return which is true because I'm still having oily skin and hair but I no longer have any acne so its still a plus.

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"If you are taking it solely just for oiliness and not for acne. Than its not worth going for it. Reduced oiliness might happen with multiple courses but for 1 course, it won't happen."

1 course gave me permanent dry skin, dry eyes, dry hair, dry mouth, etc which all came on after treatment, it can happen

And your point is???? Reduced oiliness in a good way or to get permanent chronic dry effects as one of accutane's terrible side effects?

What I meant for that sentence is for those who heal well after accutane, those who did not suffer any severe side effects, its not meant for those who had permanent severe side effects. I'm guessing the OP doesn't want your side effect either. I'm sure what she wants is to heal well after accutane and have reduced oiliness at the same time.

I'm writing base on my experience and what my derm told me because he told me after my course, 80% of my oiliness will return which is true because I'm still having oily skin and hair but I no longer have any acne so its still a plus.

Really the point is the OP is clear from what she is on now, just has oil. The truth is that Accutane is sppouse to be only for severe cystic acne that doesn't respond to other treatment options.

I am sure a nice retinol topical would help matain the oiliness w/out having to risk side effects or possiblity of it not working. Alot of people on here use a topical regimen anyways shortly after accutane.

however, doctors don't follow the rules, so I would hope and suggest if the OP does go on accutane to do a very low dosage.

wish the OP best of luck......

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