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Soooo heres a little bit off my story.

I am a soon to be 18 year old female who has struggled with acne since I was 11 years old. My acne was pretty severe when I was younger but got better as I got older. However, now it is basically comedonal acne. It is all under the skin little bumps that are all over my face, mainly on the forehead.

I have tried tetracyclines, birth control, and everything else you can think of. I even tried improving my diet (even though it was never bad), and all I ever drink is water..

I have been so good and gentle with my face and tried everythinggg I can think of, and nothing helps my comedones! The last time I can remember my skin being clear was in the 5th grade, and I'm starting my freshman year of college in the fall and have not gone one day since with clear skin.

I have been on and off considering accutane for awhile. My acne has been so stubborn and nothing seems to do the trick in helping it.

If anyone would like to share their opinions it would be much appreciated! Should I give it a shot?

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No, follow accutane's strict prescribing guidelines : for disfiguring cases of severe acne only.

Cut out all sugar, dairy, and bad fat, live on fruit and vegetables, with organic chicken and salmon, olive oil, flax seed oil, zinc, antioxidants

use blue light therapy, if you do all this there is a change in your acne.

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Have you tried Yasmin or Yaz birth control. I have heard good things about spiro. I have taken accutane once and my acne returned. I was about to take it again but my IBS has been crazy so I think I may try spiro. It's the only thing that I haven't tried. Oh, there is a new topical called aczone.

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I think you should go for it. Accutane is not reserved for severe cases of cystic/nodular acne only, or dermatologists wouldn't readily prescribe it to patients who don't suffer from that kind of acne. I myself will be starting in a few weeks, so while I can't impart any wisdom as to my experience on the drug, I can tell you that I do not suffer from severe acne. Rather, it is persistent and has not responded to topical treatments, antibiotics (I was on 2 different kinds), or birth control. I have been dealing with acne for almost 10 years, but nothing has worked long-term. My derm understood this, and so agreed to start treatment.

I don't know how much you've looked through this site, but there are tons and tons of posts about people's experiences with accutane, and a lot of them are positive. Of course there have also been negative experiences. You should give these posts a look. For a lot of people, this drug has produced dramatic, life-changing results. If your acne really affects your self-esteem, why not go for it? (As long as you understand the potential side effects, of course).

Good luck with your decision. Whatever happens, I hope you find something that works for you!

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Thank you everyone for the advice!

I have tried Yaz and it did not help my skin, right now I'm on ortho tri cyclen lo and it has helped a tiny tiny bit but not much. I will look into the spiro tho! Thats about the only thing I haven't tried *sigh* Im really not joking when I say I've tried everything. Ive been in and out of the dermatologists since I was 12.

My acne has been very persistent and its never just one pimple on my face its a whole face full of bumps.

I have looked into all of the negative and positive side effects and the thing is, everyones experience with the drug is different. I definitely would put a lot of though into it before trying it.

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Have you seen a dermatologist? If so, I would go for it. Accutane certainely is best left as a last resort, but seeing as how you have exhausted so many options, if you are still left with skin that is effecting you to a significant extent, it probably is the right move. Im nearing three months in on my course, and I totally wish i would have done accutane before undergrad.

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The license for Accutane states that it should only be used for severe recalcitrant cystic acne as a treatment of last resort when all other treatments have failed. And thats the position in most countries. Due to new studies, over 80 percent of patients prescribed Accutane have mild or moderate acne, which is in violation of the license. There is a dilemma for dermatologists have to please both the supporting pharmaceutical companies (Roche) and the patients at the same time.

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Comedomal acne need not go on accutane. Its too drastic and its meant for people with mostly inflamed acne that is resistant or severe. You are actually moving in the wrong direction, antibiotics do not help with comedomal acne but inflame acne, birth control may help but not that much.

I suggest a good regimen that consists of scrubs and retinoids or salicyclic acid/AHA. Go back to the doctor but ask for a topical such as Retin-A. You can also incooperate salicyclic acid into your regimen. You can also try washing your face with a mild scrub weekly or buy a soft toothbrush/baby hairbrush and gently scrub your face in the shower. These should help clear your comedomal acne.

Anyway I doubt your doctor will prescribe you accutane, its too mild for it.

Check out the other forum: http://www.acne.org/messageboard/Blackhead...med-ac-f44.html

It provides information on how to clear comedomal acne.

Good luck!

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I know people who took accutane who didn't have cystic acne, but they were friends with the dermatologist and took one of those low dosages only a few days a week.

I'm not a doctor or a scientist, but I think Accutane might help in cases like that. Now, getting a doctor to prescribe Accutane is another story. If you have done other treatements and it hasn't worked maybe. I do think though in your case you should take a very low dosage, like the people I described in the first paragraph.

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your story sounds a lot like mine, the acne since you were eleven, it's stubborn but not too severe... i'm pretty close to the same age as you, too.

my advice is simple: TALK TO YOUR DOCTOR. you're not going to get put on accutane right away, even if you ask for it outright. it's strong stuff. your doctor will probably want to try some mild medications, creams and pills first, and he'll want you to stay on each prescription for at least a month or two to see results.

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Comedomal acne need not go on accutane. Its too drastic and its meant for people with mostly inflamed acne that is resistant or severe. You are actually moving in the wrong direction, antibiotics do not help with comedomal acne but inflame acne, birth control may help but not that much.

I suggest a good regimen that consists of scrubs and retinoids or salicyclic acid/AHA. Go back to the doctor but ask for a topical such as Retin-A. You can also incooperate salicyclic acid into your regimen. You can also try washing your face with a mild scrub weekly or buy a soft toothbrush/baby hairbrush and gently scrub your face in the shower. These should help clear your comedomal acne.

Anyway I doubt your doctor will prescribe you accutane, its too mild for it.

Check out the other forum: http://www.acne.org/messageboard/Blackhead...med-ac-f44.html

It provides information on how to clear comedomal acne.

Good luck!

Maddy's right. Comedonal acne is pretty different from inflamed acne, and there are specialized treatments that can help. Scrubs and topicals often work wonders for those tiny bumps all over the face. Accutane is designed to combat cystic acne (the big, red, inflamed kind that hurts to the touch), so you may not have as much success with it as you would with treatments designed specifically for your skin issues.

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you sound exactly like me! that's always how my acne was, it almost looked like a rash...and it was all over my forehead. i remember being shocked when my derm told me that it could be considered persistent/moderate to severe acne, but he was right. i tried EVERYTHING and it just would not go away; nothing worked. i went on accutane (this is when i was about 16 or 17, i'm 24 now) and it definitely made it go away and totally cleared my skin up!

so many people say that diet has everything to do with it..well, i have the healthiest diet of anyone that i know...and i still had bad skin that would just NOT go away. accutane was the only thing that ever worked for me (i tried so many topical ointments as well as pills...none of them worked)

see what your derm says about it. they are the person that will see your skin and assess what is best for you!

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I'm not sure if you've already chosen but I wouldn't recommend it at all. My acne was under control with minocycline (although I'd still get quite a bit on the cheeks from time to time), but I had some talks with my dermatologist and he suggested that I go ahead and try accutane so that I didn't have to keep on popping pills.

Here I am, three months off of accutane. My skin is constantly dry, and it's red to the point that I can't go a full day without someone asking in a concerned tone what happened to my face. Will it eventually go away? God, I hope so. But I'm finding more and more posts here of people who have had permanent side effects from accutane. I 100% regret it, I should have just continued with minocycline. Looking back things were perfectly fine on that.

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I was at my derm for a completely different reason, and outright he said...

"Well why don't we get rid of that stuff on your beard area"

So I was like "kay" :doh:

I was not severe and it did wonders...but it might vary from person to person.

Also I still have chapped lips to hell 3 years later.

Sorry if I was not of much help.

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