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omgu8myrice

What the heck do you tell your derm to get on accutane?

Got another visit scheduled to see my derm. I know this sounds very over-dramatic, but acne is really ruining my life. I'm SO god damn self-conscious about it that I have gone from what was once a very outgoing person to a very shy and reclusive person. I have a hard time looking my friends or girls I'm trying to meet directly in the face because of my self-consciousness.. hell, it's really sad that I avoid brightly lit areas like a plague. I'll stop ranting as I'm sure everyone on here knows exactly how I feel.

So far, I've taken differin, a 5% BP gel, a 5% BP cream, retin-a Micro, benzaclin, doxycycline.. maybe a few others (not all at once, of course). I also did Dan's regimin which royally screwed my skin up (I have the OILIEST skin ever after a few months of doing it).

Currently, my skin is in a weird state. I have lots of marks on my skin that randomly become inflamed and then go back to their dormant state. I've had a lot of them for well over a year. I also have a cyst that I've had since Jan (didn't pop it, just wish it would go away). My nose and a little of the area around it are also usually quite red and very rough feeling. Then I also have some random breakouts here and there.

Right now, I'm taking retin-a micro with benzaclin. I've been doing it since January and I'm still breaking out, nothing is clearing up, my forehead is constantly broken out even though I used to NEVER get acne on my forehead.

The past two times I've gone to the derm, I've been shot down for accutane. They keep telling me to keep trying topicals, or that my acne isn't severe enough for accutane. Tell me that once you've lived with it.. It's not even just the acne, I'm really sick of the god damn oily skin. It's worse than the acne. My last doctor told me it wasn't for my kind of acne, only intended for cystic acne. I'll admit that a lot of the before/after pictures on here had people with much worse acne than mine, but on the flip side there are others out there with much milder than mine that are on accutane.

I just want to get it over with and try the only thing that I see constantly working miracles. Has anyone had to "argue" or "barter" with their doctor to get on accutane rather than something else? I really feel like all the crap I'm slathering on my skin daily is really counter-productive to what I'm trying to achieve.

Thanks

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Hey I know this isnt the site for talking about this but this is what Helped me.

I became a christian, and began a relationship with Jesus. He came to heal the broken hearted. I have had some amazing things happen to me, and you can ask me. my email address is: *Moderator edit, URL/email link removed - read the board rules. *

if you need it.

I felt a strange urge to talk to you about this. You know that there is something more important to life and I really believe I have got it.

this video will rock your world.

thankyou,

and I know you'll hate me for sending this.

sorry the link to the video didn't come out here it is,

<MOD EDIT: it is against board rules to post links to other sites>

delete the spaces before entering it, this site wont accept the link post,

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Different doctors have different philosophies on prescribing Accutane. There are certainly some who would prescribe it to you for persistent acne; if your acne resists topicals and antibiotics, that's considered persistent.

So I expect that if you keep trying different doctors, you will find one who will prescribe it.

May I suggest that, in the meantime, you do some reading on low-dose Accutane? There are some links to studies posted in the Acne Research subforum, and there may be additional info in this forum. If you do not have severe cystic acne, low-dosage Accutane would be a good option to discuss with your doctor.

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you mean acne is ruining your social life. there are other ways of ridding acne. since hormones play a key role in acne and rather risk taking dna scripting hormonal altering medication (accutane) why not start by changing your diet, exercise, nutrition, attitude in life.

of course, you want the "quick fix", like everyone else.

ok to get on accutane i went to a dermatologist for the first time to get a cherry angioma removed on my neck and he saw my mild acne and offered to get rid of my acne. i never even had to try any other alternatives. my suggestion open a phone book and meet with derms until you find one like mine that prescribes accutane at 80mg a day like candy. there ya go, accutane. enjoy.

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Wow, the replies on these boards are usually super-compassionate, I'm shocked by the responses to this person.

First of all if you've had a cyst since January, it is more likely a nodule. Accutane was DESIGNED to treat nodular acne.

You have put in the effort, you tried antibiotics and topicals, they didn't work. If you feel that Accutane is best for you, you need to find a new dermatologist who is willing to prescribe it.

Btw, many derms are afraid to prescribe Accutane for fear of litigation since this drug has become so controversial over the past few years (at least in America). That may be why your current derm is hesitant to prescribe it.

A word of warning, I have found that most decent dermatologists have a long waiting list for new patients. I called my current derm's office in February and didn't get an appt. until April 27th! But it is worth it to be in the hands of a dr. who knows what he's doing.

Good luck to you and hang in there! I'm sure everyone here understands how you feel, cause we have all been there/are currently there. Lean on your family and friends and just try to ride it out. That's what I'm doing...

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I asked on the phone before I even went to the derm if they prescribed accutane through their office, if they did the labs in-office or if they had any weird rules about what you must try before going on accutane. I didn't bother going to tons of appointments, I found one just by calling. I went in, told them I had been on a million different products and that nothing had worked and asked for accutane. Since I'm a girl, I had to wait a month (two neg pregnancy tests), but that is all there was to it.

I understand your pain. Acne is really difficult to deal with. Find a doc to put you on accutane ASAP. Do it the right way: find non-comedogenic products (night creme, day moisturizer plus sunblock and a gentle cleanser). Drink tons of water and follow the rules. There are lots of people who go on accutane who expect it to do all of the work and then get clear but use really shitty products with lauryl sulfates and coco oils (very comedogenic) and wonder why their acne comes back. Hell, mine might too, but I'm going to do everything I can to prevent it by using good stuff. Sorry for the early morning tangent ...

Good luck! :dance:

oh and btw tell your derm if he doesn't prescribe it for you, you'll find someone who will.

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Thanks to the last few replies. I'm surprised by some of these replies, too! I figured we all shared a common pain here... the easy way out?! I've spent 6 years of high school and college dealing with this shit. I'm literally the only person in my group of friends with acne, it's humiliating. I've poured hundreds of dollars into every damn product that looks like it can help. Nothing has.. but I'll stop there because I don't need to explain myself anymore to a random person on here.

I'll certainly inquire about the low dose. More than anything, I just want to rid myself of all this oily skin, so I was quite happy to read that accutane actually works by inhibiting your sebaceous glands.

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look guys focus on the original post. the kid wants to know how to get accutane. we have all either taken accutane or are taking accutane. lets help him get some by sharing our personal experience!!!

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I think it is time to tidy up this post Mods and move some of this to the debate thread.....Thanks.

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I think the Retin-A and benzaclin might be the culprit for the redness and rough feeling of your skin. I suggest you stop using them on those places of your skin because they do have drying effects.

Your doctor might be hesistant to give you accutane because of the redness as accutane could aggrevate that and red marks don't get better on accutane. The only suggestion I can give on getting accutane is to seek another derm since your current derm is relunctant to do so.

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You dont tell your derms what to give you. They are the ones who tell you what you will be taking. Also they are right. Accutane is for SEVERE cystic acne only

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Accutane is for recalcitrant acne as well, for acne that is scarring (that's how I got Accutane on my first derm visit...she took ONE look at me and said "You're a candidate for Accutane, we'll start the paperwork process now and my NP will tell you about it."), for abnormally oily skin, and for cystic/nodular acne.

Talk to your derm; explain your feelings about acne and how desperate acne makes you feel. Discuss a low dose course as that is less risky than a higher dose.

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"Your doctor might be hesistant to give you accutane because of the redness as accutane could aggrevate that and red marks don't get better on accutane. "

I don't understand this reasoning at all. His skin is broken out now... if it wasn't red and broken out he wouldn't need accutane in the first place. What is he supposed to do, wait until his skin is perfect before going on Accutane?

I had the exact same reaction to retin-a, and you can stop using it, but the redness and the rawness don't go away. For some reason certain people have a REALLY bad reaction to it (check out the retin-a reviews on this site, it's almost a 50/50 split between "I love this!" and "This destroyed my face!")

In the months since I quit retin-a my face has just continued to break out. If I had been able to get on Accutane sooner I might have prevented some scarring. Le sigh...

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"Your doctor might be hesistant to give you accutane because of the redness as accutane could aggrevate that and red marks don't get better on accutane. "

I don't understand this reasoning at all. His skin is broken out now... if it wasn't red and broken out he wouldn't need accutane in the first place. What is he supposed to do, wait until his skin is perfect before going on Accutane?

I had the exact same reaction to retin-a, and you can stop using it, but the redness and the rawness don't go away. For some reason certain people have a REALLY bad reaction to it (check out the retin-a reviews on this site, it's almost a 50/50 split between "I love this!" and "This destroyed my face!")

In the months since I quit retin-a my face has just continued to break out. If I had been able to get on Accutane sooner I might have prevented some scarring. Le sigh...

The reasoning is simple because accutane has the tendency to thin the skin and the way he describes it, his skin seems injured and accutane might aggrevate the situation especially rough patches and redness seems to be eczema. The drying effect of accutane isn't going to help, it may make it worse. That's why I suggested stopping and letting it heal before deciding on accutane. At least wait for it to get better before starting something else that might make it worse. There's no telling what accutane might do especially with all its side effects.

Accutane can made redness worse, its one of its side effects.

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"Your doctor might be hesistant to give you accutane because of the redness as accutane could aggrevate that and red marks don't get better on accutane. "

I don't understand this reasoning at all. His skin is broken out now... if it wasn't red and broken out he wouldn't need accutane in the first place. What is he supposed to do, wait until his skin is perfect before going on Accutane?

I had the exact same reaction to retin-a, and you can stop using it, but the redness and the rawness don't go away. For some reason certain people have a REALLY bad reaction to it (check out the retin-a reviews on this site, it's almost a 50/50 split between "I love this!" and "This destroyed my face!")

In the months since I quit retin-a my face has just continued to break out. If I had been able to get on Accutane sooner I might have prevented some scarring. Le sigh...

The reasoning is simple because accutane has the tendency to thin the skin and the way he describes it, his skin seems injured and accutane might aggrevate the situation especially rough patches and redness seems to be eczema. The drying effect of accutane isn't going to help, it may make it worse. That's why I suggested stopping and letting it heal before deciding on accutane. At least wait for it to get better before starting something else that might make it worse. There's no telling what accutane might do especially with all its side effects.

Accutane can made redness worse, its one of its side effects.

Eh, I don't really feel like debating this. SO I'll just say from my PERSONAL EXPERIENCE retin-A made me break out really badly around my chin in February of this year. The skin esp. around my mouth was extremely red and irritated. I quit using retin-A in march and the skin in that area has continued to breakout and be irritated for the past 3 months. So would Accutane have solved my redness problem? No, but it could potentially have prevented that area from breaking out continuously over the past 3 months.

For people with severe acne, there's no such thing as "waiting for it to heal." If we could make our skin heal, we wouldn't need accutane.

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Uh, have to agree with Maddyoo1 on this one. Accutane could aggrivate the skin worse if there is redness or if it is eczema. Accutane acutally can cause eczema. So if the OP acutally has eczema it will just make it worse.

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You dont tell your derms what to give you. They are the ones who tell you what you will be taking. Also they are right. Accutane is for SEVERE cystic acne only

Actually.. no. Look at how many people on here have mild-moderate acne and are on accutane? You act as if it only benefits people with severe acne. Hell, I don't even want it for the acne. I just want skin that isn't greasy and oily after two hours.

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Just because people with mild acne are on accutane doesnt mean they should be. Accutane is a very strong drug and it was made for severe cystic acne. Look it up on line if you dont believe me

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Accutane is for recalcitrant acne as well, for acne that is scarring (that's how I got Accutane on my first derm visit...she took ONE look at me and said "You're a candidate for Accutane, we'll start the paperwork process now and my NP will tell you about it."), for abnormally oily skin, and for cystic/nodular acne.

....

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Accutane is for recalcitrant acne as well, for acne that is scarring (that's how I got Accutane on my first derm visit...she took ONE look at me and said "You're a candidate for Accutane, we'll start the paperwork process now and my NP will tell you about it."), for abnormally oily skin, and for cystic/nodular acne.

....

Why are you quoting that again? We already read that and I am not ignoring you. Most people who have acne scars have moderate or severe acne not mild acne. Accutane has so many side effects and personally Id rather have acne any day than what I had while on accutane

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...Accutane is a very strong drug and it was made for severe cystic acne. Look it up on line if you dont believe me

This is why I am requoting what I wrote above. You left out a good portion of the indications for Accutane usage. I have now corrected that omission.

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