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CentralTexasBoy

I'm bummed -- no accutane for me

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Went to visit a new derm yesterday. I gave him my history and then explained that I would really like to try low-dose accutane because 1) I have persistent mild adult acne, 2) my pimples, though few in numbers, tend to be deeper cysts, and 3) antibiotics haven't worked.

He basically said that they reserve accutane for only moderate to severe cases (in full dose) and that there wasn't enough data to support the low dose theory. I had even printed out some of the articles linked from this site, but he wasn't convinced.

So he put me on topical Retin-A and thinks that will knock it out. I did get him to agree that if I try this for a month or so and the results are not to my liking, that he would strongly consider giving me a low-dose script of tane.

Trying to stay positive, but it looks like my goal of being free by the end of summer is in jeopardy....

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Sounds like crap. It is really up to you now to find another dermatologist...you shouldn't let this get in your way. It may take another month to schedule, but it is better than nothing.

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Gah, the evil retin-a!

Well, the good news is that if retin-a breaks you out as bad as it did me, your derm will have no problems putting you on accutane the next time you see him/her.

Honestly some people have had great luck with retin-a, I hope you are one of them! Keep us posted. :)

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shut up, poision!

I have mild acne, and am on it - its the best thing I've ever taken.

Stop trying to scare people

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Maybe switching derms is the best thing you can do, because retin-a may just break you out more. (I was on retin-a for about three months and I had the worst skin of my life!)

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A managed to get an appt with another derm tomorrow afternoon. I asked his receptionist if he is willing to discuss low-dose accutane as an option, and she said "absolutely". So wish me luck......

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Hopefully the retin A will work for you. Accutane is a serious dangerous drug. It acutally states that it is for only severe cystic acne only. Some derms follow guidelines and some don't.

Besides for a lot of people thier acne comes back either right after, shortly after or a couple of years after taking accutane. It's not a permanet fix for everyone.

If you do eventually go on accutane I suggest a low dose 10/20mg at the most and to make sure you read all the side effects involved and do your research. You will have to live with them if they appear and don't go away, not your derm or anyone elese.

Good Luck

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yep keep the positive replies coming.

TBH im fed up with all the crap people post about accutane. Its a wicked drug and I love it, as do millions world wide. If you are one of the tiny minority with side effects - then bad luck....deal with it.

And that sounds like an excellent idea texasboy ...... you just have to really push for it - can even say its affecting your social confidence etcetc GOOD LUCK

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yep keep the positive replies coming.

TBH im fed up with all the crap people post about accutane. Its a wicked drug and I love it, as do millions world wide. If you are one of the tiny minority with side effects - then bad luck....deal with it.

And that sounds like an excellent idea texasboy ...... you just have to really push for it - can even say its affecting your social confidence etcetc GOOD LUCK

Thanks. How is it working for you so far? What is your dosage and how far into the treatment are you?

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Hopefully the retin A will work for you. Accutane is a serious dangerous drug. It acutally states that it is for only severe cystic acne only. Some derms follow guidelines and some don't.

Besides for a lot of people thier acne comes back either right after, shortly after or a couple of years after taking accutane. It's not a permanet fix for everyone.

If you do eventually go on accutane I suggest a low dose 10/20mg at the most and to make sure you read all the side effects involved and do your research. You will have to live with them if they appear and don't go away, not your derm or anyone elese.

Good Luck

I hear ya. I feel more comfortable with it having taken it on full dosage for 5 months back when I was a teenager. I hated the side effects (pretty sure I was on 60mg/day), but in the end it was worth it. My condition is not enough now to warrant that much dosage IMO.

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Hey CentralTexasBoy, just read your thread and have a couple of comments to make:

People who have a negative opinion of accutane should keep their opinions on an appropriate debating thread - you came here for advice and support on your decision to go down the accutane path (which by the way I stand on my chair and applaud you for) negative and often ill-informed, childish statements should be taken with a pinch of salt. Everyone is different and everyone has a right to choose wether or not they wish to take accutane, you have made an informed choice and people should respect that your decision is made. End of.

Second comment I want to make has already be voiced on the thread: Get another derm's perspective. The derm you went to see sounds very "old school" I understand that prescribing low/high start doses can vary greatly between the USA and the UK so that is a matter of opinion and something you need to discuss at length with your derm - he/she should take your thoughts into consideration and balance that with their professional opinion and experience. I believe is is now widely accepted by many derms that if acne is having an impact on your life socially/emotionally/phsycologically then accutane should most definately be considered as a suitable treatment. There is a British dermatologist, William Cunliffe, who has written some interesting papers on the subject of prescribing accutane for adult sufferers, I found some of his beliefs very inspiring and if I can track them down I will gladly point you in the right direction for you to have a read.

Good luck, Rosie x

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Hey CentralTexasBoy, just read your thread and have a couple of comments to make:

People who have a negative opinion of accutane should keep their opinions on an appropriate debating thread - you came here for advice and support on your decision to go down the accutane path (which by the way I stand on my chair and applaud you for) negative and often ill-informed, childish statements should be taken with a pinch of salt. Everyone is different and everyone has a right to choose wether or not they wish to take accutane, you have made an informed choice and people should respect that your decision is made. End of.

Second comment I want to make has already be voiced on the thread: Get another derm's perspective. The derm you went to see sounds very "old school" I understand that prescribing low/high start doses can vary greatly between the USA and the UK so that is a matter of opinion and something you need to discuss at length with your derm - he/she should take your thoughts into consideration and balance that with their professional opinion and experience. I believe is is now widely accepted by many derms that if acne is having an impact on your life socially/emotionally/phsycologically then accutane should most definately be considered as a suitable treatment. There is a British dermatologist, William Cunliffe, who has written some interesting papers on the subject of prescribing accutane for adult sufferers, I found some of his beliefs very inspiring and if I can track them down I will gladly point you in the right direction for you to have a read.

Good luck, Rosie x

Thanks I appreciate it. And yes I would like to read those papers if you are able to find links for htem.

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CentralTexasBoy: A few months ago, I asked my derma to prescribe me Accutane and he said he wanted to rule out other options before considering it. Prescriptions I already tried! So long story short, I found a new derma and she prescribed it right away. Some dermas are pro-Accutane, and others are on the opposite end of the spectrum. Hope this new derma will help you!

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CentralTexasBoy: A few months ago, I asked my derma to prescribe me Accutane and he said he wanted to rule out other options before considering it. Prescriptions I already tried! So long story short, I found a new derma and she prescribed it right away.

Indeed, and as you are an adult with persistant acne I think a lot of derms will take the view that

1: you have probably tried most things already

2: adult acne brings a whole set of different problems than for teenagers battling it (it's not pleasant for ANYONE suffering acne but different stages in your life bring different problems that's all - I'm not saying that having adult acne is harder than teenage acne in any way)

3: you are at a time in your life when you don't want to waste any more months and years searching for a cure and trying them to see how you go - you need results asap

4: and possibly most importantly - you have had accutane in the past.

I'm trying to find the two specific papers that really struck a chord with me but it's like searching for a needle in a haystack! I've read so many papers by so many experts my mind is crammed, I will keep looking though and if I find them I will send you a PM as I'm not sure links are within board rules.

Rosie x

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