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Onetwo

Does anyone have this problem with topical vs pills?

I am noticing since the first time in a long time like maybe 8 years I am trying to completely quit any pill form to control my acne. I was on accutane, then i took vitamin A daily, then i took some b5, its time to quit.

The problem im noticing with topical applications compared to the pills is this. The pills seem to regulate my oil to healthy levels, my skin looks great. It gets really oily and only occasionally dry. Even when I was on accutane I took 3 a week only, and b5 a small dose just enough to prevent acne. What I was left with was healthy oil production and skin. My skin produced oil yet but it was slight and made my skin look like it was not dry or dehydrated, or pale but not enough oil to make my skin greasy or inflamed or cause acne.

Fast forward to the topicals. It is a constant battle, when I wash my face with salaysilic acid or bp its a constant battle. My skin will look dry for hours, pale and unhealthy, then all of a sudden the oil will creep in and my skin will look overly greasy and in flamed.

Has anyone figured out how to control this, or any ideas for what I can do. When I wash my face in the morning and go to work i look so pale and white. Then by shortly after lunch my face is so greasy and inflamed then at night I will wash my face with salysilic acid or apply bp and its dry and pale again.

It seems like there is no way for a happy healthy medium like their was with accutane, vitamin a, and b5? Keep in mind also I know alot of you mega dosed on these, i however took the bare minimum amounts i could use to keep acne and oily skin at bay while not drying my skin.

Edited by Onetwo

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Guest Crimsonman
I am noticing since the first time in a long time like maybe 8 years I am trying to completely quit any pill form to control my acne. I was on accutane, then i took vitamin A daily, then i took some b5, its time to quit.

The problem im noticing with topical applications compared to the pills is this. The pills seem to regulate my oil to healthy levels, my skin looks great. It gets really oily and only occasionally dry. Even when I was on accutane I took 3 a week only, and b5 a small dose just enough to prevent acne. What I was left with was healthy oil production and skin. My skin produced oil yet but it was slight and made my skin look like it was not dry or dehydrated, or pale but not enough oil to make my skin greasy or inflamed or cause acne.

Fast forward to the topicals. It is a constant battle, when I wash my face with salaysilic acid or bp its a constant battle. My skin will look dry for hours, pale and unhealthy, then all of a sudden the oil will creep in and my skin will look overly greasy and in flamed.

Has anyone figured out how to control this, or any ideas for what I can do. When I wash my face in the morning and go to work i look so pale and white. Then by shortly after lunch my face is so greasy and inflamed then at night I will wash my face with salysilic acid or apply bp and its dry and pale again.

It seems like there is no way for a happy healthy medium like their was with accutane, vitamin a, and b5? Keep in mind also I know alot of you mega dosed on these, i however took the bare minimum amounts i could use to keep acne and oily skin at bay while not drying my skin.

Hello,

first off, did your dermatologist only prescribe you three pills a week or was that your idea? were you taking the vitamen a the same time as the accutane? how long were you on each medication for?

Truth be told, same with pills, topical gells just won't be ideal for everyones skin. My skin gets inflamed whenever I put any acne treatments on it. Benzoyl peroxide included. Your saying that you took the bare minimum to keep acne at bay while not drying your skin. Unfortunately that is accutanes job! Taking just three tablets won't allow the accutane to fully accomplish its purpose which is to hinder oil production. I guess it comes down to your own decision, do you want to have a happy medium with acne, or be rid of the acne and put up with the dry skin.

Anyway, all the best with your findings!

Edited by Crimsonman

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I was done with accutane a year and half ago. My derm said to continue with the 3 a week since it completely cleared me up. When I quit like everyone else acne came back.

Then i did vitamin A for year 5000 iu but i started to feel like i was getting symptoms of overdose so i quit. Then I took low dose b5 for a few months but could not even tolerate it, my stomach hurt and i became quite fatigued.

That leaves my original problem the topicals just really dry out my skin, and then after a few hours my skin gets so oily. I dont know how to regulate. I know how good my skin can look, and how it can look normal with healthy oil production.

Using topicals its just dryness for 4 hours, then excessive oil production starts, repeat.

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Guest Crimsonman
I was done with accutane a year and half ago. My derm said to continue with the 3 a week since it completely cleared me up. When I quit like everyone else acne came back.

Then i did vitamin A for year 5000 iu but i started to feel like i was getting symptoms of overdose so i quit. Then I took low dose b5 for a few months but could not even tolerate it, my stomach hurt and i became quite fatigued.

That leaves my original problem the topicals just really dry out my skin, and then after a few hours my skin gets so oily. I dont know how to regulate. I know how good my skin can look, and how it can look normal with healthy oil production.

Using topicals its just dryness for 4 hours, then excessive oil production starts, repeat.

Well, you know what your problem is. Topical gel's aren't going to control your oil levels, at least not for the whole day. The only way to regulate your skins oil production in my opinion is living a healthy lifestyle, but even then there's stress, hormones etc... its possible but definitely not solvable with just using topicals, in my opinion anyway. That being said, I am no specialist, I would take your written history and a list of the goals you would like to achieve in terms of your skin and your dermatologist will help you.

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Personally, I find that if I have irritated dry skin from my topical medications or overexfoliated, it tends to get much more oily than normal skin. From the pale, unhealthy description you gave it could be that your skin is extremely dry and causing thus causing irritation. Do you use any moisturizer? Maybe try using a light moisturizer after you used the SA/BP wash and see what happens with your skin for a couple of days?

Just a thought.

Edited by Telomere

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Personally, I find that if I have irritated dry skin from my topical medications or overexfoliated, it tends to get much more oily than normal skin. From the pale, unhealthy description you gave it could be that your skin is extremely dry and causing thus causing irritation. Do you use any moisturizer? Maybe try using a light moisturizer after you used the SA/BP wash and see what happens with your skin for a couple of days?

Just a thought.

Well its dry pale for 4 hours and then overly greasy as the oil comes back. So half the day my skin is producing way to much oil. I tried to tone down washing it less and I broke out the worst i have in ages.

I have tried many different moisturizers, they make my skin breakout and honestly make my face feel disgusting. I tried a couple a few months ago cetaphil and aveeno, and the same results, my skin felt very oily after and even worse. Its just theirs no in between, i go from dry, to very oily during the day.

My face is not dry in that their is flaking, it just looks pale for awhile after i wash, and then 4 hours later oily spots and increased oil production causing redness. Its not irritation from products, its irritation from oil buildup, my skin will feel oily later and small oily red spots start forming.

Regarding my goals and working with my derm, i have 1 derm where i live, on ratemymd i believe he has a 1.8 out of 5 with comments specifically stating he does not care about patients interests, is very rude and difficult to talk to. To work with a new derm would require 2-3 hour long trips. I also feel i have done the research all these years and know whats out their, and considering that i have been on almost everything, i know what im dealing with, and a derm can only offer suggestions i have already tried or researched. I also took doxy for a few months, worked great as well! However I did not feel safe taking it much over a few months.

In all honesty i have been battling acne badly for 12 years now, i have had relief for about 6 of those years, all those years of relief were in pill forms, and now im back to where i was as a teenager with topicals, i dont know what else to try. Retin-a maybe? I am thinking about it.

Other then that I really think im screwed. I will have to live life with dry skin and then oily, and repeating. I dont really have acne right now but i am not happy with my skin. As mentioned its pale after washing and then very oily later in the day. It never looks healthy anymore. The great thing about pills was i could regulate my dosage and it would regulate my oil production so my skin looked great, clear, but not overly dry. With topicals you cant, you just apply it, and it does not regulate my bodies oil production.

I dont think theirs anything out there that can safely regulate my bodies oil production long term. Unless there is something I am not thinking of?

Edited by Onetwo

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