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Tmac01

Roaccutane VS. Acne

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Thanks for the updates Tmac. I came in here looking for info on low dose accutane treatments. About four years ago I was on Accutane for about 11 months. First 6 months at 40 then 1 month at 80 then 4 back at 40mgs per day. Talk about a rollercoaster. It was the worst time in life and then the best. I don't wanna scare you but for six months my face was an absolute mess and so were my joints and skin and hair and everything else. I had never gotten acne scars until accutane. Then it all cleared up and I had about 5 months of no acne. Unfortunately, about a month after I got off accutane my acne started up. I was too afraid to go back on accutane, which I regret now. Now 4 years later, I think accutane is my only route again. If you do need a second course later, I suggest getting it instead of waiting for years.

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Thanks for the updates Tmac. I came in here looking for info on low dose accutane treatments. About four years ago I was on Accutane for about 11 months. First 6 months at 40 then 1 month at 80 then 4 back at 40mgs per day. Talk about a rollercoaster. It was the worst time in life and then the best. I don't wanna scare you but for six months my face was an absolute mess and so were my joints and skin and hair and everything else. I had never gotten acne scars until accutane. Then it all cleared up and I had about 5 months of no acne. Unfortunately, about a month after I got off accutane my acne started up. I was too afraid to go back on accutane, which I regret now. Now 4 years later, I think accutane is my only route again. If you do need a second course later, I suggest getting it instead of waiting for years.

:shock: ahh dude dont scare me like that lol

tell me would you classify your acne as mild/moderate/severe? wow 11 mths is a long time...i dont wanna be on it for that long...i think my doc has plans for the 5-7mth period...so how long until you got results? Did you begin any topical treatments after your course ended? also were these side effects existence throughout your entire treatment, did they increase/decrease in severity? sorry about the question overload haha i could sit here and right many more believe me but ill leave it at that..thanks for your reply :)

ye i started on 20 and everything was going fine...now on 40 everything is not. I also feel really tired in the mornings, which results in me sleeping in a lot and my stamina is out the window too....went gym last night and was nearly passing out after only 45mins...usually im in there for 1 and a quarter/half hrs with no problems...im going to have a good chat with my doc next appoitnment, see if its possible to stay on 20mg throughout the course and just stay on for longer...:think: is that possible or will that not provide the same benfits in the long run?

:hand:

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Hey Tmac, thanks for the update man...i wouldnt worry about your skin....its looking pretty good for the stage you are at in the treatment. It tough but keep on keeping on. That really sucks about your knee dude, injurys are a bitch....i think the further down the treatment you get the better you become to handle things. I am still on 80mg a day and am pushing better than i was when i was on 40 and 60 in my first two months. Hang in....im at 3 months next weeks. Its amazong how quickly things go when u havr stuff to keep you occupied. And remember...DONT PICK! the couple of spots that i did early on are now by far my worst red marks out!

Catch u up soon

Ralphed forgot to ask you how your progress is coming along...seeing as your nearing the 3mth mark, my doc told me to expect dramatic results around this time..so are you clear or nearly there? i hope your right about being able to handle the side effects better further down the track

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Hey dude....dramatic results?? well im hoping that i exoprience these over the next few weeks but yeah i feel like im turning the corner slowly..but not really sure if the wheels are on tight if you know what i mean! Like things are starting to clear up and i havent had any new breakouts on my face for about 2 weeks now, which is nice, but am still worried about a relapse of course. I guess i have just kind of got used to breaking out all the time that it becomes a habit! My neck/jawline just below my ear was always my worst spot and that has taken the longest to clear and am still breaking out there a little bit. But got my first compliment yesterday about my skin looking much better. Which was sweet!

I have actaully just lowered my dose today to 60mg as i am heading over to canada (from NZ) next week so i think the side effects will be much worse..eek dry lips are a bitch! but should be all g.....

And dont worry man...once you really establish a routine that works for you, side effects (including the soreness in joints) will subside.

Hows your knee feeling man? getting any better? I highly recommend some after training pool sessions. This is great for helping with sore muscles and joints as it is extremely low contact!

Ill be in touch

Josh

Oh yeah and also in response to your Vit E question....it is very good for relieving the side effects on the skin while on accutane i.e. dry lips and dry skin and helps skin turnover.

Dont know much about the flax seed oil but from what ive read it does help lubricate joints and esae the recovery pain??

But dont quote me on that....i was using Vit E for a while, 600IU a day and now have finished the bottle i was using about a week ago and havent noticed anything....so i would stress about it too much

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I am suprised that you started out on such a low dose. I believe that you should talk to your doc and request that you be pushed up to 80 mg/ day. At 185 lbs, your body can take it. You will not get the results you desire on that "sissy" dose... unless you are on Accutane for 12 months, which is obsurd.

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Hows your knee feeling man? getting any better? I highly recommend some after training pool sessions. This is great for helping with sore muscles and joints as it is extremely low contact!

Ill be in touch

Josh

dude my knee is f#@ked up :doh: ...woke up this morning in even more pain and ive been staying off it, havent done any running of any sort on it just been walking around the house...maybe i slept on it funny...anyway got some glucosamine so hope it helps in the long run...ye was thinking about starting swimming regularly to keep up my stamina but swimming gets so boring alone..wont be able to keep it up for long..we'll see :hand:

I am suprised that you started out on such a low dose. I believe that you should talk to your doc and request that you be pushed up to 80 mg/ day. At 185 lbs, your body can take it. You will not get the results you desire on that "sissy" dose... unless you are on Accutane for 12 months, which is obsurd.

ye well my doc wanted to see how i responded to it, the idea is to slowly introduce the tane to my system to avoid severe side effects...i told him i play a lot of sports and joint issues was one of our main concerns going into the treatment...my doc actually told me that it doesnt matter what dosage your on you should expect the acne to improve after 3mths...besides for my knee aching at the moment, for no reason other than from the tane, the rest of my side effects are insignificant for the moment...ye i get dry lips and my skin is slightly dry after a shower but nothing i cant deal with...ill see how my body responds over the next 2 weeks until next appointment and if all is good we might go up to 60...

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i feel like shit today :wall: ...again feeling tired and run down as usual but on top of that also feeling slightly depressed i would say and have these feelings of rage, like im about to snap at any minute :wacko::evil: , did only get about 6-7 hrs sleeps last night so that might explain a few things

heres a strange incident that occurred earlier:

last night i took apart my blender to clean it...then this morning i put it back together to use and the thing started leaking...anyway after about 20mins of fiddling with it to fix the leak i finally manage to do so...then i try using it and the damn thing wouldnt even spin...turns out the motor in it is stuffed...so in the end i smashed the thing to pieces on the floor to let out some frustration and anger, and it felt good too :cool: ...was weird getting so worked up over a blender, i mean i love my shakes and all but not that much...i was getting all emotional about it at the time, lol! I laugh about it now but at the time i was seriously pissed...mood swings perhaps? All i know is that normally i wouldnt get so worked up over such a small thing so i do believe this drug is messing with my head abit

all in all acne is main reason for my depressed state and tane just compounds the problem, oh and my knee still hurts, slightly better but the pain is still bad enough to keep me out of action :(

:hand:

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Dude im really feeling for you over the knee.....that blows soo bad...maybe go get some physio on campus or something...that may help allieviate some of the pains your getting....but if that doesnt work...then check out a specialist...even on accutane you should return to normal within a few days of restin the knee....so if its still sore i would go get it checked out for sure...

Mood swings and short temper?? that to me is the MAIN side effects, other than chapped lips...but yeah i was finding myself getting pissed and short with things/people over basically nothing....i heard a lot of people on here get that so i wouldnt fret over it thats fore sure....does suck you gotta pay up for new blender tho...ouch

I know your at about 1month 1 week or so....so you right in the thick of it now... there is no point turning back (not that you sound like the type who would!), so while the next month or so will more than likely be crap( sorry to be realistic)...try to think that by just after the christmas/new years period you should be starting to see some small improvements, and then it can only get better after that....stay postive man....where you are at right now is the worst time at all!

ps...i am off to canada on friday from New Zealand and have tickets to see the raptors play the rockets...hopefully Tmac himself will be back on the court!

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Dude im really feeling for you over the knee.....that blows soo bad...maybe go get some physio on campus or something...that may help allieviate some of the pains your getting....but if that doesnt work...then check out a specialist...even on accutane you should return to normal within a few days of restin the knee....so if its still sore i would go get it checked out for sure...

Mood swings and short temper?? that to me is the MAIN side effects, other than chapped lips...but yeah i was finding myself getting pissed and short with things/people over basically nothing....i heard a lot of people on here get that so i wouldnt fret over it thats fore sure....does suck you gotta pay up for new blender tho...ouch

I know your at about 1month 1 week or so....so you right in the thick of it now... there is no point turning back (not that you sound like the type who would!), so while the next month or so will more than likely be crap( sorry to be realistic)...try to think that by just after the christmas/new years period you should be starting to see some small improvements, and then it can only get better after that....stay postive man....where you are at right now is the worst time at all!

ps...i am off to canada on friday from New Zealand and have tickets to see the raptors play the rockets...hopefully Tmac himself will be back on the court!

ye im gonna stick it out for sure...would have been nice to be clear for the new year celebrations but thats a unrealistic dream...man thats awesome that u get to see an NBA game live...especially watching Tmac...did u get good tickets?..those stadiums are so huge u might need some binoculars lol...last i read Tmac's back is fine so he should be on display...anyways thanks for the positive support and enjoy your trip!!

:hand:

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ok where we at....ahh yes WEEK 7!!!

acne update..well i did have another breakout, although milder, over the past week, things seem to be calming down abit and old acne is taking ages to heal...skin feels to be smoothing out abit more and isnt so lumpy as i run my finger over it, compared to a week or 2 ago. Side effects are mild, still have dry lips, but my skin is no where near as dry yet not oily either. No blood nose, one or 2 headaches nothing serious. My knee is better but that pain is still lurking and is clearly evident when i apply pressure to the area...i also notice that both knees are getting weaker and my agility seems to be out the window, basically without good agility my chances of playing competively this season are 0 :( ... it pisses me off that i have to take a back seat just because of acne and knowing that all the hard work over the last 2mths has been snatched away from me over the past 3 weeks is really disheartening...my motivation is still there but my energy and ability is lagging far behind

just had my derm appointment yesterday...good news is blood tests are fine, bad news is that he wants to keep me on 40mg/day! I told him about my knee, which by the way is getting alot better, and he thinks its best if i stay on 40 until my body has completely adjusted to the drug and all signs of side effects, particularly joint issues, have subsided. He said i could go up to 60mg when i my knee and energy levels felt normal again...which could be a while. Thing is doc did not give me another perscription so i only have ~160 pills left til my next appointment, which is in 8 weeks. So im going to stay on 40 for another 3-4 weeks then go up to 60 for the rest...doc said to expect side effect to re-appear when i up my dosage, which means my knees problems will probably rearise. Plus side is that staying on 40mg should allow my skin to settle and begin to clear, doc said things will start to calm down over the next few weeks, which i hope will leave me looking decent for the new year celebrations :dance:

I asked him why some people start on 80mg/day and im still on 40mg and he told me that when he first started dermatology that is how things were done...1mg/kg was perscribed, but from his experience this apparently has no greater benefit other than completing the course earlier. He reckons those who begin on this dosage set themselves up for a hectic first 2-3mths, with severe breakouts etc. He said its a cost/benefit issue, either you finish the course 2mths earlier and experience the real nasty side of the drug or you stay on longer and do less damage to your body and encounter less severe side effects. I forgot to ask if a higher dosage translates into to a greater chance of your acne not returning in the future...im interested to know this...does anyone know?

so summary: things are on the up and up...its been 4 weeks on 40mg/day and i think my body is starting to adapt, skin is beginning to improve after the nasty breakouts ive experienced lately, slowly but surely, staying on 40mg/day for at least another 3wks.

:hand:

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WEEK 8!!

nearly 2mths in and some might say im right in the thick of things, and i feel it too...always feel tired, rundown, just waiting for things to turn the corner, still yet to see any real improvement in my acne, and it still seems to be recovering from the breakouts ive had of late

still have quite a few bumps on my problem areas that seem to be hanging around under the skin, basically still look like crap, lips are still dry and the corner of my mouth has been cut for like a month now..it wont heal, seems to split back open every morning cos my lips are so dry, the joints (mainly my knees) are still weak and im unable to run on it for long periods, my right knee is feeling a lot better than it did 2wks ago, but the pain is still there, also ive noticed my left knee joint becoming sore too lately, weather has been nice downunder but ive been avoiding the sun, when i do go in it for abit i really feel it burning me so i try stay away, i got one of them cowboy sunhats to cover my whole face and neck, looks stupid on, like Raiden from Mortal Kombat :rolleyes: ,but gotta do what i gotta do..skin is definately a lot more sensitive lately

hope things start to improve soon, things are starting to calm down more now but my acne is so unpredictable on tane who knows what could happen over the next few weeks, im afraid to up my dose in the new year to 60mg/day but will do it anyway, ..plan on updating with a pic next week after Christmas so hopefully some noticable change to talk about then, so until then....

Merry Christmas all!!!! ho-ho-ho :pray: Santa please bring me clear skin, please!?! :pray:

:hand:

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Day 66 (Week 10)

i think ive gone as far as i can on 40mg/day...time to up to 60, plan on doing so in the new year. Acne doesnt seem to be getting much better and is kinda stuck atm, couple of actives and a few drying out atm, small breakouts at least once a week seem to be the norm...overall still not confident in my appearance, got this little party to go to for NYE 2moro with some friends and a bunch of girls but i dont feel comfortable around women so ill be steering clear of them, who knows maybe the alcohol will be a confidence booster...last weekend me and a couple of friends were hanging out with these girls and one of them was into my, but i was too self-consciuos to try and get into her (if u know wat i mean :D ), i just kinda steered clear of her and avoided any face to face confrontation...damn u acne :wall: ... she was hot too, picture 5'10", russian blonde, nice olive skin, blue/grey/green eyes, body to die for, prancing around in a singlet and tiny (almost illegal) shorts... :shock::clap::clap::clap::dance: , haha i sound obsessed, but man her eyes really hooked me, very unique. Anyways she should be there 2moro so ill let everyone know how it goes.

Can't update pics for a while, let a friend borrow my camera cos she goin overseas to the US for 3 weeks...will do so when she gets back

Side effects: atm are very minimal

- lips still drying out every 2nd day, although no other areas experiencing any dryness, oh exceptinside of nose, annoying

- knee joints feeling a lot better, been playin more ball lately

- stamina seems to be back at a reasonable level, back to 2hr sessions in the gym np

- slow healing

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Hey, good log keep us updated. Im on 40mg and havnt seen too much improvement of yet, hopefully I should be uping my dose at the end of January which will be my week 10. My acne is pretty much like yours so yeah, good luck m8!

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How did it go with the girl!

nice log, keep us updated :) Big improvements should be coming your way now!

good luck :)

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DAY 73 (WEEK 11)

hey ppls...thanks for the kind words, good to know someone is reading my log...g'luck to you all!

as for me well not much has changed really, been on 60mg/day since the new year began and i have broken out a bit along my jawline already...i just remembered my derm told me to take 20mg in the morning and the other 40 at night..instead i've been taking all 60 at night, im guessing this is a dangerous thing to do? ill start properly 2moro...no reall change in side effects just yet, although i do feel the joint pains in my knees coming back... im sure over the next week or 2 the side effects will start rolling in...overall my acne is much better than it was when i began my course so i guess thats a goods sign, but still not at the point where i feel comfortable in public... once i get over this breakout from increasing my dosage im hoping to start seeing drastic improvements seeing as im fast approaching that 3mth mark

Side effects:

- dry lips and inner nose

- mild-moderate joint pains

- drowsiness, laziness

...oh ye Styler NYE was wild man!!...unfortunately the russian beauty was unable to attend cos she had a little argument with her other friends that were also coming...anyways i made the most of it and lets just say it was one wild night!! seriously i dont think it would be appropriate to mention some of the things that went on that night ..was basically one big orgy ;) ..man all we needed was a camera and we could have made a x-rated film..."Aussie F#@K Fest" we would have called it :D:D

until next time

:hand:

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ahh man this breakout from upping my dosage is starting to hit me harder...however they are drying up quite quickly

did some work on my legs the other day and the dday after felt it in my knee joints, they tend to start aching when i keep them bent for long periods (like sitting on the computer too long)..havent been playing much sport so not sure how theyre goin to react when i start up again

some more stress coming my way as i have to sit a supplemenatry exam in another 2 weeks or so..lets see how my skin handles it . . .

:hand:

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im back!!! been offline for 3 weeks, seems like longer, took a while to find my log and from the looks of things it doesnt look like i was greatly missed :eh:

heaps of progress over the past few weeks to talk about but too tired now to go into detail..will post some pics 2moro with latest news...stay tuned

:hand:

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Upload some new pics hehe. I want to go up to 60mg after 3months of been on 40mg, but uve had a bit of a bad breakout?

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