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AmericanOrange

Help! Must make difficult decision! (Accutane)

I've been told by 3 doctors that accutane is an option for me. I DO NOT have what would be considered Serious condition... i get 1-2 cysts/pustules every 2 weeks or so, which I have injected w/ cortisone.

However, I really DO NOT want to be on antibiotics for several years.. they're not exactly the best thing for your body either. (in fact, some say several years of antis are more dangerious than accutane)

but anyways, I'm trying to weigh my options here at the last minuet..i just gave blood today to get the prescription..

Anibiotics/Creams for potentially years or 5 months of nastiness w/ risks of long-term side FX??? Its a terrible choice. I'm also worried that I'll have the "initial breakout" and I'll lose all the progress I"ve made in the last 7 months of minocycline and retin-a.

Please some advice! By the way, i'd prefer people didn't try to scare me out of something one way or the other.. :)

thanks

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accutane works wonders. i didn't have severe acne either but nothing else worked for me. basically you have to look at it like this.......can you deal with the acne that you have using retin-a and minocycline or do you want a semi permanent fix.

once you stop taking accutane your acne will more than likely come back, probably not right away but within 3 to 4 months after taking it. than you might be in the same boat that you are in now.

minocycline is not something you can take for a long period of time either, your body starts to become immune to it and it's effects where off.

yes you do get the initial break out and yes for the first few months your face does become exteremly flaky and everytime you try and pop a zit you end up peeling skin off of your face but at the end of your treatment your face will be (hopefully) clear.

i have not come across one person who has taken accutane that has regretted it.

how was your acne before you started taking minocycline? if it wasn't that bad and you don't obsess over it than i would not do the accutane and try and find vitamins and such that help minimize the problem. but if you are like me and obsess over it than i would definetly take the accutane, you will be happy that you did in 5 months.

but you do need to remember that your acne WILL come back, maybe not as bad as it was but eventually you will be dealing with it again. so do you go for the short term fix or stick with the long term/not going to be completely clear/ treatment?

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i reccomend accutane. Even if you do get an initial breakout you wont be losing all the progress you gained because they will fade and soon you will never get a pimple which is 100% success.

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Acctuane carries a chance of curing you forever. For a lot of people, acne does come back but for some, it stays dead.

I was scared by its side effects but so far (almost 3 weeks into my treatment), I haven't seen any of the serious side effects. Remember, about 5 million people a year take accutane. I think most likely, the people we hear of whom acctuane did not work for are part of a vocal minority, though I could be wrong.

I was on various antiobitics for around 3-4 years and when I took my first blood test required for accutane, I failed because my liver counts were elevated. About a month or so later, they went back to normal and I've been told that most likely, the damage to my liver was from the long term use of antibiotics. According to my derm, this is a pretty rare thing to have happen, but I'm just pointing out the fact that long term antibiotics could be just as bad for your liver.

Whatever your choice, good luck on the fight with acne. It's one tough mother. [-X

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i think so many people get scared about accutane because of hearing about how it causes suicide in the news/media. about a year ago some kid flew a plain into a bank building in tampa florida (local to me) and because he was taking accutane they assumed that the acne medicine was to blame for his suicide.

yes there are a lot of side affects and yes getting your blood tested every month or so is a pain but look at all of the other life saving drugs that people take everyday that carry the same, if not similar side affects?

laboratories, unfortunately, can't make a drug these days that does NOT have side affects. heck, even viagra has similar affects, but people still pop those things like candy!

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you dont have to have super severe acne to take accutane. a girl my mom works with has real mild acne and she is on accutane. i also have not heard anyone say...accutane had ZERO affect on my pimples. I think accuatne is the one drug that for 90% of the people, works wonders and for 10% still works, just not 100% clear.

edit: also, with that kid flying the plane into the buidling. They can never be certain the accutane actually caused him to just snap. No one reallys knows why anyone commits suicide most of the time. For all we know, he was on accutane for 2 weeks...didnt see immediate results....was already depressed about his severe acne...and decided to do it.

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do you guys think that, you get clear for say 4 months, or say eben a year, and by that time you will have outgrown you acne? (like, it was just a fix to get you through the teen acne?) or, does accutane predispose you to the adult acne that comes back after teenagerhood? or, were these people whose face went back to pimply after taking accutane gonna get recurring/adult acne anyway?

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Sorry, but Accutane DOES cause some people to have severe psychological issues. Even the manufacturer of the drug has admitted as much. Also, you have to be doubly sure that you do not become pregnant before going on this drug as it can cause some of the most severe birth defects that you can imagine. Furthermore, Accutane is very dangerous for the liver. Why do you think you need to have your blood/liver readings done prior to going on the drug? Finally, Accutane can cause devastating side effects such as hair loss. Go out on the web and read the information for yourself before you make a decision. If I had severe acne - the type that causes lifelong scarring, then I would take the drug. Otherwise, I'd try other stuff. I had horrific acne as a teenager & I also suffer from adult acne. So, I do know what you are going through. Have you even tried Dan's regimen?

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sorry i cant help u but i am in the exact boat u are in. i think i am going to just go for it though. good luck !!!!

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Sorry, but Accutane DOES cause some people to have severe psychological issues.  Even the manufacturer of the drug has admitted as much.

This has never been proven and when studies of a suicide case have been examined there has been no link to accutane other than they were taking it at the time. There are many reasons people commit suicide and it has nothing to do with the pill. The only reason the manufacturer "admits" it is because they were forced to by court decision but they still do not believe it. Personally I think that because Accutane is sold as a last resort to acne, if it doesn't work acne sufferers lose all hope. There has to be other contributing factors to suicide, a happy teenager with good parents and lots of money won't kill himself (but we all know very few of these people exist). So don't use a pill as a scapegoat.

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This has never been proven and when studies of a suicide case have been examined there has been no link to accutane other than they were taking it at the time. There are many reasons people commit suicide and it has nothing to do with the pill. The only reason the manufacturer "admits" it is because they were forced to by court decision but they still do not believe it. Personally I think that because Accutane is sold as a last resort to acne, if it doesn't work acne sufferers lose all hope. There has to be other contributing factors to suicide, a happy teenager with good parents and lots of money won't kill himself (but we all know very few of these people exist). So don't use a pill as a scapegoat.

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Sorry, but Accutane DOES cause some people to have severe psychological issues.  Even the manufacturer of the drug has admitted as much.  Also, you have to be doubly sure that you do not become pregnant before going on this drug as it can cause some of the most severe birth defects that you can imagine.  Furthermore, Accutane is very dangerous for the liver.  Why do you think you need to have your blood/liver readings done prior to going on the drug?   Finally, Accutane can cause devastating side effects such as hair loss.  Go out on the web and read the information for yourself before you make a decision.  If I had severe acne - the type that causes lifelong scarring, then I would take the drug.  Otherwise, I'd try other stuff.  I had horrific acne as a teenager & I also suffer from adult acne.  So, I do know what you are going through.  Have you even tried Dan's regimen?

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my acne isnt bad to the point where i'd take accutane, its just not worth it, and im way to scared to take it, i already have somewhat of an anxiety disorder, i dont do drugs or drink(not even socially) cause as soon as i get high or buzzed or a little dizzy i get panic attacks, i guess cause i had a virus in my nervous system at one point in my life and it really scared the shit out of me, and i promised my self that im never gonna do anything that could possibly make me sick again, my advice to you is talk to your family about it, look your self in the mirror and ask ur self if u really need it , and if its worth the side effects, to me personaly its not worth it,maybe cause i dont have it as bad as some people, good luck

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I was on Accutane for 4 weeks then I stopped myself because I was worried about dry eyes (yep, my vision is bad so I much prefer contacts, and yes I did not tell my Derm about me stopping but I will tell him that I will not take it again). It has been 5 days since I took the last pill and now my face looks the best compare to any time during that 4 weeks and I have been following Dan's Regime closely.

I hope my current condition can last long because I don't know how long the 4 weeks Accutane effect can last. Hehehe.....

I will probably write my story in more detail after a few more weeks, now I just need the time.

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Take accutane. You will get dry lips, dry skin, maybe sensitive gums, etc, but you will end up with beautiful, clear skin that will last. Many people have a recurrence of acne (including me) but your skin will never be as bad as it is right now ever again. Many people never have a skin difficulty for the rest of their lives. If the side effects were that horrible and conclusive, they would not offer it as a drug in the U.S. (Additionally, the proven birth defects that result from ingestion during pregnancy are horrific and therefore require close monitering when women take the drug). For purposes of liability, they must disclose all possible or alleged effects of the drug. Don't be scared away from a very likely solution to your skin problem.

The chapped lips and dry skin is a pain. It really is. But it goes away. And it is definately worth it.

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Anibiotics/Creams for potentially years or 5 months of nastiness w/ risks of long-term side FX???  Its a terrible choice.  I'm also worried that I'll have the "initial breakout" and I'll lose all the progress I"ve made in the last 7 months of minocycline and retin-a.

Look, dude, I'm on Accutane for about 3 months now and before then, I had been on topical retinoids and antibiotics, too and these took quite good care of my acne. I'm sure that only to retinoids I owe not having the so-called initial break-out.

Because, in my opinion, if your pores (pillosebacious canals) are quite well taken care of beforhand - I mean are unclogged - there's no much "dirt" (chiefly dead skin cells and infected sebum) to come out on Accutane as comedones or similar skin changes.

So if you reduced your acne with retinoids (not antibiotics solely), you might expect that you will not have any initial worsening of acne, or you'll experience it only as a minor inconvenience.

Just so as I did not (OK, I had very few pimples in the 1st month of treatment, mainly cysts, and rather in the places where I hardly ever had acne [e.g. under my ears ;-))] )

My advice is: follow your dermatologist's advice - their knowlegde and experience surpasses ours and they should be listened to.

Don't be scared of accutane - it's just another drug; OK, I'd consent that it's the MOST POWERFUL drug for ance.

I'd say it's even better for my digestive system than the "antis" - on them I was often suffering with diarrhoea and other strange gastrointestinal symptoms.

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I can second the topical retnoids thing. I was on Differin before Accutane, and I continued to use Differin for the whole first month of my treatment. I recived no inital breakout.

Also Don't partake in any activity where you could possibly become injured such as contact sports. I was in a minor motorcycle accident during the first month of my treatment. My only injuries were sore shoulder and I jammed fingers. I've been really sore ever since. My body just doesn't heal as fast as it used too. I used to play contact sports and I knew these injuries weren't bad, but the accutane seemed to have hindered the healing in those areas.

I dunno where the depression thing stems from medically, but ever since I started accutane I've been feeling less and less depressed.

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You know what it has not been proven whether accutane causes depression, anxiety or any other stuff like that. But there is a reason you sign that disclaimer. This drug is very powerfull. Anyone who takes it should be on the lookout for side affects. Although it only affects a fraction of the people who take it.

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I was on Accutane for 4 weeks then I stopped myself because I was worried about dry eyes (yep, my vision is bad so I much prefer contacts, and yes I did not tell my Derm about me stopping but I will tell him that I will not take it again). It has been 5 days since I took the last pill and now my face looks the best compare to any time during that 4 weeks and I have been following Dan's Regime closely.  

I hope my current condition can last long because I don't know how long the 4 weeks Accutane effect can last. Hehehe.....

I will probably write my story in more detail after a few more weeks, now I just need the time.

Just as a follow-up, I am completely clear now. In the last 15 days or so I got only 2 pimples and each one took like 3-4 days of BP to be cured.

My secret is try not touching face at all during a day (yes, even if there is a itching spot, unless it's that bad I will try touch it with my finger, NEVER do with finger nail), and at night I tried to sleep on my back and when if I decide to sleep on side I try not to have bury my face in the pillow.

And I have always been telling myself: "My face is for people to look, not for me to touch."

Also I would like to add that my forehand and nose are pretty oily during the day espeically after I apply Neutrogena multi-vitamin lotion which sort of like adding a thin layer of extra oil on my skin, but in the last 2 weeks not a single pimple grew in those regions.

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[quote name="seiyafan

Just as a follow-up' date=' I am completely clear now. In the last 15 days or so I got only 2 pimples and each one took like 3-4 days of BP to be cured.

My secret is try not touching face at all during a day (yes, even if there is a itching spot, unless it's that bad I will try touch it with my finger, NEVER do with finger nail), and at night I tried to sleep on my back and when if I decide to sleep on side I try not to have bury my face in the pillow.

And I have always been telling myself: "My face is for people to look, not for me to touch."

Also I would like to add that my forehand and nose are pretty oily during the day espeically after I apply Neutrogena multi-vitamin lotion which sort of like adding a thin layer of extra oil on my skin, but in the last 2 weeks not a single pimple grew in those regions.

-- how can you NOT let people touch your face? Im not trying to sound rude or anything, but how can you live being afraid of someone touching your face, or sleeping on your stomach/side, and having to use BP for a couple days to clear up your acne. I know this is too late, but you should've just stuck with the accutane, even though it may have been worse at first because once your treatment was completed you wouldn't have to worry about these things (at least I hope).

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-- how can you NOT let people touch your face? Im not trying to sound rude or anything, but how can you live being afraid of someone touching your face, or sleeping on your stomach/side, and having to use BP for a couple days to clear up your acne. I know this is too late, but you should've just stuck with the accutane, even though it may have been worse at first because once your treatment was completed you wouldn't have to worry about these things (at least I hope).

1. I don't have a girlfriend yet, and my parents don't touch my face. And I am not French, I don't kiss other males or allow them to touch me.

2. Have that said, I think you misunderstood my point. Before I had the habit of scratch my face with my finger nails while I read and study (college isn't easy so when I concentrate TOO much I tend to do things like biting finger nails and others unintentionally) . Now that I have realized, I want to change those bad habits.

3. The last thing I want to say is that the end justifies the means. I can't remember exactly when I was clear for two weeks straight the last time but it certainly isn't after I have gone to college. Well, I am still monitoring my face so I will post again when school starts again, which will be 20 days from today. As a college student I have to desire to be an entrepreneur in the future so I believe nothing ventured nothing gained. Heh, it may sound stupid and yes I did take a risk on quitting Accutane on my own. But again, nothing ventured nothing gained. And hope luck is still with me. Heh.

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