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Marky241

Accutane...for the 3rd time...at 31...

Hey everyone!

I picked up my Rx for accutane today...this will be my third time on it. The first two times were 8 years ago when I was 22/23 years old. Now, at 31, we're giving it another try.

The first two trials helped tremendously, but over the last 3 years my skin began to take a turn on me.

My regimine of Tetracycline/Differen just wasn't working anymore. My Dermo even tried Doxy/Tazorac...but that didn't seem to help either. Now it's 70mg of Accutane twice a day.

I remember (quite vividly) the side effects of dry skin, dry lips, dry mouth, and the peeling of the inside my nose. Luckily, none of the serious side effects...

So, this time around I plan on keeping a journal to document my experience!

If anyone has any tips on good moisturizers for the face (I have OILY skin...so lotion is not something I usually need to purchase) and a good lip moisturizer (I hate shine...and HATE Chapstick!!) please let me know. Also, I read eating salmon and avacodos regularly help with the dry skin due to their high, heart healthy fat content. Is this true???

Thanks!!!

mark

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You are right about the salmon & avocados. You can also take an Essential Fatty Acid (EFA) supplement daily. EFAs reinforce your skin's lipid barrier and help guard against dehydration. I highly recommend 'em!

I have seen Aquaphor recommended for the lips. You might want to scout the Accutane regimen logs to see what moisturizers other users like.

Q

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**Week One Status Report**

Okay..Week One has been completed!

As of today I am 3 days into dry skin and lips, the inside of my nose is drying up like it's no one's business and my face is beginning to break out. How nice...

To combat the dry skin I have begun using Curel's Ultra Healing 24 Hour Moisturizing Lotion w/ extra strength skin hydrators...and for the dry lips Blistex's Lip Infusion. The Curel is working GREAT so far and requires few reapplications, which is nice because I hate the feeling of "caked on" lotion.

The Blistex does provide a sheen (yikes!!!) at first, but once it's absorbed into my lips they stay pretty comfortable.

The break out I am experiencing is much different than before...this time I am breaking out in smaller zits that seem to turn into whiteheads rather quickly. My skin is also pretty red...but that is probably razor irritation...

I am committed to drinking 8-8oz. glasses of H2O per day (which is a challenge), I purchased some avacados (which I LOVE), and I am going to consume more salmon (I already ate that 3 days a week anyway).

Will keep everyone posted after Week Two!!! :cool:

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**Week One Status Report**

Okay..Week One has been completed!

As of today I am 3 days into dry skin and lips, the inside of my nose is drying up like it's no one's business and my face is beginning to break out. How nice...

To combat the dry skin I have begun using Curel's Ultra Healing 24 Hour Moisturizing Lotion w/ extra strength skin hydrators...and for the dry lips Blistex's Lip Infusion. The Curel is working GREAT so far and requires few reapplications, which is nice because I hate the feeling of "caked on" lotion.

The Blistex does provide a sheen (yikes!!!) at first, but once it's absorbed into my lips they stay pretty comfortable.

The break out I am experiencing is much different than before...this time I am breaking out in smaller zits that seem to turn into whiteheads rather quickly. My skin is also pretty red...but that is probably razor irritation...

I am committed to drinking 8-8oz. glasses of H2O per day (which is a challenge), I purchased some avacados (which I LOVE), and I am going to consume more salmon (I already ate that 3 days a week anyway).

Will keep everyone posted after Week Two!!! :cool:

third times the charm right? good luck

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Hey Mark,

I'm a 35yr old male going on my first week of accutane. This is round one for me. Don't know why I waited so long to try it, nothing else has worked. But I too have very oily skin so I started using Aveeno Moisturizure. They make several diff. kinds, it's the one with the dark green cap. Anyway, I found it to go on "dry" and stay that way for quite a while. I haven't experienced the peeling yet so I can't tell you how well it works yet.

As far as your dosage, wow! I'm only on 40 mg a day! My docs gonna bump it up next month to 80 a day.

Question for you: My doc prescribed accutane to me because she said it will permanently shrink my oil glands. Did you experience this after you finished your other cycles?

Thanks.

slmonkey2

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slmonkey2,

Accutante does shrink your oil glands.

I continued to have oilky skin after I stopped taking it the first two times, but it wasn't nearly as bad as it was before. Prior to Accutane I used to have to wipe the oil off of my face several times a day...my skin just continued to produce it (and it was quite gross).

Now, after Accutane, I only have to wipe my face off once or twice through out the day.

I was quite pleased with the results the first two times I was on it...so I am hoping this third trial will produce a similar experience.

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**Week Two Status Report**

Week Two I went through the dreaded Accutane break out...my nose, the area around my nose, and my cheeks broke out pretty bad. So did the area around my lips a bit.

The break out was mainly smaller zits with a few nice sized one thrown in for good measure. The zits seemed to turn into whiteheads practically over night. The blemishes continued to appear and evolve for about 3-4 days straight.

The worst part of the break out occured over the weekend, where I had to attend a few social functions. Luckily, one was in a bar with very dark lighting. The other was in FULL on flourescent lighting. :lol:

Thankfully, starting into Week Three I am dealing mainly with the post acne marks (purple and red).

All in all...the initial break out was swift and immediate and I'm glad it's over.

:dance:

The Curel has kept the skin dryness pretty much under control and I highly recommend it.

Generally, I still only have to apply it once after showering. Now I am finding I need to apply it to my arms along with my face. My elbows and biceps began to get kind of flaky/scaly.

I have moved passed the Blistex Lip Infusion. As my lips became drier it wasn't doing the trick anymore.

So, courtesy of other's recomendations on the board, I have moved onto Carmex and I love it!

The working out has been going well...no abnormal musce/joint discomfort as of yet.

Talk with you guys soon!

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I found the blistex infusion was great when my lips were dry but now they are chapped and I too love the carmex once you get used to the taste. Good luck!!

A-

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I'm 31 and it looks like I'll be starting on Accutane for the second time in my life on the 13th. I'm on Doxy, Duac topical and Azelex and it's just not cutting it. I totally dread the "breakout" period you go through w/Accutane since so much damage has already been done, ya know. Did you stay on an antibiotic for the first week or two of Accutane to minimize the breakout? I wonder if that's even possible.

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I'm 31 and it looks like I'll be starting on Accutane for the second time in my life on the 13th. I'm on Doxy, Duac topical and Azelex and it's just not cutting it. I totally dread the "breakout" period you go through w/Accutane since so much damage has already been done, ya know. Did you stay on an antibiotic for the first week or two of Accutane to minimize the breakout? I wonder if that's even possible.

No...I ceased taking the antibiotic right away. My dermatologist told me to stop and when I filled my Accutane Rx the pharmacist even told me stop. In the packet of info I received it warned against doing so due the potential of brain swelling.

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Well, that's no good! It's been so long since my first round of Accutane, I've forgotten what to expect. I hope it all goes well for you.

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Has anyone gotten accutane without a prescription? I found a site where you can order it but its a little skeptical.

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I've heard of people doing it, but I don't think it's a good idea. Accutane is a pretty serious medication that is closely moderated by a doctor, with blood work. Why wouldn't you be able to get a prescription?

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Has anyone gotten accutane without a prescription? I found a site where you can order it but its a little skeptical.

I agree with Roseybell...bad idea. Almost all health plans cover Accutante (or one of its generic counterparts).

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**Week Three Status Report - Part 1**

I'll have two parts to this week's report...as my 1st Dr. appointment after being on Accutane is tomorrow.

I went and had my 2nd set of blood work done on Friday...hopefully all goes well with that and I'll get my next refill.

My skin is FLAWLESS! No outbreaks of any kind and no red or purple post acne marks!!! :dance:

It has been this way for about 3 or 4 days now. I have a date tonight...and this will be the first date I've gone on in YEARS where I've had perfect skin. Needless to say I am quite pleased.

One concern I have, which I will address with my Dr. tomorrow, is how quickly my body adapted to the side effects and how quickly the initial break out occurred and went away. Is that a bad thing? As in, does it mean there wasn't much for the drug to do and all of this is only a temporary "fix".

I've always read that the 3rd time on Accutane produces lesser results...

Will let you know what he says tomorrow!

mark

p.s. Curel and Carmex are still my closest friends during all of this.

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Awww, that's so great Marky! Hopefully your doc says do worries about the limited side effects and initial breakout. Maybe it's because you are older now. That's what I'm hoping for as well. I never really thought I'd have to go back on Accutane @ 31. Did you have really bad side effects the first two times? I don't remember mine being that bad when I first went on it @ 17. Hope you date went well :) Where'd you go? I'm in Columbus too!

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Awww, that's so great Marky! Hopefully your doc says do worries about the limited side effects and initial breakout. Maybe it's because you are older now. That's what I'm hoping for as well. I never really thought I'd have to go back on Accutane @ 31. Did you have really bad side effects the first two times? I don't remember mine being that bad when I first went on it @ 17. Hope you date went well :) Where'd you go? I'm in Columbus too!

The first two times I was on it I do remember the initial outbreaks lasting at least 3-4 weeks each. And the dryness was very uncomfortable. But you bring up a good point...now that I'm older my body chemistry has probably changed quite a bit.

LOL...the date is tonight.

We're going to Cup O Joe's...not sure which one yet. ;)

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**Week Three Status Report - Part 2**

I just got back from seeing my Dr...all is well with my blood work and I was given my next Rx.

I also had to go trhough the new iPledge orientation and sign more paperwork. As a guy who clearly cannot get pregnant I find it a major pain in the ass...but I guess they have to keep things fair and consistent.

I asked my Dr. about how fast my body responded to the medicaiton. Basically, I am on double the dose I was back in the day (I remember only 80mg per day...now it's 140mg per day) so he indicated that has a lot to do with it. He stated he is a beleiver in a higher dose for a shorter period of time rather than a lower dose for a longer period. According to him the common side effects are no more severe with a higher dose that with a lower dose...and I can attest to that, I mean dry skin and lips are dry skin and lips. ;)

He seemed fairly confident this COULD wipe it out for good and admitted he was quite impressed with my results after being on it only one month. He indicated his plan for me was 4 months total...so one month down and 3 to go!

Another piece of good news is NO MORE blood tests are required!!! :clap:

(Oh, and the date went farily well too!!!)

YTD Cost:

Dr. Visit One: $35 specialist co-pay

Rx: $80 for first month ($50 one time deductible...$30 generic Rx cost)

1st Blood Test: $0

Dr. Visit Two: $35 specialist co-pay

Total: $150.00

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Sounds like you couldn't ask for anything better! I can only hope for similar results. Glad you date went well too :)

What dosage are you on? High for shorter or Low for longer?

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Marky--

I am pleased to hear how well you are doing. Oh and good for you with the date too :)

Good luck with the rest of you treatment.

Ang

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I haven't started yet. I'm still on Doryx. I go back to the dermatologist on Monday to get my Accutane prescription. I had to have my gynecologist and my general care physician to forward my records.

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I haven't started yet. I'm still on Doryx. I go back to the dermatologist on Monday to get my Accutane prescription. I had to have my gynecologist and my general care physician to forward my records.

Oh, right...I forgot all of the hoops you ladies have to jump through...

Do you mind if I ask who your Dr. is (since you're here in CMH)?

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Dr. Shari Hicks-Graham, she's downtown on E. Town St. I just started seeing her in February. Before that I was seeing Dr. Verona way out on W. Broad. I didn't really click with him. I just moved up to Columbus 2 yrs ago from Cincinnati. I really loved my doctor there. He always understood that acne was not just a skin condition, that it goes way deeper and he addressed that. Who do you see? Are you happy with him/her?

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Dr. Shari Hicks-Graham, she's downtown on E. Town St. I just started seeing her in February. Before that I was seeing Dr. Verona way out on W. Broad. I didn't really click with him. I just moved up to Columbus 2 yrs ago from Cincinnati. I really loved my doctor there. He always understood that acne was not just a skin condition, that it goes way deeper and he addressed that. Who do you see? Are you happy with him/her?

I see Dr. Earl Walker...E Broad by Mt. Carmel. He is really nice and takes his time talking to me about my treatement. I've only been seeing him for about 6 months or so. Prior to that it was Dr. Alan Parks...he had been my dermatologist since high school. Basically, Dr. Parks' practice became so big I turned into a "number"...I don't think he really listened to me when I tried to explain that the Differen and Tetracycline weren't working anymore...and his office staff were rude and unhelpful. The straw that broke the camel's back was when I started inquiring about acne scar removal. He started recommending Botox for it!!!

Which, conveniently he just started offering in his practice.

Changing to Dr. Walker was a wise decison...I would recommend him highly.

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