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  1. Hey all, I've been a very long time lurker and just now am fed up enough with my severe acne to finally start a thread here. I have tried nearly everything imaginable since I began getting acne at the age of 12. I was put on an unbelievable variety and amount of antibiotics and topical treatments till I was about 17 when I finally caved for accutane. I used to be well versed in isotretinoin dosages but all I remember was I was put on about 20 mg more than I should've and for about a month and a half longer than I should've for a normal course. Initial breakout and then cleared me nearly entirely (I had extremely severe facial and upper truncal acne with huge cysts; literally to the point that I had a cyst in front of my ear that was misdiagnosed and removed through surgery as possibly cancerous but of course came back with the doctors not knowing what it was). So as is typical the acne returned but not nearly as severe but I said screw it and at 19 I did a second course at a normal dose. Since that I have tried extreme diet modifications such as high fat, low fat (with only eating skinless white chicken once a night for dinner), and veganism. I have tried supplementing with cod liver oil and daily vitamins. Since nothing has seemed to work I began doing research again and found posts by users ElaineA and 99F who had success from treating demodex mites. I had my doctor put me on a regiment exactly like them with .2mg/kg ivermectin twice (1 week apart) and 250 mg of metronidazole 3x a day. I began this last Saturday and have been on it for 5 days. It seems my acne has somewhat gotten worse since and am wondering is this to be expected? Are the mites dying off and causing breakouts? My acne was very severe in the past and seems to be making a comeback with moderate facial acne and recently quarter sized cysts on my upper back. I also have moderate acne on my chest but with a significant amount of blackheads (also around my lips). If you have any advice I'd appreciate it especially about ivermectin demodex. Thanks, James
  2. Can anyone suggest a non-comedogenic, hypoallergenic liquid foundation that I may try? I'm looking for advice from others who have nodulocystic acne and have found useful products to help cover it. I typically shy away from medicated foundation, since I wear topical medication during the day (benzoyl peroxide 2.5% gel) and at night (Differin 0.1%). I may switch back to applying a sulfur-based drying lotion beneath my makeup, since BP isn't the best idea to have on the face if spending time outdoors. I'll be taking a vacation this spring and wanting to (at least somewhat) cover my cystic acne, PIH and rolling scars during the trip. So far, Google searches on "non-comedogenic liquid foundation" and "least comedogenic foundation" only reveal vapid articles supported by "reliable" sources, such as fashion magazines. (It's obvious that most of them offer product placement, rather than unbiased reviews.) I know that I break out worse from Revlon's Colorstay oil-free foundation, which I had to give up. I more recently have been using Almay's Truly Lasting Color. (My main complaint is that it doesn't offer enough shades, so I'm blending two of them and still not getting a great skin-tone match.)
  3. I never, ever thought I would be making a thread such as this! I thought I was doomed to have this horrible curse on me for the whole of my life, or until I got old and my sebum levels changed. THE REASON THIS POST IS LONG IS BECAUSE I TRULY BELIEVE DIFFERENT THINGS CAN CONTRIBUTE TO DIFFERENT PEOPLE'S ACNE AND I WANT YOU TO JUDGE ON YOUR OWN IF YOU THINK MY STORY COULD HELP YOU. ALSO, you might think "This guy's acne was horrendous - mine is not that bad.. His post wont apply to me." just please consider what worked for me.. It is effective on a wide range of acne from what I have researched. I am going to outline this post in a way that I think is helpful, and I know anyone as desperate as I was will read through the whole thing, but I will break it down in easy sections for you to browse and highlight the cure at the bottom for your convenience. Background of my experience with the disease: 24 year old male Started getting mild pustular acne on back and shoulder blades around age 13 years old. Began browsing these forums. Tried oral doxycycline. By age 14 it had become nodulocystic. Tried topical antibiotic clindamycin+salycylic acid to no effect These lesions would start as deep, nonpainful bumps. They would grow over several days until being large fluid-filled boils or furuncles and then would pop, usually at night or when a shirt rubbed over them. (Heaven forbid if a friend backslapped me playfully!) Staining my shirts, bedsheets, and mattress with blood/pus became a constant routine. Sleeping was difficult. Self-esteem plummetted. My posture deteriorated as I would stand in odd ways to stop my shirt from rubbing against open abscesses and I would hunch my shoulders upwards to hide scars along the nape of my neck. Suicidal ideation became a regular occurrence. The lesions, after healing, left hypertrophic scars which remain to this day and are my next battle. (I am just glad to have a smooth back and butt pain-free and a body not being ravaged anymore by this affliction) Ages 14-16 it only got worse, began spreading to my upper arms and upper chest. Went on 6 month course of isotretinoin (Accutane). Acne cleared up for ~1.5 years, until I was about 18 By age 21, it had reached the same severity as it was at age 16. Acne began spreading down to my butt, thighs, and groin. At age 23 I began a rigorous trial of various over-the-counter, holistic, and prescription remedies, some helped (list below) but most had no change. By age 24 it had plateaud at its peak severity. I would usually have 5 to 10 large painful nodules and 10+ pustules, but they would come in waves. Sometimes as few as 5 lesions (but this only lasted for about 3-4 days) before flaring back up to 10+. I took a new direction in September 2017 At the time of writing, I have been on this intervention for 2 weeks and my acne has improved by literally 95% with only 2 nodules left, both of which are receding. Psychological effects of my acne: Low self-esteem leading to long-lasting depressive disorder Anxiety attacks at sports games, beaches, sexual encounters, physicians offices when I knew it was expected to take my shirt off (i almost always refused unless comfortable with the girl or had to because of the doctor) Sexual difficulties Constant tension along shoulders due to hunching shirt up in public to hide neck scarring -> weird posture because of trying to hold my shirt off my lesions I remember being so jealous of guys who could take their shirts off at the beach and run around playing catch with a football. They just seemed so limber and carefree Physical effects of my acne: Disfigurement (obv) Pain Bleeding and oozing pus (particularly overnight, but also at inopportune times in public) Picture: This is not of me, but is an accurate representation of what my back looked like. I am attaching as a link because it may be disturbing to some viewers http://cdn.lifebuzz.com/images/145670/lifebuzz-72e485672960d6893f5fac8fad3cb92c-limit_2000.jpg Things I tried up until September 2017, which were NOT effective in CURING my acne : An exhaustive, but not 100% complete, list of things I tried, with approx. length of treatment in [brackets] and my subjective rating of their efficacy in {curly brackets}, broken down by category. On my quest to cure my acne it was really helpful to read other people's things they had tried. Topical Benzoyl peroxide in strengths up to 10% [2007-2017 on and off daily for months at a time] {Barely helped} Clindamycin + Salicylic Acid prescription cream [2007 - 2017 on and off daily for days at a time on particularly large or painful lesions] {Definitely helps as a spot treatment} Salicylic Acid 2% [2007 - 2010 on and off daily for months at a time] {Less effective than BP for me} ZZ cream from Demodexsolutions [2017 daily for months] {Definite reduction in severity but did not cure me. WIll write more about this below} Sulfur ointment 10% [2017 daily for weeks] {Didn't help, i really hated this one because it would get greasy and wet on top of my painful lesions, causing any fabric to stick even harder and then rip off later} Turmeric (applied powder in shower and left on for 10+ minutes) [daily for weeks] {helped with inflammation/severity but was not curative} Head and shoulders (zinc pyrithione) [daily for weeks] {didn't help} Selsun blue (selenium sulfide) [daily for weeks] {didn't help} Ketoconazole 1% shampoo [daily for weeks] {didn't help} Black cumin seed oil [daily for weeks] {helped a little?} Bio-oil [daily for weeks] {didn't help but didn't expect it to, its more for scars} Potato peels [less than a week] {didn't help} Tea tree oil - either straight, watered down, or mixed with 91% isopropyl alcohol [twice daily, several weeks] {didn't help} Urine [less than a week] {helped} Apple cider vinegar Oral RX: Doxycycline antibiotic [1 trial in 2007, 1 trial in 2014] {didn't do anything} Accutane (isotretinoin) [6 months daily in 2010] {competely cleared up my acne for 1.5 years} Side effects included dry lips (went away after stopping), sensitivity to sunlight (still to this day), and - in my opinion - exacerbation of depression and suicidal ideation Oral non-prescription agents: I tried these in various combinations (for example, a thread on here recommends B5 + Cysteine + Vit C) daily for months. No improvement. Niacin Vitamin B5 (pantothenic acid) L Cysteine NAC (N Acetyl Cysteine) B Complex (B12, B6, others) Milk thistle + Fennel Acidophilus probiotic + fiber Vitamin E Vitamin A Vitamin C Magnesium Zinc Krill oil Borage oil diatomaceous earth Candidagone Wormwood+Black walnut+clove antiparasite drops Apple cider vinegar Urine (yes, I was this desperate. It works for some people apparently) Diets tried, for approx 1 - 2 months at a time: Gluten free Dairy free Low fat High fat No alcohol "Other" remedies: Daily sea salt baths [weeks] {helped a little} Daily diluted bleach baths [weeks] {made a huge difference - I think this is the closest runner-up to being curative of this whole list} Tanning {helped!} Extensive exfoliation with gloves [daily for weeks] {helped a little} No showers Lots of showers Cold showers Burning hot showers Changing pillow cases and towels regularly False leads: As you can tell by my list of things I tried, at some point I tried attributing my acne to a systemic Candida infection or parasite infection. I was skeptical, however, because I had no other findings indicative of Candida such as thrush, carb cravings, or fatigue and no other findings indicating parasites such as caloric malabsorption, GI distress, and general malaise. The breakthrough: I am a medical student, so I would like to think I know a little bit about the inflammatory process and disease pathogenesis. As my education progressed I learned that the boils and furuncles that my nodules would eventually become almost always cultured Staph aureus. Well, this is no surprise, it is a major part of our skin's flora and an opportunistic pathogen. So, I wondered, WHY do I have these eruptions while other people who also have bacteria in their skin flora do not? The age-old explanation for why we get acne is a buildup of bacteria in and around the hair follicle / sebaceous glands due to a sebum blockage. I began to wonder why bacteria was piling up in my pores to such a severe extent. Other people with normal skin also had bacteria all over them, but for some reason mine was getting brought deeper into my skin, where it could set up shop (the microenvironment within the follicle is different and must offer pathogenic bacteria an opportunity to thrive, which in turn produces inflammation). I didn't get it - I wasn't immunosuppressed (a.k.a. my immune system is good, it should be able to fight the bacteria properly before it reached unmanageable level and created this horrible painful pimple). I wasn't picking at my skin and therefore destroying the protective barrier of my keratinized epidermis. I put together every associated symptom I had that I could possibly think of: Optometrist commented on eyelash dandruff when I got vision checked at age 10 Acne began mildly in a small patch before progressing to severe, then began spreading to different areas over the course of a few months/years Number of lesions varied in a 2-3 week cycle Hairline and scalp acne At random times in the day but particularly at night, I felt a prickling, crawling sensation under my skin in areas that were affected by acne. Googling this symptom led me to posts on this forum and elsewhere that brushed this sensation off as "just feeling the acne growing" or "this is a sign of a Candida infection" I looked at all the remedies I had tried to find a pattern.. Over-the-counter anti inflammatories (SA, BP, vit E, others) didn't work, as expected.. These can help lower overall inflammation but if bacteria is still getting in your pores and causing problems, your skins gonna have a bad time. Various diet modifications (to the extreme extent of eating ONLY boiled chicken and raw greens for a week) did not resolve it, indicating this was not an autoimmune reaction to an ingested allergen (such as herpes dermatiform, the cutaneous presentation of Celiac's disease and can strongly resemble what we know as acne) A blood test to measure my AST + ALT (measures of liver functioning) plus assisting my liver with NAC / milk thistle, diatomaceous earth, and anti-parasite medication did not help, which seemed to rule out toxin buildup (either primary or secondary to parasite metabolism / liver dysfunction) The exfoliation in the shower with purpose-made gloves (in the few areas where I could reach without painfully blowing open a cyst) did help, but it wasn't curative. This just confirmed my suspicion that this had to have something more than a simple "Your pores just make soo much sebum and sucks for you, you get acne from it!" After looking at my attempted treatments, symptoms, and various reading throughout the recesses of this forum, I finally put it all together.......... THE CAUSE: An overabundance of Demodex falciparum mites. NOTE: Those unaware of "Demodex", and those who are deeply suffering, desperate for a cure, will keep reading. BUT, I know that many on this forum are skeptics of any mention of these mites... It is my firm belief that some of you simply have acne due to some other reason, while many of you do infect have acne due to these mites. Chinese medicine widely regards them as the cause of 90+% of post-pubertal (adult) acne. I used to scoff at the Demodex explanation 10 years ago, and I regret ever doing so. Some of you will simply parrot what you have read already on here even though you have good intentions. Others have a vested interest - financially, or otherwise - in promoting other approaches. All I know is I wish I had pursued this lead in the posts I read mentioning DEMODEX from back in 2005 - 2009; I would surely be a different (more confident, less scarred, more optimistic) person today. The explanation is quite simple. Demodex live on most everyone's skin and generally don't cause much trouble. For various reasons, their population increases too much in certain individuals. These mites travel to various depths within your skin and lead to the deposition of their waste, corpses, and eggs in and within hair follicles. They also carry S. aureus and other opportunistic organisms deeper into the skin with them. The body responds with white blood cell extravasation + inflammation. Depending on the extent of your infestation + hormonal influences, you'll get anything from simple pustules, all the way to widespread furuncles (connected boils) that ulcerate and leave painful abscesses that scab over to form deeply disfiguring scars. The variation in efficacy of my treatments finally made sense! Of course anti-inflammatories (such as benzoyl peroxide or SA regimens and vitamins) won't cure this acne - the root cause is still present. They may improve it.. Of course topical clindamycin helped.. It kills off the bacteria that the mites brought down into your pore, resulting in markedly decreased inflammation. But it has no effect on STOPPING the acne from forming. Of course bleach baths + UV (tanning) helped. Bleach baths are recommended by dermatologists for reducing # of Staph auereus (specifically in the treatment of eczema). Not only are you killing the bacteria on your skin, its likely to have a detrimental effect on the mites. Of course my acne was cyclic… The life cycle of Demodex is a few weeks.. As one generation dies off, it takes a while for new eggs to hatch and mature. Of course I had scalp issues and hairline acne.. I had a serious infestation of Demodex up there. This is why treatments of demodex (such as demodexsolution's Zhongzhou cream) are not effective in severe infestations.. You have a steady supply of mites up there and any patch you don't cover, they'll find. The itching, crawling sensation at night / occasionally during the day? Our touch receptors are not sensitive enough to feel something the size of this mite crawling.. Thats why I dismissed this theory initially. But as I learned in medical school, a type IV hypersensitivity reaction is DEFINITELY something that can be felt.. And that's what is occurring here, as your immune system marches out WBC's to battle. So, with my theory that mites were the cause of my past 10+ years of misery, it was time to CONFIRM it by doing an anti-mite therapy… TOPICAL ATTEMPTS: Thanks to a doctor in the family I was able to procure 5% permethrin, the gold standard for scabies treatment. Now, I knew I did not have scabies (thank heavens), but numerous posts on here and on the internet testified to its efficacy against Demodex. I began a daily treatment for 2 weeks, hoping and waiting…. Nothing. No improvement. I was devastated. It seemed I had run out of possibilities and leads, and was facing "idiopathic" acne.. a.k.a. "don't know why you've got this." I had heard a lot about demodexsolutions but was highly skeptical of them. Their site was archaic, and they were halfway across the world. With desperation mounting, I ordered 2 vials of ZZ cream. They arrived about a week later and I began applying it twice daily on my spots. Now, let me tell you, within minutes of applying this cream I began feeling a soothing relief on my lesions. I'm not saying it was a magic cure - maybe it was just the mint tingling - but having tried dozens and dozens of different things, ZZ cream just felt different. It felt soothing. Every morning I woke up and my painful pimples would have shrunk by a little. My Demodex theory began to gain traction! Until, trouble struck. I woke up one day and had 3 new nasty nodules in my torso :'( The tubs of ZZ cream were extremely expensive for the amount I received (I would run out of a tub after a week and that was only with spreading it on active lesions, each one cost around $35-40) and I didn't find this to be a sustainable solution. I also had a feeling that, while effective, it wasn't enough to eradicate an infestation as widespread as mine.. I was heart broken. That's when I came across this thread: And on this thread, I was led to this article: https://www.sciencedirect.com/science/article/pii/S120197121201315X tl;dr of the article: Ivermectin and metronidazole are commonly used for various bacterial and parasitic infections. Ivermectin acts on invertebrate-specific ion channels, while metronidazole inhibits DNA synthesis primarily in anaerobic cells. (a.k.a., they have an extremely safe clinical profile on humans. In fact, Ivermectin is one of the pharmaceutical pinnacles when looking at efficacy to minimal side effect ratio if dosed correctly) The most interesting result in that study to me was the figure showing the reduction in Demodex over the course of 4 weeks. It shows that a combined metronidazole+ivermectin therapy was more effective than ivermectin alone. By 2 weeks in, the mite density had approximately halved, and 4 weeks in was reduced by 90%. So, I got ivermectin and metronidazole and began the next chapter in my life. So, I proceeded to obtain ivermectin and metronidazole and followed the dosing regimen in the study. THE CURE .2mg/kg ivermectin on Day 0 and Day 14 (for me this came out to 18 mg each time. Up to 30mg on humans has been shown to be safe, and doses 10x that [as in, 2mg/kg] in rodents have been safe). 250mg metronidazole 3x a day for 4 weeks Within a week, my acne had gotten better by about 50%. Now, at 2 weeks, I'd say its close to 75% cured. I have never seen results this fast and consistently. I expect that I (and anyone else with a demodex infestation causing acne) will still need prophylactic measures upon completing this regimen. I am unsure of whether that will be a once or twice-a-month dose of ivermectin, or if perhaps a topical application of tea tree oil + 91% isopropyl alcohol (shown to be effective against demodex) will be sufficient. I will keep you posted on that. I am thankful beyond words to have found this treatment. I plan to check this thread at least weekly for the next several years in order to give back to this community that finally helped me cure this dreadful, painful, ugly affiliation. Once my back is completely cured I will begin applying biooil to fade the hyperpigmented scars. For obtaining ivermectin and metronidazole (which are available by prescription, and should definitely NOT be obtained from local or online aquarium/veterinary supply shops and measured out in a milligram scale and dissolving the ivermectin in a oil or pure 160+ proof vodka since it does not dissolve in water like its friend metronidazole ) the recommended practice would be to take the study to your physician along with an easily searchable pharmaceutical fact sheet about the safety of these drugs (Physicians are trained in med school to throw antibiotics, topical retinoids, and consults to derm at anything resembling acne and many will consider a psychiatric evaluation if you start mentioning demodex without bringing this information in hand) and ask plainly and simply for what you want. My experience with this forum is that there are people who will be quick to point out flaws in my approach, and provide criticism. I have nothing to benefit from this post besides the pleasure of helping other people accomplish something more quickly and painlessly then I had to battle 10+ years for.Many of you have been conditioned to roll your eyes at the very mention of the word "demodex." I hope you can find a cure, but please do consider the information in this post. Good luck to all. You do not have to resign yourself to decades of suffering. Derms told me my only hope was Accutane (which I already did, and it has a proven 75+% reoccurrence rate a.k.a. the acne comes back but not before causing potentially irreversible side effects in youor waiting till I am 40+ years old. I look forward to hearing from you.
  4. INVITING YOU TO MY JOURNEY WITH ACCUTANE...I AM 32 YEARS OLD WITH MODEREATE ACNE STARTED OUT WITH SEVERE ACNE AND THROUGH TACKLING WITH ALL THE CREAMS AND 3 STEP SYSTEMS OUT THERE I JUST CANNOT GET RID OF IT. THROUGH NUMEROUS VISITS WITH MY DERMATOLOGIST SHE HAS FINALLY GAVE IN AND PRESCRIBED THE ACCUTANRE FOR ME..YAY!! TRUTH IS TO GET TO THE MODERATE STAGE THAT I AM IN NOW I JUST STOPPED WITH ALL THE CREAMS AND ANTIBOITICS. I WENT STRICTLY CLEANSING MY FACE WITH CETEPHIL DAILY CLEANSER AND MOISTERIZING WITH AVEENO NATURALS AND MY FACE STARTED CLEARING ON ITS OWN, BUT NOT TO THE POINT I WAS SATISFIED AND WAS STILL GETTINNG BREAKOUTS. I GUESS I NEED TO ADD THAT I NEVER HAD ANY PROBLEMS WITH ACNE UNTIL HIS PAST 2 1/2 YEARS I HAD FLAWLWSS SKIN WAS SO PROUD OF. NOT SURE WHAT THE TURN TO WORSE CAME FROM BUT IT IS VERY DEPRESSING AND EMBARASSING. IT'S LIKE EVERYTIME I FEEL I HAD IT UNDER CONTROL SLAP IN THE FACE THE ACNE WAS LAUGHUNG AT ME LIKE " YOU THOUGHT YOU HAD ME UNDER CONTROL SORRY NOT THIS TIME TRY AGAIN..LOL " SO I FAUGHT THIS BATTLE ON MY OWN CAUSE I AM A FIGHTER AND I ALWAYS THINK I CAN TAKE ON MY OWN BATTLES AND CONCUR THEM SO IT WAS ALMOST 2 YEARS BEFORE I SAID ENOUGH IS ENOUGH TIME TO GO SEE A DERM. WHEN I TELL YOU I YOUTUBED UNTIL MY EYES HURT LIKE HELL AND BLOODSHOT RED LOOKING FOR NATURAL REMEMDIES TRYING TONS OF THEM, TO PROACTIVE, OVER THE COUNTER 3 STEP SYSTEMS, CLEAN AND CLEAR, NUETRAGENA, ETC YOU ALL GET THE POINT, THEY WOULD WORK FOR A FEW AND THEN OUT THE BLUE STOP WORKING SO WITH TRYING NUMEROUS THINGS YOU CAN SEE WHY I WAITING SO LONG TO SEE A DERMATOLOGIST, CAUSE I JUST KNEW SOMTHING I DONE WAS GOING TO WORK. OK, SO ENOUGH OF MY LITTLE STORY AND INTO MY JOURNEY. STARTED 01/09/2017 1ST WEEK..... I FELT OK JUST HAD THE WEIRD FEELING MY BODY WAS ADJUSTING TO SOMETHNG NEW. I CAN SAY AT NIGHT I EXPERIENCED SOME BLURRED VISION NOT TO THE POINT THAT IT WOULD PUT MYSELF OR ANOTHER DRIVER IN DANGER. MY COWORKERS WERE ASKING WAS I OK AS I WAS NOT MYSELF THE PAST COUPLE DAYS. I FELT JUST FINE, BUT THEY THOUGHT OTHERWISE. I HONESTLY THINK IT WAS JUST MY BODY GETTING ADJUSTED. ALSO EXTREME COTTON MOUTH, DRINK PLENTY OF WATER 2ND WEEK.... STILL FEELING OK, BELIEVE I HAD GOTTEN A LITTLE MOODY SNAPPING ON MY BOYFRIEND FOR LITTLE THINGS THAT DIDN'T AMOUNT TO THE POINT WERE I NEEDED TO SNAP. I HAD SLIGHT JOINT PAIN. ALL THE EPISODES ONLY LASTED A COUPLE SECONDS AND IT WAS OVER SO NOTHING UNBARABLE. LIPS BECAME CHAP SO I JUST WENT AND PURCHASED SOME BURTS BEES BRAND NATURAL CHAPSTICK. DRY EYES HAD TO GO BUY SOME EYE DROPS. 3RD WEEK UNTIL CURRENT DAY/TODAY.... FEELING GREAT NOT MOODY, NO MORE BLURRED VISION OR JOINT PAIN FOR NOW AND NO MORE COTTON MOUTH .STILL HAVE DRY EYES. IN ADDITION TO MY DRY CHAPPED LIPS MY CHIN AREA IS NOW GETTING DRY. I AM STILL USING THE BURTS BEES FOR MY LIPS AND I USE AVEENO NATURALS CLEAR COMPLEXTION DAILY MOISTURIZER FOR MY FACE AND CHIN. I WASH MY FACE ONLY ONCE A DAY NOW AS I FOUND WASHING 2 TO 3 TIMES DAILY WAS MAKING MY ACNE WORSE. I USE THE CETEPHIL CLEANSER FOR MY FACE AND MOISTURIZE TWICE DAILY. THIS HAS BEEN WORKING GREAT FOR ME. SO FAR SO GOOD.
  5. Day 70

    Gallery Accutane (isotretinoin) logs

    From the album 30 mg Accutane experience

    Still on 40mg. About to bump up to 60... Making progress. Any thoughts on third month experiences? Also wondering if raising my dose will give me a flare up
  6. Day 11

    Gallery Accutane (isotretinoin) logs 3 comments

    From the album 30 mg Accutane experience

    Only side effects so far is an itchy scalp and a little dryness. I am healing!! I am feeling really positive about this. Pain/soreness from the cysts is subsiding A LOT. Feeling great so far
  7. Let me begin with a little background on my skin. I had moderate acne on my forehead & chin in high school. I tried every type of prescription topical and that usually took care of it. Recently though, My face broke out into a very severe case of nodulocystic acne! I have never experienced acne like this. I would love to know if anyone has had a similar sudden experience like this! The way it came on so suddenly is really frightening, it seems like something went terribly wrong in my body! It's so scary. My face looks awful, It seems like both of my cheeks are solid cysts. It's been a physically painful and emotionally horrifying experience! But I am SO very eager to start the accutane process and hopefully I won't experience an initial breakout, it seems like it couldn't get much worse than this anyway. I finally started 30mg of accutane and azithromycin ten days ago. I'm focusing on having positive thoughts about the whole experience and hoping/praying for amazing results! I'll post a photo of my face before the major breakout I had, It's pretty crazy how sudden and severe my acne came on. And I'll continue posting photos every week of my progress! I would appreciate any advice, and for you to share your experiences too! BEFORE my breakout The scary breakout!! PS I'm 10 days in and luckily I've only experienced some lip dryness as a side effect. I've also had a few new cysts but nothing unbearable
  8. From the album 30 mg Accutane experience

    The day before my first pill. This awful nodulocystic acne began around three months ago. I had moderate acne in high school but NOTHING this severe and rarely had a pimple below my eyes. I'm blaming hormones, but maybe I have a gluten sensitivity or something. Keep in mind that I'm also cutting out gluten! Anyway, I'm very eager to see how my accutane treatment goes and I'm happy to have somewhere to record it. So here it goes
  9. The Initial Breakout

    Forums Adult acne 5 replies

    I've had acne since age 12 but it had settled by the time I hit my twenties. I was then only getting the occasional small pimple that was manageable and I had even stopped using benzoyl peroxide washes for the last two years. Now I'm 26 and I've broken out with the worst nodular and cystic inflammatory acne that I've ever had. Saw a dermatologist and he put me on oral erythromycin initially for 4 weeks and now been on epiduo for the last two weeks until I can get my liver cleared by a liver specialist before I start isotretinoin. The acne got somewhat better with erythromycin but still continued to breakout with large nodules although I found the redness was less. I had to stop the antibiotics eventually because it was making my liver tests worse and so was put on epiduo. The first week was great but now into week two I have broken out with about six or seven nodules and cysts all around my chin and near and on my upper lips. It hurts to move my mouth and it's terribly embarrassing and takes a great deal to go to work to show my face. I'm worried that when I start isotretinoin in 2 weeks time the initial break out is going to be just as bad if not worse. Will the break out be milder now that I've been on antibiotics for a month and also epiduo for a month? Anyone have any experience with this?