accutane failure- help

[Anonymous]

Anonymous wrote:

Anonymous wrote:These people posting about Proactiv are obviously not familiar with cystic acne. Proactiv is for people who get occasional superficial zits.

I’m sorry your son is dealing with this OP. I did two rounds of accutane as a teen and then needed it again in my twenties. My face is scarred from acne. My daughter has had positive results with Winlevi, although her acne isn’t cystic.

Best of luck to you.

Incorrect. It does kill the stuff in your pores that causes cystic acne. I went back to during perimenopause.

What does this mean? Cystic acne is well beyond anything in your pores. It's pockets of pus under the skin.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Stating the number of months on accutane isn’t a way to compare with what others are doing, because the cummulative dose is what matters - as said upthread, some doctors prescribe a course of treatment low and slow and others do shorter and higher, usually depending on how the patient tolerates side effects. For those saying that their child is on accutane 8-9 months, are they exceeding the “suggested” cummulative dose? My understanding is that is necessary sometimes- perhaps in the case of OP’s teen.

This is important. It’s dosed differently than other medications. There is some serious misinformation on this thread.

My 16 year old DS is on his 8th month of Accutane. Not sure how most derms do it but first month was low dose. Then gradually built up to the highest dose by month 4. He’s almost clear but still get an occasional pimple or two so derm is keeping him on it until no breakouts at all.

[Anonymous]

DS is having success with Arazlo after Accutane failed.

[Anonymous]

I don't think that's unusual. Accutane may or may not be permanent, or help after you are off it.

[Anonymous]

I have not read this whole tread but spironalactone (150 a day) works fantastic for my DD. No side effects, but i have heard about breast lumps, but rare.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Stating the number of months on accutane isn’t a way to compare with what others are doing, because the cummulative dose is what matters - as said upthread, some doctors prescribe a course of treatment low and slow and others do shorter and higher, usually depending on how the patient tolerates side effects. For those saying that their child is on accutane 8-9 months, are they exceeding the “suggested” cummulative dose? My understanding is that is necessary sometimes- perhaps in the case of OP’s teen.

This is important. It’s dosed differently than other medications. There is some serious misinformation on this thread.

My 16 year old DS is on his 8th month of Accutane. Not sure how most derms do it but first month was low dose. Then gradually built up to the highest dose by month 4. He’s almost clear but still get an occasional pimple or two so derm is keeping him on it until no breakouts at all.

This is what our derm also did. It is really important not to go off Accutane until there are NO developing pimples, even if it is just one or two. You need to be totally clear for a month before going off. Unless , you are having terrible side effects.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I know this isn't what you've asked about, but I swear Proactiv works. It's harsh as crap, but really cleared up my DS's acne. We were just too worried about the side effect to try Accutane.

Proactiv is an expensive brand name and expensive celebrity endorsements around generic product.

I remember when it first came out, celebrities who were already famous were lying that Proactiv gave them their skin looks.

https://www.google.com/search?q=proactiv+&oe=utf-8

My son isn’t a celebrity and the $30 a month it costs me is well worth his very clear skin. If he even skips one day of washing with it (he washes 2xs an day) he gets acne.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Stating the number of months on accutane isn’t a way to compare with what others are doing, because the cummulative dose is what matters - as said upthread, some doctors prescribe a course of treatment low and slow and others do shorter and higher, usually depending on how the patient tolerates side effects. For those saying that their child is on accutane 8-9 months, are they exceeding the “suggested” cummulative dose? My understanding is that is necessary sometimes- perhaps in the case of OP’s teen.

Or you have exceeded the recommended dosage. You can’t just stay on it until you have no pimples if you’re at the top end of the dosing chart.
This is important. It’s dosed differently than other medications. There is some serious misinformation on this thread.

My 16 year old DS is on his 8th month of Accutane. Not sure how most derms do it but first month was low dose. Then gradually built up to the highest dose by month 4. He’s almost clear but still get an occasional pimple or two so derm is keeping him on it until no breakouts at all.

This is what our derm also did. It is really important not to go off Accutane until there are NO developing pimples, even if it is just one or two. You need to be totally clear for a month before going off. Unless , you are having terrible side effects.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I know this isn't what you've asked about, but I swear Proactiv works. It's harsh as crap, but really cleared up my DS's acne. We were just too worried about the side effect to try Accutane.

Proactiv is an expensive brand name and expensive celebrity endorsements around generic product.

I remember when it first came out, celebrities who were already famous were lying that Proactiv gave them their skin looks.

https://www.google.com/search?q=proactiv+&oe=utf-8

My son isn’t a celebrity and the $30 a month it costs me is well worth his very clear skin. If he even skips one day of washing with it (he washes 2xs an day) he gets acne.

In order to be prescribed Accutane at all, one has to have failed other acne treatments. The active ingredients in Proactive are salicylic acid and benzoyl peroxide. These are the same ingredients in every over-the-counter solution and the first things derms will have patients try. If Proactiv works for your family, that’s fabulous. However, by definition, acne that’s treated with Accutane is treatment resistant acne.

[Anonymous]

Try Spirolactin