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I had my follow-up appointment with my derm today. I have been on Minocycline since 4th February 2003(2x50mg per day). I have one large cyst/abscess on my left cheek which has not healed (it has grown) since I been taking minocycline. I have approx 4 small cysts on my right cheek. My face is not excessively oil...i have always thought I had combination skin (oily t-zone) but excessive oilyness has never been a problem. Although I feel unattractive, I am aware that aside from these cysts my face is clear. I have not experienced any new breakouts or blackheads etc. I do not consider my case to be severe and know that vanity has got the better of me. My derm has basically said i need accutane? She is aware that I am concerned about the side-effects but has asked me to think about it. I feel that its a drastic next step but she has not given me any other options. I have discussed cortisone injections but she insists accutane is the way to go. Has anyone had their cysts heal whilst taking minocycline and if so, what dosage per day and how long was the treatment. I was thinking that if I increased the dosage to 2x100mg per day it may do the trick (following consultation with another DR of course!)
I am just wondering whether accutane is generally the next step in clearing cystic acne following minocycline?

There are lots of other antibiotics that can work for acne beside minocycline (mino--by the way--did not work for my daughter or I). I can't believe your derms are not switching you to something else. Try the other antibiotics before going to Accutane. You might have some luck. We both found different ones worked for us (and not even the same ones between the two of us). I even got off mine and am still cyst free almost two years later. My daughter still takes hers and never has any blemishes. She just takes them because they continue to work.
If your female and having inflammed acne and cystic and are afraid of Accutane there is Diane 35.. Please look into it if your a WOMAN men can't take that it's a Birth Control PILL, I think it's sold overseas not in the U.S yet don't go with ortho that's a cheap attempt at clearing acne doesn't work Closest your going to get to Accutane for women is Diane-35... Now for guys if your on dyancin/minocycline.. and it's beginnign to stop working Please ask your DERM for Bactrim DS (u can get the generic works great too only $13) Most derms won't even give you the option of it because it's an old treatment that works great when they can push accutane on it,not that accutane is bad but if your not ready for accutane give Bactrim DS a TRY... no side effects.. it's a sulfa drug so make sure your not allergic to sulfa. They will BS you telling you it's for Urinary Tract Infections etc etc.. but it works better than Minocycline for acne! Please if anyone goes on this let me know and post your results here i wish everyone the best in all treaments they seek.. TO those who are afraid of accutane what are you afraid of??? The side effects aren't that bad,mainly dryness and initial breakout but you get that with any strong topical ...but accutane can give you years of clear skin.. please keep us up to date with your regimen!

God Bless,

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