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17 Feb 2009
Brand:Sotret
Weight:90Kg = 200lbs
Sex:Male
Age:48
Dosage:20mg once daily

Day 12:
Well I took pill #11 last night. I am now getting acne on my chin and nose. I suspect the cessation of Doxycycline has allowed the bacterial populations to come back. Since Accutane is not an antibiotic I am bound to catch a few. They hurt...... Accutane cuts sebaceous activity and thereby reducing the food source for the bacteria that makes acne possible. It's hard to believe I am almost 50 and I am going through the trials and tribulations of a teenager. I will continue my regimen and play this game to the end. I hope this is the initial dreaded breakout I read about in other forums. Right now my oil is extemely reduced but not eliminated. Not on this dose and not at this time. I will continue to report changes in physiology as I experience them. I hope this helps someone out there who may be contemplating Accutane. I have calculated that the total cummulative dose of Accutane of 120mg per kg of body weight for best permanent remission opportunity would not occur for 540 days on this dosage. Something to talk to the Derm about.

Day 12: Cont-
Its time for pill number 12 here shortly. It should be noted that absorbtion can be increased by taking Accutane with a fatty meal. Hmmmmm...you can somewhat adust your dosage just by food selection. Well, the acne doesn't hurt as much as it did earlier. Its not very red either. Seems this drug is a wonderful anti-inflammatory substance. Face is still mildly itchy, lips are no longer dry at all. My face is better in just under two weeks on this drug than it has been in a long time. Well thats all for today. Pill #12 is on deck.

Best



Best Wishes
LowTane
OldLawyer, good to hear from ya.... thanks for chiming in for Drew. Its good to hear results from more than one person. Thanks for sharing the details of your therapy.

26 Feb 2009
Brand:Sotret
Weight:90Kg = 200lbs
Sex:Male
Age:48
Dosage:20mg once daily


Day 22:
Well, I have realized that I will get to a point where my face will not advance any further. Once the Acne is gone and the oil has dryed up the only thing left will be scars. At this point my reporting will only consist of observable physiological ramifications that may present during the completion of this therapy. The next phase of interesting material may consist of posts logged after Accutane therapy is complete. Will there be a remission? Will OldLawyer's more conventional dosage get him a remission? Will my Rosacea symptoms come back while the Acne stays in remission? Will I become impotent? Will other long term side effects present months or years after suspension of Accutane therapy? Like my hair falling out as some individuals report. Or, is my Dermatologist correct with 20 years of Accutane experience when he says "poppycock?".......Will I need and Will I be able to talk my doctor into long term ultra-lowdose acctuane? If he does, will it help me to remain oil and rosacea free? Like say 2mg a day, 1/10th what I am taking now. Will the return of my youthful dashing good looks cause me to trade my wife in for a younger beautiful woman? Will I get Laser Genesis to erase the remaing micro-scarring? Or, will an asteroid hit the planet making all of these questions moot? More importantly, will I break 80 in golf? Well, I am rambling now. These are questions that my abstract musings produce over time. On a serious note, as I walked down the hallway at my Dermatologist office I heard him say over my shoulder "Accutane will change your life". I looked back him and I thought, I'm worried about it ruining my life. So here I sit looking at my new face thinking, regardless of the fear factor here, wow!, this drug has changed my life, it has for now given it back. I haven't been this happy in a long long time.

I will take pill 22 in about 30 minutes.

Keep the Faith
LowTane :rolleyes:
8 Mar 2009
Brand:Sotret
Weight:90Kg = 200lbs
Sex:Male
Age:48
Dosage:20mg once daily

Day 31:
So, I skipped pill number 30. I have decided that I wish to take the minimum amount of this drug. I will be taking 1 pill every Friday night. I am 100% clear after one month on this drug. I have decided that my sex drive is slightly dampened but functional after the 600mg that was ingested in the first month. I will bump the dosage from there if needed until I arrive at the minimum maintenace level required. I had another all day headache, I skipped a dose and the headache was gone the next day. Since the Derm has mentioned a second round of this drug as a matter of doing Accutane business I am not concerned about getting the drug. I guess this is what I really wanted all along. I decided to take charge of the dosage since I am the one that will have to pay in the long run. My Derm told me he has one patient taking one pill a week which shocked me. He didn't mention it before. Multiple studies address the efficacy of low bi-weekly dosing as an effective way to maintain and acne and Rosacea free state. It will take a lot longer to reach the total cummulative dose this way, but I feel starting low and moving up is better than starting high and moving down. I have found just to many horror stories and they have started to affect me. So, if were gonna go low lets go low and prove something. If I get a remission after an even lower dose regimen and I do it with the minimum amount of this horribly controversial drug the better. If I don't I can always go back and do the the the higher dose regimen if need be.... I probably won't though. Losing my bowel to Crohn's disease (the latest lawsuit by the way, just surf it up) kinda got to me. Until I get over that I am gonna have back off on the dose levels of this drug for mental satisfaction. We all know that Accutane at doses as high as 120mg's a day have been reported. We all know that Accutane clears horrible cases of Acne and changes lives. However, you gotta read the "Ask a Patient database" and read the 393 patient reports on this drug. I have major concerns..... More to come.............

Best Wishes
LowTane
Hello all... I have been off low dose Accutane for about 2 1/2 months now. I have had a couple of zits on my chin and nose. They were small and cleared pretty quickly. I was alarmed. But I am still staying clear at this point. I have had noticeable oil at the end of a long day. After washing it didn't come back or pool up like it used to before Accutane therapy. My Rosacea has been in check. I talked to my dermatologist about this and he said there is no precedent for Accutane and Rosacea. Well, there really is, multiple studies exist that were completed by vaild researchers. Consult Pubmed and Medscape for recorded studies. I wish Doctors in the US would consider low dose alternatives more frequently. It has been a short time for me since I have ceased Accutane. So the other shoe may drop shortly. The best I can do is to continue to describe what occurs in the coming months. I will do this..... I believe that low dose may be the answer for some people. Everyone is different. I have heard many reports from individuals who have been on Accutane serveral times, while others only once. I have read reports where acne has come back and others where it never returned. Still, Accutane is the only thing that has ever helped me. Its fair to say, that down the road I may have health issues from my experience with this drug. However, many people have reported that they have not had long term problems, even from high dosing. To all of you who land on this page, please remember to tell anyone of concern about low dose possibilities. Direct them to vaild reseach studies found on Pubmed and Medscape. These items may help them with their dermatologist. Maybe some day low dose therapies will be commonplace with this controversial drug. Rememeber don't self medicate with illegal drugs obtained on the internet. Accutane really does require bloodwork monitoring to be safe.

LT:wave:
Hello everyone! I can tell you that my oil is not the same as pre-accutane oil. I used to blot 20 times a day. I sometimes now find oil on my face in the very early morning or late in the evening after a long work day. I am still Acne free except for an occasional pimple. It has only been about 3 months off of Accutane now. I was a pretty low doser. I don't know what to expect from here on out. My Derm says come on back at the first sign of trouble. Accutane has been a godsend for me. I have had two laser treatments since my Accutane cessation. They are doing a great job on my pores. My Rosacea has been in remission since the start of Accutane. I had a few flares in the first month of Accutane usage and then it subsided. I am not sure how long I will stay clear at this point. I will continue to post periodically to let readers know how I am doing for the sake of curiosity. I will go back on low dose Accutane if need be..... Remember, I support low dosing of this drug and have a great fear of high dosages. I do believe that high dosages have harmed some people. However, some individuals seem to do fine on the high dosages. I just don't want to be made to bleed from ingesting a drug. Doesn't seem like a good idea. Be sure to use Pubmed and Medscape while building your case if you feel like going low dose. Remember that Doctors are skeptical of anything that has to do with the internet or anecdotal blogging. You got to sell them on the legitimacy of the studies that you will find on these sites. Accutane may of may not work for everyone. It was a miracle for me. I still wonder if down the road I will pay some sort of price for using it. You need blood work with this drug for sure. Don't self medicate. Try to convince your Derm that low dose is for you. Remember that even giving less of this drug is still off label. Doctors resist off label treatments to protect their licenses and I don't blame them.....

PS. I had oil during Accutane treatment, just not a lot. I am about the same now post Accutane.

Best of Luck
LT
I am around 3 months off Accutane. I have had two laser treatments for pores and veins on my nose. My face looks better than it has since I can remember. The last couple of months I was on Accutane I was only taking 10mg once a week. Ridiculously low amount. I don't have much oil on my face. I have some....I get small pimples once in awhile on my nose only and they clear fast. I am still waiting for the other shoe to drop. I have had aching joints from time to time. I don't know if it has anything to do with Accutane, although some people have reported this malady. Because of my low dosing with normal prescription levels I have quite a stockpile of Accutane in my medicine cabinet. My Doc says to come back at the first sign of trouble. He seems comfortable with the low dosing oil maintenance idea. My Rosacea is absent other than a mildly sun flushed appearance that looks like I had light sun from time to time. Acne vulgaris on my chin has not flared once. So far so good. It is very early yet, some people report that the acne stays in remission for up to a couple of years or more. I am prepared to low dose continuously if I have to some day. Oldlawyer, please keep up the posts, I am very interested to see how it goes for you.

Best Wishes all...

LT





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