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I have two very large cysts on my chin area right now. (I usally have at least one decent sized cyst on my chin). My derm. gave me Accutane (40 mg I am 115lbs.) I took one pill and totally went spaz-matic and told myself that I would not take it anymore. I am just to afraid of the side effects. I know it's awful but I read somewhere that Accutane is radioactive and it causes your hair to fall out. Not to mention that it really has not been on the market all that long. I know I shouldnt believe it, but I am always like, "What if?".
I never went on antibiotics because the derm. told me it would render my birth control pill practically useless. And my husband told me they never worked for him. My husband totally does not want to wear a condom (I agree) so I didnt do that route. Right now though I am just so depressed about my skin that I dont know what to do. I have been taking B5 for a few months that has seemed to help with the oil, but that's about it.
If antibiotics will work I will take them. Please let me know of anyone with cystic acne has been helped by antibiotics, and if so how long it took to work.
I wish I had enough courage to take Accutane, I would probably love the results!
Thank you!
Chevyfan,

Someone once told me that antibiotics do not help to prevent cysts. But for the two years (yes, that long) that I took Erythromycin religiously, I didn't have any bad cystic breakouts. Nothing ever had a chance to get really inflamed (unless I ate something I shouldn't have).

I stopped antibiotics for about 1.5 months and have now returned to them because the cysts came back.

I once tried Accutane, but one week's worth of 40 mg caused me pain in my stomach muscles. So, I stopped taking it.

My husband and I always use a condom. And, according to my trustworthy ob-gyn, using antibiotics with birth control is still more effective that no BC pills at all. In fact, he said that antibiotics effects on BC has been somewhat exaggerated, especially since you can stagger the times at which you take the two.

JenK
Hey,

It looks like me and you are on the same level. Good to see you wrote back. I'm 24 right now and have been suffering from cystic acne since 20. The last 4 years acne has taken over my life. I recieve cysts only on my forehead. I have never had one anywhere else. My temples and forehead are scarred pretty bad from prior cysts. Over the years I have used topicals like retin-a micro mainly for scars rather than cysts. Then what happens?? I break out with cysts again. It's a visious cycle. So now I have decided to take care of the acne once and for all. Let me remind you as well, I don't have any pimples or zits...just cysts. Can you believe that? At least GOD spared me that. After years putting up with different derms, I decided to go on accutane. No derm ever wants to put me on accutane. They always say "take this pill (usually an antibiotic) and put this on your face every night. NONE of the topicals I've used: erythro, bp, retin-a micro, do squat for cysts. The orals are just temporary. I did some research on accutane, and it works great if you have cystic acne. It's actually only prescribed to cure cystic acne rather that mild to moderate acne. In that case, I have a cure. So far I have been experiencing a cystic breakout (2 cysts...in the same place), dry lips, itchy skin, back ache, and problems sleeping. As far as the oiliness...my skin is oilier than ever. I think its all the toxins pushing out of my skin or it's my body adjusting to it. I'm using no moisturizer and I have tried to spot treat the cysts and all it did was irritate it and make it more inflammed. So I wouldn't advise you to spot treat, especially with antibiotics. As far as the side effects go...there's a lot more out there that people suffer thru. I weigh 140lbs but only on 20mg. I will be on 20 for 2 months and then 40 (20 twice a day) for the next 2 months. As far as scarring, I heard that accutane will help since it peels off your skin thru cell turnover. I wash two times a day with purpose cleanser and then dry. Oh, I forgot...My cysts usually last about 2-3 weeks until they flatten and they are very deep and the size is about a 1/2 inch...hope this info helps...
It sounds like you haven't had children yet so this is your big chance. But it sounds like your mg. is too high to start out with. I've heard of people even taking 10mg at first then moving to 20mg and being cured of acne. I also know that if you take antibiotics during the first few months of accutane it can help stop the initial breakout from accutane. I feel you should talk to your doctor and have him give you a lower dosage.
quote:
Originally posted by ChevyFan:
I have two very large cysts on my chin area right now. (I usally have at least one decent sized cyst on my chin). My derm. gave me Accutane (40 mg I am 115lbs.) I took one pill and totally went spaz-matic and told myself that I would not take it anymore. I am just to afraid of the side effects. I know it's awful but I read somewhere that Accutane is radioactive and it causes your hair to fall out. Not to mention that it really has not been on the market all that long. I know I shouldnt believe it, but I am always like, "What if?".
I never went on antibiotics because the derm. told me it would render my birth control pill practically useless. And my husband told me they never worked for him. My husband totally does not want to wear a condom (I agree) so I didnt do that route. Right now though I am just so depressed about my skin that I dont know what to do. I have been taking B5 for a few months that has seemed to help with the oil, but that's about it.
If antibiotics will work I will take them. Please let me know of anyone with cystic acne has been helped by antibiotics, and if so how long it took to work.
I wish I had enough courage to take Accutane, I would probably love the results!
Thank you!



MY CYSTIC ACNE WAS HELPED A LOT BY USING THE ANTIBIOTIC DOXYCYCLINE! I had used it for four months before my acne improved a lot. My dermatologist had tried to get me to take accutane when I first saw him but I refused because I had done research on it and found out it can cause horrible side effects. Recently my dermatologist said to me the words I was hoping all along he would say to me. He said "I am glad I did not put you on accutane because your acne has improved so much with the doxycycline and I am surprised". I also had taken ortho tri cyclen and it had made my acne so much worse. You should try the doxycycline. I know a lot of people said on here antibiotics did not work for them but everyone's face is different. It might work for you. I have read a bunch of people said on the boards that doxycycline helped their acne too so I am not the only one. I am just glad doxycycline got my acne under control. I hope I helped. Good luck.
Hi! I actually feel the same way you do. I have cystic acne too and have been on minocin 3 times in the last 4 years. It works great while I am on it but the couple of times I have come off of it, the acne has come back. It hasn't come back worse, but it has come back, so I am not sure if the bacteria is more resistant or not. I too am afraid of accutane. My derm thinks I should only need to take my minocin for a while longer because with age my skin should produce less oil anyway (I am currently 23). I only have cysts on my right cheek, no where else. I do get the odd little pimple in other places but that's no big deal. Right now accutane isn't an option for me anyway because I am out of school and no longer covered under my dad's medical insurance, so I'd have to pay for it out of my pocket and I hear its very very expensive. I am not going to tell you what to do, to take the antibiotics or the accutane. I am only sharing with you my story and you can derive from it what you wish. I think as for the side-effects of accutane it all depends on the person, but that's the case with any medication. Some people have bad side-effects and some have more managable ones. I guess the only way to find out is to try! This board is a good way to help you make up your mind. You can read people's stories and make up your own mind. OH yeah, as for the antibiotics rendering your birth control useless: I have asked my family doctor, my dermatologist, and my gynecologist and all three say that when you take antibiotics with a birth control pill (bcp) your risk for pregnancy is increased but the risk is only small! My derm says that the bcp reduces the effectiveness of the pill only a little. Whether or not you use an extra form of birth control depends on how bad it would be if you were to become pregnant. I think saying it renders the bcp useless is a little extreme! It does reduce its effectiveness, so there is a risk for pregnancy, keep that in mind. I haven't read the other posts to your topic, because there are so many. I am not sure if anyone else has suggested it, but I would like to throw out the idea of trying the birth control pill Diane 35. I was on it for about two years and it worked great to control my cystic acne. I am not sure where you live but it might or might not be available there. I had to stop taking it because I started to experience breakthrough bleeding towards the end of those 2 years. Again, don't think that means Diane causes bleeding but it did in MY case, it might not in others. That way you wouldn't need to worry about antibiotics or accutane. It's just a thought! Well, I think I have babbled on for enough now. I am sure there are other things I could tell you but I can't think of them right now. i hope my story has helped a little. Good luck with finding out what you want to do. Take care.
Antibiotics kill the bacteria that is in the cystic acne. They do help in large doses and some work better than others. Some make you sensitive to the sun and some make women get frequent yeast infections. If your having a really bad breakout with lots of open lesions than antibiotics would maybe help. But other than that, they are not good for our bodies.





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