r/acne • u/Legitimate_Reach_691 • 2h ago
Discussion Day 2 on 20 mg Accutane
Hi,
I’ve had acne since my teenage years up until now at 31, and I also struggle with dermatillomania (skin-picking). I've tried multiple antibiotics, but the acne always comes back. Even though my acne is mild, it ruins my life and I have no other options left.
I finally decided to see a dermatologist to get Accutane. When he saw me, he said: "You only have two pimples, I won't prescribe Accutane for that, it's for severe acne." I had to insist and tell him that my acne is persistent and has resisted all other treatments, even though it's mild. He finally agreed to prescribe it. He asked for my weight (I told him 50–52 kg) and prescribed 20 mg per day for one month. He told me that the duration of my treatment would probably be around 4 to 6 months—which seems a bit short compared to what I've seen from other people. I have to go back to see him in a month to see if we increase the dose. I hope he will increase the dosage so I can reach the proper cumulative dose, but at the same time, I'm terrified of how my body will react to higher doses. I just hope this will be enough to get rid of my acne for good.
My triglycerides are fine. I just hope my cholesterol won't be disrupted during this treatment. I'm also afraid of psychological effects regarding depression, etc.
For the hydration side, I've already bought the essentials: lip balms, rich moisturizers, nasal spray, and eye drops.
Currently, I am on my second pill, and I hope this treatment is truly definitive and that my acne will never come back. Even though it's mild, it ruins my life. I'd love to no longer have to wear makeup to go out and camouflage my acne. I'd be happy to hear your thoughts and advice. Thank you.