Accutane permanent cure?

Did I get an asshole or over conservative doctor?

Started out on 90mg from Indian pharma.
Did that for a month then found out my insurance covers accutane so I went to a dermatologist and got a script.

With the doctor
Month one 40mg/day
Month two 80mg/day-still breaking out.
Month three 80mg/day. I expressed my frustration with the dr but she wouldn’t increase it. I’m having very minimal side effects.

If my bloodwork this month comes back good which I’m very confident it will and she won’t bump me up from 80 I’ll just start adding in my own with India pharma or find a new doc.
 
Did I get an asshole or over conservative doctor?

Started out on 90mg from Indian pharma.
Did that for a month then found out my insurance covers accutane so I went to a dermatologist and got a script.

With the doctor
Month one 40mg/day
Month two 80mg/day-still breaking out.
Month three 80mg/day. I expressed my frustration with the dr but she wouldn’t increase it. I’m having very minimal side effects.

If my bloodwork this month comes back good which I’m very confident it will and she won’t bump me up from 80 I’ll just start adding in my own with India pharma or find a new doc.

Some plans (not all) require pre authorization. Paperwork >80mg / day, and some docs hate taking on the burden. (Even if it’s just documenting weight).

You could check yourself or tell me you insurer and I can tell you. Then you’re armed to go back and say “hey, I know some insurers require preauth over 80mg but mine doesn’t” or just “guidelines say 1mg / kg standard dose and I’m 90kg” or whatever. Guidelines allow up to 2mg / kg, and insurance will pay for doses of that size.
 
Even though I'm absolutely mortified, I will get myself some from India, I just cannot tolerate the damn backne and face acne any longer!

Ghoul, thanks for sharing your protocol. I'll start low and slow - 20 mg daily, honestly, no rush whatsoever.

Which brand would you guys recommend? I've read on here that Healing Pharma tested low some time ago, so not sure with which brand exactly to go.

Thank you (and off to make an introductory post, lol).
 
Even though I'm absolutely mortified, I will get myself some from India, I just cannot tolerate the damn backne and face acne any longer!

Ghoul, thanks for sharing your protocol. I'll start low and slow - 20 mg daily, honestly, no rush whatsoever.

Which brand would you guys recommend? I've read on here that Healing Pharma tested low some time ago, so not sure with which brand exactly to go.

Thank you (and off to make an introductory post, lol).

Healing Pharma Accufine is excellent.

The test results you saw were the result of heat degradation. Isotretinoin is much more heat sensitive than most “room temp” meds. You’ll notice the storage temp on the packaging of all Isotretinoin drugs is lower than the standard 30c.

Anyway, that brings up another good point. Stock up on it NOW. In cool weather. It’s dirt cheap, so just buy all you anticipate needing for a full cycle,

Larger doses are more cost effective, but you want flexibility so you can titrate higher or lower as necessary (especially at the beginning).

They come in 5,10,20,30, and 40Mg. 10 capsules per strip.

I recommend to split it up like this (% of cumulative dose) for maximum value while being able to dial in whatever dose you need:

20% 40mg
40% 30mg
20% 20mg
20% 10mg

So if your total is 22,000mg (220mg x 100 kilo body weight)

110 x 40mg
300 x 30mg
220 x 20mg
440 x 10mg

Total somewhere around $200-250

You don’t want to be halfway through this, then decide you need more, only to have customs crackdowns or other delays, and either run out (forcing you to experience sides again that were already over) or risking a hot weather delivery and degraded product from sitting in a 150° shipping container for weeks,

Once you get it as long as temp stays below 75°f it’s good for 2 years. Or better yet, stick it in the fridge if you won’t be starting for a long time.
 
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Appreciate it. I read through the whole thread (usually try to before asking questions, but honestly got overexcited for a moment), and Healing pharma is the way to go.

I'm curious, would this work for folliculitis/seborrheic dermatitis on the scalp as well?

I've been to countless derms so far and have tried countless therapies - ketoconazole, nystatin, corticosteroids, etc but that damn scalp doesn't want to stay clear. The only thing that helps me is benzoyl peroxide 10%, but it's a hassle to apply and even though I wash it thoroughly and shampoo after, I still managed to ruin a few clothes because it tends to bleach colors.

This, eliminating the acne on the body, would be awesome; doing it on the scalp would be ecstatic, lol
 
Appreciate it. I read through the whole thread (usually try to before asking questions, but honestly got overexcited for a moment), and Healing pharma is the way to go.

I'm curious, would this work for folliculitis/seborrheic dermatitis on the scalp as well?

I've been to countless derms so far and have tried countless therapies - ketoconazole, nystatin, corticosteroids, etc but that damn scalp doesn't want to stay clear. The only thing that helps me is benzoyl peroxide 10%, but it's a hassle to apply and even though I wash it thoroughly and shampoo after, I still managed to ruin a few clothes because it tends to bleach colors.

This, eliminating the acne on the body, would be awesome; doing it on the scalp would be ecstatic, lol

Yes.

For me, the benefit to fixing hyperseborreah was as, if not really more impactful than curing acne. Obviously they’re connected, but it’s the overactive oil glands that were at the root of the problem for me.

Being able to go a day without washing my hair (if not twice) and not having it end up an oily mess was practically a miracle.

Androgens only worsen the problem, making the glands grow larger, and then any fluctuation in hormones, or carb intake, made the already overactive oil production go into overdrive.

No more crazy earwax, or collars getting dirty in a matter of hours.

On top of everything else, pores visibly, and in some areas on the face, dramatically shrink, making skin look much better. Your nose will shrink. (Aka the “accutane nose job”).

All this without overdrying (in the long term, things will be dry while actively on treatment).

Be aware for this to really work, and for the benefit to be durable, you need the high cumulative dose protocol, 220mg/kg or more. This is the dose needed to cure bacne / body acne in most people anyway. Lower cumulative doses are only fully effective for facial acne. You’ll get the benefit at lower doses, but after stopping, there is partial rebound growth of the glands, so you need to crush them during the treatment.

I wish I had done this long, long ago. It would’ve been a major quality of life improvement, and would’ve spared me some hair loss, because follicles produce DHT locally, which get dissolved into sebum, spreads on your scalp like you’re applying “Hair loss oil” daily, and is very difficult to wash off once it soaks into skin and other follicles. On top of that, demodex, the parasitic skin mites that live in pores, which all adults end up getting, thrive on sebum. They overpopulate, die, and their bacteria laden rotting corpses cause inflammation speeding male pattern hair loss even more. (For improved skin, it’s good to eliminate those with a round of ivermectin in any case).

You’ll finally know what “for normal skin” or “for normal hair” means on cleansers and shampoo.
 
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Yes.

For me, the benefit to fixing hyperseborreah was as, if not really more impactful than curing acne. Obviously they’re connected, but it’s the overactive oil glands that were at the root of the problem for me.

Being able to go a day without washing my hair (if not twice) and not having it end up an oily mess was practically a miracle.

Androgens only worsen the problem, making the glands grow larger, and then any fluctuation in hormones, or carb intake, made the already overactive oil production go into overdrive.

No more crazy earwax, or collars getting dirty in a matter of hours.

On top of everything else, pores visibly, and in some areas on the face, dramatically shrink, making skin look much better. Your nose will shrink. (Aka the “accutane nose job”).

All this without overdrying (in the long term, things will be dry while actively on treatment).

Be aware for this to really work, and for the benefit to be durable, you need the high cumulative dose protocol, 220mg/kg or more. This is the dose needed to cure bacne / body acne in most people anyway. Lower cumulative doses are only fully effective for facial acne. You’ll get the benefit at lower doses, but after stopping, there is partial rebound growth of the glands, so you need to crush them during the treatment.

I wish I had done this long, long ago. It would’ve been a major quality of life improvement, and would’ve spared me some hair loss, because follicles produce DHT locally, which get dissolved into sebum, spreads on your scalp like you’re applying “Hair loss oil” daily, and is very difficult to wash off once it soaks into skin and other follicles. On top of that, demodex, the parasitic skin mites that live in pores, which all adults end up getting, thrive on sebum. They overpopulate, die, and their bacteria laden rotting corpses cause inflammation speeding male pattern hair loss even more. (For improved skin, it’s good to eliminate those with a round of ivermectin in any case).

You’ll finally know what “for normal skin” or “for normal hair” means on cleansers and shampoo.
Did you transition from the treatment dose to the 3 times a week micro dose? 5-20 mg 3 times a week which reduces pore size, reduces wrinkles, improves collagen, etc.

I am partly asking because I used accutane in my teens for cystic acne but now that I am in my fifties it seems that continuous mircodosing would be best. I still have some acne but definitely also have oily skin. However, as I have gotten older maintaining my appearance beyond eliminating acne has become important too.
 
Did you transition from the treatment dose to the 3 times a week micro dose? 5-20 mg 3 times a week which reduces pore size, reduces wrinkles, improves collagen, etc.

I am partly asking because I used accutane in my teens for cystic acne but now that I am in my fifties it seems that continuous mircodosing would be best. I still have some acne but definitely also have oily skin. However, as I have gotten older maintaining my appearance beyond eliminating acne has become important too.

About 8 months after finishing treatment, I started 5mg / daily Accufine with excellent results.

Derms in the US prescribe 10mg off label, every 2nd or 3rd day for anti-aging, but that’s because 5mg doses aren’t available in the US any more.

Isotretinoin sides (like most drug sides) are associated with peak levels, so 5mg / daily is the way to go imo.

I pay less than $10 / box (100 gelcaps) for 5mg Accufine. ~$25-30 for a “cosmetic” treatment this effective is surreal.

Try to take it with some fat / food though. It’s already a minuscule dose, so you want to make sure you’re absorbing it well.
 
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