Active substances: Isotretinoin
Adv Biomed Res. Kotori MG. Med Arch. Low-dose schema of isotretinoin in acne vulgaris.
Int J Clin Pharmacol Res. Having taken a leap of faith six years earlier to pursue a career in medicine, I felt like the PANCE was more than a certification exam: it was symbolic, a validation of all that I had worked so hard for.
The good news is, I passed.
The bad new is, my skin had suffered from the enormous stress of this time. If a photo can say a thousand words, my face in photos from this period is silently crying out for help.
It seemed like within hours of taking my first 40 mg capsule, I was reaching for a sample-sized tube of Aquaphor ointment I had snagged from the office. If I even lightly rubbed my face, I could expect a mini snow shower of dead skin flakes.Evidence Three RCTs compared conventional with low dosing patients understand treatment options. Handouts on acne 12 and websites on oral isotretinoin 13 can help.
Thanks, Spring Street Dermatology sample closet! Confession: I was not diligent about sunscreen. Most of my Accutane course took place over the winter, when I rarely saw the sun for more than 10 minutes.
And with a beard still in place—because shaving was out of the question—every sunscreen I tried would not absorb and seemed only to add a patchy, sticky layer of white to my beard hairs. And so, red face it was.
A few patients asked me if I had rosacea. This should have been expected, having talked with hundreds of Accutane patients at the practice. There should be a framed cross-stitch of this in every dermatology exam room in America.
I might market that.
It could only get better, and I relaxed into that certainty, despite some rather gnarly eruptions.
My dose had been increased to 40 mg twice a day, where I would stay for the remainder of my course. But with higher doses of Accutane comes the risk of more pronounced side effects.
In my case, I started developing back pain. I was slow to make the association with Accutane. Doubly weeks began following audiometric and self-mutilation tendencies. J Am Acad Dermatol.