Accutane permanent cure?

[Cheburek1]

Sometimes I do a short cycle of isotretinoin of 20mg/day. Helps to clear steroid acne for a good while.

 

[Flyfisher23]

150mg / kg is the top end of the cumulative dosing prescribed by conservative dermatologists in the US, who are only concerned with facial acne (psychological impact on younger people). Provided you take it with food every time for proper absorption, make sure to continue for two months after FULL clearance, 150mg/kg gives you a very high likelihood of a permanent cure, especially since it's moderate.

However, you brought up large pores. Do you have oily skin / hair or just big pores? Large pores usually indicate large sebaceous glands, lots of oil.

Good to know.

Yes, I have oily skin. No hair since I’m bald and shave it, but my head gets oily and I dislike it. I have been on topical Tretinoin .05% every night before bed for the past year and that seems to have helped shrink pore size somewhat and improved skin quality, but I am still oily and would like them shrunk more. I’ve seen you mention it can permanently shrink the sebaceous glands so wondering what your cumulative dosing suggestion for that is.

Also, say I were to start isotretinoin, do I stop using the topical Tretinoin? Or can I continue to use that for added effect?

 

[hungryalways]

Sometimes I do a short cycle of isotretinoin of 20mg/day. Helps to clear steroid acne for a good while.

How long do you run 20mg for and how long does your skin clear up for? Assume this includes bacne and shoulder acne?

 

[Intrepid]

Is acne mostly a genetic thing?

I've lucked out where I don't really get acne on cycle, aside from the occasional pimple or two (but i attribute this more to sweating for 2+ hours in the gym everyday than I would hormones)

But then there's some people that run mild cycles, and have horrific breakouts.

I guess some people's body's naturally produce more oil?

 

[El_Baka]

Good to know.

Yes, I have oily skin. No hair since I’m bald and shave it, but my head gets oily and I dislike it. I have been on topical Tretinoin .05% every night before bed for the past year and that seems to have helped shrink pore size somewhat and improved skin quality, but I am still oily and would like them shrunk more. I’ve seen you mention it can permanently shrink the sebaceous glands so wondering what your cumulative dosing suggestion for that is.

Also, say I were to start isotretinoin, do I stop using the topical Tretinoin? Or can I continue to use that for added effect?

Same here dude, i had bad acne on the back even natty because i have really oily skin (my head seems like i sweated sometimes). Luckily i get it only on my back (face, chest,all clear) but i got tired of this shit and also gonna try roaccutan.

 

[Country Club Hero]

Ghoul, I didn’t read replies but feel rather expert on the subject. I had crazy oily skin as a teenager and to avoid getting any potential scarring my dermatologist put me on 40mg AM and 20pm.

That dried me out for about a decade. Must have been a large dose for me because my skin was peeling and lips cracked no matter what I did for quite a while. But it was super effective. And that was with Roche brand straight from pharmacy in US.

I’ve used it twice in my adulthood and always went lighter than I probably should have. After several years to think about it I think hard and heavy dosage while monitoring blood work for liver is the best way to use it. Likely never have to use it again if you do that.

Unfortunately all oral steroids will turn those oil glands back on in me so I avoid orals.