Accutane shots

Question for my acne prone community:
I just finished up with my second round of Accutane and I’m looking to try a couple of new products and I’ve been looking into this company.
I’m just curious if anyone has tried any products from this company since they’ve finished Accutane? If so, has your skin still been happy? Basically just trying not to make my face mad over anything at this point.
I know it’s a long shot but thought I’d ask! Thanks!

Background - male 27 who first started experiencing HS symptons around 9 months ago. Since then I’ve had various flares which are mostly well controlled with salycilic acid, however I do have 2 tunnels which formed ( which came about from messing with the flares instead of leaving them alone 🤦‍♂️). So considering I’ve already progressed to stage 2 this quick, I paid out of pocket to see a HS specialist, as I want to get on top of it before it’s too late.
He’s very much of the opinion of treating HS hard and early whilst you can. He’s referred me to a surgeon to get the tunnels removed even though they aren’t really causing me many problems at the moment, and seems to have the opinion that the less inflammation from tunnelling under the skin there is, the slower HS will progress. He said me seeing him early is key as it means we have a window where we can control it before it gets out of control. He also said that from first symptons you generally have around 3 years before you get to your worst stage.
He prescribed me 3 months of Doxy as well as clindymcin topical solution and also fucibet. A topical antibiotic that contains a strong steroid which he says has a similar effect to using steroid shots and is a good way to stop a boil in its tracks from getting too inflamed when I can see one start forming. He also said we can try the clin and Rimp combo if that doesn’t work
He also ranked me based on inflammation and also my Hurley stage. My inflammation is 1 which is pretty much as low as it can be, however due to the tunnels I’ve crept into Hurley stage 2. He did stress that the Hurley system was designed for surgeons and nothing else, and doesn’t really define severity. So someone who is stage 2 could have it much easier than someone in stage 1 for example
I asked him quite a few questions :
Diet - he says that avoiding sugar seems to be key, but unfortunatly there is not enough data to suggest exactly what foods cause flares ( although he did say it can work for some, he just doesn’t have the data to reccomened specific diets )
Humira - despite what some studies suggest, he said that it only really has dramatic improvement for around 10% of patients! He did however say that Cosentyx is showing more promising data and there are a bunch of new drugs in trials that are expected to be on the way shortly, which is good news
Accutane - he said it’s not reccomened and in some cases can make HS worse or even start HS up in patients who never had symptoms
Laser hair - he said that it can be very helpful for a lot of people, but again there is a lack of data at the moment as people don’t really go to derms for laser and as such it makes it harder to collect data / conduct studies. But the results so far seem promising
Metformin - he said it can be very helpful if your blood sugar levels are high, as that is sometimes a key contributor to HS. He has sent me to get some blood work done.
All in all I’m happy with how the visit went - if truth be told I’m not over the moon about taking anti biotics and getting de roofing, but I’m going to trust the advice of a HS expert and hope that I can keep this condition under control. I’ll also be changing up my diet with reccomendations from reddit
Sorry if that was a long read, hopefully some people can benefit from this info, any questions feel free to ask 😀

now vs couple months ago. I’ve been on accutane 3 times in my lifetime already. Every single time my acne comes back. My Dr said my last round of accutane was the last time she’d ever prescribe it to me again (idk why) and currently I’m on trifarotene. I’m so sad because I wear wash my face, moisturize and sunscreen everyday, I clean my pillow cases, I clean my hair, I eat only natural sugars, no fried food, no chips, no heavily processed foods, I drink ACV every morning and drink wheatgrass shots. I go to the gym everyday, I exercise, I sleep early, I drink water. I’ve been the happiest I ever been and currently am not stressed.
I literally do it all to maintain good skin yet after a couple months off of accutane I still have acne. I’m so so so sad and it feels like even if I put my best and try my hardest my acne ALWAYS comes back. I don’t know what to do anymore…. Currently I have a breakout near my chin but I’m afraid it will only get worse from here… if my acne does return and my Doctor refuses to prescribe me accutane I’m literally done for.

Hi! I am only five days into taking Yaz, but from the morning after my first pill, my chest has broken out with small whiteheads. I had cystic acne as a teenager and I am worried I will I’m going to develop that again. Overall, my face is more oily than before, and I was already prone to oiliness. So far I have no breakouts on my face, and the ones on my chest will calm down overnight when I use Differin on them. By the end of the day, though, they are inflamed again.
Anyone else experience increased oil production rather than a decrease?
I’m taking it for PCOS and PMDD. I started metformin the same day but I don’t think it has these side effects.
Edit to add: I was not on birth control previously. I used to get the depo shot in high school when I was on accutane.

Not sure if it goes against the community guidelines, but thought I'd ask and give it a shot.
I've already finished one round of accutane 16 months ago, and dermatologist recommended a second round. I don't think I can afford it but nothing else is helping. My face is basically clear with the best skin I've had, but the rest of the body is intolerable especially scalp, arms and back. I've been using antibiotics for months and basically bathing in tropicals twice a day to almost no to little help.
I just met a person who is self administring for his second round and seems to have no problems so far.
Does anyone have any experience with self administration of accutane bought from online pharmacies? It'll be nice to hear about some other experiences

Edit: since writing this post, I did end up bleeding again for a week. I wasn’t very happy about it but at least it was a light flow and I didn’t experience pain or cramping. Had my depo shot while I had the bleeding but that didn’t stop it from continuing. Planning to carry on for as long as they let me.
I’m 18, non-binary (they/them) and have been on Depo since last November. I don’t need it as birth control as I’ve never been sexual with anyone (including males). I had the implant maybe 2 or 3 years ago but had it removed after a year because I had spotting for a whole 6 months and it just was not worth it. So I have it as a way to alleviate my gender dysphoria and feel more comfortable.
After the first shot my cycle was 49 days longer than my usual 28–30. I haven’t had a period in 3 months. I don’t really consider it. I’m really happy about this. I had a bit of spotting at the start but I don’t think I have any anymore. However I still wear reusable panty liners every day because 1) I’m nervous it could suddenly restart 2) discharge makes me feel so uncomfortable. This isn’t really gender related I just hate how it‘a unpredictable sticks to my underwear and how wet the texture is. I want to try not wearing it for a day but I worry it’ll be the one day that my body starts to bleed.
I also want to mention acne. I’m likely going on Accutane soon, since none of my previous medications have really made any difference. I feel like since last winter, my back and arms acne have become worse, but my face has cleared up. This is pretty confusing so I don’t know if I can chalk it up to Depo.
Thing is I was told that Depo isn’t good for bone density. So I shouldn’t take it for more than 2 years meaning after the 8th shot I’d stop. I don’t ever want to have a period again personally. How big of a concern is this? I’m also diagnosed with anxiety / depression so I was worried about progesterone affecting my mood but thankfully I‘ve noticed no difference. I’m thinking of maybe a copper IUD if I must go off Depo as they last much longer. What are your experiences / thoughts?

This is my second round of accutane, during the first round I experienced the side effects after month 6, but during this second round I've been struggling a lot with the side effects since the month 2, I read in this sub that some poeple take their pill with fish oil, it increases the absobtion but also helps with the dryness, I want to give it a shot but I don't want my cholesterol levels to increase (they're already high).
Any advice?

I’m on my fourth course of accutane 😭 but unlike my first three courses, I started receiving kenalog/triamcinalone shots from my PCP for my large keloids on my chest. I am my PCP’s first accutane patient, but she’s administered these kinds of shots to other patients for other problems before.
My question is this: is there any harm or danger to receiving these shots for my keloids while on accutane? I am so scared that my injections will cause my keloids to grow even more while on accutane. I’m curious to what people’s experiences have been. Thank you, fellow skin warriors!

I’m on my fourth course of accutane 😭 but unlike my first three courses, I started receiving kenalog/triamcinalone shots from my PCP for my large keloids on my chest. I am my PCP’s first accutane patient, but she’s administered these kinds of shots to other patients for other problems before.
My question is this: is there any harm or danger to receiving these shots for my keloids while on accutane? I am so scared that my injections will cause my keloids to grow even more while on accutane. I’m curious to what people’s experiences have been. Thank you, fellow skin warriors!

So I’m 19 Male, suffered from dandruff/seborrheic dermatitis since I was 14 used nizoral since I was 14 till I got my Covid shots when I 16 and a half that’s when nizoral stopped working for me. I suffered again till I found a ducray shampoo that contained piroctone olamine worked for me for 3-4 months I used it wrong where I used it every time I wanted to wash my hair then suddenly after 3-4 months it stopped working (in this time I was 17) since that time and till now nothing worked from the incoming active ingredients salicylic acid, coal tar, selenium sulfide, zinc pyrithione. None of them worked for me I used them on my scalp kept them for 5 minutes like usual didn’t work, some doctor prescribed corticosteroid shampoo it helped a bit but didn’t completely treat and you know we can’t use corticosteroids more than month.
Notes:
I’m vitamin d deficient
I have terrible anxiety and stress
I have ADHD and OCD.
(I don’t have HIV)
(I pick my scalp even thought it doesn’t itch, whenever I’m busy and dont have free time my SD tend to get better and it’s better in summer)
(I once worked out for 2-3 months my sd was improved drastically)
—————
Are there alternatives to ketoconozole? or is it not even a fungal problem?
Should I avoid dairy, yeast and sugar?
Should I avoid scalp oils?
Should I get a shower filter and softener? If yes can yall link me a good legit one that works?
Should I get my blood and hormones tested? (Androgenic hormone?) ( Omega 3, zinc, niacin, B2, B6, b12, Vitamn D)
Should I get a test for TNF-ALPHA and il-17 due to their connection to seborrheic dermatitis and psoriasis? —— Possible new long lasting treatments?
(I’ll start exposing my scalp to the sun for 15 minutes every day)
Some doctors suggested I take Accutane but I was hesitant.
I heard vitamin b12 shots help?
Phototherapy
il-12 and il-23
Glycolic acid?
Folic acid?
Roflumilast foam 0.3%?
Are there any other medications that has lasting results without major side effects whether it’s topical or oral?

I’m a 16 year old and I’ve been on intramuscular testosterone shots once a week for just over a year. My acne’s been super bad, I’ve been through multiple medications the past few months, and now I’m finally starting accutane. I know a lot of people that say you usually only have to go through accutane once for it to clear forever (especially if it’s from hormonal acne), but is that different for me since i’m taking hormones and it’s not a “natural” puberty? Like, would i end up having to take it again later in life, or be on some sort of anti-acne meds for as long as I’m on T? I want to know what to expect from this. If anyone has long-term answers/experience, or just anything that might help, that would be appreciated! :)

I’m a 24f with mild-moderate persist acne. I’ve tried topicals with no luck. My skin is too sensitive and easily irritated. I’ve been on spiro 3 or 4 times (years at a time) in the past 8 years and while it works initially, I still break out. Most of my breakouts are around my chin, mouth and jawline. I find that I breakout mostly around my period or when stress is high (can’t control it). Sometimes I’ll have a good streak of clear skin but doesn’t last long enough so I decided to get on accutane. My derm suggested that I get on both low dose spiro and low dose accutane at the same time. I’m starting with spiro at 50mg daily for a month before being able to start with accutane. My dilemma here is: should I drop the spiro and stick to regular dose accutane and see how it works since I’ve already tried spiro? I don’t want to go for just low dose accutane because according to my derm that will take too long (~2 years) A part of me wants to give accutane a full fair shot and maybe maintain after with spiro? I’m trying to have my shit together by end of this year due to possible relocation and masters graduation. Any thoughts? Thank you!!!

Hi! Anyone know of accessible testing?
When’s the CIRS sliding scale option gonna be available? Lol
TLDR: are my symptoms carnivore adaptation/oxalate dumping or CIRS?! History of exposure to water damaged building and potential CURRENT exposure to a WDB. History of chronic health issues including fatigue, shortness of breath, tonsil inflammation, horrible reactions to antibiotics, digestion issues, and recent development of random ice pick pain, mild but sporadic vertigo, weird eye stuff (feels like they have a light film on them). I fit like 7 of the clusters.
VCS results: 72% total score, 78% bio toxin score Overall positive but negative for bio toxin???? What does this mean??
Haven’t had a job for a year, ironically been gathering skills and learning how to build homes that aren’t toxic! (Cob, LCS, adobe, etc.) my inclination to build this way is to avoid harm to the environment but as I type this, I’m realizing how important earthen building is for our personal health.
Can’t really afford all the testing right now. What should I do? Is there a cheap way to test the little cabin I’m living in?
Backstory (22f/5’5”/130lbs/carnivore diet):
I’ve struggled with chronic fatigue as long as I can remember. I distinctly remember my apathy and mild depression beginning around age 16 when I was trying to treat acne (antibiotics that gave me the shits, another antibiotic that made me so lightheaded, and finally the dreaded accutane, which worked and seemed to have no OBVIOUS side effects).
I danced growing up, and before these treatments, I remember a distinct phase of being so jolly about ballet class. And then one day, I just didn’t physically want to go anymore. My mind knew I enjoyed it but it’s like my mind and body were no longer connected.
Over the next couple years, the chronic fatigue persisted, and eventually I got these like chronically swollen tonsils that would only go away with a steroid shot. So swollen I could hardly drink water let alone eat. At one point, they gave me an antibiotic under the premise that i might have a rare form of strep, which I had a mild allergic reaction to (small rash on my arm).
These weird bouts of swollen tonsils persisted over the next couple years, with another horrible bout, only relieved, yet again, by a steroid shot. I occasionally get mild inflammation of the tonsils but rarely these days. Maybe it was wisdom tooth related?! Finally getting those out this month.
Okay the real stuff started my junior year of college. I went to New Orleans for a week to visit a guy I was dating, when I returned to my house, I noticed the shortness of breath. At this point, I assumed fatigue was just life, ya know, it’s a hard world, everyone’s tired all the time right? But the shortness of breath was so strange!! The doctor diagnosed me with mild asthma but insinuated, after doing multiple tests for nutrient deficiency, that I was probably just anxious.
I had a lot of anxiety as a child. Quite shy, very preoccupied, never had it manifested in this way.
In the mix of all of this, I went off birth control.
Well, the plot thickens when I discover standing water in my basement. No idea how long it had been there. It was a rental house. My landlord was like 83, and come to find out, she died of a brain tumor a couple years later, after I had moved out. So, delightful lady, RIP JoAnn, but she was not super helpful in remediating the situation.
The shortness of breath improved upon moving, but it periodically resurfaces. I can’t seem to find the stimulus. Shortness of breath and fatigue were the obvious symptoms, but I was also abusing pot so hard to tell what the pot could have been masking or causing. Oh yeah, and I would get afterimages sometimes when I swipe my hand slowly in front of my face. In retrospect, I remember some light sensitivity, my hands and feet would get numb/tingly easily.
Okay so fast forward to now: I discover carnivore diet. It’s like a lightbulb moment. Been eating this way for 5 weeks. Felt absolutely phenomenal the first day, felt like I had woken up from a dream but that adaptation was hard.
Coincidentally, I start eating this way at the same time that I move into another potentially water damaged building. I’m living on the soggy Northern California coast for 1 more week. The first night it rained here, I could smell a musty smell that I suspect is mold, it was so pungent I couldn’t sleep. Meanwhile, I’m eating keto/carnivore so I’m having all these other adaptation symptoms, one of which folks report is heightened senses.
The smell comes and goes.
Anyyyway, my symptoms now are: weird eye stuff, like they feel like they have a film over them, especially when I eat, fatigue, ice pick pains randomly, diarrhea, sporadic shortness of breath, light sensitivity, sometimes a sore throat upon waking, mucus in my throat, random vertigo, sometimes I get SO HOT and bright red from mild physical activity, muscle weakness.
It’s challenging because I can’t tell how much of this might be a symptom of the diet (oxalate dumping) or mold.
ALL THIS TO SAY: I have an incredible tolerance to discomfort and incredible discipline (thanks ballet), which I think has left me in denial of how much I’m truly suffering. I live a transient lifestyle so healthcare is challenging.
If you’ve read this far: thank you so much :) I want to feel the zest for life that I know exists in my heart but is not accesible by my body. I’m tired of pushing my body to the places my heart wants it to go, but it can’t physically handle. I want my body to be able to keep up!

After months of trying to avoid breakouts and even getting cortisone shots on the first budding cysts, it happened again. I don’t even know what to say or how to feel I’m just so tired of having to deal with this. At this point I’m 32, I’ve done TWO full rounds of Isotretinoin in the US and it has worked but after a couple of months… the cysts come back.
It’s just so exhausting because this time around it hit me that I’ve never been able to look at my face for the last TEN YEARS and be happy about it, even AFTER accutane because of the scars.
After my breakouts stopped with the second course, I got laser resurfacing and thought, “oh now that I’ve got it under control I can work on the scarring” and of course the relapse is worse. It makes me feel like a joke and I just feel so stupid and like I have to come to terms with never being happy with the mirror, which I am really sad about.
I know it’ll be ok and I do have a treatment plan. I’m working with my derm and will be going on low dose accutane, probably indefinitely at this point… I don’t even know if anyone will read this I just felt like I needed to put this somewhere so I’m not carrying it all alone.

Hi all, i’m transmasc and on accutane (top surgery three yrs ago, hysto a year and some change ago, on intramuscular testosterone shots weekly) all that info in case it’s relevant ^{^}
i take 40mg nightly of isotretinoin with dinner, and i’ve noticed already since starting 6 days ago that my acne is flaring. especially where it’s usually more prominent on my right side, and i feel very flaky and dry in general.
i use SPF multiple times a day and have been doing the skincare routine my dermatologist recommended. i don’t think anything needs to change, im just curious if anyone has experienced this or knows if it’s common to purge this early (my derm said im going to feel hella dry like 2wks in so im also wondering if my skin’s going to be like… cracking and bleeding by then)
thank you in advance 💗

I’m 18, non-binary (they/them) and have been on Depo since last November. I don’t need it as birth control as I’ve never been sexual with anyone (including males). I had the implant maybe 2 or 3 years ago but had it removed after a year because I had spotting for a whole 6 months and it just was not worth it. So I have it as a way to alleviate my gender dysphoria and feel more comfortable.
After the first shot my cycle was 49 days longer than my usual 28–30. I haven’t had a period in 3 months. I don’t really consider it. I’m really happy about this. I had a bit of spotting at the start but I don’t think I have any anymore. However I still wear reusable panty liners every day because 1) I’m nervous it could suddenly restart 2) discharge makes me feel so uncomfortable. This isn’t really gender related I just hate how it‘a unpredictable sticks to my underwear and how wet the texture is. I want to try not wearing it for a day but I worry it’ll be the one day that my body starts to bleed.
I also want to mention acne. I’m likely going on Accutane soon, since none of my previous medications have really made any difference. I feel like since last winter, my back and arms acne have become worse, but my face has cleared up. This is pretty confusing so I don’t know if I can chalk it up to Depo.
Thing is I was told that Depo isn’t good for bone density. So I shouldn’t take it for more than 2 years meaning after the 8th shot I’d stop. I don’t ever want to have a period again personally. How big of a concern is this? I’m also diagnosed with anxiety / depression so I was worried about progesterone affecting my mood but thankfully I‘ve noticed no difference. I’m thinking of maybe a copper IUD if I must go off Depo as they last much longer. What are your experiences / thoughts?

Hey beauties 👋🏻 I’m new here but I am kind of desperate so please bear with me while I ask a very long question.
I have seemed to always struggle with acne… like my whole life… I just turned 43 and my doc says that I am starting to enter perimenopause… my acne is off the charts… it’s not “all over my face” but the DEEP, PAINFUL and marble sized zits that never really come to a head have become my new side kick.
I have been on Spironolactone since November, started at 100mg and just got upped to 150 in March. I have tried tretinoin (.25)but it was horrible and had to stop… I couldn’t even do it once a week. Tried if for 5 months.
I have had success with cortisone shots when I get really bad ones and they go away that day which I am so grateful for, but I can’t keep going to the derm 💰💸. Not sure if I know anyone who could.
Questions are… -has anyone had to go up to 200 mg of Spiro and how long did it take to see it go away? - has anyone HAD to go on Accutane after 40?!? Derm says that is really the next step if we up to 200 mg and it doesn’t help. Currently I have been on the 150 mg for three weeks and my derm says to give it 1-2 months for us to see if it helps. - has anyone had success with topical treatments that I can put on deep painful cysts to help the inflammation? - I have been on HRT in the past and my acne was WAY WORSE. It was just testosterone so I know that’s why it was bad.
I have great skin care and I moisturize ALOT. I drink ALOT of water. I am very fit. I eat very clean, no sugar, etc.
Accutane scares me - not from the side effects while taking but the long lasting side effects that I have “heard” of. My derm says it’s amazing and she highly recommends and if her kids struggle with acne she wouldnt hesitate putting them on it.
Just trying to see if anyone has had a similar experience because I am struggling emotionally.
Thanks for making it this far and I appreciate anything! ❤️

Please read if you have the time 🩷 I will be seeing my derm this Friday. But I’ve been developing weird side effects I been writing in here a lot. Yes I called my doctors and went to urgent care. First it was the dry rash on my arms then hit month 5 I’m on Claravis and idk I feel like that stuff is stronger than the usher and smith isotrentinoin. Anyways my skin isn’t even clear yet. I got a stye last week and 3 days ago my index finger got so painful, and I got paronychia which is like an infected nail where the nail meets the cuticle on the side, kinda like when u pull a hang nail and it gets allll infected and pus forms, ya but I DIDNT have a hang nail!!! I google it and it’s a rare side effect like wtf. So I go to urgent care they drain it that was so painful like my finger was throbbing insane pain. Now I’m on antibiotics and then today I look at my arm!? Red streaks from my finger up to my arm I THEN went to urgent again after I googled what it is it’s lymphangitis. Scary stuff they gave me a shot. I’m so exhausted. I called my derm they didn’t answer. Tomorrow we will see if it doesn’t improve back to urgent or the ER. I really realllly don’t wanna go to the er. I feel like so sad too I think ima be ok I need to think positive but it makes me so sad, is this cuz my immune system is down? I got sick alot this year and I don’t usually get sick oh ya! And the nose bleeds INSANE. Like people can see the dry blood I don’t know if I will quit but I kinda wanna….im scared to talk to my derm. I feel the finger thing will be looked over lol oh but !??? I’ve had a hell of a year already I’m grateful for everything always and yes my skin has improved but I have so many closed comedones from before accutane and that’s what I wanted to see go away but that’s barely starting. Idk if I can be on this drug for a year. The lymphangitis is painful. If you read all of this thank you 🥺 I just feel like I’m falling apart. And I was only on 30 MG twice a day, I haven’t taken it in 2 days idk! I’m scared now.

This may be a stupid question but i'm starting my second course of accutane after my first one failed and my acne came back twice as bad. I'm 25f and took (i think?) 10mg for around 6 months and saw great results but looking back now I definitely should have stayed on and not quit while I was ahead. Lesson learned there, but my new dermatologist also said a big reason my last round failed could be because my diet wasn't high enough in fat to absorb properly. I figure that could be true and I really really really want to make sure it sticks this time. Problem is- i don't eat a lot. I just don't have a high appetite and especially not for greasy or oily foods because I'll get heartburn. So I asked the doctor if I could just take it with a shot of olive oil or something to get my dose in and he said that wouldn't work. But why? Does anyone know why or have any advice on what I should be eating so I don't have to go through all this hassle again?

Hey all,
This might be a long shot but I’ve been off accutane since July 2022. Everything has been good but I’ve been dealing with severe dry eye when I wake up each morning.
The sensation is extreme dry eye, crusty stuff in my eyelids, and sometimes it’s hard to even open my eye lids because they feel glued shut.
I’ve been using a q tip and ocusoft hypochlor spray to clean my eye lids and get the gunk off. This has worked fine and stopped me from getting any styes for a few months now but I’m wondering if there’s better treatment out there.
Has anybody dealt with this side effect and gotten any treatment for preventing this? I’m sick of feeling like this every morning… thanks in advance

I’ve put in my first order with Dermatica and they’ve sent me 0.025% tretinoin! No other ingredients!
Has anyone had experience? This will be my first shot at pure tretinoin after using trecilin and accutane ☺️

It definitely did not work for me. I powered through for 6 months going up to 150mg and my skin was the worst it ever looked and my ego was absolutely shot. If you’re in the same boat, I recommend looking into Clear Health (no this is not an ad). It’s the only telehealth that prescribes accutane which the process is somewhat easy to get prescribed. My skin feels milesssssssss better on accutane. I know everyone has different skin but I wanted to shed light on this for people looking to try something new!!