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Destinations, Dreams and Dogs - International adventure with a fast-track family (& dogs) of Old World values, adopting the Russian-Italian-American good life on the go…!

Acne Update – III

Two months into isotretinoin for our son with acne, and swinging into the third month.  We are finally seeing light at the end of the tunnel.

At 160 pounds, he should be taking about 80 mg. per day, as in 1 mg. for every pound.  This made his skin extremely, extremely dry and him extremely, extremely tired.  As a laid-back kind of guy, he also acted slightly stressed and on edge.

The dermatologist cut him back to 60 mg. per day and the improvement was remarkable.  The skin did not peel off in sheets, and he was able to take 20 mg. in the morning with breakfast, and 40 mg. in the evening with dinner, so it didn’t affect him so much during the day.

The only downside?  This appointment the doctor told us that our son would likely need to be on the medication for six months, instead of five.


As we move into the third month, his shoulders and back are visibly improved, as a matter of fact, practically clear.  (But these things change day to day, and week to week.)  It seems like there’s been a big change.

His face is definitely improving.  He has less acne overall.  It appeared to get worse during the first month, and possibly worse during the first half of the second month.  Now, there’s a sense of improvement during the second half of the second month.

There are a few very hard nodules causing lumps on his face from time to time, but again, the overall inflammation and number of blackheads or whiteheads has diminished.  We’ve read up on the topic and now understand that more than 40% of young people in their mid-teens have acne requiring a physician’s intervention.  And that acne tends to last for five to ten years.

As the doctor said during our first appointment, “This young man is just on the cusp of it.”  Talk about scared straight.  Give him the drugs, Doc!

He also looked over his bifocals at me during this latest appointment and declared, “I have never known this medication NOT to work.”

I believe him.  It’s expensive medicine, plus, the monthly dermatologist’s appointment and lab appointment for blood work add on to the cost and wipe out most of a morning.  However, I’m happy for our son that we are at last observing some tangible results.

He’s happy, too.



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2 Comments : Leave a Reply

  1. avatar Sybil says:

    It is worth every penny for the child’s sake, but really does it need to be so expensive or are the drug companies taking extreme advantage of a situation?

    • avatar admin says:

      That’s what I wonder, too. Take the uber-expensive drug and have the situation semi-“cured” for life, or take the less-effective/expensive medications for as long as need be…?

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