Acne Update – V
This is the final installment of our son’s six-month acne regimen on Isotretinoin. I left you hanging a couple of months ago when he received a lab diagnosis that his triglycerides were elevated and that he should stop the medication. Well, there’s more to the story….
Turns out that when he and my husband were in the lab, Benedetto had a fleeting thought. Watching the technician take a couple of vials of blood from our son, he considered if the vials were ever switched as he saw row after row of marked samples lined up. This was the first time he had ever thought of such a thing.
Then the call came and had all of us scratching our heads. Our son did not drink, did not have a poor diet, and daily engaged in plenty of sports. How could his triglyceride levels be raised?
But the dermatologist said to stop the Isotretinoin (formerly known as Accutane) for two weeks, go back to the lab, and the doctor would write another prescription for the last month if all was well. He took no medication for 14 days and was so happy that the extreme dryness disappeared. His face was fine, but the dermatologist had found one slowly-healing pimple on our son’s back and said that one more month would seal the deal.
Two weeks later, we returned to the lab at the end of January. All was well, as we had imagined it would be. The doctor wrote out a prescription for three pills a day, but he was instructed to take only one pill per day, thus tapering off.
“Then why did we receive a prescription for all of these pills if we’re not going to be using them?” the two of us parents puzzled.
These are the great mysteries, particularly when the medication cost per month could fund a small nation….
“What was the problem?” he asks Benedetto. “Why did we cut him back?”
“High triglyceride levels,” my husband reports.
“No, no,” the doctor shakes his head. “There’s been a mix-up somewhere. The lab report is wrong. The report states that his triglyceride level was 550, more than double what it should have been, and then after he went off the medication, it dropped to 121, which is less than half of what it was originally…. I think they mixed him up with someone else. They should be monitoring liver function with this medication.”
Long story short, the dermatologist said for our son to go back to three pills a day, and finish them up in the next two weeks, and come and see him again in about a month. We’re back to the extreme dryness, the peeling lips, and the tiredness, but the skin looks great.
It’s been a long haul. If you missed any of the installments of this saga, you can start here at Update #2 which also gives a link to the original post in August 2012: http://www.destinationsdreamsanddogs.com/acne-update-ii/. In case I don’t post on this again, thanks for sticking with the (gross) details-! We’re all very happy as we’re coming out on the other side of this.
————–Tags: Acne Update V, are acne medications worth it?, isotretinoin review, monthly acne med diary, parenting blog and dealing with teen acne, teenage son with acne, when lab reports are wrong, when proactiv does nothing for your acne