Friday, 29 June 2012

last resort: roaccutane

i have been so frustrated and at a loss of what to do. i think i've been trying to convince myself and others that natural is the best way to go... that my acne will go away if i do the right things, and eat the right food. countless google research has told me that stuff like benzoyl peroxide and antibiotics are bad, and that acne will go away if you change your lifestyle. i tried to be patient, but how much more patient do i have to be?! i wanted to believe it so badly, since i hate chemicals and non-natural products and tried to convince myself that maybe "god" and nature will fix this, that my face is actually getting better everyday... but i am fed up!
six years of constant acne has led to permanent scarring, which looks like lots of deep holes all over my face.
so recently;
i went to this first doctor who has prescribed me minocycline and epiduo (2.5% benzoyl peroxide) for the last three or four months. he told me that i needed to use the epiduo every night, without moisturiser, along with the antibiotics. he said i would need the antibiotics and epiduo until i was 25 years old (7 years of additional chemicals internally and externally). i did this for a few days, but i got impatient and after i discovered the regimen i put it on twice a day, with moisturiser.
the antibiotics, well, they didn't make any difference. two or three years ago, when i first took was prescribed them, they helped a bit, but my acne came back so i think my body kind of got used to it and it stopped having any effect... and it didn't make one little difference improvement time round.

i went to the doctor and told him it wasn't working, my acne wasn't getting better if not worse, but i had been using it twice a day. he got angry and said this is why it wasn't working, because i was using it too much. i kind of hated the benzoyl peroxide, blaming it for the cause of inflammation and redness, so i cut down to once every two nights. i went back to the doctors when it didn't help, and he told me it was because i wasn't using it enough! then he prescribed me with erythromycin and told me to take two tablets twice a day instead of the minomycline, for twelve days. i did not use the epiduo as well because i was completely against benzoyl peroxide by now... not only is it bad for your skin and apparently speed up the aging process of your skin (http://www.youtube.com/watch?v=oGANWnN6MsQ) but it didn't help my acne. i went back to my doctor on thursday, and he got really angry at me, saying that i "messed it up" and the reason that it wasn't getting better was because i didn't follow his instructions, including stopping the epiduo while on erythromycin. but really, i was thinking, if the antibiotics he prescribed me were effective and worked internally, why did my acne get worse over the course of four months? and the benzoyl peroxide should have some positive effect, right? even if i didn't use it everyday? :(

all the nurses  and pharmacists at the clinic has been telling me to pressure him to send me to a dermatologist, that four months was long enough, that i needed to be strong and that after going to a dermatologist, my skin will be beautiful and that i'm a beautiful girl, just with acne. they said that they had children who had acne like me, and that after they visited "dr roland" nearby, they're completely better.

so that day my dad came with me and we told him that i wanted to see the dermatologist. he got angry, saying that the dermatologist will tell me the same thing, and the only difference is that the dermatologist can prescribe me is roaccutane, which is a really uncomfortable medication. he said that of course i'm going to think the dermatologist is "good" and that he was "no good" if i followed the dermatologist's instructions and not his, and that the dermatologist's knowledge on acne is the same as his anyways. he said that the dermatologist may decide to prescribe me roaccutane, but my acne wasn't severe enough and that i didn't need it... i told him i heard about roaccutane being a permanent fix, and he said that my acne will never go away and nothing is permanent. however he wrote me a referral letter anyways.
that night i did lots of googling on roaccutane and dermatologist fees. a consulation would cost around $175 even on referral and i would require lots of visits and checkups. neither the fees or the medication would be covered by my healthcare card, but i may receive a discount. also, accutane wasn't a permanent fix for some people (http://www.youtube.com/watch?v=3DnAAX3SXjY&feature=channel&list=UL) and after all that trouble, it might come back. it could also lead to permanent damage to your body, which kind of freaked me out. i ran downstair, told my dad to not call the dermatologist tomorrow morning! not yet, my cousin had given me the number of her doctor and said that he was really good and helped her kids with some of their skin problems, so he might help me too. i don't think dad was 100% happy with this, because he wanted me to go to a dermatologist, but i told him that i wanted another opinion and that i wanted to try all possible alternatives first.
so friday morning, i rang up the clinic at 9am. i got an appointment at 12:15pm, went there and didn't have to wait an hour to see the doctor like at the previous clinic. he was really friendly and had a sense of humour. he looked at my face, asked me what i had been using, told me that the minomycline and epiduo weren't going to help me with my condition, told me that i had severe acne and even some cystic acne. he prescribed me with a generic version of roaccutane (called oratane) straight away, after making a few phone calls about an authority number and changes in the law (GP's can prescribe roaccutane now?!). i told him i was worried because i had heard all these bad things about roaccutane, and he told me not to worry or get scared about all the things on the internet, that most people are fine... i will get dry skin and my cholestrol levels will rise but nothing serious, plus he will be checking up on me and taking my blood every month. he took photos of my face with his iphone so he could show me and my dad the progress each month. i then asked him if i should continue using the epiduo while on roaccutane and he said that i could - i then told him i heard that it isn't good to use both at the same time, and then he thought for a bit, said that he was trying to save me money but then prescribed me with one of "his creams" which the chemist would have to mix up for me, but it would cost more and wasn't covered by healthcare or medicare.

(also i forgot to mention, my acne is genetic because my dad had really severe acne. he said that he had it up until almost 30, also took roaccutane and that it went away forever... he had no side effects except for really dry skin and lips.)
i'm sick of having acne controlling my life decisions: prolonging visits to friends so i could prolong the amount of hours before i put on makeup, coming home early after going out with friends so i can wash my face, driving a different way home to avoid driving past people i know, spending hours on the internet looking up acne cures, not sleeping over a friends house after a late night out because they would see my face without makeup, being embarrassed when friends come over and finding that i cover my pillows with towels, my aunty telling me not to kiss my little sister because i might give her pimples...

i went home that day feeling happy and hopeful. at the moment, my face is so bad that i can't hide my acne, despite putting about five layers of foundation on. the googling really came in handy, because the night before i was planning to go to a dermatologist and see if he would prescribe me roaccutane. deciding to go to this doctor first meant saving thousands of dollars on dermatologist fees, and probably saving money on the medication too. also, i didn't care that roaccutane might be harmful to my body in the long-run, or that i might be in discomfort and pain for a few months. i was prepared to undergo pain if it meant i could live a normal life in six months time... at this stage i will do almost anything for my skin to get better. this might sound crazy, but after my first tablet i could not wait to see dry skin or lips, because i'm impatient for the medication and results to kick in!

No comments:

Post a Comment