When I began Accutane, my acne also got worse before it got better, which is to be expected. Everyone will have different side effects and results. I got very dry, chapped lips and was always thirsty. I also got a sore under my nose from also having a cold at the same time and having to blow my nose all the time. My dermatologist gave me a cream for that, which healed eventually. Like you, I want a fast result when treating my acne, but I haven't found one yet. Accutane didn't work for me after 4-5 months and maybe I'm one of those that needed to be on it longer or take a second round, because my cystic acne returned. Accutane will not get rid of blackheads or whiteheads, but that can be treated after finishing Accutane. Do not use Retin-A or other drying acne products while taking it. The skin is very fragile at this stage and even after ceasing taking it. I can't believe that one of the girls at my derm's office gave me a chemical peel after. Not supposed to be done for at least 6 months! I had major peeling and worse. I do not advise. I'm sure your doctor is doing monthly blood tests to check your liver while taking Accutane? I also got headaches the first weeks of taking it, but went away with an adjustment on times of day and amount I took. This is another side effect to be careful to monitor. I hope this was helpful.
I've been using Tri-Luma off and on for several months after finishing Accutane, to treat my melasma. I never had brown spots before taking birth control pills and the melasma kicked in within the past 2 years. It's most noticeable on my forehead, but prevalent on my cheeks and nose as well. My husband has told me that it is fading, which is encouraging since he sees me every day, but I still think it's awful looking. I am also tenative about using it, because even though "they" claim it's safe to use, I've read and heard otherwise; that hydroquinone, the main active ingredient, is carcinogenic. I'm still using it in hopes that it will completely fade the darker pigmented areas.
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