Treatment of Severe Nodular Cystic Acne

Cystic acne - Cyst: a sac or space (commonly in the lower layer of the skin) that contains fluid or semi-solid material. Cysts are large, inflamed acne lesions that are filled with pus. They occur when the contents of a clogged pore seeps into the skin, thus producing a significant local immune response. Cystic acne can be painful and leave scars.

People with nodules or cysts should be treated by a dermatologist. For patients with severe inflammatory acne that does not improve with antibiotic medicines, a doctor may prescribe isotretinoin (Accutane*), a retinoid. Isotretinoin is an oral drug that is usually taken once or twice a day with food for 15 to 20 weeks. It markedly reduces the size of the oil glands so that much less oil is produced. As a result, the growth of bacteria is decreased.

* Brand names included here are provided as examples only, and their inclusion does not mean that these products are endorsed by the National Institutes of Health or any other Government agency. Also, if a particular brand name is not mentioned, this does not mean or imply that the product is unsatisfactory.

Advantages of Isotretinoin (Accutane)
Isotretinoin is a very effective medicine that can help prevent scarring. After 15 to 20 weeks of treatment with isotretinoin, acne completely or almost completely goes away in up to 90 percent of patients. In those patients where acne recurs after a course of isotretinoin, the doctor may institute another course of the same treatment or prescribe other medicines.

Disadvantages of Isotretinoin (Accutane)
Isotretinoin can cause birth defects in the developing fetus of a pregnant woman. It is important that women of childbearing age are not pregnant and do not get pregnant while taking this medicine. Women must use two separate effective forms of birth control at the same time for 1 month before treatment begins, during the entire course of treatment, and for 1 full month after stopping the drug. They should ask their doctor when it is safe to get pregnant after they have stopped taking Accutane.

Some people with acne become depressed by the changes in the appearance of their skin. Changes in mental health may be intensified during treatment or soon after completing a course of medicines like Accutane. A doctor should be consulted if a person feels unusually sad or has other symptoms of depression, such as loss of appetite or trouble concentrating.

Other possible side effects include dry eyes, mouth, lips, nose, or skin; itching; nosebleeds; muscle aches; sensitivity to the sun; and, sometimes, poor night vision. More serious side effects include changes in the blood, such as an increase in triglycerides and cholesterol, or a change in liver function. To make sure Accutane is stopped if side effects occur, the doctor monitors blood studies that are done before treatment is started and periodically during treatment. Side effects usually go away after the medicine is stopped.

What our customers say: "I am 33 yrs old and have had cystic acne for 10 years. I did not like being on antibiotics all the time and tried dozens of other products before I found yours. I can't say that it completely prevents the cysts from appearing but they are much less frequent and much less severe. The cream has also helped the dark patches that appeared on my face while I was pregnant with my sons. Thank you for your help!"
Shannon Bloemker. MA. USA.

'Does wonders for those taking Accutane'
I have struggled with acne all my life but finally by my forties, with care, it was pretty much gone. Then as I approached the end of obtaining my college degree (very late in life!) I was very, very stressed out and sleep deprived. My face broke out horribly. I thought with over the counter stuff it would blow over in a week or two. It got worse and I could not stop picking and digging at it. My face looked almost bloody and was very greasy. The doctor put me on 20 mg of accutane per day. Accutane is great and does work but I remembered all the awful scaling & peeling I had. But I had to do something so I dutiful began to take my accutane knowing it would knock out this acne.

About the same time I was cruisin' around online I stumbled about the phrase 'does wonders for those taking accutane' or something like that. I tracked it down and came to this website. Oh it all looked too good to be true! I read and read and read some more, checked out every single ingredient, even found another product similar but it had ingredients known to cause acne. I thought it was expensive but I was desperate and I knew I could cancel on my credit card if I hated it. I got it and started to use it morning and night. Within seven days my skin began to calm down. I had very little skin dryness with the high dose of Accutane I was taking.

It was slow going healing and scar fading because I am older but in two months time you will be very happy like I was. You will slowly get better day by day. Not good for a few days and then set back and then start again. You just keep going. It has diminished scars somewhat but it makes the rest of your skin look so good you look better all over!!! This without a doubt a good healthy product. It should be prescribed or sold with every single prescription of accutane. This is not just a feel good and smell good cream (I do wish it was unscented though). This is medicinal and will truly help you. It sort of makes your skin whole, not just one part okay and the rest yucky, there is a overall consistency. I was generous with the first jar, every morning and night, now I am just at night. I use it all over my face, right around my eyes and on my throat sometimes. Life is hard enough but facing the world with attractive healthy skin is just one less thing to worry about. Thank from the bottom of my heart.
Nancyellen D, CT, US.

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