Page 1 of 2 12 LastLast
Results 1 to 10 of 16

Thread: Accutane Very Low Dose - IPL/Laser

  1. #1
    Senior Member
    Join Date
    Jan 2006
    Posts
    490

    Default Accutane Very Low Dose - IPL/Laser

    I tried low does accutane some time ago (20mg every other day) and it really helped with my oily face and helped moderately with redness.

    I am wanting to try VERY low dose (about 5mg every other day) just to help control oil and improve skin texture and appearance of large pores. However, I also plan on doing VBeam/IPL. The normal reaction is to not touch accutane when doing VBeam/IPL, but if the accutane dosage is very low, is this still a possibility? I will talk to my doctor about it, but I would like to hear some general opinions about whether or not this would even be something to consider.

    The problem is that IPL/laser can take a long time (several months) and I would really like to start up again to get some relief from my severe oily skin. I have noticed that the oil even tends to aggravate my rosacea.

  2. #2
    Senior Member Mistica's Avatar
    Join Date
    Nov 2007
    Posts
    1,848

    Default

    Hi,

    Accutane is such a risky drug. It is like playing Russian roulette. Why take the chance of being dealt the bullet?
    No one even knows if accutane 'cures' acne, or if it simply produces dysfunctional skin with permanent changes.

    Take a look at this. It is horrifying.

    http://www.acne.org/messageboard/Sto...r-t212732.html

    I suffering IPL damage when using topical retinyl palmitate on my skin and yet RP is supposed to be the most gentle form of vitamin A. It also pushed me from remission into severe rosacea.

    Also take a look at this study.

    http://www.springerlink.com/content/hc7pxunfctx7p5wb/

    Note the final part.

    Our findings indicate that the RA-induced inhibition of differentiation of keratinocyte cultures results from removal of cells committed to differentiation. In vivo, less adhering but still differentiating cells cannot be removed as easily as they can be in a culture system. The consequence is a sticky and fragile skin.
    Accutane, being an oral potent form of vitamin A can really mess up the immune system.
    I know some people have gained benefits, but who knows if there hasn't been a price to pay at the same time?


    I used to have really oily skin, which I felt served to increase my potential for outbreaks. I used to wake up to 30+ per day and unbelievably, by the time I went to bed, I nearly always had more. It was very disheartening. Each spot left a red patch, more vessels and in my case hyperpigmentation.
    I probably had a secondary infection too, after being on oral e-mycin for over nine years.
    Now, since being on high dose vitamin D3 for eight months, my skin seems more balanced. Dewy, if you like. I went from really oily to dry, to dewy.
    I have recently stopped my oral antibiotics and hope to function without them. I am getting a few outbreaks each day, and this is concerning, but I plan on giving this trial period 3 or 4 weeks, before I make my decision about whether I need to start them up again.

    Most people are deficient in vitamin D and those who have been on accutane will most likely be very deficient.
    I advise you to get tested.
    And don't have IPL/Laser if you do go back on accutane.
    Previous Numerous IPL, ZZ cream.
    Supplements: Vit K2, High Dose Vit C, BHCL, Digestive Enzymes, Ionic trace mineral drops, low dose iodine to correct deficiency.
    Skin Care: Cetaphil Gentle Cleanser, or ZZ soap.

    Treating for gut infections under specialist care. (This is helping).
    GAPS diet foods/no probiotics.

  3. #3
    Senior Member
    Join Date
    Sep 2006
    Posts
    1,337

    Default

    Hi -

    I'd personally not risk it. You have a higher potential to burn/scar and definitely have delayed healing while on Accutane. That's why the don't recommend having any type of surgery while on Accutane either. Obviously, if it's emergency surgery, there is nothing you can really do but hope you will heal okay. Anyway, I'd recommend: 1) Do Vbeam first and then later start your low dose course OR 2) do your low dose course and wait atleast six months after stopping Accutane for laser. There is a gal on this forum who had VBeam while olow dose Accutane - let me see if I can find her name. She said she didn't have adverse reactions but still, it's really a BIG gamble.

    Cheers,
    Yvette

  4. #4
    Senior Member
    Join Date
    Jan 2006
    Posts
    490

    Default

    The problem with lose dose accutane it is a big time investment. If you go for a year or so, then 6 months to heal, you are looking at 1.5 years before you can consider another VBeam or IPL. I do understand it is a real risk, but the general concern is over typical dosages of accutane. In fact, it is very rare to be doing such a low dosage of 10mg/week or so. The fears usually reside over MUCH higher dosages (100+mg/week).

    I do know there is risk involved, just as there are reports of IPL and VBeam alone doing a lot of damage. I don't think that means I should not do IPL or VBeam though. The real question is how real is the risk. Maybe that reall is not known though.

  5. #5
    Junior Member
    Join Date
    Jan 2010
    Posts
    6

    Default low dose accutane

    I did 2 tours of low dose accutane of 10mg a day. To be honest, I think it did more long term damage than good. My skin was extremely dry for almost a year afterwords. My papules actually got worse when I came off the medication. Even at low doses the drug dries out everything in your body that involves sebaceaous glands. My dermatologist made me wait for 3 months for a V-beam treatment even on low dose.

  6. #6
    Senior Member
    Join Date
    Jun 2005
    Posts
    1,101

    Default

    Quote Originally Posted by hozer2k View Post
    The real question is how real is the risk. Maybe that reall is not known though.
    As you suggest, pretty much an unknown.
    The real question is how would you deal with a messed-up face having undertaken laser treatments knowing that there was a degree of risk?If you have a heart and a liver, are a biped, and have a large brain, my feeling is that you would not deal with that especially well.

    Would you inform the practitioner? If yes, they would likely be extremely conservative. Which is to say the treatments might be ineffective.

    (If no, well, that is a moral quagmire of sorts.)

    Is 5mg every other day likely to be effective? In doing both, there's every chance you will benefit from neither.

  7. #7
    Senior Member
    Join Date
    Jun 2005
    Location
    Norway
    Posts
    241

    Default

    Quote Originally Posted by hozer2k View Post
    The problem with lose dose accutane it is a big time investment. If you go for a year or so, then 6 months to heal, you are looking at 1.5 years before you can consider another VBeam or IPL. I do understand it is a real risk, but the general concern is over typical dosages of accutane. In fact, it is very rare to be doing such a low dosage of 10mg/week or so. The fears usually reside over MUCH higher dosages (100+mg/week).

    I do know there is risk involved, just as there are reports of IPL and VBeam alone doing a lot of damage. I don't think that means I should not do IPL or VBeam though. The real question is how real is the risk. Maybe that reall is not known though.
    My derm was at a dermatology conference with top dermatologists from all over the world. He asked about laser treatment, general surgery and accutane. Nobody could give him exact answers, but they seemed to agree that one should be careful. Especially with CO2 laser (not sure if that is the same as IPL). For the CO2 laser my derm wait 6-12 months after accutane. He also said there have been reports showing a bad result with this laser, because one started to soon after ending the accutane course.
    There are some other laser treatments you can do while on accutane, or at least soon after, but I am not sure what they are called in english. I think it is those who remove the small spider veins.

    In general he thinks that there is a hysteria towards accutane, and he personally saw 1 or 2 patients with lasting side effects 1 year after ending the course. And then it was permanent dry lips and general redness. He used accutane for 25 years, but also added that he never give it to anyone without trying topicals and antibiotics first. It is last resort.

    I would wait with laser until after accutane if I were you. My impression is that many veins are far less visible while on accutane, and I think you can use some mild cover up if you have some areas you want to hide, until it is time for laser. No need to risk having permanent damage.

  8. #8
    Senior Member
    Join Date
    Jan 2006
    Posts
    490

    Default

    I am not going to flirt with potential problems by doing accutane, but I will say that the question still has not really been answered. Most of the discussions keep going towards high dose accutane and/or coupled with highly invasive procedures. Low dose accutane with a minimally invasive procedure may not be any problem at all. In fact, the problem is with "wound healing" and accutane. I am not sure if IPL or VBeam actually even create "wounds" in that context.

    Anyway, I don't think it is worth the risk, but I also don't think it would necessarily be a problem. Just not enough data to take the risk.

  9. #9
    Senior Member nat007's Avatar
    Join Date
    Jun 2005
    Posts
    1,486
    Country: Netherlands

    Default

    I know from some IPL treaters I spoke to at the time that they don't want to treat a patient who is or has been on acutane recently. The skin heals less quick, and believe me, IPL or laser are quite an attack on the skin, so you'll need it. And on top o that, accutane can make one more sensitive to light, and this can cause real sunburn effects after IPL. I have been having that reaction several times, probably due to the medication I am on and was on at the time (remeron, propralolol, diclofenac, clonidine, and some of them can make one extra sensitive to (sun)light), I looked sunburned for weeks and needed a strong course of anti-inflammatory meds to calm it down again. I wouldn't take the bet, why would you want to be a guney pig, when it comes down to your face, It's so easily ruined and doctors rally just tell you they are sorry, work you out the door and continue their lives as usual. You are the one that has to deal with it from that, so play it safe. If you start with IPL?laser ask for test patches first, same reason.

    Best wishes,
    Natalja
    Uses: 22,5 mg mirtazapine, clonidine and propranolol, Xyzal at times.
    Diet: trying low sugar, no gluten and dairy, high protein diet.
    Link to my rosacea blog http://scarletnat.blogspot.com

  10. #10
    Senior Member
    Join Date
    Jan 2006
    Posts
    490

    Default

    Yes, of course they won't treat under normal circumstances. This is nothing new. But this is also because 99.9% of users are going to be at dosages much higher than what we are talking about here. I have been on high dose accutane and have known for over 15 years about the risks of accutane and wound healing as it pertains to standard usage. So I am not hearing any of this for the first time. Had my first IPL over 10 years ago (maybe 15) when very few people had heard of it.

    However, I have also had a cosmetic surgery where I disclosed that I was on low dose accutane (maybe 10 years ago). My general practitioner said to not do the surgery based on typical arguments, but the plastic surgeon said she was overreacting and the dosage was enough to not be a problem...and this was cutting of the skin. He said he felt OK based on a certain study for low dose usage, but I never saw it then or since. No problems.

    So yes, I understand what everyone has said. Everything said so far, I have known for at least 15 years. But I was wondering if the state of knowledge had grown with respect to very low does accutane (even far lower than my low dosage in the past). If there is no new info then I agree it is not worth the risk.

    I was just more interested if there had been some studies or new info that suggested very low does was not an issue.

Similar Threads

  1. Low dose accutane
    By TheMediumDog in forum Prescription medications
    Replies: 55
    Last Post: 17th October 2014, 03:33 PM
  2. Low dose Accutane
    By bluesky in forum Prescription medications
    Replies: 21
    Last Post: 26th May 2009, 09:53 PM
  3. low dose accutane and laser
    By sibod2002 in forum Prescription medications
    Replies: 2
    Last Post: 8th March 2008, 01:08 AM
  4. OK, I think I need to try low-dose accutane.
    By nbapoker in forum Prescription medications
    Replies: 14
    Last Post: 27th September 2007, 12:04 PM
  5. Low-dose accutane
    By Chris1982 in forum Prescription medications
    Replies: 15
    Last Post: 5th November 2006, 01:54 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •