Acne Medication Review

January 2021 Ali here — I took doxycycline again for the latter part of 2020 (Nov-Dec) because I started to breakout with hormonal and cystic acne again. This blog post will focus solely on my first experience with doxycyline and the while routine & products provided by my dermatologist.

I’ll be creating a separate blog post on my second experience with doxy and will link it here! Hopefully this can help first time users/takers of the antibiotic and other topical products. 🙂

Acne

Disclaimer: I am not a dermatologist (obviously). Everything in here are from what I remember, understood and experienced. For any discrepancies, please feel free to comment down below so I can correct my post. 🙂

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I also tried to consolidate some FAQs I received on Instagram and some that I think may be helpful while on this medication. Scroll down!

My sister was able to convince me to consult a dermatologist for my current situation. I don’t have PCOS; I was told that my breakouts may be due to stress and a sudden change in lifestyle. I do admit that I’ve been eating a lot more dairy products lately and my sleeping schedule is almost non-existent since this quarantine has started. As of this post we’re on month 4 of quarantine 😩 I miss going outside without having to worry about others’ (and my own) health!

Since my acne is still not as severe, I was only prescribed with Doxycyline. I’m not new to taking oral antibiotics since I used to take them back in 2016 when my acne was even more severe than now.

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I’m hoping doxycycline would work on me 😩🙏🏻 I was advised that if it didn’t work or if my acne got worse, I can try isotretinoin which is stronger and, of course, pricier.

My skin was in its best condition (I think) 3 months ago! It tumbled down gradually because of some products I used (& stress). I’m very, VERY sad that the products didn’t work well for me because they’re currently everywhere now + I really love the brand ☹️

I’ll share the products next time. As for my consultation, I was prescribed to take doxycycline twice a day for 2 weeks, along with these topical products. I started day 1 on July 31, 2020.

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Aside from stress, my skin despises centella specially if it’s high up the ingredients list. I used this set that (probably) has a big percentage of centella in the formula. I thought I was only purging slightly but the cystic spots kept multiplying.

Centella Asiatica as an ingredient is such a huge favorite in the whole skincare community because it’s helped a lot of people with their skin concerns. It’s difficult to find soothing/calming/anti-acne products that doesn’t have centella anymore because of this. Some products would work for me as long as centella is near the bottom of the list.

Cystic spots are calming, skin is drier than ever, there are times that my skin feels sensitive to ANY touch no matter how gentle, new spots are forming below my jaw/almost neck.

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CHECK THE INGREDIENTS FIRST. No matter how hyped the products are or how many good reviews there are or how much you LOVE & support the brand, if you’re allergic to an ingredient – you’re allergic to it. I know you’re excited to try your new moisturizer, Karen, but always remember to do some patch tests.

Disclaimer: I still use serums & sunscreens on rotation! These are just the essentials. New product reviews would probably be delayed but I’ll still review the ones I’ve tried before these.

Neutrogena

I plan to document as much of the process as I can in hopes that it can help those feeling/experiencing/taking the same things as me right now.

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Please don’t be confused – August 13 was the last day of my 2-week medication with doxy; August 17 is 4 days after my last day

Photo NOT mine. I forgot to take a photo of mine because I forgot (mine was bigger and was with a pump). Photo credits here: https://www.facebook.com/glutapowerpeel/photos/for-sale-p35000-onlyoatsensesoap-free-wash-benefits-of-oats-for-skin-oatmeal-has/1266902370070968/

✨ Oatsense Soap Free Wash — a cleanser with “natural colloidal oatmeal” that’s meant for dry & sensitive skin. Reminds me of Cetaphil only bubblier. This is also pH balanced!

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✨ Clindamycin Phosphate Antibacterial toner — there are a lot of articles (see here and here for starters) explaining the proper use of this and the effects but to keep it simple (and from what I understand), this is an antibacterial topical solution that kills the bacteria growing on your skin which can prevent acne from forming/growing. It’s not exactly a “healer”; think of it as a preventive measure against acne.

✨ Tret* + Keto — tretinoin with ketoconazole; an antifungal medication that’s also used to treat acne & PIH. Doc mentioned that I may experience purging and peeling because of this (which I already am as of posting this)

Doxycycline

– The pain is tolerable but some days just feel really bad since it feels like my face was going to fall off. There was a bit of peeling but it didn’t hurt.

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– I think my sudden breakout were all hormonal BUT I’m also not sure. I usually get an average of 3-5 new spots on my hormonal week but I did get 3 new cystic spots almost daily during my 2-week medication. So yes, I do think I purged but not to an extreme extent.

– As I mentioned at the start, this is my first experience. For me, my hormonal breakout (due to stress) came back around October/November 2020 so I consulted my dermatologist again. I’ll write another post on that but Isotretinoin was suggested for me. I just can’t sustain it financially so I opted to use doxycycline again.

– I did! I was dry on my whole body – even my scalp and especially on my lips and the skin around it. It was also like I did a major workout on my first week – my body felt sore all over.

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– Yes. I initially lessened my use after 2 months since I started but I added it back to my routine when I had my breakouts again. I’m continuing it for my acne and hyperpigmentation.

– Yes and no. I didn’t immediately use acids (AHA/BHA/PHA) or other actives (vit c) for 2 months. I slowly added a vitamin c serum on my 3rd month – PM only, every other night; then I used my AHAs and BHAs again on my 4th month.

OXY

Okay this was a super long post and I think the most detailed one I’ve written. Sorry if you dislike lengthy posts but I didn’t know how to make this shorter 😅

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Was it worth it? Yes since I saw a huge difference in 3 months. I think medication-wise, 3 months is considerably short! Any sort of medication almost always take a long time and a lot of patience. If you’re in a similar place as me during this time, just push through! It’ll be worth it. 🙂

As of now (January 29, 2021), I’m still thinking of taking isotretinoin. My acne isn’t as bad and I think now’s the best skin I’ve had in a long time but I think this is just me wanting to see more improvements on my skin. I still have a lot of hyperpigmentation; I still get new cystic spots weekly. Isotretinoin is a way more expensive treatment but I was told that it’s for the long run. Will update again if I ever do!

I’m not sure if these are available internationally but if you’re from the Philippines, I can send you my dermatologist’s contact info. She accepts tele-consultations and you can get the products directly from her! 🙂

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If you have any questions for me, please feel free to comment below, email me (av.cado1@gmail.com) or DM me on Instagram (@av.cado.extras)!

Another disclaimer: I’m not saying that acne is a “bad” thing nor am I saying that it’s degrading if you do have normal to severe acne. Acne is normal. It happens to everyone. I genuinely hope that this post doesn’t come off in any bad way and instead would be helpful to anyone who’s in a similar position as me. Let’s all be a little kinder each day. 🙏ABSTRACT: Acne is no longer considered a health problem strictly of adolescence, as its prevalence in adults has significantly increased. Acne vulgaris and acne rosacea are diagnosed based on the clinical presentation of the patient’s skin and are classified primarily according to severity. The treatment of acne should be approached in a stepwise fashion. Successful outcomes generally involve combination therapy with different drug mechanisms. Although acne vulgaris and acne rosacea may be considered minor issues from a medical standpoint, either form can have a significant psychosocial impact on the patient’s quality of life. Health care providers involved in the care of patients with acne should be extremely sensitive not only to acne’s physical manifestations, but also to the emotional burdens resulting from it.

Amazon.com:

Acne, once viewed as strictly an adolescent health problem, now affects an increasing number of adults. The exact cause of this dermatologic disorder

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