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Accutane?
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<blockquote data-quote="susiestar" data-source="post: 513487" data-attributes="member: 1233"><p>It is difficult to make such a choice. we DO judge people on appearances and bad acne can cause problems for years. The people who say it is "just" acne haven't lived wth really bad acne. We had a male neighborhood teen with super-bad cystic acne when I was a toddler and accutane made a HUGE difference in his life. I have memories of him pre and post accutane, and in the pre accutane memories he was NEVER smiling or happy seeming. I was about 11 when I got my first zits and I freaked thinking I was going to end up looking like him. </p><p></p><p>Most people don't know that the type of acne that is treated with accutane is also incredibly PAINFUL. Cystic acne is NOT like normal black or whiteheads, it goes WAY deeper and can cause very real chronic pain. I know people who did not want to kiss a boyfriend or girlfriend at times because their acne was so bad that the pain over-rode teenage hormones at times. </p><p></p><p>If you can set into place a way to have her check for preg more often, like maybe buying a test and doing it each week, that might be helpful for your and her peace of mind, but PLEASE, don't underestimate the impact that this severe acne has on every facet of her life.</p><p></p><p>in my opinion if difficult child is willing to be compliant AND if the doctor will stop the rx ASAP if difficult child is showing signs of non-compliance, then I would totally support it. Just please have her doctor tell her how many months after accutane is ended that she should not get pregnant. If memory is right, the dermatologists in our area want you to be free of the medication for 12-24 mos before even thinking about becoming pregnant. </p><p></p><p>I really hope this helps. she has had so many self esteem problems, and this is a real medical problem - NOT a cosmetic one the way those not blessed iwth it may think it is. I do realize that some docs won't rx it, but many are starting to go back to it after they have started to see their own kids struggling with acne that they could not help. At least that is what I have been told about the medication. </p><p></p><p>Your difficult child is close to being a legal adult, and given her past history, there are a lot of risks. Do YOU think she is capable of sticking to this plan? Would the birth control implant be an optoon she would consider? Or an IUD? Both are far safer now than they were in years past, and these could help take some of the risk to the "not immediate" basket. Still an important thng to consider, but she would have to see a doctor to stop using the bc method, which would give some time for her to think. </p><p></p><p>I don't know if this would help or not, but one of J's friend's mom made her daughter go and look at pics and descriptions of babies born with damage from accutane. Seeing pictures of those poor babies made a big impact and the visual stuck with her even when she was out with friends. It owuldn't work for all kids, and might or might not be a way to get difficult child to really see how important sticking to the rules is, but I wanted to throw it out there for you to think about.</p></blockquote><p></p>
[QUOTE="susiestar, post: 513487, member: 1233"] It is difficult to make such a choice. we DO judge people on appearances and bad acne can cause problems for years. The people who say it is "just" acne haven't lived wth really bad acne. We had a male neighborhood teen with super-bad cystic acne when I was a toddler and accutane made a HUGE difference in his life. I have memories of him pre and post accutane, and in the pre accutane memories he was NEVER smiling or happy seeming. I was about 11 when I got my first zits and I freaked thinking I was going to end up looking like him. Most people don't know that the type of acne that is treated with accutane is also incredibly PAINFUL. Cystic acne is NOT like normal black or whiteheads, it goes WAY deeper and can cause very real chronic pain. I know people who did not want to kiss a boyfriend or girlfriend at times because their acne was so bad that the pain over-rode teenage hormones at times. If you can set into place a way to have her check for preg more often, like maybe buying a test and doing it each week, that might be helpful for your and her peace of mind, but PLEASE, don't underestimate the impact that this severe acne has on every facet of her life. in my opinion if difficult child is willing to be compliant AND if the doctor will stop the rx ASAP if difficult child is showing signs of non-compliance, then I would totally support it. Just please have her doctor tell her how many months after accutane is ended that she should not get pregnant. If memory is right, the dermatologists in our area want you to be free of the medication for 12-24 mos before even thinking about becoming pregnant. I really hope this helps. she has had so many self esteem problems, and this is a real medical problem - NOT a cosmetic one the way those not blessed iwth it may think it is. I do realize that some docs won't rx it, but many are starting to go back to it after they have started to see their own kids struggling with acne that they could not help. At least that is what I have been told about the medication. Your difficult child is close to being a legal adult, and given her past history, there are a lot of risks. Do YOU think she is capable of sticking to this plan? Would the birth control implant be an optoon she would consider? Or an IUD? Both are far safer now than they were in years past, and these could help take some of the risk to the "not immediate" basket. Still an important thng to consider, but she would have to see a doctor to stop using the bc method, which would give some time for her to think. I don't know if this would help or not, but one of J's friend's mom made her daughter go and look at pics and descriptions of babies born with damage from accutane. Seeing pictures of those poor babies made a big impact and the visual stuck with her even when she was out with friends. It owuldn't work for all kids, and might or might not be a way to get difficult child to really see how important sticking to the rules is, but I wanted to throw it out there for you to think about. [/QUOTE]
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