Re: Accutane (was Wellbutrin SR and cea)

[Guest guest]

> > I think its pretty absurd to be on psyshiatric medications for a

> > treatable skin condition. The answer to the problem lies in

fixing

> > the fixable skin. Did you try accutane 10 mg qod?

> >

> >

[Guest guest]

This is a very good question you ask. Clearly, Accutane is

responsible for some people's cases of rosacea. Recall some of my

previous posts wherein they referenced non rosaceans on full dose

accutane. They are not rosacea flushed. However, a too high

Accutane dose will cause a rosacea flush in a rosacean or pre

rosacean. Certainly, full dose courses of accutane can cause

rosacea, and if fact have. The benefit of the full dose accutane is

that it is done in 15 - 20 weeks, and usually there is a permanent

acne cure. Sure, it's a tough 5 months, but once you're done, you're

done. If a rosacean were to do 5 months of accutane it would be more

than a tough 5 months. It would be disaster beyond your wildest

imagination. The worse rosacea flare ever.

Now, I'm not one to advocate suffering. Even if suffering can bring

out a benefit. There is a better way. It turns out that Accutane

does have great anti-inflammatory effects. But only at a low dose.

In fact, it is used to treat blephartis in ocular rosacea, but only

at a dose of 10 mg qod. It is used to treat steroid acne. Which is

the cousin disease to steroid rosacea. But only at 5 mg qod. It

should be noted that steroid acne starts out without comedones. At

5mg/d, the pustulation effects of accutane are minimized, but the

anti-inflammatory effects are maximized. This is exactly what

rosaceans want. I used to advocate 10 mg /d. But over several

months this becomes to much. Now I advoate starting at 10 mg qod and

just sitting back and waiting for the results to occur.

Think of it this way, in terms of side effects. The RDA for Vitamin

is is about 1 to 3 mg /d. Accutane is a synthetic form of vitamin A

but with anti-inflammatory properties in the skin, and it also

changes the composition of sebum so that it contains more linolenic

fatty acid, thus reducing the formation of microcomedones. It also

normalizes keratinization. At higher doses, this is seen as

pustulation, as the comedones are rapidly expelled outwards thorugh

the follicular canal, clearing the follicle. Too many comedones, and

you will flare when this happens. Therefore, at the 5 mg/d dose,

things go very smoothly and slowly, there is no flare, only

improvement, and blood flow to the face is lessened and facial

temperature reduced.

In keeping with the RDA of vitamin a analogy, 5 mg/d is about what

the body is expected to handle every day. so, there is no toxicity.

Plus, if you have ocular rosacea, you will get that treated as well.

The only reason for higher dose accutane is for rhynophyma. But if

you start out on the 5mg/d dose, you will never get rhynphyma, and

things will be much better for you.

After several months you will note the effects of the 5mg/d accutane

and it should work. There is a study noting great improvement on

10mg/d starting with significant improvement from weeks 9 onward, so

there is evidence out there. The best thing is to do it and see how

good it is.

> > I think its pretty absurd to be on psyshiatric medications for a

> > treatable skin condition. The answer to the problem lies in

fixing

> > the fixable skin. Did you try accutane 10 mg qod?

> >

> >