Living with chronic acne and my Sotret experience

If you read through my blogs you will know how paranoid I am with my chronic acne condition. It’s been there since my preteen days and never quite left me. I could always relate to those commercials that had a pretty girl, with a forever surprising look, who wakes up every morning to new breakouts. That was exactly my story (except the pretty part) but sadly no OTC med could cure me of my breakouts totally. In subsequent days, I was made to believe that my acne will go away once I become older. However, things got worse over the years. Much later, a few years ago, my routine blood workup detected under active thyroid gland and low vitamin D level. I was started on Levothyroxine and on Vitamin D replacement.

My daily care routine to keep off acne 

And my pimple saga continues

Almost two years have passed since and I am doing fine except for the acne part. I can tell you it’s most annoying to live with something that makes your life less extraordinary. It’s not worth to live with a constant pain of not being able to get rid of an apparently benign medical condition. There must be a cure and I must see the end and I decided to see a dermatologist.

The first visit

The doctor heard me out. He sat through my ramblings, examined my face and asked for a few blood workups and started me on medication. These are new blood workup for me.

LH (Luteinizing hormone), FSH (Follicle stimulating hormone), Prolactin, Testesterone, TSH (Thyroid stimulating hormone)

He also started me on:

Mizoz ER (Minocycline) antibiotic x 1 month

D Acne Foaming Facewash

UV Acne Sunscreen

Deriva BPO Gel

Asked me to stop all kind of cosmetic and market products

Asked me stop all natural products (yogurt, honey, facepacks, eggs, besan etc.)

After 3 weeks of first visit:

I was feeling much better inside and out. The itchiness had reduced, the cystic pimples dried up. A few fresh bumps did show up but those were of harmless kind and subsided soon with Deriva BPO gel. The only disappointing thing - the acne had started to leave dark scars on my face.

On the second visit after 4 weeks

My doctor told me that I look better. My general pathology is reasonably good. Meanwhile I also did ultrasound to rule out PCOS and it was normal too. He then asked me if I am pregnant or planning to get pregnant because he wants to start me on a medicine called Sotret which pregnant women cannot take since there is high risk of serious birth defects. 

Sotret is Isotretinoin molecule prescribed for treating severe nodular acne and is supposed to be very effective with my kind of chronic acne. I was bit apprehensive but then I was willing to go to any extent to get rid off my acne. 

So, on the second visit I was started on:

Sotret 20 mg OD x 1 month

Emolene hydrating cream

So, he started me on Sotret 20 mg once daily and asked to drink profuse water along with it. With all the goodness Sotret comes with some noticeable changes and my side effects got prominent pretty soon. Within 3-4 days my face got noticeably tan, skin dried up, lips, throat and eyes were considerably  dehydrated. This is inspite of applying the moisturizing cream 2 times at least. I also started applying eye lubricant.

After 3 weeks of second visit:

I am on the third week of Sotret now and have not been too much cranky as many on Isotretinoin complain of. However the hyperpigmentation, dry skin and withered look continue to pull me down off and on.

My third visit is pending on the third week of July. Will keep you posted. 

Family time and mom's food - the best things in life!

Only a few days left before I get to meet my sister, brother-in-law and niece, which means I have to outdo myself in speeding up things. So much work and so little time - cleaning the house, clearing the unwanted stuffs, sorting out stuffs in office etc. It’s huge but then it ends in a sweet note. I will get to meet my niece after three years. She has grown up really fast and in three years time she has turned into a beautiful young lady. Last time when I met her she was elevenish and still a child. Now she is a teen, a millennial kid, and has her way of things.

Meanwhile in the house the repair work is still on and father is always high right from the morning till five in the evening. Ours is a thirty plus old three storied house. It's looks younger though. We have seen our parents sweating on it since forever and it's very close to our hearts. The ground floor was occupied by tenants till recently and was never been done nicely. It used get touch ups once in a few years. But the ordinary floor design and white washed walls couldn't really enhance it's look however much we tried. So, once the tenants left we decided to do a bit of a makeover. So, the repair work is still on and the workers have just finished laying the floor tiles in the living rooms and are working on the walls now. In a day or two we will go to the tiles shop to choose anti skid tiles for the kitchen. We had the glossy tiles in stock and it wouldn’t be wise to put them in the kitchen. So, we have to buy more tiles for the kitchen. I am keen on buying wood finish vitrified tiles but my mom doesn’t approve of it. She thinks it will lend a dampening effect to the room. It makes good sense actually and we have finally decided on the matte finish tiles for the kitchen.

By the mid week of July, before my sisters' visit, the major repair work going to be over and they will get to have a glimpse of what it would look like once it's finished. So, we will have a lot of talking to do and considering the fact that it’s very hot here now it's a good idea to stay indoors and have some silly fun! My niece has recently developed a liking towards movies. So we might quite as well turn up in a movie hall some day and have a dinner date or two with Mainland China or a good Biriyani house in the city. However, my mother would want us to eat at home. She has a long list of bengali delicacies that my sister doesn’t get to eat much there. Sister is a wonderful cook herself but nothing compares to “maayer hather ranna” (food cooked by mom). Mom's food is the best ever thing on earth and she will most certainly pamper us with some delicious bengali dishes. A few of the dishes that we are expecting:

Various bengali fish recipes (kosha/ korma/ sorshe bata/ kalo jire/ gorom masala, doi)
Aloo jhinge posto
Kalo jirer torkari
Mutton kosha
Ghee aadar aloo dom
Vegetable dishes (torkari)

So, I can tell you that you will get to read about some wonderful bengali recipes from me in the following months after a stint of limited blogging time in the month of July.


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