My Acne story (Accutane, PCOS, retinoids) I The Junior Doctor

[@ammaraali4740]

I absolutely can relate thai heart sinkening 😣😢 every time u see a new spot

[@andreajayawardena3625]

Thank you sooo much for making this ! It was really helpful :)

[@DrEzgiOzcan]

I’m so glad 😊 thank you for your lovely comment

[@DoctorMudR]

Thank you for sharing this! I know how hard it is talking about acne. I used to feel so bad about the way I looked. I was on Isotretinoin in my first year of med school. Best drug I've ever taken for sure - but the dry lips ain't the one lol!

[@blackqueen6743]

Your ance come back after accurate

[@DimplefaceChloe]

I was borderline pcos when diagnose. I had bad side effect / allergic reaction ended up in hosptial because of the pill.

[@DrEzgiOzcan]

so sorry about your experience

[@doctoronthego4869]

Same issues here . I m fighthing against acne for 5 to 6 yrs almost.. i m going to try 5% glycolic acid..wish me best of luck

[@willreid381]

As a medical student, what do you think about the psychiatric effects of Accutane? I'm genuinely interested. I got depression from Accutane - the effects on the brain are far more profound than I realised.

[@DrEzgiOzcan]

Hi Will, I’m a doctor now 😊 it’s difficult to say. Every medication has its side effects that we have to consider before taking it, even simple pain killers. Depression is a grey area as it’s environmental and genetic factors that contribute to it. I’d be dishonest if I said I knew the exact effects of accutane on the brain, one thing I do know is that there isn’t solid experimental data to prove the pathophysiology between the two

[@willreid381]

Oh, congratulations! Yeah it is difficult and I recognise that depresison has many causes. There is some experimental data showing biological plausability. Isotretinoin disrupts the structure of dopamine receptors and decreases dopaminergic activity, which is associated with depression. It also increases expression of 5-HT1A receptors in the pre-synaptic neuron, which inhibit serotonin secretion.Isotretinoin also directly and indirectly increases the translation of the serotonin transporter protein leading to increased reuptake and consequently reduced synaptic availability of serotonin. These serotonergic & dopaminergic effects are the exact opposite of SSRIs/DRIs like wellbutrin. Isotretinoin also inhibits hippocampal neurogenesis which may well play a role in depression. You might find this sysmematic review interesting, I certainly did: www.ncbi.nlm.nih.gov/pmc/articles/PMC3276716/

[@ga3829]

I have been on accutane for two months and have experienced mood changes. I’m very mellow, quiet at times, get sad sometimes for no reason or irritated and some aggression, i even caught myself not really caring about anything which i didn’t have when i wasn’t on accutane. I was always happy, outgoing, enjoyed life in general. Don’t get me wrong it’s nothing i can’t control but definitely have notice changes in mood

[@Nt-nc9ps]

It made me easily irritated even for simplest things. Completly altered my personality. I had lot of patience before

[@MalalaiKhan]

Hi. Could you give me the name for the topical cream you use morning/evening please thankyou.

[@DrEzgiOzcan]

Hi. I use azeleic acid (skinoren) in the morning Isotrex in the evening

[@tutustunes]

I have pcos and my doc says that you should use roaccutane however my cystic acne problem is because of pcos. It doesn’t make sense, Dont you think?

[@nargizhajiyeva3111]

Accutane will get rid of acne but bcz of pcos ur acne will come back so treat ur pcos first

[@niharikatiwari8959]

@@nargizhajiyeva3111 thnx dis only i wanted to knw tht pcos is reversable but once u reverse ur pcos thn why need accutane bcz pcos acne happns bcz of pcos so i guess in hormonl acne accutane won’t help much

[@dahnaalkahtani3608]

Make more videos?❤️ Talk about medical electives in the uk

[@DrEzgiOzcan]

I’ve been planning to but haven’t had time 😊😊 what else would you like to see ??

[@dahnaalkahtani3608]

how to leave a good impression on clinical attachments and learn optimally during shadowing/ study methods and techniques you use/ a day in the life vlog. I really like your videos, looking forward!

[@DrEzgiOzcan]

Ok 👌🏻😊

[@DrEzgiOzcan]

And thank you for your feedback!!

[@czarinaarcilla7685]

I also took accutane back in 2017 after trying all possible treatments just like what you did. And also like you, i have PCOS. Accutane is really life changing when it comes to dealing with acne. However, does it affect future pregnancies or the ability to get pregnant? 🤔

[@ariiixxxooo]

Did you get acne again after Accutane?

[@DrEzgiOzcan]

Accutane doesn't affect pregnancies once youve stopped taking them

[@DrEzgiOzcan]

yes i did, but it was much milder - i treated it with topicals and still do till this day

[@niharikatiwari8959]

@@DrEzgiOzcan ohhh so even aftr accutane u face d acne problm that’s sad

[@mariajanella174]

Hi! Did it come back after taking accutane?

[@DrEzgiOzcan]

Yes but a lot milder than before I went on it. I then continued with topical differin which has kept it clear since

[@maleehaashraf3511]

Hey ! Can you please tell if cetaphil cleanser is good for acne ?

[@DrEzgiOzcan]

It’s a good mild cleanser. Meaning it’s good for daily skin cleaning but not for removing heavy make up

[@niharikatiwari8959]

but lifelong isotetrion cream n azelic isn’t will mke super senstive skin plus nvr can go on sun specilly if u live in country of summer..like i am from india so it’s too hot here

[@DrEzgiOzcan]

yes they do make your skin sensitive, which is why its so important to wear high SPF suncream

[@hanenlouati329]

Did you have acne back after accutane

[@niharikatiwari8959]

thnx for ur dis video

[@DrEzgiOzcan]

Most welcome 😊

[@chikkimania4778]

OMG I am on accutane..I hv pcos..so after stopping accutane my acne will return..😢😢😢😢😩😩😩😩😩😩😩😖

[@DrEzgiOzcan]

No don’t panic! Everyone’s skin is different and it reacts differently. This was just my experience

[@ga3829]

chikki mania ughhhh I’m on the same boat. I have pcos and I’m two months on accutane. This is my biggest fear. Getting my acne back once I’m off accutane since i do have pcos. Let me know how things go for you

[@chikkimania4778]

@@ga3829 my 3months is complete now I am on a 4th month but I still get acne but occasionally..

[@ariiixxxooo]

@@ga3829 please please please reply lol.. did your acne ever come back since then

[@yvonne_7167]

did you get it back? I m late but still:)) I have pcos and I just started accutane

[@mohamadalyaan3751]

I'm suffering from pcos and I have severe acne can I use retinoid with pcos ? And I'm already taking pills to bring my periods and control pcos

[@DrEzgiOzcan]

Hi 👋🏻 I’m currently using topical retinoids at night and it’s helping keep my acne at bay. So yes you can use them

[@agata_cz]

I use cream retinoids but I still have acne. I’m considering doing oral retinoid therapy.

[@jelis42]

What are the creams? I am gonna try to find them online

[@DrEzgiOzcan]

Hi Jessica! It’s skinoren and isotrex

[@shoode9]

How long did yo take Accutane?

[@DrEzgiOzcan]

About a year

[@niharikatiwari8959]

@@DrEzgiOzcan an year? still acne is back that’s sad

[@littlecat7133]

I’ve pcos & Ibs ! My dermatologist prescribed me Accutane for moderate acne ! I’m going on Accutane next month. But I’m very confused honey. Would it be helpful?

[@DrEzgiOzcan]

Hi 👋🏻 it would be very helpful. Accutane is the saviour for many people. It definitely helped me. Some of my acne came back but topicals sorted that out. You won’t really know until you try I’m afraid

[@littlecat7133]

The Junior Doctor what’s your experience darling ? Did acne come back worse after Accutane?

[@DrEzgiOzcan]

My acne came back lighter but topicals got on top of it

[@niharikatiwari8959]

may be u had isoteterion pills for an year in ur body that’s why dis creams worked on u n not on ur frnd might be possible

[@ibrahimarabac2276]

Get azitromisin 😉😉😉