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Oncelikle Roaccutane uzun ve zorlu bir yolculuk oldugu icin ise tamamen guveneceginiz bir doktor bularak baslayin. Tedavi sirasinda doktorunuzun soylediklerini surekli arastiracak, acaba dogru mu soyluyor yoksa soyle mi yoksa boyle mi diyecek vaktiniz ve enerjiniz olmayacak. Benim gibi hastalik hastasi bir insan bile guvendigi bir doktor buldugu zaman oldukca az arastirmayla ve felaket senaryosuyla Roaccutane tedavisini atlatabiliyor.

Roaccutane, kullanan kullanmayan herkesin bildigi gibi, oldukca olasi yan etkisi olan bir ilac. Ilaci kullanirken kendinizde daha once gormediginiz bir sey fark ederseniz, yanlis ya da farkli bir seyler hissederseniz, mutlaka derhal doktorunuzu arayin. Olasi yan etkileri aklinizin bir kosesinde bulundurmakla birlikte, bu demek degil ki herkes her yan etkiyi gorecek. Sansliysaniz hicbirini yasamadan da atlatabilirsiniz. (Gunes hassasiyeti haric. Roaccutane tedavisi goren herkes tedavi sirasinda ve sonrasinda mutlaka yuksek faktorlu gunes korumasi kullanmali. Gunes lekeleriniz olsun istemiyorsaniz tabii.)


Benim yasadigim yan etkiler:

DUDAK KURULUGU

En yogun ve en erken yasadigim yan etki bu olsa gerek. Ilaca baslamamla birlikte dudaklarimin ASIRI derecede kurudugunu fark ettim. Normalde de dudaklarim biraz kurudur ama boyle bir sey daha once hic yasamamistim ve tedavi boyunca devam etti. Hele kis aylarinin sogugu da eklenince cok feci oldu ama surekli olarak nemlendirici surunce tolere edilebilir oluyor. Doktorumun onerisiyle Decubal dudak ve kuru bolge balmini aldim ve kesinlikle simdiye kadar kullandigim en iyi dudak kremi. Doktoruma tedaviye baslamadan Nivea, EOS vs. kullandigimi soylemistim, o da bununla daha rahat edersin diye onermisti. o gunden beri kullaniyorum ve cevremde de ilaci kullanan kullanmayan bir cok kisiye tavsiye edip aldirdim. Dudaklariniz kuruysa abuk sabuk lipbalm'larla ugrasmayin derim. Ayrica kutikullere, dirseklere vs. de surulebiliyor. Eczaneden aliyorum, fiyati yaklasik 35 lira ve 1 tupunun en az 6 ay gittigini soyleyebilirim. Sadece dudaga kullanirsaniz 1 sene bile kullanabilirsiniz.

Decubal lips balm


VUCUT KURULUGU

Vucudum da normalde kurudur, bu yuzden Roaccutane cok iyi gelmedi diyebilirim. Dudaklarimda yasadigim kadar sorun yasamadim, ama yine de tedaviye baslamamla birlikte daha yagli dus jelleri aldim. Ilk basta eczaneden Babe'nin (Sanirim Hydra Calm) dus jelini aldim ve uzun sure kullandim. Vucudunuzu kurutacak bir sey kullanmadiktan sonra cok sorun yasamazsiniz.

Sonrasinda Bioderma Atoderm Gentle Dus Jeli aldim. Bioderma Atoderm Cream alana hediye olarak veriyorlardi, Sanirim bu kampanya hala devam ediyor.

* Tedavim bittikten sonra Bioderma Atoderm Huile de Douche'u kesfettim. Eger tedavi sirasinda bilseydim bunu da kullanabilirdim, fiyati uygun ve yagli.

Baslarda 1-2 ay sureyle Bioderma Atoderm Cream kullandim. Ama sonra ilaclar ve diger her seyle birlikte pahali gelmeye basladi. Gul Hastaligi doneminde Acibadem'deki dermatologun tavsiyesiyle Coresatin Barrier-P Cream aldim. Sonrasinda ona ulasamayip Coresatin Barrier Lotion'a gecmek zorunda kaldim. Ama internetten resmine bakayim derken hakkinda hem eksisozlukte hem de bloglarda oldukca garip yazilar yazildigini gordum. Sanirim artik kullanmicam. Bioderma'ya donucem muhtemelen, cunku yaz kis nemlendirici gerekiyor.

coresatin lotion


YUZDE KURULUK

Tedaviye baslar baslamaz yuzume kullandigim butun urunleri dolaba kaldirip sadece doktorumun verdiklerini kullanmaya basladim. Herkese de boyle yapmasini tavsiye ederim. Roaccutane kullanirken cilt oldukca inceliyor. Kafaniza gore peeling, maske, serum vs kullanmaktan kesinlikle kacinmalisiniz.

Yuz yikama icin La Roche Posay Effeclar H Mousse kullandim. Cok nemlendirici ve cok hassas bir temizleyiciydi, cok memnun kaldim. Cok uzun sure gidiyor bir de, tedavinin sonlarina dogru 2. siseye gectim ancak.

La Roche Posay Effeclar H Mousse

Yuzumu yikadiktan sonra La Roche Posay Effeclar H Moisturizer nemlendirici suruyordum. Bundan da cok memnun kaldim ve tedavi suresinde 7-10 tane bitirdim. Birini ofise, birini eve, birini cantama koyayim diyip bol bol surunce oyle oldu. Ama o bol bol surmelere ihtiyaciniz olacak.

La Roche Posay Effeclar H Moisturizer

Goz altlarim icin La Roche Posay Toleriane Ultra Fluide kullandim. Su an bu kremi hem goz kremi hem normal nemlendiricim olarak kullaniyorum.

La Roche Posay Toleriane Ultra Fluide


GUNES HASSASIYETI

Yukarida da soyledigim gibi, bu kacinabileceginiz bir yan etki degil. Ben La Roche Posay Anthelios XL 50+ kullandim ve tedavi suresince yuzumde gunes lekesi olusmadi. Bu yasa gore de degisiklik gosteren bir sey. Yasiniz ne kadar buyukse gunes lekesine o kadar yatkin oluyorsunuz. Doktorum gunes lekesi tedavisinin cok zor ve cok ugrasli oldugunu ve kesin sonucu olmadigini soyledi. O yuzden en iyisi hic edinmemek. Tedavi boyunca evden cikmadan once, ofisten yemege cikmadan once ve aksamlari eve donmeden once surdum. Tabii haftasonu ya da daha uzun sure disarida kaldigim donemlerde sik sik yeniden uyguluyordum.

La Roche Posay Anthelios XL 50+


BURUN KURULUGU

Evet, burnunuz da kuruyor. Doktorum bu yan etkiden sonra Rinopanthen Bariyer Damla'yi onerdi. Roaccutane sirasinda yardimci olsa da tedavi bitiminde burnumda kabuk kabuk yaramsi seyler olustu. Daha sonradan gittigim bir kulak burun bogaz doktoru Stérimar tarzi okyanus sularinin kabuklara karsi daha etkili oldugunu soyledi ve gercekten de kullandiktan kisa bir sure sonra burnum eski haline dondu.

Rinopanthen Barrier Drops


GOZ KURULUGU

Gozlerim tedavinin ortasinda cok kurumaya basladi. Bunun uzerine doktorum eger goz kurulugu daha beter olursa tedaviyi kesecegini soyledi. Total doza ulasmadan tedaviyi kesmek kabus gibi bir sey, o kadar acisini cekmisim zaten diye dusundum ama goz de onemli tabi. Neyse ki yonlendirdigi goz doktoru Roaccutane'in boyle seyler yapabilecegini, gozlerime sicak bezle (kaynar degil tabi) kompres yapip, sonrasinda ust ve alt goz kapaklarimi fazla cekistirmeden sikarak icindeki yaglari manuel olarak cikarmami soyledi. Normalde her goz kirpista gozlerin us ve altindaki deliklerden gozu nemli tutan yagimsi bir madde cikiyor. Yapmadan once ellerin tertemiz, goze konulan bezin de ayni sekilde tertemiz oldugundan emin olmak gerekiyor tabi. Doktor ayrica bana Artelac goz damlasi verdi. Kapali bir ofiste ve havalandirmali ortamda yaz kis calisinca gozler zaten kuruyor. Onceden eyestil kullaniyordum ama Artelac cok cok daha iyi. Bunu su gibi dusun, fazla kullanmanin bir zarari yok demisti doktor.

Artelac Advanced Eye Drops


EL KURULUGU

Tabii ki eller de kuruyan yerler arasinda. Benim ellerim normalde de kuru, ve kis aylarinda daha da kuru oldugu icin zaten surekli el kremi kullaniyorum. Bu tedavi boyunca Bioderma Atoderm Mains kullandim. Hala da bunu kullaniyorum. Cok ozel bir tarafi yok, el kremi iste. Ve yikamadan sonra vs. yenilemek gerekiyor tabi, bu yuzden cok cabuk bitiyor. Kisin cogu zaman ikili satilan kampanyalari oluyor.

Bioderma Atoderm Mains


KABIZLIK

Bilin bakalim baska nereler kuruyor. Bu ilaci kullanirken bol bol sebze yemek gerekiyor. Ben zaten cok sebze yiyen biri oldugum icin cok sikinti yasamadim acikcasi. Ayrica bol bol su icerseniz cok sikinti cekmezsiniz muhtemelen. Ama normalde de kabizlik sikayeti olan ve bu ilaci kullanip oldukca aci ceken tanidiklarim da var. Belki ilaca baslamadan barsaklari duzene sokmakta fayda olabilir.

Sanirim basima genel butun yan etkiler ve onlar icin kullandigim urunler bu kadar. Roaccutane psikolojik yan etkileri yuzunden de cok adi cikmis bir ilac, ama ben cok tecrube ettigimi soyleyemicem. Regl doneminden once yine sinirliydim ama zaten hep sinirli oluyorum PMS donemlerinde. Cildim duzeldikce ve insanlar guzel seyler soylemeye basladikca ben daha da mutlu olmaya basladim. Ama yine cevremde bu ilaci kullanip (ozellikle ergenlik doneminde) cok sinirlenen insanlar da biliyorum. Ama insanlar bunlari yasiyor diye, benim bahsettigim yan etkiler de dahil, oturup bunlarin hepsini yasamayi beklemeyin. Belki size hic olmaz, cok rahat bir donem gecirirsiniz. Benim gordugum yan etkiler de oldukca hafif olanlardandi.

Ilaca cok yakin bir arkadasimla bir ay arayla basladik. Boylece kullandigimiz urunleri, yasadiklarimizi, yan etkileri hep paylastik ve birbirimize destek olduk. Eger sivilceli bir arkadasiniz varsa onu da yaniniza alarak ayni anda baslamanizi ve birbirinize destek olmanizi tavsiye ederim.

Sonuc olarak tekrar soylemek isterim, sivilceniz varsa onunla yasamaya mecbur degilsiniz. Roaccutane hayatimda kullandigim en ise yarar, en soyledigini yapan ve en kuvvetli ilaclardan biriydi. Ben cok memnun kaldim, yine olsa yine kullanirim.


First of all, you need to trust your doctor as Accutane is a long and hard journey. You'll not have the time and energy to second guess your doctor, so you better find a good one. For someone who's slightly hypocondriac as I am, I think I did quite well during the Accutane treatment.

Accutane has A LOT OF possible side effects, and most of them shouldn't be taken lightly. If you find anything different with your body, you should contact your doctor immediately. But this said, it doesn't mean that everybody will see all the side effects. If you're lucky, you might not see any at all. (Except for sun sensitivity. It happens to everyone and you should use a sun screen during and after the treatment if you don't want to get sunspots.)

The side effects I had:

DRY LIPS 
From the beginning, I noticed extreme dryness on my lips. This was NOTHING like I had ever had before. I normally have dry lips, too. But normal chapsticks like Burt's Bees, EOS or Nivea are enough. I told my doctor that I use such chapsticks, but she said that I would be much comfortable with Decubal. And believe me, this is the BEST lip moisturizing product you'll ever use. Period. Nothing can beat this, and I've been using it since and I've made some of my friends who are not on Accutane hooked as well. I can't say enough about this product. It's not expensive and it can be used on cuticles or other dry spots like elbows as well. This will be something I'll use forever. If you're not on Accutane and you suffer from dry lips, do yourself a favour and buy Decubal NOW. 

Decubal lips balm

DRY BODY
My body is normally dry, so Accutane was a little bit intense, although not as much as it was on my lips. From the beginning I changed my body wash to Babe (Hydra Calm I think). It really doesn't matter what you use for the body wash as long as it's something hydrating and not drying.

Then I got Bioderma Atoderm Gentle Shower Gel, which was a gift when you buy Bioderma Atoderm Cream I saw no difference between these two, as both required a moisturizing session afterwards.

*After the treatment I started using Bioderma Atoderm Huile de Douche, and I'd use it back then if I knew about it. Both because it's oily and because it's cheaper.

I used Bioderma Atoderm Cream for 1 or 2 months but since it became too expensive for just body creme, and since I wouldn't use anything from the drugstore after Pityriasis Rosea, another dermatologist prescribed Coresatin Barrier-P Cream. After the treatment I started using Coresatin Barrier Lotion. But as I was looking up for a nice picture, I saw that it had a lot of controversy over containing Cortisone. I don't think I'll use if from now on and I wish I saw this earlier. Back to Bioderma then.

coresatin lotion

DRY FACE
With the first pills, I changed my face routine according to my doctor's prescriptions. I started using La Roche Posay Effeclar H Mousse. I liked this a lot as it was not drying and the feeling of it was really nice. Using a normal, regular face wash is a huge no no when you're using Accutane as it will cause dryness. 
La Roche Posay Effeclar H Mousse


After washing my face, I applied La Roche Posay Effeclar H Moisturizer, which I loved. I had like 7-10 of this cream during the course of the treatment. One at home, one in my bag, one at the office etc. It is really REALLY moisturizing and believe me, it's what you're looking for when you're on Accutane. 

La Roche Posay Effeclar H Moisturizer

For my under eyes, I used La Roche Posay Toleriane Ultra Fluide. I'm using this as my moisturizer and under eye cream now.

La Roche Posay Toleriane Ultra Fluide

SUN SENSITIVITY
This is not a side effect that you can avoid as I said before. I used La Roche Posay Anthelios XL 50+, and I didn't get any sun spots on my face. For my body, I bought La Roche Posay Anthelios XL Comfort but I can't say I used it a lot. My doctor told me that sunspots are really hard to get rid of and it's best not to ever get them. I applied it religiously before I left home for work, before I go to lunch and before I left the office. For days I spent outside I applied more frequently.

La Roche Posay Anthelios XL 50+

DRY NOSTRILS
Yes, your nostrils, too. My doctor recommended Rinopanthen Barrier Drops (I think this is only available in Turkey). However, after Accutane I started having some dry spots in my nostrils and crusting, too. An ear-nose and throat doctor recommended using Stérimar, and it really cleared up my nostrils and I don't have any problems since then.

Rinopanthen Barrier Drops

DRY EYES
My eyes started to feel really really dry in the middle of the treatment. My doctor said if it gets worse we would have to stop because, as you know, eyes are important. I was really scared and I saw an ophthalmologist immediately. He recommended Artelac eye drops. These are artificial drops and you can use as much as you want. And he said that Accutane might cause blockage in the little holes inside our eyelids (upper and lower) to release a special oil like substance, which keeps our eyes moisturized. They're normally released when you blink, but with Accutane you might need to massage the eyelids and squeeze that substance manually. Apply a hot cloth before and make sure your hands are sanitized. Also, of course, don't drag or squeeze hard as it'll damage your eyelids and the skin next to them.

Artelac Advanced Eye Drops

DRY HANDS
You can use a regular hand cream but you'll see that you'll have to apply more, thus your creams will end up veeery quickly. Especialy since the treatments are always in winter. I used Bioderma Atoderm Mains and I still use it. It's nothing magical but it does what it's supposed to do. But it's not irreplaceable.

Bioderma Atoderm Mains

CONSTIPATION
Yes, of course. Why not. You need to eat lots of vegetables and drink A LOT OF water to keep your intestines happy. I experienced this lightly since I always eat veggies all the time but I know people who don't, and that they suffered miserably. 

I think I covered all the side effects and the products I used. As for the psychological side effects, I can't say much as I didn't experience anything extreme. Maybe I got a little bit tenser and more angry than normal during PMS but it was okay. I got happy as my skin got clearer. But I know that some people get reallyy angry over the smallest things when using Accutane or get a lot of mood swings. But I don't recommend anyone to sit and wait for these negative feelings to hit you just because people experience it, it doesn't mean you'll too. 

A very close friend of mine started using Accutane almost a month later than me, so we always shared our problems and solutions with each other. I strongly recommend, if you have a close friend with acne, start this journey together and support each other. 


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