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Thread: Relief for sufferers of steroidal acne...

  1. #1
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    Relief for sufferers of steroidal acne...

    As a preface to this little article, I'd like to establish my credentials as something of an expert in acne treatment, having used just abut every prescription and OTC remedy available. When I was 18, I developed a nasty case of acne that did not respond to conventional treatments and had to go on Accutane eventually. Ultimately, I needed 2 courses of Accutane to obtain long-term relief, and I had little to no scarring.
    As I started my first cycle of test and dbol last year, I began to break out again pretty badly, so I tried Pro-activ, and it did not work very well. I saw my dermatologist, and she prescribed me a new topical medication called Tactuo (Epiduo in the US), which is a combination of Benzoyl Peroxide and a retinoid called Adapalene. The medication worked quite well, but not nearly as well as Accutane. However, I consider Accutane a med of last resort, and advise that people only use it under the supervision of a dermatologist.
    Anyhow, my cycle was cut short, and the acne eventually started to disappear after PCT.

    This time around, I prepared myself much better for acne before I started my cycle, and have managed to find a very effective regimen that should be effective for 90% of AAS users. Most of this information comes from a book called The Acne Cure by a dermatologist whose name I cannot remember. Having tried so many different approaches to acne over the years, including tetracycline, minocycline, benzoyl peroxide and clindamycin topical cream, Salicylic Acid, Proactiv, and many other treatments, this regimen has finally cleared my skin entirely of acne, and is flexible enough that it can be adjusted for the severity of the situation. The regimen consists of three parts, two of which do not change. It is the final step where some changes can be made. So here we go:

    Step one: 2% Salicylic Acid face wash. Neutrogena Oil-Free Face Wash is the best product I could find because it contains no sulphates, parabens, or other irritants. If you can't find it, any 2% Salicylic Acid face wash should be sufficient. Wet your hands and face with warm water, apply a small amount of face wash, work into a lather, then work it into your skin thoroughly. Leave the soap on your face for about two minutes before rinsing off. Do this twice a day - once in the morning, and then in the evening, as the first step of the three-step process.

    Step two: 8-10% glycolic acid toner. Neo-Strata Step One Toner is a great product with an 8% glycolic acid content. This step is especially important because it will dissolve plugs that lead directly to pimples. In the evening, after washing your face with the Salicylic Acid face wash, dry your face comletely and apply the toner. It will burn a bit, and might take some getting used to. Allow it 10 minutes or so to do its thing, and them proceed to step three.

    Step three: the reason step 3 can have some variation is because, based on the severity of the acne, different products can be used. For mild to moderate cases a simple high-quality 5% Benzoyl peroxide acne cream will suffice, while more serious cases should be treated with a stronger topical cream like Tactuo (Epiduo), or any other topical medication with Benzoyl Peroxide. Consult a dermatologist to find the best topical medication for your needs. Other than your choice of medication, step three is fairly simple. After allowing the glycolic acid to do its work, get an ice cube or two, a paper towel, and your topical med of choice. Now rub the ice on your face until the skin is cold but not frozen - this is apparently a dermatologist trick that helps the skin absorb topical medication. When your skin is sufficiently chilled, quickly dry with a paper towel, and then apply the medication all over your face.

    To avoid any confusion, remembers that only step 1 is repeated twice daily. The other two steps are done in the evening before bed.

    That's the regimen, and after 14 years of dealing with acne, it is by far the most effective I have encountered other than Accutane.

    In addition to this regimen, you can possibly take an antibacterial antibiotic like minocin in addition to topical stuff in more severe cases. The point is, this can be customized depending on the severity of your problem, using a high-quality OTC BP topical cream if your acne is fairly mild, or using a prescription strength medication that includes clindamycin or Adapalene if your situation is more severe.

    Also, even though I have described using this procedure on your face, your back and shoulders will benefit equally, though you may need a partner to apply the various compounds. Use ths daily for the month leading up to your cycle, and all through your cycle, and you will find acne to be much less of a problem.

    Hope this is helpful.

    TOkidd
    Last edited by TOkidd; 09-02-2012 at 07:28 AM.

  2. #2
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    I want to bump this thread because I know how many individuals worry about steroid-induced acne, and I'm pretty sure this article is about to get buried for good. Judging by the number of Accutane threads every week, people could certainly use some real alternatives before turning to the heavy guns.

    TOkidd

  3. #3
    I think we all could use some advice here! Maybe a bunch of us could post what has worked and what has not?

    I took one month of Accutane; I saw a derm and got on it right when I started using AAS even though I was not broken out at the time. Being female, I decided the weekly pregnancy tests were just too much of a hassle for me, since I have a tubal ligation. They said since I still had a uterus I would still need the tests. So, just not worth it.

    I ended up not getting acne during my first cycle, so maybe it helped?

    I noticed I broke out fairly bad with a test enth/test cyp stack, and even worse with deca. Right now I'm on so many things I have no idea what causes it the worst, but maybe the tren? I keep everything under control with tanning, proactiv/neutrogena and makeup, but I'm always looking for new stuff to try! Thanks.

    I'm doing laser treatments for facial hair removal, and I know they have something for acne too. Might be worth checking out. I have tried Retin-A; did not seem to work at any concentration. As far as over-the-counter products, Neutrogena makes a body spray that sprays at any angle. Seems to be good stuff, but only 0.5% salicylic acid. You can fill the bottle with something stronger, but I've noticed it makes me cough when I do that.

    The common theme with Proactiv seems to be it works great if you can use it every day, and the acne comes back when you stop using it. I buy it on ebay where it's cheaper and you can find jumbo sizes; those kits you get in the mail will only last a couple weeks at the most.

  4. #4
    a female on tren ? fkn gross..

  5. #5
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    Make your way to my accutane thread (further down in this forum). DanB was kind enough to help with the questions on it. Just dont hijack my thread ;D

  6. #6
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    Quote Originally Posted by bigbawse View Post
    a female on tren ? .
    edit your post. No need to insult our female members
    If people can't tell your on steroids then your doing them wrong

  7. #7
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    Get acne annihilator and pan oxly

  8. #8
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    Quote Originally Posted by Razor View Post
    Get acne annihilator and pan oxly
    what are you an affiliate for acne annihilator? You keep spamming about it.
    And thats doest work for all types of acne
    If people can't tell your on steroids then your doing them wrong

  9. #9
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    Quote Originally Posted by gixxerboy1

    what are you an affiliate for acne annihilator? You keep spamming about it.
    And thats doest work for all types of acne
    if anything is ever severe then anything otc is virtually useless would you agree?

  10. #10
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    Razor

    Get acne annihilator and pan oxly


    I have to disagree with you here. I don't know too much about this Acne Annihilator everyone is posting about, but OTC compounds like Proactiv, Panoxyl, etc., etc. are usually benzoyl peroxide, sulpher, zinc, salicylic acid, or a combination of these ingredients. As I wrote in my initial post, step three of the acne fighting regimen uses a benzoyl peroxide-based products like Panoxyl (which is a very good product, but still just BP - no magic ingredient) as an anti-bacterial, and also to dry out acne lesions. The main problem with any topical acne med is absorption, which is surprisingly minimal, especially into the inner portion of the acne lesion, where the infection is. Panoxyl does have good absorption for an OTC product, but I advocated using ice to cool the skin prior to application of any topical acne cream because it is supposed to aid absorption dramatically.

    The point is, BP products or any other so-called miracle remedies like Acne Annihilator use ingredients that have been used for acne treatment for years - they are no miracle cure. If you are lucky enough to have mild acne then using a high quality BP-based product lilke Panoxyl for step three of my regimen will be very effective. But for sufferers of moderate or severe acne, prescription medication is needed - in this case, I recommend Tactuo (Epiduo in the US), but a BP & erithromycin/clindamycin based topical cream also works well. This can be further enhanced with oral antibiotics like tetracyline or minocycline for the more severe cases. Having used all these methods separately over many years, I've found that the 3-step program I initially posted is by-far the most effective, combining three important acne-fighting ingredients in a way that deals with all the major causes of acne - each of these three compounds deals with a separate aspect of the underlying causes of acne. I could, if anyone is interested, go into the dermatological science behind this 3-step program, so let me know if you are curious.

    What's most important is that this program must be followed every single day. Results can be seen quickly, but it takes 4-6 weeks for the best results to be fully realized. Therefore, it is highly recommended that you start this program 4 weeks or more before you begin your cycle so that the program has plenty of time to do its work before the surge of androgens start stimulating your sebaceuous glands. Starting mid-cycle when acne starts to appear will not be nearly as effective. However, it's certainly better than nothing, and much better than using Panoxyl or any other topical cream on its own.

    I also have read many posts by BB's who buy Accutane on the black market and take it in small-to-medium doses for a few weeks until their acne disappears. I recommend taking Accutane under the supervision of a dermatologist, because it's a pretty serious medication that needs to be taken properly, under medical supervision. Also, Accutane is usually taken only when everything else has failed. To take it for a few weeks just to get rid of some mild-to-moderate acne is the equivalent of killing a fly with a .357. It should really only be taken as a last resort, and then the proper dosage is usually 20mg alternated with 40mg every-other-day for four months. Of course, this depends on body weight, but this is what my dermatologist usually prescribes for men and teenagers. If you're over 200 pounds, it might be more like 40mg every day, but I'm not a derm, so I'm not sure. What I do know is that I've seen too many reports of BB's casually taking Accutane for a few weeks to get rid of moderate acne. If it only takes a few weeks to get rid of, then it's probably not severe enough to warrant Accutane.

    TOkidd

    BTW, in response to DanB's last post, I agree that if you have moderate-to-severe acne, OTC products are not going to be much help. This includes Proactiv whose main ingredient is simply BP. No magic bullet there! However, as long as you don't have cystic acne, my three-step program should be tremendously helpful, even though it is mostly OTC products. However, like I said, for more severe cases you should replace a product like Panoxyl with something like Tactuo (Epiduo), or another prescription topical cream for step 3. Taking an oral antibiotic in addition to the 3 steps is also very helpful.
    Last edited by TOkidd; 09-03-2012 at 12:55 PM.

  11. #11
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    Just to add to this thread I use baby sudacreme I have mentioned it before my gf persuaded me to try it and I have to say its brilliant. Apply morning and night to the affected area works really well. Although it is only temporary solution whilst being on. But it is deer cheap!

  12. #12
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    That meant dert cheap lol not deer.

  13. #13
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    Doesn't DHT blockers like ketoconazole shampoos like Nizoral or many others also help?

  14. #14
    Quote Originally Posted by gixxerboy1 View Post
    edit your post. No need to insult our female members
    you realize what tren does to women right ?

    so you are a vet and support extreme virilization side affects, thats nice

  15. #15
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    Quote Originally Posted by bigbawse
    you realize what tren does to women right ?

    so you are a vet and support extreme virilization side affects, thats nice

    I'm not recommending it to her. But she competes and some women do use it. But calling her gross is uncalled for.
    If people can't tell your on steroids then your doing them wrong

  16. #16
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    Bumping this one up as there seems to be a lot of talk about acne recently..

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