I started seeing a new dermatologist in the middle of this year. My old dermatologist was just that – old. Poor thing had been practicing medicine for 75 years, and I just knew she was going to kick the bucket at any moment, so I had to make the switch to a more “modern” office. We’ve been doing well so far. My new dermatologist and her nurses are very informative. Really, I think she cares more about my skin than I do. After trying various things that hasn’t really worked in my favor, she hit me with a bombshell.

At my last appointment, she walked walk into the exam room, stared me down, folded her arms, and said, “Ooh, I’m not happy with your skin. I think you need to give Accutane a try.” When she suggested it, I immediately refused. Isn’t that supposed to be for suicidal teenagers? I’m a full-grown strong-minded adult; I’m way past the stage of Accutane.

Plus, I hate taking medications. I don’t even like to take aspirin. We discussed it for a while, and I ended up being willing to give it a try, pending any major side effects.

There’s so many loopholes that I have to go through in order to use this prescription that it’s almost ridiculous. Doctors are out here handing out Oxy, Xanax, and codeine cough syrup like it’s candy, but I have to jump through a million loopholes just to get acne medicine. The number one thing that I have to do while I’m on Accutane is not get pregnant. Apparently this medication destroys any possibility of having a normal child. I had to complete this iPledge agreement to agree that I would not get preggers, and that I would use 2 methods of pregnancy prevention. Not only do I have to register with iPledge, so does the doctor and pharmacist that will fill my prescription. Seriously? Is this crack cocaine or what?

I had to complete and sign two forms, then I got a 40-page booklet about the program. This is a huge commitment. I had to take a urine pregnancy test before I walked out of the office, and I’m going to have to take a another pregnancy test next month before I can actually get the prescription. The doctor needs 2 negative pregnancy tests before I can start. Then I have to have monthly blood work for 6 months. I have to go to the dermatologist and the pathology lab once a month for 6 months all for the sake of clear skin. Bish why? In the meantime while I’m waiting for next month to arrive in order to take my next pregnancy test, my doctor put me on an oral antibiotic. Been there, done that, hated it. I just cut dairy out of my diet, but now I have to eat yogurt because of my unwillingness to have yeast “down there” as a result of the antibiotics.

So here is my current skincare routine:


Morning skincare lineup
  • Wash face with SkinCeuticals Clarifying Cleanser
  • Moisturize with Cerave AM moisturizer
  • Treat with Acanya gel acne treatment
  • Oral antibiotic: Doxycycline ☹️


Nighttime skincare lineup
  • Wash face with Cerave Foaming Facial Cleanser and Clarisonic brush
  • Moisturize with Cerave PM moisturzer
  • Treat with Tazorac cream acne treatment
  • Birth control requirement for iPledge: “the pill”

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