It's been a couple of weeks since my last update on my treatment of acne and folliculitis on my scalp. I'd realised that as my treatment on Roaccutane progressed on, the drastic changes in my skin condition slowed, and so it made more sense to see how things have progressed over a couple of weeks rather than every few days or weekly.

So that being said, here's a recap of my current treatment: Roaccutane twice daily, once at breakfast and the other at dinner. I have taken each dose immediately after the meal, mostly either with a glass of milk or water. Sometimes I have it with fruit juice, iced tea or softdrink, whatever beverage I'm drinking with my meal.

The facial greasiness is currently sustained at a level where at the end of the day, the skin is not dry, nor is it overtly greasy with an evident film of oil as it was prior to beginning Roaccutane. I would describe my facial skin moreso having the feeling of being nicely moisturised and soft. I don't feel like I have to wash my hands with soap after touching my face. There has been only a very few minor spots of acne appearing around or just under my jawline/chin area, but those have healed. I am still applying face and lip moisturisers twice daily as my facial skin does become dry after washing particularly around the mouth and cheeks.

My scalp still has some patches of itchiness as though folliculitis or acne is about to appear in that area. In fact as with the face, a few minor spots have reappeared on the scalp, primarily on the top and right side of the scalp. These spots are very much smaller than the ones I got during the initial flare-up when I first started the second course of Roaccutane and importantly to my relief, they seem to heal quickly without fuss. I am now finding that everytime I comb my hair, I get dandruff-like flakes of skin appearing on my comb. It might be that my scalp has become dry and therefore skin is flaking off. It's not really a concern to me.

Perhaps an unrelated skin condition has since appeared on the back of my hands over the last week and a half. It seems like some sort of fungal infection has developed, but seemed to be under control with an anti-fungal cream applied 2-3 times daily. It would be interesting to hear from my skin specialist if this is related to the Roaccutane treatment.

All in all, I'm very pleased with how things are progressing on the treatment of my scalp acne and folliculitis. Until next time!

Roaccutane Dosage Increased to Twice Daily

Had a follow-up visit to my skin specialist last Wednesday and he was pleased with the current state of my facial and scalp skin. He had noted that there is still traces of acne activity on my scalp, but it should be fine to increase my daily of Roaccutane to twice daily.

I had informed him that currently, my scalp has areas that feels a little itchy as though new spots of acne or folliculitis are about to pop-up but don't eventuate. I expressed concern that by increasing the dosage, the folliculitis may re-appear. He reassured that it will be normal within the first couple of weeks of increasing the Roaccutane dosage to see some acne and folliculitis appearing here and there. He also mentioned Roaccutane is most effective in reducing the recurrence of acne and folliculitis after the 8-month course is completed when taken twice daily.

So that Wednesday night I begun the twice daily dosage and it's been a few days since with no signs of new acne or folliculitis appearing so far. Here's hoping none will appear ever!