Testosterone along with Accutane?

[Thoroughbred72]

I'm now seeing a dermatologist, due to the developement of acne conglobata and acne fulminans, across my back, shoulders, and chest. I'm on testosterone replacement therapy (TRT), approximately 300mg a week, and I did not have any acne until about 6 months after starting my injections. Thinking that I could combat it with some vitamins and natural sources, it slowly grew worse. I decided to see a dermatologist, and they are currently treating me with an antibiotic for the next 30 days. I then go back and we are going to determine what to do from there. The dermatologist wants to put me on accutane for the acne, and to be honest, the acne is so aggressive and painful that I'm OK with that. I had stopped my injections 8 weeks ago, due in part to this problem, but I have every intention on resuming my shots. HOWEVER, the doctor was under the impression that I would not be returning to the T injections, and when I told Dr. that I wanted to resume my injections, either while on accutane, or AFTER accutane, to resume the benefits of TRT. The doctor immediately stated, "Ok; that's a problem! There's no point in my treating you if go take the T injections! It would be like me treating someone for lung cancer while they continue to smoke cigarettes." I have every intention to return to the T injections, due to the fact that I don't want to continue to experience the effects of low T. Does anyone have any experience or knowledge as to whether or not someone can take T, while on accutane, or after treatment? I plan on cycling on and off T, once I resume my testosterone replacement therapy (TRT) treatments, partially to prevent a flare up of the acne again.

 

[Fish44]

I know guys that take accutane while on cycle and it keeps their back Clear. You would be fine if you took it while on cycle.

 

[Prowl]

That's shitty that your doc said that about the accutane, I've been running accutane for a while now on a really low maintenance dose with no issues, and I also run it with my cycles. I get bloodwork done every couple of months and everything checks out fine. As long as your getting bloodwork done, ur fine running accutane while on cycle. I understand your docs concern but just tell him to shut the f**ck up and prescribe you your shit..lol (jk don't say that!!!)..good luck bro

 

[SolomonGrundy]

300 mg a week ? From a real testosterone replacement therapy (TRT) doc or an on-line gear slinging clinic ?
are you So Huge you need more than double a normal person

 

[destined4gr8ness]

I use 10mg/day or even 10mg eod on cycle and I stay zit free. The legit stuff will dry your lips within a few days. After that I drop to eod dosing as it has a long half-life. You only need the regular accutane dosage of 50mg+ a day if you have cystic acne. cycle acne is not, so no need to go as high. Good luck bro

 

[Thoroughbred72]

I'm actually approved for 400mg a week, but, yes, it's through an online, Hormone Replacement Therapy (HRT) clinic. My family physician first put me on testosterone replacement therapy (TRT), but he wouldn't approve anything more than 150 mg every two weeks. That did not make me feel any better, so I went with an online clinic. I personally, don't believe that she will approve accutane while I take T, or even after it. She flat out told me that if I intend to continue my shots, she WILL NOT prescribe accutane to me. She said she would only give me some type of creame to rub over the shoulders, back and chest areas. But the doctor will not give me accutane, if I continue my shots. If she doesn't prescribe it, I'll try to get it through my family physician, or ask for a referral to another dermatologist, but I'm not sure doctors work like that; meaning, I don't know if one dermatologist says, "No, I won't prescribe you accutane if you continue with T injections," that I can get a referral to another dermatologist who will say, "Yes! I will give you accutane, and do exactly what you want, when you want it!!" I don't know if it works like that.

I definately need something, cuz my back, shoulders, and chest is now ate up. This is technically called 'acne conglobata,' and 'acne fulminans.' You can google that if you want; they are skin scaring acne that does not go away by itself, and will continue to get worse if not treated. It's actually worse than cystic acne.

 

[bigjuice1987]

When you stopped taking your shots did your acne get any worse? I notice that when coming off a cycle or changing dosing is when my acne gets the worse. 400mgs a week is a lot for testosterone replacement therapy (TRT) though. Have you thought about doing what your doc said before and do 150mg but every week instead of every other week? I think that that would solve your problem. Just a thought.

 

[halfwit]

Check your estrogen bro. 300mg of test a week is definitely going to elevate your estradiol, which is known to cause acne. I'd give using an Aromatase inhibitor (AI) a shot before going down the path of accutane personally.

 

[Thoroughbred72]

Even through I've been APPROVED for 400mg a week, I don't actually take that much. Yes, I was on anastrozole, .5 mg a day, but when the acne came up, my estradiol level was high. It was only then that I began taking the anas, .5 mg, every day. However, by then the acne was already there. No, my acne did not get any worse once I stopped my injections. Actually, it was the last several months of my injections, approximately 9 or 10 months of my testosterone replacement therapy (TRT) that the acne started growing to the point where pimples were growing to sizes of walnuts on my back and shoulders. I have considered dropping dosages down to 150 mg a week, or keeping the 250 mg a week, which was my original prescription, but cycling on it for 8 weeks, then going off for about 4-6 weeks, then back on it again, and just repeating that cycling to clean out the system, and make sure the lipids profile doesn't get unhealthy and so that the hemogolobin and hematocrit levels don't get too high.

 

[bigjuice1987]

That sounds like a good idea. Ide try 150mg/week for starters and see how you feel then if needed up it to 200mg/week evaluate and then again up to 250mg/week if needed. But ide start at 150mg/week first

 

[BulletWoods]

I had some pretty bad acne pop up as well and treated it without ever having to resort to Accutane. Yours does sound worse than mine, but here is the link to my treatment. Hope you get it worked out, bro. I know how frustrating, painful, and embarrassing it can be!
http://www.steroidology.com/forum/a...634501-back-acne-issue-treatment-results.html