It’s a prescription-only drug taken orally requiring dermatologist referral. Food and Drug Administration (FDA) for managing the risk of isotretinoin (also known as Accutane), [1] a prescription medication used for the treatment of acne. Accutane is a powerful, “last resort” medication for severe acne. A treatment course usually lasts for 4 to 5 months. The medicine, which causes inflammation and increased acne, has a side effect known as "purging," which removes all oil, dust, debris, and dead skin cells from below the skin. 73% of reviewers reported a positive experience, while 14% reported a negative experience. Potentially any fetus exposed during pregnancy can be. Bella Cacciatore is the beauty associate at Glamour. THIS ACCUTANE MEDICATION GUIDE IS AN IMPORTANT PART OF THE RISK MANAGEMENT PROGRAM FOR THE PATIENT. For years. Each person’s response to isotretinoin treatment is different, but most people begin to see the desired results within 2-3 months after starting to take the medication. Absorica LD®: The dose is usually 0. Accutane is a drug that can cause severe birth defects, miscarriage, and stillbirths if you get pregnant while taking it, hence the monthly pregnancy tests and monthly checkups with a dermatologist. I recommend 6 months, starting with a lower dose and gradually increasing so that the body has time to adjust to more Accutane. Accutane, or isotretinoin, is one of the most powerful and effective treatments for severe acne on the market. The use of Accutane® for acne has become highly controversial, and for very good reasons, but in the beginning it seemed like the answer to every acne sufferer’s prayers. to bear. 4 to 0. It’s been associated with thinning hair for some people who take the drug, but there are steps that may help. It is used for patients with severe acne or for those whose acne has not resolved using other products. , 1997; Goulden et al. I really want to go on accutane again bc I cannot stand this acne anymore. Accutane prevents further breakouts, so yes, it can prevent acne scarring. Side effects. Isotretinoin is the closest thing we have to a “cure. Accutane, or Roaccutane in other countries (generic name Isotretinoin) is a powerful medication prescribed for people with severe acne. But after growing critics and an ever-increasing fury of Accutane lawsuits, the drug was taken off the market in 2009/2010. It may be prescribed for other uses. Accutane, Spironolactone, and tetracycline antibiotics have long been the most common systemic. Less common side effects include hair loss and headaches. Find out how isotretinoin capsules treat acne and how to take them. After struggling with severe acne for a decade, my dermatologist prescribed me Accutane, and I've had clear skin ever since. 74% of reviewers reported a positive experience, while 14% reported a negative experience. Now imagine that — no matter what you do — the fire just keeps burning. Accutane is a prescription medication for individuals with severe acne. Other brand names include Claravis, Amnesteem, Absorica, Myorisan, Zenatane, and Sotret. I had dry itchy patches all over my body. 5 Things I Wish I Knew Before Starting on Accutane. Our Canadian pharmacy offers high-quality isotretinoin, a medication used for the treatment of severe acne. Even though the manufacturer no longer sells Accutane in the United States, the generic versions are still commonly referred to as Accutane. acnes and has. Low-dose isotretinoin might reduce common side effects by 16% to 35%; it might also be associated with higher relapse rates, particularly with severe acne, possibly owing to lower total accumulated doses. In the USA, Isotretinoin was branded as Accutane by Roche and approved in 1982. Accutane is great for improving acne but horrible on surgical scars. The more serious side effects of isotretinoin can have long-term or permanent effects. The risks of Accutane include: Pregnancy Risk of Accutane. k. Accutane has mental and physical risks. This ingredient essentially works by slowing the synthesis of skin in the sebaceous glands (the main structures that produce skin fat). Accutane is not being absorbed. Like dry lips, peeling and flaking skin should subside after you stop taking the medication. “Accutane, [the brand name of] isotretinoin, consists of giving an elevated dose of a form of vitamin A,” explains Dr. Accutane is the brand name that most people use when referring to the oral acne medication isotretinoin. As these numbers grow yearly, more and more people succumb due to drug misuse and abuse. Accutane is the most well-known form of isotretinoin, but it was discontinued in 2009 after researchers found it potentially increased the risk of inflammatory bowel disease. . Starting at a lower dose decreases the potential of an acne flare and produces a less severe onset of side-effects such as dryness and it helps with compliance. Satisfaction. I include side effects I experienced, skincar. Acne vulgaris is one of the most common skin diseases in Europe, 1 and the most common in the USA, 2 affecting more than 80% of adolescents and young adults, 1 and persisting for decades in many cases. Isotretinoin must not be used to treat women who are able to bear children. Accutane is an effective and safe isotretinoin drug for the treatment of acne. only . This type of acne causes deep, painful cysts and nodules, which can be the size of a pencil eraser or larger. During that time, using a good lip balm, Vaseline, or Aquaphor to keep your lips hydrated is a must. (to resist) a. However, people may experience mood changes while taking Accutane. Initially it made my acne worse than it had ever been which was discouraging for a few months. Accutane costs about $1,200 a month, and many consumers choose the generics, which cost 25% to 50% less. Accutane is a brand-name version of the drug isotretinoin. How to Use. While diligent. ”. #10. In the morning, cleanse, moisturize and put on sunscreen. Accutane is also used to treat acne that is resistant to traditional or topical remedies. Accutane is the brand name for a medication called Isotretinoin, which is a high dose vitamin A treatment in pill form. ago. The nodules may become suppurative or hemorrhagic. These include but are not limited to dry skin, headaches, joint pain, vision problems, moodiness, and depression. (11) The Essential Info. Isotretinoin (Claravis, Amnesteem, Absorica, Myorisan, Zenatane, Sotret) is a prescription drug used to treat severe acne. Changes in Vision. , but generic formulations are available. In the morning, Dr. Introduction. If you miss a period or you think you are pregnant while taking Accutane, inform your doctor immediately. Isotretinoin (Accutane®) October 1, 2021 page 2 of 2 Must be able to understand that severe birth defects can occur with use of isotretinoin. S. Read Story. Numbered List: Don't drink alcohol while taking Accutane. Below are the top five alternatives to Accutane that have shown promise at clearing up stubborn acne: 1. Accutane comes with some contraindications and possible side effects: 1. This medication is quite effective because it treats clogged pores, bacteria, inflammation, and oil production. This is not a complete list of side effects and others may occur. Hair loss is a possible, but usually temporary, side effect from taking Accutane. Before your first month of treatment ends, you may experience a paradoxical acne flare, termed colloquially as “Accutane purge. If your parents had acne as teens, it's more likely that you will too. It. Dry lips and mouth, minor swelling of the eyelids or lips, crusty skin, nosebleeds, upset stomach, or thinning of hair may occur. Accutane Prices, Coupons and Patient Assistance Programs. Accutane (isotretinoin) is a highly effective acne treatment. For me its going to be 100% worth it! Before I started Accutane I was worried about the side effects as well but I always just told myself If I noticed a bad side effect Id just quit the medicine immediately before anything really bad hapoend. Acne is a skin condition that shows up as different types of bumps: blackheads, whiteheads, pimples, or cysts. The drug has been FDA-approved since 1982 and the most common side effect is dryness of the skin, nose, lips and eyes. • In the first 20 years of Accutane use, the FDA Adverse Event Reporting System contains almost 23,000 reports for Accutane,. Nicolette Gelnak. Accutane side effects and complications. Isotretinoin Capsule Information. Two of the most sinister reported Accutane side effects, depression and inflammatory bowel disease, are the most widely debated in the medical community. Not like a little dry, but the kind of dry where your lips are constantly chapped and you’re prone to nosebleeds. It's an oral. How and when to take it. The mechanism of action of the Accutane significantly. Accutane may lower sebum production by up to 90 percent, which can decrease the size of the gland. Other brand names: Rizuderm, Reticutan. As Dr. Age of the patient. 8 milligram (mg) per kilogram (kg) of body weight per day, taken as 2 divided doses for 15. 00. As you can imagine, this poor scar healing applies to all of our cosmetic surgeries: facelift, rhinoplasty, blepharoplasty and many others. Along with possible liver toxicity problems, you may also experience side effects from combining Accutane with alcohol like redness or. pain, tenderness, or stiffness in the muscles (long-term treatment) rectal bleeding. Evidence. Several lawsuits have been brought against Roche Holding. Read More. Essay by Rachel Hosie. What is this medication? ISOTRETINOIN (eye soe TRET i noyn) treats severe acne. Marinelli suggests. I had severe acne for 10 years, which really damaged my self-esteem. Accutane Causes Skin Dryness and Sensitivity. Accutane is highly effective in clearing persistent acne that has not responded to other treatments. Isotretinoin (13-cis-retinoic acid, marketed under the names Accutane, Roaccutane, and others) is an effective treatment for acne that has been on the market for over 30 years, although reports of neuropsychiatric side effects continue to be reported. Accutane, also referred to as isotretinoin (Accutane is the brand name for the drug isotretinoin), was first introduced in 1982 — so, almost a decade after Roe v. Accutane was the best thing I did, my skin has been flawless since my forth month. . Wade. Common side effects of isotretinoin may include: dryness of your skin, lips, eyes, or nose (you may have nosebleeds); vision problems; headache, back pain, joint pain, muscle problems; skin reactions; or. 5, and 1 mg/kg/day, 8 it was found that all dosages provided initial clearing of disease, but there was a greater need for retreatment with the lower dosages. What It Is: Isotretinoin, often known by its brand name Accutane ®, is an oral medication approved for severe, scarring acne that is normally prescribed for 15-20. Accutane is used to treat severe nodular acne that has not responded to other treatments, including antibiotics. And researchers have also investigated continuous low-dose treatment of rosacea with Accutane, giving patients just 0. Accutane is considered one of the most effective treatment options for improving acne long-term. 1. Accutane (generic version: isotretinoin) is a prescription acne medication commonly used for severe or resistant cases of acne. Isotretinoin is a powerful oral retinoid that works by reducing the amount of. Peeling skin. Accutane must not be used by females who are pregnant. At the Advanced Acne Institute w e prescribe it for severe cases of acne that don’t respond to at-home remedies or prescription-strength pills and creams. Dry skin is another common Accutane side effect. Despite Accutane’s solid high rates of efficacy, the acne drug was considered a danger to female patients who became pregnant while using it. Allenby points out, just like topical vitamin A, isotretinoin will make your skin much more sensitive to the sun. What is Accutane (or Isotretinoin)? In short, isotretinoin is a medication used to treat severe cases of acne, in most cases cystic or stubborn acne that has not responded to other well-known acne treatments. Possible side effect: Muscle aches after exercising may be more pronounced. BUT that is not even 100%. Risks of Accutane. It has long been suggested that the drug isotretinoin prescribed for hard-to-treat acne can cause depression. Thousands of lawsuits have been filed against the manufacturer of Accutane, Roche. S. Isotretinoin is the only therapy that impacts on all of the major aetiological factors implicated in acne. you save a life time on expensive topicals and wake up with clear skin every single morning. It should be used only after other acne medicines or antibiotics have been tried and have failed to help the acne. The first report of depression in patients taking Accutane occurred in September 1982. That being said, it is possible for acne to come back after being on Accutane. Initial Dose: 40 mg po daily for 2-4 weeks. It is only available with the approval of your physician, as many conditions must be met to safely use the medication. Even though Accutane eventually worked for me, it wasn’t an easy journey. to hold on. to hang on. Filter by condition. Topical retinoids do some of the same things for your skin that isotretinoin can. Some doctors recommend waiting to do your course of Accutane in the winter, when you. Doctor’ visits, bloodwork and additional prescription drugs will affect overall costs. There is research that suggests accutane shortens that string of useless sequences thus promoting aging. Normal dose Accutane is regularly dosed based upon body weight and often increases slowly over the course of several months. However, people may experience mood changes while taking Accutane. Isotretinoin is an oral prescription medication that affects sebaceous glands and is used to treat severe acne. Warnings. Vitamin A is a key nutrient in the development and maintenance of healthy skin. All this considered, dermatologists acknowledge that Accutane has the potential for severe side effects. Accutane can also increase the levels of lipids in your blood called triglycerides. Accutane was a pill administered orally, so if that is a method of delivery you prefer, this may be worth considering. This will lead to a much lower amount of Accutane in the body. Because tretinoin is a topical medication and isotretinoin is an oral medication, the two different drugs have significantly different side effect profiles. The drug is a vitamin A derivative and addresses all four acne-causing areas. 2019: New Jersey high court dismisses 514 cases pending in New Jersey. S. The brand name Accutane was discontinued in 2009. Accutane is a vitamin A derivative and belongs to a class of drugs called retinoids. Isotretinoin, also known as Accutane, is a powerful medication that belongs to the retinoid family. It achieves this remarkable efficacy by influencing cell-cycle progression, cellular differentiation, cell survival and apoptosis. 5 to 1 milligram (mg) per kilogram (kg) of body weight per day, taken as 2 divided doses for 15 to 20 weeks. Whether you call it Accutane or isotretinoin, myths and misconceptions about this medication are. Side Effects. Because of the high risk of birth defects in babies whose mothers take isotretinoin. cold symptoms such as stuffy nose, sneezing, sore throat. Some common side effects of Accutane include dry skin, chapped lips, and dry eyes. But unlike Accutane, adapalene is a topical treatment that comes in gel form. Your doctor may adjust your dose as needed. It is sometimes referred to as the “nuclear option” due to its ability to provide remission of acne in about 2/3 of people who take it, while at the. Accutane (isotretinoin capsules USP) 20 mg are opaque pink elliptical soft gelatin capsules imprinted with black ink, “J2” on one side and are supplied in boxes of 30 containing 3 prescription packs of 10 capsules as unit dose blisters. In a retrospective study consisting of over 500 participants who had completed at least two months of Accutane therapy, most participants had similar results, which was improvement in acne lesions. Accutane treatment through telehealth and online sources. Use a SingleCare drug coupon to pay $190. However, you might find that your old or current acne scars actually appear more pronounced after or during your time on Accutane. Accutane is a prescription medicine used to treat severe acne. Accutane (Isotretinoin) Isotretinoin is a medication that is taken by mouth to treat moderate to severe acne or acne that is not responsive to other treatments. A healthcare provider may prescribe this medication if other acne medications don’t work. Either way, you need to discuss this with your doctor. Published: 2014-07-20. Prevents the formation of new acne. Accutane is the best medication available on the market for treating the most severe forms of acne. Accutane is a trademark prescription manufactured by JG PHARMA. Mood changes Some patients experience irritability, nervousness, anger, and sadness while;. Accutane is safer than long-term antibiotic use. S. It is one of the vitamin A derivatives from the family called retinoids. Cystic acne happens when the infection goes deep into your skin, creating a red, tender bump that's full of pus. Eczema flares (bland moisturizing creams and ointments can help) Dry eyes. The brand name Accutane is discontinued in the U. Accutane is an incredibly effective treatment for acne because it essentially shuts down sebum glands, or oil glands, that, when over-productive, are the root cause of acne. Research, however, has shown that 14. The guide will later become part of the iPLEDGE program. Sore or dry mouth or throat. It is important to carefully follow the instructions of your doctor and pharmacist when taking Accutane. During that time, using a good lip balm, Vaseline, or Aquaphor to keep your lips hydrated is a must. The classical recommended dose is 0. It should be taken after food for its better absorption and twice a day for 15 to 20 weeks. Patients and. Materials and Methods: In this prospective, non-comparative study, 50 participants, both male and female, having moderate to severe acne vulgaris were enrolled and treated with isotretinoin at a dose of 20 mg/day (approximately 0. I take isotretinoin. It has been sold under brand names such as Accutane®, Absorica®, Amnesteem®, Claravis®, Epuris®, Clarus®, Myorisan®, Sotret®, and Zenatane®. The accutane, I think, is roughly about £35 every 2 months for 20mg pills. 1 – 7 It results in a significant reduction in sebum production, influences comedogenesis, lowers. The initial brand formulation of ISO, marketed by Roche Laboratories under the brand name Accutane® (Acc-ISO), which was released into the marketplace in the United States in 1982, was based on information gleaned from studies evaluating the pharmacokinetic (PK) profile, clinical trials, and practice databases on ISO. In the first 2 weeks, your skin will start to feel less oily. If you experience thinning hair, your hair should grow back. For those who encounter a “purge,” it can range from a few extra pimples to a very prominent worsening with large cystic breakouts or it can be anywhere in between. Some serious side effects have been. Though stress can aggravate acne, it clearly does not cause it. Monthly labs and medical visits for an approximately six- month course Accutane treatment. Although not every fetus exposed to Accutane has resulted in a deformed child, there is an extremely high risk that a deformed infant can result if pregnancy occurs while taking Accutane in any amount even for short periods of time. “Severe,” by definition, 2 means “many” as opposed to “few or several” nodules. With a list of side effects like this, taking Accutane for acne seems daunting. Accutane® may cause serious mental health problems such as depression, psychosis, and rarely thoughts of suicide, suicide attempts, suicide, and agressive and/or violent behaviors. 5 to 1. 8 milligram (mg) per kilogram (kg) of body weight per day, taken as 2 divided doses for 15 to 20 weeks. It sold well for many years, but in 2009, Roche decided to remove Accutane from the U. But patients, parents and doctors are. This medication has been around for decades and continues to be the absolute best treatment for acne, particularly for moderate to severe cases. A drug with such dramatic results is bound to get wrapped up in some pretty heavy health skirmishes. Patients and. The type of sunscreen you use is important. When taking the antibiotics, the acne would go away, but it would always come back. When other treatments fail to clear the skin, isotretinoin may be an option. A Verified Doctor answered. Both substances affect the neurotransmitters in the central nervous system. Common side effects of isotretinoin may include: dryness of your skin, lips, eyes, or nose (you may have nosebleeds); vision problems; headache, back pain, joint pain, muscle problems; skin reactions; or. These issues start between two to four weeks after starting the medication. Other brand names of isotretinoin include Absorica, Amnesteem, Claravis, Myorisan, and Zenatane. Dermatologists also tell FOX 5 it can be used as an anti-cancer drug in some cases. Common acne in teenagers starts with an increase in hormone production. Meanwhile, plaintiffs have won an estimated $33 million in judgments against Roche for. Isotretinoin is a prescription medication taken by mouth to treat severe cystic acne that has not responded to other treatments. It targets the root causes of acne, reducing inflammation and shrinking the sebaceous glands. Isotretinoin is the generic name for Accutane, a prescription medicine used to treat severe acne that is cystic, nodular, deep, scarring, and long-lasting. Accutane is the gold standard acne treatment and the only treatment that can actually cure acne. Having a really bad acne ( chest back , shoulders even a little on the nick and arms and a lot on the face ) my Doc is putting me on accutane i am so stresed out of acne , my acne is pretty bad i can say i sow people pics and main is pretty much worest , I am male 17 years old , 75 Kg, love sports . 5-1. Water resistance. More severe negative effects of Accutane are still feasible however extremely unlikely and can consist of seizures, puking, beclouded eyesight, tummy pain, queasiness, intensifying pyrosis ( heartburn ), frustration, dark tinted urine, yellowing of the skin or eyes, problem ingesting, weak point or pins and needles, looseness of the bowels, breast pain,. Absorica® and Accutane®: The dose is usually 0. Most common side effects: Dry lips, dry skin, and dry eyes are typical. Some people also experience euphoria, depression, and irritability when mixing Accutane and alcohol. 3% were depressive disorders, 13. Limit all sun exposure while on Accutane, avoid direct sunlight, and always wear sunscreen with an SPF of at least 30, even on cloudy days. Your doctor may adjust your dose as needed. Meanwhile, plaintiffs have won an estimated $33 million in judgments against Roche for. 6. Accutane is the trade name for Isotretinoin, a vitamin A derivative. Very dry lips, fatigue, horrible initial breakout (of course). Introduction. It is estimated that at least 11. It is a form of Vitamin A belonging to a class of medications known as retinoids, which are used to treat skin problems. Some people who burn on accutane have ended up in the hospital with 2nd degree burns and popping blisters all over and bad. However, it does come with a host of side effects. I got eczema for the first time. 8% or 2. If you take Accutane, you must use effective birth control from 1 month before the start of. Dr. If you want to clear your acne without Accutane, you can! Since Accutane is a synthetic form of vitamin A, natural forms of. Accutane is used to treat a type of severe acne (nodular acne) that has not been helped by other treatments, including antibiotics. September 10, 2020. 13 for the most common version, by using a GoodRx coupon. Rachel Hosie. Isotretinoin (eye-soh-tret-in-OH-in) is a prescription medication for severe acne. Accutane was the best thing I did, my skin has been flawless since my forth month. go on a low dose. While there are many treatments available for acne, isotretinoin is considered to be the best option for severe and persistent acne. Accutane is a prescription oral acne treatment that targets severe forms of acne, including the kind that’s resistant to topical treatments. However, it may produce potentially disabling or life-threatening side effects if used inappropriately or without strict medical supervision. Peeling skin. Even one of these factors can trigger acne and isotretinoin fights all of them. As I announced last September, with the encouragement of my. More serious side effects can include liver damage, birth defects, and an increased risk of. That being said, it is possible for acne to come back after being on Accutane. Prescription oral acne medications include certain antibiotics, hormonal contraceptives, Accutane (isotretinoin), and Aldactone (spironolactone). Medically Fact Checked. Before your first month of treatment ends, you may experience a paradoxical acne flare, termed colloquially as “Accutane purge. I did two rounds of Accutane, and my skin has stayed clear for nearly two years since—read about my experience here. 6% to 52% of patients experience a relapse of acne after undergoing isotretinoin therapy. That's precisely what happened to Kali Kushner, a 22-year-old who, over the last two years, has amassed more than 22,000 followers for sharing her journey using Accutane, a powerful form of acne. Of course, like many prescription drugs, it comes with a laundry list of “possible side effects. 10-19 Between 1982 and 2000 the FDA has received reports of 394 cases of depression, and 37 suicides occurring in patients exposed to isotretinoin. I did 40mg last month so paid about £220 overall. Affiliation. However, apart from increased cholesterol and joint and. Acne’s Wonder Drug Is a Mental-Health Puzzle. D. zitstika It is available in multiple brand and generic versions. Rabach says. It gets rid of acne-causing bacteria in the glands and on the skin. Timeline of Effects and the Chance of Accutane Purge. Accutane is crazy strong and does things to your body that you didn't think possible. Although approved by the U. When other treatments fail to clear the skin, isotretinoin may be an option. . 10. If you get pregnant while taking Accutane, your baby will be at high risk for birth defects. It may start working as soon as 4 weeks after starting the medication. Follow her on Instagram @bellacacciatore_. What dose of Accutane the Dermatologist prescribes depends on several factors including: A dose of 0. Accutane is also one of the most effective prescription drugs available. This includes calming inflammation, decreasing the P. Isotretinoin is an oral derivate of vitamin A that has been used since 1982 for the treatment of multiple dermatologic conditions such as severe acne, rosacea, scarring alopecia, ichthyosis or non-melanoma skin cancer prophylaxis. To minimize the risk of irritation, keep your skincare routine as simple as possible. However, some people are likely to experience hyperpigmentation after using Accutane because although the medication will reduce active acne, it won’t fade hyperpigmentation. However, Isotretinoin is a retinoid, which is so powerful that it literally. Although that brand. Answer: Severe headache with accutane. As this acne clears, scars often appear. Don't donate blood while taking Accutane or for at least one month after stopping the medication. It was first marketed as Accutane by Hoffmann-La Roche. Translate Actuante. The trade-off to its effectiveness is the associated side effects, as well as the drug’s known risk for causing serious birth defects. It. 34. Accutane is a drug that can cause severe birth defects, miscarriage, and stillbirths if you get pregnant while taking it, hence the monthly pregnancy tests and monthly checkups with a dermatologist. By Emily Keel. If you notice more hair shedding or thinner hair after. Sulfonamides, like trimethoprim-sulfamethoxazole (Bactrim) is a second-choice antibiotic for acne. headache (severe or continuing) mental depression. Seeing a doctor Summary Isotretinoin (Accutane) can improve severe acne, but it can also have severe adverse effects, such as dry, cracked, or peeling skin, eye inflammation, and joint problems. The good news is that the effects are long-lasting, and most people maintain skin clarity for months, years, or permanently after one round of Accutane treatment. Isotretinoin, better known as Accutane, is the acne drug of last resort. Isotretinoin (formerly sold under the brand name Accutane) is a medicine used for the treatment of severe cases of acne that haven't improved with other treatments. In 2002, a family filed a. This combination—unique efficacy coupled with unique risk—has posed a serious. Case reports . Accutane was introduced in the United States in 1982 to treat severe acne, but it was taken off the market in 2010 because of safety concerns. acnes bacteria on the skin, reducing skin oil production while improving cell turnover. Pseudotumor cerebri can cause headache and be connected with accutane use but I doubt that you would be waking around with that for 5 months. Problems with the ears and/or eyes. Accutane (or isotretinoin) is a synthetic derivative of vitamin A primarily used to treat severe cases of acne which haven’t responded to anything else. It truly was a miracle medication for me when it comes to results.