Awesome! Good luck man! Keep us updated!

So I just want to give some background on getting medication in Thailand in case it helps someone in the future. Basically most things that are abused recreationally or tightly controlled in USA like painkillers, anti depressants, codeine, etc. you can get over the counter in countries like Thailand.

I went to a local pharmacy and got 100 pills of Pfizer Doxepin 25mg for $25 USD no questions asked. However, I discovered that for a drug like Imuran the only place to get it is a hospital pharmacy. Immunosuppressants are not that common and a local pharmacy wouldn't stock it and I think it's actually illegal for them. Even Thailand has its limits.

So the way hospital pharmacies work here is that you have to pay to see a doctor in that specific hospital in order to get a prescription to fill at their pharmacy. You can't go to a cheaper clinic somewhere and get a prescription to take in there from some random doctor. What I found out I could do is go straight to the pharmacy in the hospital and ask if they have Imuran and how much it costs. There is a very big difference in price between private hospitals and government hospitals here - even for the exact same medication.

I made an appointment at the hospital that had Imuran the cheapest and saw a doctor and explained my situation. She was hesitant to give the prescription but I explained I've tried everything. She looked up EC on her phone because she never heard of it. She wanted to send me to the dermatologist but I stayed firm that I've seen every kind of doctor and I just wanted a prescription. We did some bloodwork to make sure I was healthy and then I got the Imuran. 1 month supply of 50mg for $60 USD. It might be way cheaper in the states since they import it here I have no idea but it's not a lot of money for me at all so I don't mind. I also had to pay $50 to see the doctor and do the bloodwork.

So now I'm all set. I'll update every week or every 2 weeks. Imuran 50mg with breakfast and Doxepin 25mg before bed. I weigh 155 pounds, I hope the dosages are enough for me but I'm basically acting as my own doctor and don't know what I'm doing but I'm desperate. If I don't see any progress in 1 month I might step up the dosage.

Edit: forgot to mention I will be doing leave alone method and avoiding getting my lips went at all. I will be leaving the crusts alone until they fall off naturally. Luckily here in Asia its socially acceptable to wear a surgeon mask/mouth cover everywhere so that comes in handy avoiding embarrassing situations and I can hide my lips for a few days and still go out when the crusts are really bad. Also its so hot and humid here the crusts are just naturally way less gross then back home where its dry and cold.

I've been taking the medication for almost 2 weeks now so I wanted to give an update. Haven't seen any improvement yet. Crusts are still forming and peeling like usual. I will not be posting any pictures. I will keep going and post another update after 1 month on this program.

I will be making a doctors appointment to discuss some side effects I have noticed from the pills on my hair and skin:
- the first night I took the Doxepin it made me feel very sleepy but now I take it and feel normal and just go to bed soon after
- I'm sleeping longer than normal
- the skin on my palms and soles of my feet is peeling slightly
- I was washing my hair and I noticed some hairs came off on my hands. I looked online and hair loss is a side effect of Imuran but I will talk to the doctor. It wasn't a lot of hairs and I have a very thick head of Mediterranean dark hair but I was still shocked to see it

It's been about a month with Imuran and Doxepin and haven't had any real progress yet. Even though Patrick Chaos wife needed around 30-35 days to stop peeling I'm not discouraged at all since Daniki said it took her at least a month and a half to see progress. I might increase the dosage of Imuran to 100 mg and take two Doxepins at night for 50 mg total but I'm not sure yet. I'll post another update between 2 weeks and 1 month from now.

Forgot to mention that I found an amazing pharmacy that carries pretty much everything and they have Imuran way cheaper than the hospital. A 50 mg pill is around $0.65 USD.

Bad news I had a horrible allergic reaction to something a week ago. My lips got swollen and they were burning, felt like they were on fire especially my lower lip. I had huge crusts built up over 2 weeks and the swelling caused it to peel off in a horrible way it was quite painful. Got blood done and everything fine but I stopped the medication. It's been a week off and I feel fine, the swelling and pain went away a day or two after the initial reaction.

I think it was something I ate since I ate some new things for the first time in a while. I am a very picky and strict eater so I eat the same things for long periods of time so it must have been the food. However, I'm scared to go back on the medication because like I said earlier I am pretty much my own doctor here and this is potentially dangerous. So back to the drawing board I think I'll get another allergy test I haven't had one in years. Really disappointed since I was reaching the 1.5 month mark where I was hopeful I would start seeing progress. I am going back to my home country soon and I'll be bringing a stockpile of Imuran and doxepin in case I try again soon.