Anonymous #1
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Hi, I have acne mainly down the side of my face but some on my forehead etc. It’s probably mild acne and things such as Duac Gel haven’t really helped clear my skin and I’d like to try accutane. However, I was wondering how you get it and if I’d be able to get it what with my acne not being that severe.

Thanks in advance.
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SuspiciousDuck
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(Original post by Anonymous)
Hi, I have acne mainly down the side of my face but some on my forehead etc. It’s probably mild acne and things such as Duac Gel haven’t really helped clear my skin and I’d like to try accutane. However, I was wondering how you get it and if I’d be able to get it what with my acne not being that severe.

Thanks in advance.
I'm not sure how things have changed with covid, but I presume it'll be the same procedure I went through a year or two ago to get on it. Firstly you'd have to talk to your GP, they'll ask you about a range of things that might be exacerbating your acne, refer you to over the counter medication and if that doesn't work they'll put you on some less drastic medication with a topic retinoid for a month or so to see if it clears it up. If that doesn't clear it up they will then refer you to a specialist dermatologist at your nearest hospital for further treatment. Really, if your acne isn't that bad I think you're rushing to fast into accutane, it does have side effects and overall isn't a nice medication to take, plus taking it you'll need to have regular blood tests to check it isn't doing any internal damage. Again, if your acne isn't that bad I wouldn't have thought you'd need to get to the level of taking accutane, but it's probably worth going to your GP anyway to see what they say.
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Dr Sree Krishna
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(Original post by Anonymous)
Hi, I have acne mainly down the side of my face but some on my forehead etc. It’s probably mild acne and things such as Duac Gel haven’t really helped clear my skin and I’d like to try accutane. However, I was wondering how you get it and if I’d be able to get it what with my acne not being that severe.

Thanks in advance.
Hello. I'm a NHS consultant dermatologist and prescribe isotretinoin (also known as Roaccutane or Accutane) daily.

I am very happy to prescribe it for anyone with scarring acne or in whom the acne is having a significant effect on their quality of life (even if it's not that severe). You need to have one blood test before starting and one more while taking the medicine. You may find this link helpful to find out more about the medicine. https://www.bad.org.uk/shared/get-fi...mtype=document

Good luck,

Sree
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Anonymous #1
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(Original post by Dr Sree Krishna)
Hello. I'm a NHS consultant dermatologist and prescribe isotretinoin (also known as Roaccutane or Accutane) daily.

I am very happy to prescribe it for anyone with scarring acne or in whom the acne is having a significant effect on their quality of life (even if it's not that severe). You need to have one blood test before starting and one more while taking the medicine. You may find this link helpful to find out more about the medicine. https://www.bad.org.uk/shared/get-fi...mtype=document

Good luck,

Sree
Hi,
Sorry for not replying - this has only just appeared on my notifications.

Whereabouts are you based? How long does it take to be referred to a dermatologist? And is your policy the same as what others follow?

Thanks in advance
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Dr Sree Krishna
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(Original post by Anonymous)
Hi,
Sorry for not replying - this has only just appeared on my notifications.

Whereabouts are you based? How long does it take to be referred to a dermatologist? And is your policy the same as what others follow?

Thanks in advance
Hi - no worries!

I work at Croydon; the normal wait time for a general dermatology appointment is around three months. You can shop around for the shortest waiting times on this website: https://www.nhs.uk/service-search/ot...tionSearch/680
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Anonymous #1
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(Original post by Dr Sree Krishna)
Hi - no worries!

I work at Croydon; the normal wait time for a general dermatology appointment is around three months. You can shop around for the shortest waiting times on this website: https://www.nhs.uk/service-search/ot...tionSearch/680
Hi - what does the ‘up to 33 weeks’ mean? Does that mean the wait time is that long? Seems ages
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Dr Sree Krishna
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Hi - what does the ‘up to 33 weeks’ mean? Does that mean the wait time is that long? Seems ages
Sadly, yes...
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Pathway
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Some areas have very long wait times. It took me about three months to be seen in a specialist dermatology clinic (also had allergists etc. in it).
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Anonymous #1
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(Original post by Dr Sree Krishna)
Sadly, yes...
That’s irritating, thanks for your help though.
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Anonymous #2
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My Gp was very reluctant to give me Roaccutane even though I had severe long term acne and had tried 2 types of antibiotics already. Maybe other practices are more flexible. But she would not give it to me without trying a list of ‘safer’ options first In the end I went to a private clinic and paid (a lot) but they didn’t make a fuss of it. It was what I needed.

Given the controversy around it I’d be surprised if a GP gave it to you for mild acne
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Dr Sree Krishna
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Agreed - some GPs are reluctant. The issue is that due to the risks of the medicine, it can only be prescribed by a consultant dermatologist so your GP wouldn't be able to legally prescribe it anyway.
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Zealous Student
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(Original post by Dr Sree Krishna)
Agreed - some GPs are reluctant. The issue is that due to the risks of the medicine, it can only be prescribed by a consultant dermatologist so your GP wouldn't be able to legally prescribe it anyway.
Hello, not OP, but I would like to ask whether I should push for isotretinoin. I've been on a course of lymecycline and differin for 6 months and oxytetracycline and duac for 4 months, with almost no improvement.
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Dr Sree Krishna
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Good question. Put it this way, I'd be very happy to consider someone for isotretinoin with that profile. It may be useful to discuss with your GP the effects that the acne is having on you. If it is having a significant effect, isotretinoin or at least a specialist opinion would be helpful.
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