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First (Nhs) Dermatology Appointment - What To Expect

accutane nhs dermatologist

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#1 Jashow94

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Posted 19 May 2013 - 10:52 AM

Hi, I'll try to keep this short!

 

Basically I've had acne since I was 12/13 for about 6 years now. I've finally been referred to a hospital dermatologist by my GP but I'm not sure what to expect.

For the first four years I took oxytetracycline/ erythromycin/ tetracycline along with various prescribed topical gels, lotions and creams with not much improvement (and have just been left with brown teeth that I had to pay £400 to get whitened!) I'm taking erythromycin at the moment just to get an appointment at the hospital. 

I'm not sure whether they will think my acne is severe enough to be prescribed accutane. I have a feeling that it'll clear up a little and not look so bad on the day of my appointment so I've taken some pictures to show how bad it can get and how it's been for the past few months. 

Will they take any notice of photos or will they just base it on what your face is like on the day? I have quite deep visible scars on my top lip and less noticeable pitted ones on my cheeks. I've also got scars on my chest and back.

(i've attached the pictures)

 Any experience would be great, thanks. (sorry it's long!)

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#2 EatsRainbows

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Posted 19 May 2013 - 11:08 AM

Hi there!

 

I've just been prescribed Roaccutane on the NHS. At my first appointment, the derm was quite reluctant to prescribe it for me because she wanted to 'wait and see' if I grow out of it. However as soon as she looked at my face and saw all the acne scars, she quickly changed her mind.

 

I'd say you are a good candidate for Roaccutane 1) because you are at risk of getting permanent scarring from your acne and 2) because your acne has been unresponsive to other treatments (these are both points that doctors look for when prescribing this drug).

 

Good luck , I'd be happy to try and answer anything else about this if I can :)



#3 Jashow94

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Posted 19 May 2013 - 12:56 PM

Hi there!

 

I've just been prescribed Roaccutane on the NHS. At my first appointment, the derm was quite reluctant to prescribe it for me because she wanted to 'wait and see' if I grow out of it. However as soon as she looked at my face and saw all the acne scars, she quickly changed her mind.

 

I'd say you are a good candidate for Roaccutane 1) because you are at risk of getting permanent scarring from your acne and 2) because your acne has been unresponsive to other treatments (these are both points that doctors look for when prescribing this drug).

 

Good luck , I'd be happy to try and answer anything else about this if I can smile.png

 

Thanks for replying! surprised.gif

Yeah, I'm preparing myself to be disappointed but hopefully the fact that it didn't respond to any medication for four years proves that there's a problem! And I already have scarred quite badly so fingers crossed.

How long did it take to get a prescription from your initial appointment?

I'm not sure what the deal is with the whole contraception thing either and how long I'll have to take that until I get treatment.



#4 EatsRainbows

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Posted 20 May 2013 - 09:42 AM

Hi there!

 

I've just been prescribed Roaccutane on the NHS. At my first appointment, the derm was quite reluctant to prescribe it for me because she wanted to 'wait and see' if I grow out of it. However as soon as she looked at my face and saw all the acne scars, she quickly changed her mind.

 

I'd say you are a good candidate for Roaccutane 1) because you are at risk of getting permanent scarring from your acne and 2) because your acne has been unresponsive to other treatments (these are both points that doctors look for when prescribing this drug).

 

Good luck , I'd be happy to try and answer anything else about this if I can smile.png

 

Thanks for replying! surprised.gif

Yeah, I'm preparing myself to be disappointed but hopefully the fact that it didn't respond to any medication for four years proves that there's a problem! And I already have scarred quite badly so fingers crossed.

How long did it take to get a prescription from your initial appointment?

I'm not sure what the deal is with the whole contraception thing either and how long I'll have to take that until I get treatment.

 

Well I was quite unlucky with the whole system. It took me more than 3 months to get my first appointment :(

My second appointment was when I got my prescription. This was supposed to be within 2 weeks of my first but my derm messed up and forgot to book me in, so it was a little later than this. 

As for contraception, you have to be on birth control for one month before starting this (and one month after ending it) I think, but I'm not 100% sure. I am already on birth control so I didn't have to do this wait, plus I opted out of the pregnancy prevention plan, although that was not as simple as you'd think.

Hope this helps :) 



#5 Jashow94

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Posted 22 May 2013 - 02:18 AM

 

Hi there!

 

I've just been prescribed Roaccutane on the NHS. At my first appointment, the derm was quite reluctant to prescribe it for me because she wanted to 'wait and see' if I grow out of it. However as soon as she looked at my face and saw all the acne scars, she quickly changed her mind.

 

I'd say you are a good candidate for Roaccutane 1) because you are at risk of getting permanent scarring from your acne and 2) because your acne has been unresponsive to other treatments (these are both points that doctors look for when prescribing this drug).

 

Good luck , I'd be happy to try and answer anything else about this if I can smile.png

 

Thanks for replying! surprised.gif

Yeah, I'm preparing myself to be disappointed but hopefully the fact that it didn't respond to any medication for four years proves that there's a problem! And I already have scarred quite badly so fingers crossed.

How long did it take to get a prescription from your initial appointment?

I'm not sure what the deal is with the whole contraception thing either and how long I'll have to take that until I get treatment.

 

Well I was quite unlucky with the whole system. It took me more than 3 months to get my first appointment sad.png

My second appointment was when I got my prescription. This was supposed to be within 2 weeks of my first but my derm messed up and forgot to book me in, so it was a little later than this. 

As for contraception, you have to be on birth control for one month before starting this (and one month after ending it) I think, but I'm not 100% sure. I am already on birth control so I didn't have to do this wait, plus I opted out of the pregnancy prevention plan, although that was not as simple as you'd think.

Hope this helps smile.png

 

Oh right, it's taking me two months. Probably depends where you are in the UK, some people get an appointment in a couple of weeks.

I've just started taking birth control now to speed everything up a bit if I'm lucky enough to be prescribed roaccutane. 

Thanks for the heads up, haha. Good luck with everything, hope it all works for you! I'll be following your blog so I'm prepared unsure.png Haha 



#6 Morgo K

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Posted 22 May 2013 - 12:57 PM

My acne is probably about the same as yours, maybe a little bit worse as I can't tell if yours is active or scarring. 
I saw a dermatologist privately and she took one look at me and said "You need roaccutane" so maybe there is hope for you too :D
I did not respond to any antibiotics or topicals before, however the Derm gave me erythromycin at the same time as accutane to cover the initial breakout :)






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