Ok so I never imagined I'd find myself writing a post like this and this is by no means a decision on my part to take Roaccutane but I just wanted some advice from some of you lovely people who I know have personal experience with this drug.
I've always been pretty determined not to take Roaccutane because of the horror stories, side-effects etc. and have got to the point now where I've tried pretty much every other treatment out there. But this year instead of my normal moderate acne I've developed horrific and painful cystic acne and have now been referred by my GP to a dermatologist because she said I'd be a very good candidate for Roaccutane. I therefore wanted to gauge a better idea of what the pros and cons of the drug might be for me before my appointment on 20th September.
Obviously like everyone my main concern is the possible side-effects, in particular those related to joint pain, liver damage and depression/suicidal ideation. The first two are obviously just general concerns for my long-term physical health. What are your general views on this drug's infamous reputation? Do you think it's justified or do you think the dangers of it are overemphasised in the media?
Aside from these more general concerns the potential for depressive side effects is a particular worry for me as I have depression and am currently on anti-depressants which have greatly improved the condition for me (I should probably point out that my tendency toward depressive thinking predates my acne problems). So my other questions for anybody who might be able to answer are:
- Will dermatologists prescribe Roaccutane for somebody with a history of depression?
- Can you continue to take anti-depressants (SSRIs) alongside Roaccutane or do they interact badly with each other?
- Are depression and/or suicidal ideation considered to be common side effects of Roaccutane and is it known to significantly worsen existing depression?
Thank you very much in advance to anybody who can help me with any of my questions