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Is It Possible To Switch Doctors In The Middle Of Accutane Course?

MemberMember
4
(@anthony180)

Posted : 10/03/2015 5:32 pm

Hello everyone, I would appreciate anyones experience or knowledge on this.

 

I am dealing with quite stress from my dermatologist:

 

First of all I came in as a patient that just had moderate acne: 4-5 pimples but theres constantly a new one everyday the one heals. And some could be big and inflammatory.

 

So he starts me off at 20mg which I felt was way too low for me weighing in 160lbs and tells me to do blue light treatment while on the accutane to avoid the breakouts. He gives me a great deal: 100 dollars for 10 blue light treatments instead of like 600 and it didn't seem like he was doing it just to get an extra dollar, I mean whats 100-200 dollars to a doctor?

 

He had a great reputation and he persuaded me so I agreed then I came home, did my research and saw that there is almost no one on the internet or any doctors that recommend this method. I then came to the conclusion I rather do my accutane course the regular way which seems to be successful for more people and not add anything unnecessary or that could possibly harm me to the mix. (something I might regret.)

 

I go month 2 and my acne is pretty much the same, hasn't got worst or better, in fact my chin acne diminished but I got MINOR acne on my forehead and one pimple in between the eyes, something I didn't come with. Really no big deal or anything I was concerned with.

 

He then claims because of "no improvement" (which I dont believe the majority of people see improvement in 1 month) he will increase me to 40mg and if "I start breaking out" call him. He again tells me get on blue light and his assistant is there and offers me the deal again and me being concerned about my acne not improving I agree again.

 

I go home, and start stressing the blue light therapy thing and immediately cancel and apologize for canceling twice in a row.

 

Now I'm stressed because I think the doctors probably offended at this point thinking I don't trust him, and don't know if he's going to find a reason to pull me off the drug or keep me at the same dosage or lower me, because now I'm breaking out worst since I've been stressed about the situation.

 

I wanna know, if worst comes to worst could I possibly just get a new dermatologist and continue the course immediately or would it be a hassle? If it's a hassle when I go see him for the start of month 3, could I cancel appointments with him, move to another that won't keep insisting on his blue light and making me feel bad about my acne not improving over 1 month and continue accutane from 3 month with another doctor?

 

Sorry for the ranted, this situations just being stressing me so much lately, appreciate it everyone.

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MemberMember
15
(@chippy1)

Posted : 10/06/2015 1:25 pm

Hello everyone, I would appreciate anyones experience or knowledge on this.

 

I am dealing with quite stress from my dermatologist:

 

First of all I came in as a patient that just had moderate acne: 4-5 pimples but theres constantly a new one everyday the one heals. And some could be big and inflammatory.

 

So he starts me off at 20mg which I felt was way too low for me weighing in 160lbs and tells me to do blue light treatment while on the accutane to avoid the breakouts. He gives me a great deal: 100 dollars for 10 blue light treatments instead of like 600 and it didn't seem like he was doing it just to get an extra dollar, I mean whats 100-200 dollars to a doctor?

 

He had a great reputation and he persuaded me so I agreed then I came home, did my research and saw that there is almost no one on the internet or any doctors that recommend this method. I then came to the conclusion I rather do my accutane course the regular way which seems to be successful for more people and not add anything unnecessary or that could possibly harm me to the mix. (something I might regret.)

 

I go month 2 and my acne is pretty much the same, hasn't got worst or better, in fact my chin acne diminished but I got MINOR acne on my forehead and one pimple in between the eyes, something I didn't come with. Really no big deal or anything I was concerned with.

 

He then claims because of "no improvement" (which I dont believe the majority of people see improvement in 1 month) he will increase me to 40mg and if "I start breaking out" call him. He again tells me get on blue light and his assistant is there and offers me the deal again and me being concerned about my acne not improving I agree again.

 

I go home, and start stressing the blue light therapy thing and immediately cancel and apologize for canceling twice in a row.

 

Now I'm stressed because I think the doctors probably offended at this point thinking I don't trust him, and don't know if he's going to find a reason to pull me off the drug or keep me at the same dosage or lower me, because now I'm breaking out worst since I've been stressed about the situation.

 

I wanna know, if worst comes to worst could I possibly just get a new dermatologist and continue the course immediately or would it be a hassle? If it's a hassle when I go see him for the start of month 3, could I cancel appointments with him, move to another that won't keep insisting on his blue light and making me feel bad about my acne not improving over 1 month and continue accutane from 3 month with another doctor?

 

Sorry for the ranted, this situations just being stressing me so much lately, appreciate it everyone.

anthony, I'm no expert but I would think many doctors wouldstart treatment on a low dosage for the first month, to see how you do on that dosage...Everyone is different and I would say the Derm was doing the right thing starting at that mg. As mentioned on another thread, I'm about 190lbs and on 20mg...I'm hoping to stay on a low dosage but take it for longer period, as would like to keep side effects as mild as possible....(I'm taking it to control very over active oil glands)

The most important thing to remember is that YOU arethe boss in that appointment and the Dermatologist is there to provide a service for YOU. They give you options but if YOUare not comfortable with those options, you need to say and the Derm needs to come up with another option......at the end of the day, Dermatologist is there to give you advice and you can tell them if youagree with that advice, after all you are paying the bill.....I went into my appointment with my Derm hoping to go on a low dosage and after a discussion, myself and my Derm agreed that was the right thing to do.......You need to"discuss" your options but you should never be pushed into doing something do dont want to do....Maybe there is a different option to bluelight, if thats what you need? I think the best thing to do is start that 40mg and see how you feel during the first few weeks after upping the dose, then see ifyou need other options......important thing is not to get too stressed/worry about it as will only make you feel worse.....Just my opinion, hope it helps....

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