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Help! need a guide :(

Ok... so, all of a sudden, my minocycline runs out... no refills, and the doctor wont give me any more because he says he didn't intend for me to take 100mg twice a day (thanks doc.) So he cancels my prescribtion and now I have been without any medication for 2 weeks.

My face is so broken out that touching it at any point as lightly as you will, or trying to form an expression, feels like someone is stabbing me in the jaw with a dagger.

I want to take this opportunity now that I am off minocycline and broken out anyway, to start accutane.

How can I find a doctor who will give it to me (last one didnt want to) fast.

How can I be seen by him?

What is basically the quickest way?

From what i understand, it's

Find a doctor who prescribes accutane without making you try every other available drug first (1 week.)

Make appointment with regular doctor... (2 weeks)

Get referral

Make appointment with dermatologist (2 weeks)

See him and possibly get prescribed.

Help me.... How do I find a doctor?

Im 19 years old, up until now my mom always took care of everything, however I am no longer cool with letting time pass by because doctors are too busy to see me.

If they are too busy, they have too many patients, I can fix that.

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The procedure really depends on your insurance situation and the rules of your country of origin. For instance, in the UK only derms can prescribe Accutane and you have jump through the hoops of their national healthcare system or pay to go private. In the US you can go straight to a dermatologist, but not all are able to prescibe Accutane - they have to participate with the iPLEDGE program, and some of them have decided that it's more trouble than it's worth. Some general physicians have chosen to participate in iPLEDGE and can also prescribe. Your insurance company may require to you to see a GP to get a referral to a derm. You may need to choose from certain derms that are participating with your insurance. There are a lot of variables, we need more info about you to give better advice.

But assuming that you are in the US and are able to go directly to a specialist of your choosing, the best thing to do is to call around and talk to the derm's receptionists. Ask what the derms policy towards Accutane is and locate one that doesn't think Accutane is the devil, and make an appointment. You may have to wait awhile to see a derm as a new patient, and some don't accept new patients.

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In the past, I have had to get a referal from my gp to see a specialist.

Assuming the only dermatologist my GP knows is the idiot I have already seen...

How do I find one myself?

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Umm

My first time i had to go through a dermatologist, and that was definately after i tried absolutely every other acne medication. But for my second time i went through a normal doctor who is really really watchful of me. Book an appointment with ur doctor and explain to him your problem and that you know the risks, and ONLY GO ON ACCUTANE IF YOUR DOCTOR IS MAKING YOU TAKE MONTHLY BLOOD TESTS. If you have a gp that isn't making you do this, the drug can be very dangerous to you.

Good luck in finding a doctor

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First, 100 mg twice a day is not an unusual dosage. I had to take that much to keep mine down (whenever I tried less it woud come back). I do not respect what has happened with your current doctor.

As for finding a dermatologist. Like someone said it depends on your insurance. You have to find what their rules are and follow them. If they require a referral, get it.

If they don't, look in the yellow pages and call them up. I'd suggest making an appointment with whichever one can fit you in soonest.

When you go to the derm (or GP, if you need a referral) really talk up the fact you've given a good effort with antibiotics and topicals. Most competent dermatologists won't mess aroun with antibioitcs and topicals if you've already given them an honest try. With your history, they are likely to simply prescribe accutane first thing. I'd suggest you be very assertive (polite and respectful, but assertive) about this.

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If you do have to get a referral, see if you can just call your GP and get them to give you a written referral that you can just pick up instead of having to wait and make an appointment. Also, most Physician's Assistants/Nurse Practitioners can prescribe Accutane and will be much easier to see faster.

I didn't have to get a referral, so my process was slightly faster, but I called on a Tuesday and got an appointment for a Friday with the PA. I also asked to make sure that the PA could prescribe and WOULD prescribe me Accutane and the receptionist said it would be fine... So it would probably be a good idea to just make sure.

Hope some of this helps expedite your process! Good Luck!

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Hey, good news! not.

I need a referral.

So I ask my GP to give me a referral to a different dermatologist... Guess what?

Dr. Rahimi is the only one he's contracted with... Aka I can't be referred to any other dermatologist unless I want to pay out of my pocket for appointments and prescribtions.

I am screwed.

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Hey, good news! not.

I need a referral.

So I ask my GP to give me a referral to a different dermatologist... Guess what?

Dr. Rahimi is the only one he's contracted with... Aka I can't be referred to any other dermatologist unless I want to pay out of my pocket for appointments and prescribtions.

I am screwed.

Well, I'm assuming that "Dr. Rahimi" is the doctor who is giving you problems with the minocycline?

If so, I'd make another appointment with him and explain that the reason you took 100X2 per day is that 100 per day just didn't work. I'd also (politely, respectfully!) really assertively request (not ask for, but request) accutane. You might be surprised. Most docs I know, when presented with a motivated patient asking for a reasonable, but aggressive treatment, will go for it.

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Hey, good news! not.

I need a referral.

So I ask my GP to give me a referral to a different dermatologist... Guess what?

Dr. Rahimi is the only one he's contracted with... Aka I can't be referred to any other dermatologist unless I want to pay out of my pocket for appointments and prescribtions.

I am screwed.

Well, I'm assuming that "Dr. Rahimi" is the doctor who is giving you problems with the minocycline?

If so, I'd make another appointment with him and explain that the reason you took 100X2 per day is that 100 per day just didn't work. I'd also (politely, respectfully!) really assertively request (not ask for, but request) accutane. You might be surprised. Most docs I know, when presented with a motivated patient asking for a reasonable, but aggressive treatment, will go for it.

My medicine always said "100mg twice a day" on the label...

Then one day he said that was a mistake and that i should only take one per day.

When i tried to renew my minocycline he called and left a message saying he refuses to renew it because he had asked me to stop taking two per day weeks ago.

I predict that he is going to be hesitant in giving me accutane because I failed to follow his instructions before and he does not want to be liable for anything that comes as a result from not listening to him this time with a more dangerous drug.

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