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Aghaigh Dearg

not sure about my docs advise

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So I went to see my doc today. Not a derm just a regular old doctor. She isn’t my GP and I don’t really like her manner but I want to see what you very knowledgeable lot think about how she’s treating me.

I like to think I have quite mild acne. Right now I have only maybe three or four actual spots on my face the rest is just red marks and easily covered. This doc prescribed isotrexin gel for me 4 weeks ago and after reading the reviews of it on this site I knew that patience was the key as improvements seemed to occur in six to eight weeks.

But the doc took one look at me today, only four weeks after prescribing it and said “Oh it’s not working!†and prescribed me Minocin. She said she’d give it six weeks and if there was no improvement Id have to see a derm about going on Roaccutane!

Now this seems a bit drastic to me, what do you guys think?

I reckon this doc thinks I want instant results but I know from being on here that there’s no such thing as an instant result to treating acne. The problem is that she doesn’t let me speak, I’m just in and out in two minutes and she doesn’t know or seem to care what I to think.

I’ve made an appointment with my GP to get a second opinion. Do you think that’s a good idea or is this doctor right?

(I havent gotmy digital camera at mo but when I do I'll post pics. Im freaking out that my skin is actually worse than I thought!!

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Topical retinoids generally take 3 to 6 months to see results. I'd personally refuse any systemic antibiotics (the problems they cause are not worth the temporary clearing in my opinion) but a topical antibiotic may help to reduce inflammation.

Although i think you are wise to be cautious about jumping into Accutane, i think you should take her up on the referral to a derm. I know GPs mean well when they prescribe meds for acne, but they just don't understand the condition and the meds the way that derms do. I think you'd be better off with a derm handling your condition even if you choose to not jump into an Accutane course.

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well I was hospitalised for clinical depression and am still on anti depresants so Im thinking no doc - derm or GP would recommend accutane for me!

thanks for the advice beentheredonethat, it helped, I know what you mean about GPs it the same in a lot of specialist areas, Im going to my own GP on Thursday and Ive known him my whole life so I think if I need a derm he'll say it. He's not the sort to just throw meds at a problem. Shoulda just gone to him in the first place I guess.

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well I was hospitalised for clinical depression and am still on anti depresants so Im thinking no doc - derm or GP would recommend accutane for me!

Well, that's not necessarily true. Despite the hype, depression and suicide are actually not coorelated to Accutane usage - in fact the rates are lower than that of the general population and a recent study shows the rate of depression goes down as an Accutane course progresses. A liberal doctor would prescribe, and a moderate doctor might want you on anti-depressants with the condition under good control for a least a few months before starting. Only the very conservative doctors would refuse you at all if you were otherwise a good candidate, although based on your description i wouldn't consider you one.

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well I was hospitalised for clinical depression and am still on anti depresants so Im thinking no doc - derm or GP would recommend accutane for me!

Well, that's not necessarily true. Despite the hype, depression and suicide are actually not coorelated to Accutane usage - in fact the rates are lower than that of the general population and a recent study shows the rate of depression goes down as an Accutane course progresses. A liberal doctor would prescribe, and a moderate doctor might want you on anti-depressants with the condition under good control for a least a few months before starting. Only the very conservative doctors would refuse you at all if you were otherwise a good candidate, although based on your description i wouldn't consider you one.

oh thats interesting didnt know that. thanks, you're a fund of info!

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