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Worried about derm's reaction to my mild acne!

A few months ago I was referred by my GP to a dermatologist at the local hospital in regards to Accutane, I've had to wait 2 months for the appointment.

I'm really worried that he will deem my acne not severe enough to warrant Accutane. My only ammunition in this case is the fact that I have been on countless creams, gels and oral medications and yet my mild, yet persistent acne has not been cured. Acne has pretty much cut a deep wound within my life, and I will mention this.

What arguments could I present if he questions the fact that I have mild acne? Even though I know that Accutane is now the only viable route I wish to take, and I have researched/thought it through.

Does anyone have any advice? Especially people with mild acne who have been through this situation.

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A few months ago I was referred by my GP to a dermatologist at the local hospital in regards to Accutane, I've had to wait 2 months for the appointment.

I'm really worried that he will deem my acne not severe enough to warrant Accutane. My only ammunition in this case is the fact that I have been on countless creams, gels and oral medications and yet my mild, yet persistent acne has not been cured. Acne has pretty much cut a deep wound within my life, and I will mention this.

What arguments could I present if he questions the fact that I have mild acne? Even though I know that Accutane is now the only viable route I wish to take, and I have researched/thought it through.

Does anyone have any advice? Especially people with mild acne who have been through this situation.

Hi

im in the same position as you. i have had spots for 10 years and tried everything!! i have been on all tablets and tried lotions and potions. i have even had laser treatment twice at great expense spending over £700 on it!!

but like everything it works for a while then slowly the spots come back!

i finally arranged a app with skin specialist as hospital. still waiting for a date though! i think like you they are going say my spot arent serious enough but i have tried everything and nothing works!

so if u find a good argument let me know! i may resort to crying as my confidence is at a all time low and i hate it!

good luck!

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Hi, I just cured my mild persistent acne with accutane.

I started accutane at 27, but I'd had mild acne since 14. I tried antibiotics previously and all the over the counter soaps and so on.

I put off going to a dermatologist for years thinking my acne didn't warrant specialist attention. I was wrong, my dermatologist was glad to see me, and more than happy to prescribe accutane.

If you have tried all other acne treatments including oral antibiotics (regular GP's hand these out) and you are reasonably healthy, I imagine a dermatologist will be happy to step up your attack on persistent acne and prescribe accutane, it sounds like the logical next step.

I think this web site is more wary of accutane than most dermatologists. I know I expected to have to "convince" my dermatologist to prescribe it to me, but it was quite the opposite.

I'm sure the dermatologists don't want every 14 year old with a few spots to be on accutane, but if your in your 20's and still battling acne ...... you get the picture.

I hope this relieves you of some of your anxiety.

Good luck.

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Tell your dermatologist you've tried two or three different prescription topicals (Clindoxyl Gel, the Vitamin A derivative), two or three antibiotics (Tetracycline, Minocycline) and that they basically had no effect. Tell him that your acne remained persistent, though mild, and gives you problems with your confidence and is the only thing you think about.

Tell him that it disrupts your thought patterns and removes the normalcy in your otherwise happy, balanced life (MAKE SURE NOT TO COME OFF -CLINICALLY- DEPRESSED, THOUGH). The key here is to come off as annoyed and upset over your acne but otherwise happy and balanced - understand? Come off as if your acne was removed, you would have nothing to be upset about.

If you tell your dermatologist all of these things I guarantee he will put you on Accutane - even if it's just a low dose.

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I was in exactly the same as you. Currently one month in to accutane for mild but persistent acne.

I ate everything i could manage that makes me break out the week before i went to the appointment to try and make my skin as bad as possible but it really depends on your dermatologist. Mine is lovely and very understanding. I was just honest about the fact i'd tried everything and that it had been persistent for about ten years and that it was really starting to bother me. I told him i'd done plenty of research and i was aware of the side effects and had thought about it carefully before deciding it was something i wanted to do.

Just show a mature attitude and that you know what you are doing to yourself and also be honest about how it is affecting your life and you should be fine.

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Tell your dermatologist you've tried two or three different prescription topicals (Clindoxyl Gel, the Vitamin A derivative), two or three antibiotics (Tetracycline, Minocycline) and that they basically had no effect. Tell him that your acne remained persistent, though mild, and gives you problems with your confidence and is the only thing you think about.

Tell him that it disrupts your thought patterns and removes the normalcy in your otherwise happy, balanced life (MAKE SURE NOT TO COME OFF -CLINICALLY- DEPRESSED, THOUGH). The key here is to come off as annoyed and upset over your acne but otherwise happy and balanced - understand? Come off as if your acne was removed, you would have nothing to be upset about.

If you tell your dermatologist all of these things I guarantee he will put you on Accutane - even if it's just a low dose.

Haha, the clinically depressed thing gave me a chuckle, even though I am sure it wasn't meant to. I laughed because it's the truth. I had to cry to get on my first round of accutane.

It's really hit or miss with derms--sometimes they won't prescribe Accutane even if you've tried everything just because they might have had a bad experience with a patient. I went through 4 derms from 8th grade to now (my sophomore year of college). The first one I went to was terrible, and the second one I went to was far too expensive, so I switched. The third derm I had was kind and nice. I had no problems with her. She put me on a bunch of different things that worked for a little while or not enough and when I said I wanted Accutane my sophomore year of high school she said no. One of her patients committed suicide (which is VERY RARE) on it and she refused to let anyone go on it. So she referred me to a new derm, and it's the derm I have now.

My acne wasn't bad enough to go on accutane until my senior year of high school and I will admit that now. I started getting painful cysts then. My derm wanted to try Ziana, and she promised it would be the last thing I would try before going on Accutane. But I started crying since I had been trying everything for two years. The stuff was only making my skin worse and I was fed up. So she was instantly like "Okay Accutane now would be fine."

My derm is great, even though I had to cry to get what I wanted, I think she cares a lot about her patients. She just waits until college to put people on accutane because teenagers have a higher rate of relapsing. Thank God I am in college now!

So again--it's hit or miss, but if you've been on a lot of different things that definitely gives you a really good chance of getting it. Good luck, and I hope it works out for you!

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Hi, I just cured my mild persistent acne with accutane.

I started accutane at 27, but I'd had mild acne since 14. I tried antibiotics previously and all the over the counter soaps and so on.

I put off going to a dermatologist for years thinking my acne didn't warrant specialist attention. I was wrong, my dermatologist was glad to see me, and more than happy to prescribe accutane.

If you have tried all other acne treatments including oral antibiotics (regular GP's hand these out) and you are reasonably healthy, I imagine a dermatologist will be happy to step up your attack on persistent acne and prescribe accutane, it sounds like the logical next step.

I think this web site is more wary of accutane than most dermatologists. I know I expected to have to "convince" my dermatologist to prescribe it to me, but it was quite the opposite.

I'm sure the dermatologists don't want every 14 year old with a few spots to be on accutane, but if your in your 20's and still battling acne ...... you get the picture.

I hope this relieves you of some of your anxiety.

Good luck.

Hi,

I've been on about 6-7 topical medications and 1 oral medication (this is what i'm worried about). The oral medication I went on was Lymecycline, which my doctor said is the strongest/best oral medication apart from Accutane.

I spent about 9 months of Lymecycline, it helped control my acne but didn't remove it sufficiently. When I went back to my GP, he agreed that there was no point going on any other non-Accutane oral medications, so he referred me to Accutane. I'm slightly worried that the derm will try and make me settle for another of the ...cycline medications, which I am not really prepared to do.

Also, I've been on acne medications for about 2 years (which isn't aslong compared to other people).

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