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Hello I have been on accutane before (ordered online) and I was wondering how do I get prescribed accutane? Do I make an appointment with any dermatologist? And what are the chances of getting prescribed accutane? I'm 21 with my own health insurance but my parents live half way across the country so they can't help.  Thanks!

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Hi Frank!

I would be happy to help you in finding the answer you need, based on my personal experiences. But firstly, I want to make certain that it is understood by you - that purchasing Accutane (Isotretinoin) online is not only dangerous - but illegal (In some countries, and the U.S primarily speaking) in which the FDA will be involved. In addition to that, Accutane purchased online is often unreliable and does not contain the active medical ingredients that is generally marketed by its effectiveness - thus, purchasing Accutane online is often times a waste of money. Purchasing Accutane online can bring upon severe health consequences, both short and long-term effects - as not having the assistance and diagnostics data from a professional dermatologist can lead you astray from the knowledge of proper (Safe) dosages and MANDATORY blood tests. Most people, upon acquiring Accutane, will began their first month cycle at 40 mg once a day (Twice, depending on severity). You will generally be required to have blood drawn and tested each month whilst on Accutane (For most people: a 6 month cycle), to ensure your liver is healthy, as is the nature of your blood (Deficiencies, etc), and many other health aspects. Accutane is NOT a "light" drug, and is the ultimate "last resort" in terms of curing acne. If you have been on Accutane (Purchased online) for more than a month, I HIGHLY suggest you speak to a dermatologist first, who may direct you to a blood-test lab (Clinic) to have your blood drawn PRIOR to the possibility of putting you onto Accutane to ensure that your liver is not severely damaged. As with other drugs that also treat acne, including doxycycline and minocycline, it is highly recommended that the drugs are cycled with a month or two rest period, otherwise the liver may be damaged (Or may build up a resistance to the antibiotic, consequently causing more acne, other health issues, and lowering the effectiveness of oral medications in general). To put that in perspective, as Accutane is a more powerful drug than doxycycline and minocycline in this case, and is often referred to as the "last resort" BECAUSE of having tried prior antibiotics (To no avail) - it is clear as to why it is especially important to have your blood-work done whilst on Accutane. Accutane is often a permanent solution to a very temporary problem - but you will only have one liver.


However, I am glad you are open to seeking the help of a dermatologist. As mentioned above, Accutane is a "last resort" medical option, and essentially an extremely high dosage of vitamin-A. That being said, because Accutane is a very risky drug, many (If not most) dermatologists will be required to (Or morally obligated to...) prescribe you with antibiotics such as the ones listed above, including azithromycin, clindamycin, etc, prior to prescribing Accutane. If so, you will be on each antibiotic (Assuming one or more is prescribed - not at the same time) for a minimum duration of 2 - 3 months before you are pulled from it. It will be coupled by a number of topical medications, with active antibiotics in them to boost the effectiveness without creating direct damage to the liver. 


To acquire Accutane, you will need an appointment with a dermatologist, as a general practitioner is not typically licensed to prescribe the drug. However, many dermatologists will NOT see to help until you have tried all other options (Antibiotics - oral and topical). Thus, depending on the dermatologist you wish to see, it is highly likely you will need a referral from a general practitioner (Family doctor) and a printed history of your medical records (Medications taken) before meeting with a specialist; otherwise, the dermatologist and their receptionists will not agree to see you. In terms of the medical records, you will also be required to tell them that you had been Accutane before in which you purchased online, for the sake of medical accuracy for diagnosis and prescriptions. This 2-step process (Family doctor - to - dermatologist) controls the traffic of patients to prevent swarming. Dermatologists will carry out severe and complex diagnostics and treatments for skin-related issues, whilst family doctors will provide a general diagnostic for a number of minor, or major, health concerns before redirecting to a specialist (Not specifically speaking a dermatologist) if needed. Depending on the dermatologist you are redirected to (Assuming you are not able to find a dermatologist that allows non-referral visits), it is possible you may be required to wait a 2 - 4 week period before you are able to see the dermatologist upon making the appointment. This may seem like a long, tedious process, but it is worth the trouble for clear skin, and many people are on the same boat also.


Your chances of being prescribed with Accutane will depend on the severity of your acne generally, but will also now depend on your health based on the blood-test, in which I recommend you tell your doctor you had purchased Accutane online. Depending on the dermatologist you end up seeing, you may either be prescribed Accutane right away and be required to have a blood-test done near the end of the first month for every end of the month you're on Accutane, or, you may be required to do a blood-test regardless of having been on Accutane before your dermatologist prescribes you with Accutane. The dosage will depend on the condition of your liver, blood, etc. The blood-test takes less than 2 minutes to do, but takes at least 2 - 3 days to process for the results (Results will indicate, based on your blood, the condition of your liver, and any underlying health-concerning conditions).


I hope this information will be helpful, although I know can be discouraging - as I understand this "feeling" more than anyone else. I developed acne since the age of 12. I am 20 now, and I had just been prescribed Accutane this year. It took over 4 years of trying antibiotics (Some of which worked extremely well - some patients may relapse with acne even coming off of antibiotics and, or, Accutane - however Accutane has a much higher success and permanent-result rate. The antibiotic I took worked so well, and I have had clear skin for periods of time, between 6 - 8 months. However, as I end up relapsing, it was only then during my unknowingly final cycle that my doctor redirected me to see a dermatologist, and from there, she immediately prescribed me with Accutane already knowing of my medical records because of the documents sent by my doctor). Some people are more lucky when it comes to being prescribed with Accutane, and how quickly they're able to acquire it. But above all else, it is always better to be safe than sorry.


Please feel free to contact me - should you have any further questions regarding my experience thus far with Accutane, antibiotics, and all-else acne-related issues.


Best regards,

- June

Edited by EastJune
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