Low Dose Accutane from St Thomas’ Hospital in London: Daily Mail

Written by on August 9, 2011 in Accutane and Roaccutane, in the news with 3 Comments

The Daily Mail has another of its semi-regular stories on Rosacea today. This time the article highlights the use of low dose accutane to treat hyper keratinisation, slow down sebum production, and also serve as an anti-inflammatory and anti-bacterial agent.

Why the misery of ‘adult acne’ could be caused by blushing

By LAURA TENNANT

Last updated at 12:35 AM on 9th August 2011

… I asked to be referred to a dermatologist at St Thomas’ Hospital in London. He advised me that it was bad for my general health to remain on antibiotics long-term, and that I should first finish the course and then come back.

When I returned, I was treated by a different dermatologist, who prescribed another course of antibiotics, plus a topical treatment containing zinc, Dalacin T.

Two months on, with my skin no better, I returned to Dr Williams, who told me about another treatment option — a low dose of Roaccutane, or isotretinoin, a medication originally developed to treat brain and pancreatic cancer.

It has a three-fold effect, preventing hyper keratinisation, slowing down sebum production, and also serving as an anti-inflammatory and anti-bacterial.

It is commonly prescribed for rosacea in Europe — but not here. She agreed that I was a suitable candidate.

The effects last for many years and in some cases are permanent.

While the drug itself costs under £25 for a month’s supply, patients must also commit to monthly consultations to undergo blood tests (to check liver function) and a urine test (for pregnancy, since roaccutane is strongly contra-indicated for pregnancy). For me, the total cost is likely to be about £1,500.

Of course, the cost was a factor I had to consider, but life, I decided, was simply too short to go on suffering for a minute longer.

The change in me has been immediate and noticeable to all around me.

After a month of treatment, I’m fresh-faced, flawless and ready to answer the door to the postman without a layer of foundation.

Because Roaccutane has been associated with depression and even suicide, I’ve been alert to changes of mood. But rosacea responds well to such a low dose of the drug that its rare side-effects become even less likely.

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About the Author: David Pascoe started the Rosacea Support Group in October 1998. .

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3 Reader Comments

  1. Johntissington says:

    Wait until she comes off it and fairly quickly reverts to how she was before.
    I was clear after a month and back to where I had been a month after stopping – having been on a reduced dosage for a while.
    The only thing that has worked for me is Finacea
    I had tried so many things I put them in a briefcase to show a dermatologist – he photographed them to include it in his presentations!!

  2. David Pascoe says:

    Comment via email from Nadia:

    “Me also, I use of low dose Accutane from 3 years and my rosacea disappeared. this drug did’nt me cause depression, and I’m happy because my face is clear. In Italy the dermatologists don’t prescribe accutane for rosacea treatment and I must buy this drug via Web. 🙁

    In Italy 30 capsule cost 5 Euro if they are prescribed by a dermatologist, but if you must buy them via Web, you will spend 68 Euro.”

  3. Nancy says:

    I have severe rosacea and am currently on a 10-day taper down of Prednisone, relief! After I finish the 10-days my doctor will put me on low-dose Accutante since antibiotics are not working and I cannot tolerate most traditional topicals. I feel hopeful after reading some of the positive results from other rosacea patients who have had good results using Accutane. At this point, I just want relief from the inflammation in my face and a better quality of life is worth the risk of some side effects.

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