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Good afternoon, I am Dr Ruff, thank you for contacting us today
I am sorry to hear this has happened again, but it isn't uncommon that this would occur.
Generally speaking if you had to use Roaccutane last time, it is worth considering again. Often subsequent use can be much more effective and therefore I would request an appointment back with your dermatologist to consider using this rather than spending a few months trying the normal options.
Not at all, any dermatologist can do this. If you are doing this privately, ask your GP to arrange fasting bloods first as these would be required before being prescribed medication.
This is mainly to check your cholesterol. If you let your GP know you are going to see a dermatologist about Roaccutane and to have a fasting cholesterol, liver function and kidney function, then this would safe both time and money.