If you’ve tried every cream and gel without success, isotretinoin might be the next step. It’s a powerful oral retinoid that can clear severe acne when other options fail. In Australia the drug is only available with a prescription, so you’ll need to navigate a few steps before your first bottle arrives.
The first move is to book an appointment with a dermatologist or a GP who is comfortable prescribing isotretinoin. Bring a clear list of past acne treatments, any allergies and current medications – the doctor will use this to decide if you’re a good candidate.
During the visit you’ll discuss lab work. Blood tests for liver function and lipids are standard before starting therapy and then every 4‑6 weeks while you’re on the drug. This monitoring helps catch any issues early.
If you live far from a specialist, many Australian clinics now offer telehealth consultations. A video call can give you a prescription that’s sent electronically to a pharmacy of your choice. Make sure the service follows TGA guidelines and asks for the same blood work before approval.
Once you have the pills, start with a low dose – usually 0.5 mg per kilogram of body weight – and increase gradually based on how your skin reacts. Most people notice dryness within the first week; moisturiser, lip balm and gentle cleansers become daily essentials.
The biggest concern is birth control. Isotretinoin can cause severe birth defects, so women of child‑bearing age must use two reliable forms of contraception throughout treatment and for a month after stopping.
Common side effects include dry skin, chapped lips, and occasional muscle aches. If you experience persistent headaches, vision changes or mood swings, call your doctor right away – these can signal rare but serious reactions.
Cost varies across pharmacies. Public hospitals may subsidise part of the price for eligible patients, while private pharmacies charge full retail rates. To avoid overpaying, compare prices at reputable online Australian pharmacies that require a valid prescription and display their TGA registration number.
When ordering online, look for these red flags: no request for a prescription, unusually low prices, or sites that don’t list a physical address. A trustworthy pharmacy will ask to upload your doctor’s script and may contact the prescriber to verify it.
After you finish the course – usually 4‑6 months – your dermatologist will decide if a second round is needed. Many patients achieve long‑term remission after one full cycle, but some require a lower‑dose maintenance phase.
In short, isotretinoin can be a game‑changer for stubborn acne, but it demands careful planning and regular check‑ups. By following the prescription steps, monitoring side effects and choosing a reputable pharmacy, you give yourself the best shot at clear skin without unnecessary risk.
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