11 October 2017

Take 4: What are the current indications for oral isotretinoin?

Clinical Dermatology

The Medicare indications for isotretinoin are quite narrow, but the drug can be considered for patients on private prescription, says Dr Phillip Artemi.

“The Medicare indications are severe nodular cystic acne non-responsive to other traditional forms of treatment,” Dr Artemi, a dermatologist, says.

“That’s the guidelines that we use for the majority of patients. But you’ve got to appreciate that every patient is different.

“A patient who has tried every treatment, a patient who has acne scarring, significant problems of low self-esteem, depression and relationships, you would need to consider using that drug.”