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Our Roaccutane Service offers a full medical consultation for the treatment of severe acne which has not responded to other conventional treatments, including antibiotics. Blemish Clinic owner and dermatology specialist consultant nurse, Jan Birch and consultant dermatologist, Dr Andrew Winter have a specialist interest in all aspects of acne management and are a specialist acne treatment centre. Chronic acne on the face and body, cystic acne, nodular acne, pustular acne, adult acne, hormonal acne, acne that is causing scarring or post-inflammatory hyperpigmentation, acne that is non-responsive to antibiotics. It varies in both severity, type, and the underlying cause of the condition. Acne is caused by over production of oil or sebum in the sebaceous glands within the skin. All of this causes inflammation and the development of red, painful spots, pustules, or cysts, depending on the type and severity of acne.

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Healthcare professionals are advised to monitor patients for signs of depression or suicidal ideation and refer for appropriate treatment, if necessary; particular care is needed in those with a history of depression. Patients should be advised to speak to their doctor if they experience any changes in mood or behaviour, and encouraged to ask family and friends to look out for any change in mood. Isotretinoin should be given under the supervision of physicians with expertise in the use of systemic retinoids, and a complete understanding of the risks of therapy and monitoring requirements including signs of depression. Healthcare professionals are also advised to counsel patients on the potential risks of isotretinoin, including neuropsychiatric reactions and sexual dysfunction. The guidance also includes advice that can be provided to patients to help them understand the monitoring requirements. Avoid blood donation during treatment and for at least 1 month after treatment; diabetes; dry eye syndrome associated with risk of keratitis ; history of depression risk of neuropsychiatric reactions.