dermatologists have no problem with prescribing accutane. The first time I met my doctor he said, "Do you know what you want?" and I immediately responded with, "A couple of hookers and a bag of oxycontin.." hehe...j/j. no, but seriously, a good dermatologist will treat you with accutane because they know that it works, and it works well. I asked my dermatologist doc, "I know my general doc is smart as hell and he's up to all the newest and latest treatments, but why wouldn't he give me accutane? He just said outside of antibiotics there's nothing that he could do for me.."
My dermatologist replied with, "There's so much paper work to do with accutane to cover doctors from lawsuits, etc, it's easier for me to prescribe pain medication than it is to prescribe accutane. That's usually the reason why docs don't prescribe accutane."
After deciding to go with accutane, after a failed attempt using 12 weeks of the acid medication like differin and antiobiotics, I decided to go with accutane. I think a lot of negative hype is all for nothing when it comes to accutane. In teenagers, they prescribe a much higher dosage, while in adults, it's much lower.
I started off with 30mgs in the morning and 30mgs at night = 60mgs a day total. After I developed the 'accutane rash' on my forearm, the doc said, 60mgs a day is sufficient but we can always bump you up a bit since you're still breaking out a bit. I said, "hell yea!" so I went to 80mgs a day and finished a 6 month treatment. A typical cycle for accutane treatment is 6months on, 6months off and then 6 months back on if you're breaking out still. I might get a zit here or there, or a few occasionally at that time of the month (hehe), but for the most part, it's cleared up now. Accutane will correct skin flaws which cause acne, so finding the right dose is looking for that rash on the forearms which is a tell-tale sign. Ag-Guys has it for 50mgs right now..but you might get away with it correcting the problem at 50mgs a day, but it's always better to run it under docs supervision with liver tests...gl brotha..