Overview
Isotretinoin is a retinoid for severe, recalcitrant nodular acne when other therapies fail. Because of significant risks (including severe birth defects), U.S. patients and prescribers must follow the iPLEDGE REMS program. Our dermatology clinicians evaluate candidacy, coordinate required labs, and, if appropriate, prescribe within program rules.
How our telehealth process works
- Book: Use our scheduling form or call +1 (800) 555‑1234.
- Intake: Share symptoms, timeline, goals, allergies, and current medicines.
- Video visit: Meet a Southwestern Medical Center doctor to confirm if treatment is appropriate.
- Clinical decision: If appropriate, your clinician issues an e‑prescription to our online pharmacy or your preferred local pharmacy.
- Fulfillment: Complete secure checkout and receive tracked delivery.
Why patients choose SWMC
- Evidence‑based care and clear eligibility criteria.
- Prescriptions only when medically indicated.
- Transparent safety checks and follow‑up options.
- Ship to home or route to a local pharmacy on request.
When clinicians consider Isotretinoin (Accutane)
- Severe nodular acne unresponsive to conventional therapies.
- Recurrent scarring acne where risk–benefit favors isotretinoin under strict monitoring.
- Cases needing specialist coordination, lab monitoring, and counseling about pregnancy prevention and mental health.
Monitoring plan
Your clinician outlines baseline and follow‑up labs, photo documentation, side‑effect tracking, and monthly check‑ins to meet REMS requirements.
Alternatives
When isotretinoin isn’t appropriate, options may include topical combinations, oral antibiotics for limited durations, hormonal therapy, or procedural dermatology.
Safety & interactions
- iPLEDGE REMS enrollment is required; patients who can become pregnant must follow strict pregnancy testing and contraception requirements.
- Liver function and lipids are monitored; avoid vitamin A supplements and discuss alcohol use.
- Mood changes, musculoskeletal pain, and other adverse effects are discussed; urgent care for severe symptoms.
- A telehealth visit never guarantees a prescription—eligibility is determined case‑by‑case.
Use medicines exactly as directed. Never share prescription medication.
FAQ
Can I get Isotretinoin (Accutane) without a visit?
No. You must complete a telehealth evaluation. Prescriptions are issued only when clinically appropriate.
Can you send my prescription to a local pharmacy?
Yes—tell your clinician your preferred pharmacy.
How fast is delivery?
Most approved orders ship with tracking and typically arrive in 2–5 business days.
Government / NIH sources
Next steps
Online Consultation Get e‑Prescription Visit Online Pharmacy See Doxycycline See Amoxicillin