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Accutane is derived from Vitamin A, which has been used to fight acne since While these drugs worked for some patients, they were only effective against one of the bacteria that cause acne, Propionibacterium. Over time, these antibiotics grew less and less effective as the bacteria developed more resistant strains. Another early method of treating acne was to use high doses of fat soluble vitamin A. Researchers from the National Institute of Health first studied isotretinoin in patients with skin cell disorders. They accidentally found that it also worked on patients with severe acne.

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Unlike roaccutane or adapalene, it is generally not available through the NHS. As such most people would need to see a private dermatologist or GP. Again, this is usually for generic Tretinoin. Some aesthetic clinics also provide Tretinoin cream or gel. There are also a number of telemedicine companies that offer virtual consultations with a doctor or specialist nurse. Like with in person clinics, these practitioners can then prescribe it if they believe it is the right treatment for you.

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