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I have had acne for 4 years straight and it has been getting worse and worse, ever since.

I've tried every trick in the book:

  • Tea tree oil
  • Benzoyl Peroxide
  • Retin A (0.025%; 0.05%; 0.1%)
  • Salicylic Acid
  • Minocyline (Oral)

My skin never gets better.

I feel as if it's not my diet since, I keep a healthy diet, with low fat intake.

Accutane is the only thing left, but my insurance has denied me it on the basis that I was "non-compliant".

Is there any other alternative to Accutane, that's just as effective?

  • Non-compliant with what? – Carey Gregory Nov 20 '15 at 13:42
  • I don't know about just as effective(which is why this is a comment and not an answer), but have you tried azelaic acid? It's traditionally used for rosacea but also can work as a treatment for acne rosacea, which can appear very similar to acne vulgaris. If you actually have acne rosacea and not acne vulgaris, it may work for you. It's a prescription drug(brand name Finacea or Skinoren) but is less expensive than accutane in the short-term so your insurance might help pay for it. Since it is OTC in other countries, you may be able to purchase it from abroad(at least if you are in the USA). – user10800 Nov 21 '15 at 0:14
  • Non-compliant with taking the minocycline, my doctor now gave me cefadroxil, clindamycin, benzoyl peroxide "You mix the clindamycin and benzoyl peroxide", and then at night i put on tretonoin – David Morales Nov 21 '15 at 0:18
  • @DavidMorales "effectiveness" is hard to measure and begins to sound like a request for personal diagnosis. If you could reword your question to ask for something specific, then maybe we'd be able to help. – Dave Liu Nov 24 '15 at 3:42
  • Yeah sorry David, the medicine they perscibed works great, any chance that i could have built up a resistance up before and now its gone? – David Morales Nov 25 '15 at 14:27
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I have cured my acne with Accutane and I have come back to say the following: If you have tried everything like I have before and nothing has worked; You need to try Accutane it's pretty much the only thing that works for Severe Acne.

  • 2
    But they are looking for an alternative to Accutane – L.B. Feb 20 '17 at 19:58

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