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Thread: Isotretinoin in Italy

  1. #1
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    Default Isotretinoin in Italy

    Ive been babbling about low dose isotretinoin at 2.5 mg available in Italy. Well, I dont think thats the case after having checked a consumer guide by the Italian FDA. An interesting finding is that isotretinoin is indicated for rosacea in Italy, bravo!
    well, guess its France thats interesting then, they should have 5 mg tabs.

    13.6 Acne e rosacea


    ACNE Il trattamento dell’acne dovrebbe essere iniziato precocemente, per prevenire le cicatrici. Si dovrebbero avvertire i pazienti che è possibile ottenere un miglioramento, ma dopo almeno 2 mesi. La scelta del trattamento dipende dal tipo di acne, soprattutto infiammatoria o comedonica, e dalla sua gravità.
    L’acne da lieve a moderata viene in genere trattata con preparati topici (sezione 13.6.1). Il trattamento sistemico con antibiotici dati per bocca (sezione 13.6.2) è di solito riservato all’acne moderata o grave o qualora i preparati topici non siano tollerati o risultino inefficaci o se è difficile l’applicazione locale. Un’altra terapia per bocca utilizzata per l’acne è quella ormonale (ciproterone acetato più etinilestradiolo), solo per le donne.
    L’acne grave, quella non sensibile a lunghi cicli di antibiotici per bocca, gli esiti cicatriziali e l’acne legata a disturbi psicologici possono richiedere la somministrazione per bocca di isotretinoina da parte del dermatologo.
    ROSACEA La rosacea non è comedonica (ma può coesistere con l’acne, che può essere comedonica). Le pustole e le papule della rosacea rispondono al metronidazolo topico (sezione 13.10.1.2) o alla somministrazione per bocca di oxitetraciclina o tetraciclina 500 mg 2 volte al giorno (sezione 5.1.3) o a eritromicina 500 mg 2 volte al giorno (sezione 5.1.5); la terapia dura di norma 6-12 settimane e può essere ripetuta in modo ciclico. Se l’oxitetraciclina o la tetraciclina sono state inefficaci o inappropriate (per esempio in caso di insufficienza renale), si può somministrare doxiciclina (sezione 5.1.3) 100 mg al giorno (indicazione non registrata in Gran Bretagna né in Italia).
    L’isotretinoina è data a volte nei casi refrattari (indicazione registrata in Italia ma non in Gran Bretagna). Gli arrossamenti possono essere mascherati con il trucco.

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    interesting that the Italians say that you should try 100 mg doxycyclin if 500 mg tetracyclin twice a day doesnt work. Often tetracyclin and doxycycline are described as being equally potent but 100 mg doxycyclin seems to be a little more potent than 1 gram of tetracyclin.
    Now I plan myself taking 500mg tetracyclin twice a day here in December for 5 weeks.
    I just think that doxycyclin requires at least 3 months to work well, while tetracyclin works better for short pulsedosing courses...thats at least what the studies on acne and rosacea suggest.

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    Lol, after all this time...Italy don't actually carry 2.5mg isotretinoin tabs? So what do they use 5mg and upwards?

    Fanta if your interested in 5mg tabs then the U.K. carries them but make sure you bring something to do while you wait for a prescription because room-service speed it ain't !

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    No, but you are allowed to sell 2.5 isotretinoin tabs in Italy. I may try request the famous Istituto Dermopatico Dell'Immacolata in Rome ( www.idi.it ) whether they dispense 2.5 mg isotretinoin.
    I know for a fact that Romans with rosacea have their laser treatments done at IDI but dont know if they have much research and expertise within rosacea. Worth a try though, its the largest research center within dermatology in Europe, so they might have access to more drugs or be able to compound drugs at a realistic price.

    In the UK everything is so expensive if you want a little service. I dont think its the best place to go.
    I could try ask Roche about low dose isotretinoin, but somehow I dont think Ill get any answer to such a request.

  5. #5
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    Quote Originally Posted by fanta
    I could try ask Roche about low dose isotretinoin, but somehow I dont think Ill get any answer to such a request.
    In my opinion Roche probably won't help you out, why not try the other less well-known brands like Sotret etc.?

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