Question | Answer | Frequency (%); nā=ā85 |
---|---|---|
In the past year (2020), how many patients did you prescribe Isotretinoin for? | 0ā10 | 77 (90.6) |
10ā50 | 6 (7.1) | |
50ā100 | 2 (2.4) | |
More than 100 | 0 | |
What are your main reasons for starting Isotretinoin in a primary care setting? | Interest in treating patients with dermatologic disorders | 51 (60) |
The long wait for dermatologist visits | 13 (15.3) | |
Experience in working in an aesthetic medicine clinic | 8 (9.4) | |
No response to prior treatments | 5 (6.0) | |
Financial incentive | 3 (3.5) | |
Indication for resistant nodulocystic acne | 1 (1.2) | |
According to my previous experiences, I prescribe for those with severe acne | 1 (1.2) | |
None of the above | 16 (18.8) | |
What did you prescribe Isotretinoin for? | Moderate to severe acne | 53 (62.4) |
Nodulocystic acne | 46 (54.1) | |
No response to oral antibiotics | 41 (48.2) | |
Patientās request | 19 (22.4) | |
Acne accompanied by an ulcer | 5 (5.9) | |
Psychologic complications due to having acne | 1 (1.2) | |
Which gender group would you prescribe Isotretinoin for? | Females | 22 (25.9) |
Males | 7 (8.2) | |
Both | 56 (65.9) | |
What are the reasons you refuse to prescribe Isotretinoin? | Labs indicating liver failure | 79 (92.9) |
Untrustworthy contraceptive methods | 61 (71.8) | |
Alcoholism | 45 (52.9) | |
Central nervous system disorders | 29 (34.1) | |
Current depression | 23 (27.1) | |
Previous history of depression | 12 (14.1) | |
Abnormal lipid profile | 4 (4.8) | |
Pregnancy and fertile groups | 1 (1.2) | |
How would you decide on Isotretinoin dosage? | Based on weight | 40 (47.1) |
General starting dose | 39 (45.9) | |
Based on acne severity | 34 (40.0) | |
Based on gender | 4 (4.7) | |
At what intervals would you visit female patients? | Every month | 52 (61.2) |
Every two months | 12 (14.1) | |
Every three months | 12 (14.1) | |
Only the first session | 4 (4.7) | |
None of the above | 4 (4.7) | |
With intervals of more than three months | 1 (1.2) | |
At what intervals would you visit male patients? | Every month | 41 (48.2) |
Every two months | 15 (17.6) | |
Every three months | 13 (15.3) | |
Only the first session | 4 (4.7) | |
With intervals of more than three months | 4 (4.7) | |
None of the above | 4 (4.7) | |
In what intervals would you request pregnancy tests? | Each month before prescription | 44 (51.8) |
Only the first session | 21 (24.7) | |
With intervals of more than a month | 12 (14.1) | |
Never | 6 (7.1) | |
In the case of pregnancy, I would not prescribe | 1 (1.2) | |
I have not had a female patient before | 1 (1.2) | |
What methods would you choose for contraception? | Barrier contraception | 43 (50.6) |
Oral contraceptive drugs (OCP) | 24 (28.2) | |
Both intra-uterine devices (IUD) and OCP | 21 (24.7) | |
Long-term contraceptive methods like progesterone injections or IUD | 14 (16.5) | |
I would not prescribe anything | 12 (14.1) | |
None of the above | 6 (7.1) | |
Would you refer patients with a previous history of depression to a specialist before starting Isotretinoin? | No | 33 (38.8) |
Yes | 22 (25.9) | |
If there is a possibility of having depression, I would not prescribe Isotretinoin | 20 (23.5) | |
It depends on the patient | 10 (11.8) | |
Would you request blood tests before starting Isotretinoin? | Yes | 79 (92.9) |
No | 6 (7.1) | |
What type of blood tests would you request? | Liver function tests | 79 (92.9) |
Lipid profile | 57 (67.1) | |
Complete blood count | 57 (67.1) | |
Fasting blood sugar | 36 (42.4) | |
Thyroid function tests | 28 (32.9) | |
After starting treatment, at what interval would you request blood tests? | Every month | 31 (36.5) |
Once after 6ā8 weeks | 7 (8.2) | |
Every two months | 14 (16.5) | |
Every three months | 16 (18.8) | |
Intervals of more than three months | 8 (9.4) | |
None of the above | 1 (1.2) | |
One month after, then every two months | 1 (1.2) | |
For how long would you prescribe Isotretinoin in each visit? | Less than a month | 11 (12.9) |
One to three months | 30 (35.3) | |
Three to six months | 35 (41.2) | |
Six to nine months | 3 (3.5) | |
Nine to twelve months | 4 (4.7) | |
More than twelve months | 2 (2.4) |