Your Online Medical Consultation


How long have you had acne?

Which parts of your body does acne affect?

E.g. face, neck, shoulders, chest, back etc?

What treatments are you currently taking for your acne?

Creams? Gels? Antibiotics?

Answer ‘no’ if this does not apply to you

What have you used previously to treat your acne?

Have you purchased items from the supermarket, pharmacy or been prescribed medication by a doctor?

Answer ‘no’ if this does not apply to you

Why do you think this medication will help your acne?

Have you used this treatment before? Heard about it from a friend? etc

Are you currently suffering from sunburn?


Are you allergic to any of the following?

  • Adapalene
  • Benzoyl peroxide
  • Propylene Glycol

Do you have any other allergies not listed above?

Answer ‘no’ if this does not apply to you

Are you taking any other medication or have you recently finished a course of medication?

This includes medication prescribed by your doctor, bought at the pharmacy or online, herbal supplements, recreations drugs.

This includes tablets, patches, inhalers, injections and all other forms of medication

Answer ‘no’ if this does not apply to you

Do you suffer from any of the following conditions?

  • Eczema
  • Rosacea
  • Dermatitis
  • Skin cancer

Do you have any other medical problems not listed above?

This also includes previous admissions to the hospital or any surgeries

Answer ‘no’ if this does not apply to you

Do you have a family history of any medical conditions?

Do any medical conditions run in the family? Such as heart problems, diabetes, blood disorders etc?

Answer ‘no’ if this does not apply to you

Are you pregnant or breast feeding, think you may be pregnant or planning to have a baby?


I understand this medication will often cause skin to become a little red, feel dry and peel. This is normal during the first few weeks of treatment. I can use an oil-free moisturiser to ease irritation, reduce how often I apply this medication to my skin, or stop using treatment for a short period while my skin recovers.

I understand that it often takes 4-8 weeks before positive results are noted

I understand that this medication will make my skin more sensitive to sunlight. I should avoid exposure to strong sunlight or artificial UV light. I should use sun protection products and wear protective clothing over the treated areas.

(For females) I understand that I should be on contraception if I am sexually active as this treatment can cause birth defects if used during pregnancy.


We strongly recommend that you inform your GP of any treatment you receive. Would you like e-Surgery to do this in your behalf?

Please write the name of your GP surgery below if you want us to let them know.

This will ensure that any new medication started by your GP will not interact with this treatment.

Answer ‘no’ if you do not want us to inform your GP

I agree to the following

  • I am 18 years of age or older
  • This treatment is for my use only
  • I confirm that I have understood all the questions asked and have answered all questions to the best of my knowledge
  • I have read the patient information leaflet supplied with this medication
  • I will contact e-Surgery and inform my GP if I experience any side effects from this treatment or if there are any changes to my health
  • I have answered all questions truthfully and accurately

I have read, understood and agree to abide by terms and conditions and privacy policy and cookie policy of e-Surgery

What is this?

Your answers form the basis of your medical consultation. It is important you are open and honest, so our doctors can ensure this medication is safe and effective for you

Isotrexin Gel

Isotrexin Gel consists of a combination of Isotretinoin and Erythromycin. It is used to effectively treat moderate to severe acne.

Choose from your desired treatment below, and complete a short questionnaire to help our GPs make sure this medication is safe for you to take. All prices include a private prescription from one of our UK registered Doctors. 


What You Need To Know About Isotrexin Gel

Our most frequent questions and answers about this acne gel.

Isotrexin Gel is a prescription acne treatment containing a combination Isotretinoin (a retinoid) and Erythromycin (an antibiotic). It works by reducing oil production in the skin and killing the bacteria that cause spots.

Isotrexin Gel is used to treat acne (spots) in young people who are going through or have gone through puberty, and in adults. It should not be used by children who have not started puberty. Isotrexin Gel helps to:

  • loosen blackheads and whiteheads so that they come out more easily
  • stop new blackheads, whiteheads and spots from forming
  • reduce the number of red, swollen acne spot

1. Wash your hands.
2. Completely remove any make-up.
3. Wash the area with a mild soap and warm water, and dry gently.
4. Put a thin layer of gel on the affected skin, using your fingertips, and smooth in.
5. Apply to all of the area of your skin which has acne, not just each spot.
6. Wash your hands after using the Isotrexin gel.

If you use too much Isotrexin Gel, or use it more frequently than you should, it may cause redness, peeling or
irritation of your skin. If this happens, use the gel less often or stop using it for a few days and then start again. Using more gel than you should will not help your spots clear up more quickly.

If you accidentally swallow Isotrexin Gel.
The ingredients of Isotrexin Gel should not be harmful if swallowed in small amounts.
• If you accidentally get Isotrexin Gel in your mouth, rinse at once with plenty of water
• Talk to a doctor if you swallow a lot of Isotrexin Gel.

If you forget to use Isotrexin Gel

  • Do not apply a double dose to make up for a missed dose.
  • Apply the next dose at the usual time.

Use Isotrexin Gel once or twice each day as directed by your doctor. Your doctor will tell you exactly how to use the medicine.

  • It can take 6 to 8 weeks before you see the benefits of Isotrexin Gel.
  • You should keep using the medicine until our doctors tells you otherwise.
  • This product is flammable, so keep the gel away from open fire and flames and all sources of ignition during and immediately after you’ve used it.

You should not use Isotrexin Gel if you:

  • are allergic to isotretinoin or any of the other ingredients in this medicine
  • are pregnant, think you could be pregnant or are planning to become pregnant
  • are breast-feeding

Some of the possible side effects of using Isotrexin Gel are:

  • The most common side effect is skin dryness, peeling and irritation. This usually goes away after a few weeks of use.
  • Greater sensitivity of your skin to sunlight. Avoid tanning beds and wear sun protection as necessary.
  • Possible changes in the pigmentation of skin.
  • Stomach pain or diarrhoea. IMPORTANT: Stop using Isotrexin Gel and contact your doctor right away if you experience prolonged diarrhoea or stomach pains.

Isotrexin Gel is known to be teratogenic. This means that it can be harmful to the baby if you become pregnant. Because of this, it is important to use protection such as barrier methods (condoms) or the contraceptive pill.

Read the full patient information leaflet for Isotrexin Gel here. 

Learn More About Acne

Most frequent questions and answers about acne

Acne is a common skin condition that predominantly impacts teenagers. Acne can consist of zits, spots or pimples. 

This skin condition causes blackheads, whiteheads and red spots. It commonly occurs on the face, back and top of the chest. 

The majority of people suffering from acne are aged 12-25; however people outside this age range can still be affected. It has been found that 8/10 teenagers develop some form of acne, most commonly milk; however 3/10 teenagers will require some form of acne treatment to prevent scarring. 

There are two main cuases of acne:

  1. Blocked pores/hair follicles
  2. Infection at the bottom of the blockage 

Blocked pores are often observed as blackheads or whiteheads.  When the hair follicle is blocked, an infection can occur deep in the pore. This causes oil to build up in the pore and inflammation.

Wearing a lot of make-up can further block your pores, thus making acne worse. Touching your skin with your hands can spread bacteria into pores.

Picking or squeezing spots can further inflammation and may cause scarring. 

Humid conditions and heavily sweating can contribute to acne. In addition to this, tight clothing can too.

Contraceptive pills, anabolic steroid and certain medications can also make your acne worse. If you believe this is happening to you, you should consult with your doctor to find alternatives. 

You should not wash more than normal (twice a day at most). In addition to this you should be careful about using harsh, abrasive soaps as this can spread your acne. 

You should allow your skin to air dry, as towels can spread bacteria that cause acne. 

Some studies show that antiseptic and topical acne treatments may be beneficial to treating acne.

Various creams, lotions and gels are available to treat acne topically. Benzoyl peroxide is a common form of acne treatment and works to kill bacteria causing acne and reduce inflammation.

Retinoids are good at unblocking pores and reducing inflammation. 

Topical antibiotics are used when acne is present in areas that aren’t accessible for topical treatment. 

Light treatment is a new form; however, scientific research is still being reviewed to prove that they are effective. 

Acne caused by a dysregulation in hormones. The contraceptive pill is often associated with acne due to the change of hormones that it causes.

The most effective form of acne treatment varies on an individual basis. If you have severe acne, you should consult with your doctor to find the best form of treatment for your individual case. 

Read More

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