CHECKLIST FOR REFERRAL FOR ACNE VULGARIS This checklist applies all patients, where the referrer is confident of the diagnosis, and there is no concern about skin malignancy. Yes/No Have you excluded reasons for early referral e.g. severe psychological distress, or severe acne that is causing bad scarring?1 Has the patient tolerated a topical treatment for 3 months? Have you used oral antibiotics at the right doses for 6 months?2 Do you think that the patient should be considered for Isotretinoin (RoaccutaneTM) ?3 Reason for referring if answering ‘No’ to any of above:- 1 Patients with severe psychological distress will benefit from early referral. 2 If your chosen antibiotic is not effective after three months consider an alternative. If your chosen antibiotic is showing signs of effectiveness, continue treatment for a further three months. 3 Please discuss the issue of contraception with female patients.