Family doctors are still not permitted to prescribe isotretinoin (Roaccutane) in Australia. The drug, used only for severe cystic acne, can be dangerous to fetuses and has been linked (inconclusively) with suicidal ideation and behaviour.
We’re all pre-pregnant until proven otherwise, of course, and even then our protestations are to be viewed with suspicion.
So which super-duper-specialists are considered to be so much better than GPs at offering comprehensive whole-person care, simultaneously monitoring psychiatric state and at counselling on family planning and prescribing contraception – to the point that GPs are banned from participating in this type of treatment?
Can anyone explain to me how this makes sense?
Edited to add (27 Nov 2008 @1405): Correction: It’s actually dermatologists and internal medicine specialists (general physicians). Source.