ACV is a medication commonly known by the 
generic name Acitretin. It is also marketed globally under the names Acitretina, Acitretino, Acitretinum, Acycloguanosine, Neotigason, Soriatane 
as well as generic Acitretin.
ACV (Acitretin) is used to help relieve and control severe skin disorders, such as severe psoriasis. It works by allowing normal growth and development of the skin. ACV (Acitretin) may also be used to treat other conditions as determined by your doctor. Further ACV reference material...
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International pharmacies may not require you to provide a prescription, and may 
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requirement you may have.