Product info: General Health
Accutane (ISOTRETINOIN) is a drug used for the treatment of severe, disfiguring cystic acne that has not cleared up in response to milder medications such as antibiotics.
It works on the oil glands within the skin, shrinking them and diminishing their output. Accutane derives from vitamin A and is found in small quantities naturally in the body.
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Why should Accutane not be prescribed?
If Accutane gives you an allergic reaction, you will not be able to use it.
If you are a woman of childbearing age, you should not take Accutane if you are pregnant, if you think there is a possibility you might get pregnant during the treatment, or if you are unable to keep coming back to the doctor for monthly checkups, including pregnancy testing.
Special warnings about Accutane
Stop taking Accutane and notify your doctor immediately at the first sign of a skin rash or any other allergic reaction. Although they are rare, serious and even fatal allergic reactions have been known to occur.
When you first start taking Accutane, it is possible that your acne will get worse before it starts to get better.
Accutane may cause depression or other mental problems such as: mood swings, aggression, sadness, hopelessness, loss of pleasure, fatigue, difficulty concentrating, change in sleep patterns, restlessness, and irritability. In rare cases, it has prompted thoughts of suicide. If you begin to feel depressed or become troubled by suicidal thoughts, contact your doctor immediately.
Before starting Accutane therapy, all patients must sign a consent form noting that they are aware of the possibility of mental side effects, the danger of birth defects, and the need for certain other precautions.
If you are a woman of childbearing age and you are considering taking Accutane, you will be given both spoken and written warnings (the iPLEDGE program) about the importance of avoiding pregnancy during the treatment. You will also be asked to sign a second consent form noting that:
You must not take Accutane if you are pregnant, may become pregnant during treatment, or are breastfeeding;
If you get pregnant while taking Accutane, your baby will be at high risk for birth defects;
If you take Accutane, you must use 2 effective forms of birth control from 1 month before the start of treatment through 1 month after the end of treatment;
You must have 2 negative pregnancy tests (one just before starting Accutane therapy), and must be tested every month during therapy;
You may participate in a program that includes an initial free pregnancy test and birth control counseling session;
If you become pregnant, you must immediately stop taking Accutane and see your doctor;
You have read and understood the Accutane patient brochure and asked your doctor any questions you had;
You have been invited to participate in a survey of women being treated with Accutane.
Some people taking Accutane, including some who simultaneously took tetracycline, have experienced headache, nausea, and visual disturbances caused by increased pressure within the skull. Avoid taking tetracycline while using Accutane. See a doctor immediately if you have these symptoms; if the doctor finds swelling of the optic nerve at the back of your eye, you must stop taking Accutane at once and see a neurologist for further care.
Be careful driving at night. Some people have experienced a sudden decrease in night vision.
Accutane affects the body's processing of fats and sugars. It should be used cautiously by people with diabetes, excess weight, high triglyceride or cholesterol levels, or a tendency to drink too much alcohol. If you have any of these conditions, your doctor will monitor you closely during Accutane therapy.
You may not be able to tolerate your contact lenses during and after your therapy with Accutane.
You should stop taking Accutane immediately if you have abdominal pain, bleeding from the rectum, or severe diarrhea. You may have an inflammatory disease of the bowel.
You should not donate blood during your therapy with Accutane and for a month after you stop taking it.
You may become more sensitive to light while taking Accutane. Try to stay out of the sun as much as possible.
You should not use wax hair removal treatments or skin resurfacing procedures (dermabrasion, laser treatments) while taking Accutane or for 6 months after completing therapy.
Some people taking Accutane develop vision or hearing problems. If you notice changes in your vision or hearing, stop taking Accutane and contact your doctor.
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