Isotretinoin (Oral Route) Precautions - Mayo Clinic
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If falls persist, talk to your healthcare professional. This sized hand cream is used to restore the skin. Effaclar H face cleanser is suitable.
Isotretinoin is a form of vitamin A that is used to treat severe nodular acne that has not responded to other treatments, including antibiotics. Isotretinoin may also be used for purposes not listed in this medication guide. Isotretinoin can cause miscarriage, premature birth, severe birth defects, or death of a baby if the mother takes this medicine at the time of conception or during pregnancy.
Even one dose of isotretinoin can cause major birth defects of the baby's ears, eyes, face, skull, heart, and brain. Never use isotretinoin if you are pregnant or able to become pregnant. For Women: Unless you have had your uterus and ovaries removed total hysterectomy or have been in menopause for at least 12 months in a row, you are considered to be able to get pregnant. You must have 2 negative pregnancy tests before you start taking isotretinoin, before each prescription is refilled, right after you take your last dose of isotretinoin, and again 30 days later.
You must agree in writing to use two specific forms of birth control beginning 30 days before you start taking isotretinoin and ending 30 days after your last dose. Both a primary and a secondary form of birth control must be used together.
Stop using isotretinoin and call your doctor at once if you have unprotected sex, if you quit using birth control, if your period is late, or if you think you might be pregnant. Not having sexual intercourse abstinence is the most effective method of preventing pregnancy. Get emergency medical help if you have signs of an allergic reaction hives, difficult breathing, swelling in your face or throat or a severe skin reaction fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. Do not take a vitamin or mineral supplement that contains vitamin A, unless your doctor tells you to. Do not donate blood while taking isotretinoin and for at least 30 days after you stop taking it.
Donated blood that is later given to a pregnant woman could lead to birth defects in her baby if the blood contains any level of isotretinoin. While you are taking isotretinoin and for at least 6 months after your last dose: Do not use wax hair removers or have dermabrasion or laser skin treatments. Scarring may result.
Isotretinoin could make you sunburn more easily. Avoid sunlight or tanning beds. Wear protective clothing and use sunscreen SPF 30 or higher when you are outdoors. Avoid driving or hazardous activity until you know how this medicine will affect you.
Isotretinoin may impair your vision, especially at night. Use Isotretinoin Accutane exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Each prescription of isotretinoin must be filled within 7 days of the date it was written by your doctor.
You will receive no more than a day supply of isotretinoin at one time. Always take isotretinoin with a full glass of water. Do not chew or suck on the capsule. Swallow it whole. Use this medicine for the full prescribed length of time. Your acne may seem to get worse at first, but should then begin to improve.
Never share this medicine with another person, even if they have the same symptoms you have. Skip the missed dose and use your next dose at the regular time. Do not use two doses at one time. Health Conditions A-Z. Health Tools. See All. DailyOM Courses. Isotretinoin Accutane. Reviewed: October 12, Primary forms of birth control include: tubal ligation tubes tied ; vasectomy of the male sexual partner; an IUD intrauterine device ; estrogen-containing birth control pills not mini-pills ; and hormonal birth control patches, implants, injections, or vaginal ring.
Secondary forms of birth control include: a male latex condom with or without spermicide; a diaphragm plus a spermicide; a cervical cap plus a spermicide; and a vaginal sponge containing a spermicide. You should not use isotretinoin if you are allergic to it. Tell your doctor if you have ever had: depression or mental illness; asthma; liver disease; diabetes; heart disease or high cholesterol; osteoporosis or low bone mineral density; an eating disorder such as anorexia; a food or drug allergy; or an intestinal disorder such as inflammatory bowel disease or ulcerative colitis.
Do not breastfeed. Not approved for use by anyone younger than 12 years old. Side Effects. Side Effects What are the side effects of Isotretinoin Accutane? Stop using isotretinoin and call your doctor at once if you have: problems with your vision or hearing; muscle or joint pain, bone pain, back pain; increased thirst, increased urination; hallucinations, see or hearing things that are not real ; symptoms of depression --unusual mood changes, crying spells, feelings of low self-worth, loss of interest in things you once enjoyed, new sleep problems, thoughts about hurting yourself; signs of liver or pancreas problems --loss of appetite, upper stomach pain that may spread to your backnausea or vomiting, fast heart rate, dark urine, jaundice yellowing of the skin or eyes ; severe stomach problems --severe stomach or chest pain, pain when swallowing, heartburn, diarrhea, rectal bleeding, bloody or tarry stools; or increased pressure inside the skull --severe headaches, ringing in your ears, dizziness, nausea, vision problems, pain behind your eyes.
Common side effects may include: dryness of your skin, lips, eyes, or nose you may have nosebleeds ; vision problems; headache, back pain, joint pain, muscle problems; skin reactions; or cold symptoms such as stuffy nose, sneezing, sore throat. Based on FDA pregnancy categories. Interactions What drugs and food should I avoid while taking Isotretinoin Accutane?
Follow all directions about taking isotretinoin with or without food. Store at room temperature away from moisture, heat, and light. What should I do if I missed a dose of Isotretinoin Accutane? If you think you or someone else may have overdosed on: Isotretinoin Accutanecall your doctor or the Poison Control center.
If someone collapses or isn't breathing after taking Isotretinoin Accutanecall See More. Medical Disclaimer Drugs A-Z provides drug information from Everyday Health and our partners, as well as ratings from our members, all in one place.
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localhost › postmarket-drug-safety-information-patients-and-providers. Avoid overexposing your skin to sunlight, wind, or cold weather. Your skin will be more prone to sunburn, dryness, or irritation, especially. localhost › postmarket-drug-safety-information-patients-and-providers. CONTRAINDICATIONS AND WARNINGS. Accutane must not be used by female patients who are or may become pregnant. There is an extremely high risk that severe. Isotretinoin: The truth about side effects ; Severe birth defects. Miscarriage. Stillbirth ; Dry skin, severely chapped lips. Nosebleeds. Dry. If someone collapses or isn't breathing after taking Isotretinoin Accutanecall It may also cause some people to have suicidal thoughts and tendencies or to become more depressed. Each prescription of isotretinoin must be filled within 7 days of the date it was written by your doctor. During your check-ins, tell your dermatologist how you feel, even if it seems unrelated to taking isotretinoin. Manage sun-sensitive skin: To protect your skin from the sun, dermatologists recommend that you Practice Safe Sun. Before prescribing isotretinoin, your dermatologist will talk with you about your acne and give you information about isotretinoin. This is especially when it comes to side effects.Drug information provided by: IBM Micromedex. It is very important that your doctor check your or your child's progress at regular visits to make sure this medicine is working properly. Blood tests may be needed to check for unwanted effects.
Isotretinoin causes birth defects in humans if taken during pregnancy. If you suspect that you may have become pregnant, check with your doctor right away. Using this medicine while you are pregnant can cause very serious birth defects.
Use two forms of effective birth control to keep from getting pregnant 1 month before beginning treatment, while you are using this medicine even if the medicine is temporarily stopped , and for at least 1 month after you stop taking the medicine. The most effective forms of birth control are hormone birth control pills, patches, shots, vaginal rings, or implants, an IUD, or a vasectomy for men.
One of these forms of birth control should be combined with a condom, a diaphragm, or a cervical cap. Isotretinoin must not be taken by women of reproductive age who may become pregnant unless 2 effective forms of birth control have been used for at least 1 month before the start of treatment. Contraception must be continued during the period of treatment, which is up to 20 weeks, and for 1 month after isotretinoin is stopped.
Be sure that you have discussed this information with your doctor. If you are a woman who is able to have children, you must have 2 pregnancy tests before beginning treatment with isotretinoin to make sure you are not pregnant. The second pregnancy test must be taken at least 19 days after the first test and during the first 5 days of the menstrual period immediately before beginning treatment.
In addition, you must have a pregnancy test each month while you are using this medicine and 1 month after treatment is completed. Do not take vitamin A or any vitamin supplement containing vitamin A while using this medicine, unless otherwise directed by your doctor. To do so may increase the chance of side effects. During the first 3 weeks you are taking isotretinoin, your skin may become irritated.
Also, your acne may seem to get worse before it gets better. Check with your doctor if your skin condition does not improve within 1 to 2 months after starting this medicine or at any time your skin irritation becomes severe.
Full improvement continues after you stop using isotretinoin and may take up to 6 months. Your doctor can help you choose the right skin products to reduce skin dryness and irritation. You or your child should not donate blood to a blood bank while using isotretinoin or for 30 days after you stop using it.
This is to prevent a pregnant patient from receiving blood that contains the medicine. In some patients, isotretinoin may cause a decrease in night vision. This problem may occur suddenly. If it does occur, do not drive or do anything else that could be dangerous until you know how this medicine affects you. Also, check with your doctor. Isotretinoin may cause dryness of the eyes. If you or your child wear contact lenses, your eyes may be more sensitive to them during the time you are using isotretinoin and for up to 2 weeks after stopping it.
To help relieve dryness of the eyes, check with your doctor about using a lubricating solution, such as artificial tears. If eye inflammation occurs, check with your doctor right away. Isotretinoin may cause dryness of the mouth and nose. For temporary relief of mouth dryness, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute.
However, if dry mouth continues for more than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections. Avoid overexposing your skin to sunlight, wind, or cold weather. Your skin will be more prone to sunburn, dryness, or irritation, especially during the first 2 or 3 weeks of treatment.
However, you or your child should not stop using this medicine unless the skin irritation becomes too severe. Do not use a sunlamp or tanning beds. To help isotretinoin to work properly, use sunscreen or sunblock lotions with a sun protection factor SPF of at least 15 on a regular basis. Also, wear protective clothing and hats. Isotretinoin may cause some people to be agitated, irritable, or display other abnormal behaviors. It may also cause some people to have suicidal thoughts and tendencies or to become more depressed.
If you, your child, or your caregiver notice any of these side effects, check with you doctor right away. This medicine may increase pressure in your head, which may lead to vision loss or serious brain problems. Check with your doctor right away if you have a bad headache, blurred vision, dizziness, nausea, vomiting, or seizures. Serious skin reactions can occur with this medicine. Check with your doctor right away if you or your child have any of the following symptoms while using this medicine: blistering, peeling, or loosening of the skin, chills, diarrhea, itching, joint or muscle pain, rash, red skin lesions, often with a purple center, sores, ulcers, or white spots in the mouth or on the lips, or unusual tiredness or weakness.
Isotretinoin may cause bone or muscle problems, including joint pain, muscle pain or stiffness, or difficulty moving. You may get hurt more easily during rough sports.
You may also heal more slowly. If this medicine is for your child, tell the doctor if you think your child is not growing properly. It is very important that you or your child not use wax epilation to remove hair while you are taking isotretinoin and for 6 months after stopping it. Isotretinoin can increase your chance of scarring from wax epilation. It is very important that you or your child not have any cosmetic procedures to smooth your skin eg, dermabrasion, laser while you are using isotretinoin and for 6 months after stopping it.
Isotretinoin can increase your chance of scarring from these procedures. This medicine may affect blood sugar levels. If you or your child are diabetic and notice a change in the results of your blood or urine sugar tests, check with your doctor. Pancreatitis may occur while you are using this medicine. Tell your doctor right away if you or your child have sudden and severe stomach pain, chills, constipation, nausea, vomiting, fever, or lightheadedness.
Isotretinoin may cause some people to have hearing problems within a few weeks after they start using it. Check with your doctor right away if you or your child have hearing loss, a continuing ringing or buzzing, or any other unexplained noise in the ears.
Check with your doctor right away if you have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, unusual tiredness or weakness, or yellow eyes or skin. These could be symptoms of a serious liver problem. Tell your doctor right away if you or your child have abdominal or stomach pain, rectal bleeding, or severe diarrhea.
These may be symptoms of a serious condition called inflammatory bowel disease. This medicine may cause serious allergic reactions, including anaphylaxis, which can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash, itching, redness, soreness, or itching skin, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are using this medicine.
This reaction is more often seen in people who also have an allergy to aspirin. This medicine lowers the number of some types of blood cells in your body. Because of this, you or your child may bleed or get infections more easily. To help with these problems, avoid being near people who are sick or have infections. Wash your hands often. Stay away from rough sports or other situations where you could be bruised, cut, or injured.
Brush and floss your teeth gently. Be careful when using sharp objects, including razors and fingernail clippers. Do not take other medicines without checking first with your doctor. This includes vitamins, herbal products, and prescription or nonprescription over-the-counter [OTC] medicines. Some medicines or nutritional supplements eg, St. John's wort may cause your birth control pills to not work as well.
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