It is very important that your doctor checks on you or your child’s progress at regular visits. to make sure this medicine is working properly. Blood tests may be needed to check for side effects.
Isotretinoin causes birth defects in humans if taken during pregnancy. If you think you may have become pregnant, consult your doctor immediately.
Using this medication during pregnancy can cause very serious birth defects. Use two effective forms of birth control to avoid becoming pregnant 1 month before starting treatment, while using this medicine (even if the medicine is temporarily stopped), and for at least 1 month after stopping the medicine. The most effective forms of birth control are hormonal birth control pills, patches, injections, vaginal rings or implants, an IUD, or a vasectomy (for men). One of these forms of contraception must be combined with a condom, diaphragm or cervical cap.
Isotretinoin should not be taken by women of childbearing potential who could become pregnant unless 2 effective forms of contraception have been used for at least 1 month before starting treatment. Contraception should be continued for the duration of treatment, which may be up to 20 weeks, and for 1 month after stopping isotretinoin. Make sure you have discussed this information with your doctor.
If you are a woman of childbearing potential, you should take 2 pregnancy tests before starting treatment with isotretinoin to make sure you are not pregnant. The second pregnancy test should be taken at least 19 days after the first test and during the first 5 days of the menstrual period immediately before starting treatment. In addition, you should take a pregnancy test each month while using this medicine and 1 month after treatment ends.
Do not take vitamin A or vitamin supplements containing vitamin A while using this medication unless directed by your doctor. This may increase the risk of side effects.
During the first 3 weeks of treatment with isotretinoin, your skin may become irritated. Also, your acne may seem to get worse before it gets better. Consult your doctor if your skin condition does not improve within 1-2 months of starting this medication or at any time if your skin irritation becomes severe. Full improvement continues after stopping isotretinoin use and may take up to 6 months. Your doctor can help you choose the right skin products to reduce dryness and skin 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 containing the drug.
In some patients, isotretinoin may cause decreased night vision. This problem can occur suddenly. If this happens, do not drive or do anything else that could be dangerous until you know how this medicine affects you. Also, see your doctor.
Isotretinoin can cause dry eyes. If you or your child wear contact lenses, your eyes may be more sensitive while you are using isotretinoin and for up to 2 weeks after you stop it. To help relieve dry eyes, consult your doctor about using a lubricating solution, such as artificial tears. In case of eye inflammation, consult your doctor immediately.
Isotretinoin can cause dry mouth and nose. For temporary dry mouth relief, use candy or sugar-free gum, melt ice cubes in your mouth, or use a saliva substitute. However, if dry mouth persists for more than 2 weeks, see your doctor or dentist. Persistent dry mouth can increase the risk of dental diseases, including tooth decay, gum disease, and fungal infections.
Avoid overexposing your skin to the sun, wind or cold. Your skin will be more prone to sunburn, dryness or irritation, especially during the first 2-3 weeks of treatment. However, you or your child should not stop using this medicine unless the skin irritation becomes too severe. Do not use sunlamps or tanning beds.
To help isotretinoin work properly, regularly use sunscreen or sunscreen lotions with a sun protection factor (SPF) of at least 15. Also wear protective clothing and hats.
Isotretinoin may make some people restless, irritable, or exhibit other abnormal behaviors. It can also cause some people to have suicidal thoughts and tendencies or to become more depressed. If you, your child or caregiver notice any of these side effects, contact your doctor immediately.
This medicine can increase the pressure in your head, which can lead to loss of vision or serious brain problems. See your doctor right away if you have a severe headache, blurred vision, dizziness, nausea, vomiting, or seizures.
Serious skin reactions can occur with this medication. Tell 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 patches 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 can get injured more easily during tough 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 do not use waxing to remove hair while taking isotretinoin and for 6 months after stopping it. Isotretinoin may increase your risk of scarring from waxing.
It is very important that you or your child do not have any cosmetic procedures to smooth your skin (eg, dermabrasion, laser) while you are using isotretinoin and for 6 months after you stop it. Isotretinoin may increase your chances of healing from these procedures.
This medication may affect blood sugar. If you or your child have diabetes and notice a change in your blood sugar or urine test results, see your doctor.
Pancreatitis may occur while you are using this medicine. Tell your doctor right away if you or your child have sudden severe abdominal pain, chills, constipation, nausea, vomiting, fever, or dizziness.
Isotretinoin can cause hearing problems in some people a few weeks after they start using it. See your doctor right away if you or your child has hearing loss, continuous ringing or buzzing, or any other unexplained noise in the ears.
See your doctor right away if you experience upper stomach pain or tenderness, pale stools, dark urine, loss of appetite, nausea, unusual tiredness or weakness, or eyes or yellow skin. These could be symptoms of a serious liver problem.
Tell your doctor straight away if you or your child have abdominal or stomach pain, rectal bleeding or severe diarrhoea. These can be symptoms of a serious condition called inflammatory bowel disease.
This drug can cause serious allergic reactions, including anaphylaxis, which can be life-threatening and require immediate medical attention. Call your doctor right away if you have a rash, itching, redness, sore or itchy skin, difficulty breathing, difficulty swallowing, or any swelling of your hands, face, or mouth while using this medicine. .
This medicine contains FD&C Yellow No. 5 (tartrazine) which may cause an allergic reaction, including asthma, in some people. This reaction is more often seen in people who also have an allergy to aspirin.
This medicine decreases the number of certain types of blood cells in your body. Because of this, you or your child may bleed or get infections more easily. To solve these problems, avoid being near sick or infected people. Wash your hands often. Stay away from strenuous 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 nail clippers.
Do not take any other medicines without first consulting your doctor. This includes vitamins, herbal products, and prescription or over-the-counter (OTC) medications. [OTC]) medications. Certain medications or nutritional supplements (eg, St. John’s Wort) may prevent your birth control pill from working as well.