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Doctor insights on: Can Accutane Affect Kidney

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Dr. Carla Enriquez Dr. Enriquez
Pediatrics
46 years in practice
Boston University School of Medicine
1

1
Can Accutane affect kidney?

Can Accutane affect kidney?

Rarely: There are case reports of glomerulonephritis occurring in Isotretinoin patients at a very rare level (one case in 38, 667 reported to fda). There are also reports of Isotretinoin curing glomerulonephritis in lab animals, so if the medication is helping your acne, be sure to monitor body systems carefully through the prescribing physician.

Kidney (Definition)

The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more


Dr. Carla Enriquez Dr. Enriquez
Pediatrics
46 years in practice
Boston University School of Medicine
2

2
Can Accutane damage kidney and bladder?

Can Accutane damage kidney and bladder?

Very unlikely: There are case reports of glomerulonephritis occurring in Isotretinoin patients at a very rare level (one case in 38, 667 reported to fda). There are also reports of Isotretinoin curing glomerulonephritis in lab animals, so if the medication is helping your acne, be sure to monitor body systems carefully through the prescribing physician.

Dr. Jeffrey Juchau Dr. Juchau
Family Medicine
29 years in practice
University of Texas Medical School at San Antonio
3

3
Feeling occasional pain in kidney. Used Accutane for 6 months. Blood test good for HCG and related. Never drank alcohol.?

Feeling occasional pain in kidney. Used Accutane for 6 months. Blood test good for HCG and related. Never drank alcohol.?

Accutane: I doubt the pain is related to the Accutane. I would see your doctor, describe your symptoms and let the workup progress from there.

Dr. Ayyaz Shah Dr. Shah
Dermatology
23 years in practice
New York Institute of Technology New York College of Osteopathic Medicine
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Achy pulling in lower back when I exhale for a few breathes when I do things such as lay down. Didn't happen until starting Accutane day 11. Serious?

Achy pulling in lower back when I exhale for a few breathes when I do things such as lay down. Didn't happen until starting Accutane day 11. Serious?

Isotretinoin: Isotretinoin is a synthetic Vitamin A based medication used to treat nodular acne. It, however also may cause side effects, some serious. Any time a new medication is started and one starts to develop new symptoms which were not present prior to starting new medication, it is important to watch closely the symptoms. If this doesn't resolve or continues to worsen, discuss with your Dermatologist.

Dr. Loretta Obi Dr. Obi
Internal Medicine
11 years in practice
State University of New York Downstate Medical Center College of Medicine
5
Dr. Jason Torrente Dr. Torrente
Family Medicine
18 years in practice
University of Medicine and Dentistry of New Jersey - School of Osteopathic Medicine
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I have been on Accutane for 6 weeks on a dose of 1.5mg/kg and started getting lower back pain 2 weeks ago. Should I be worried and is it permanent?

Usually no.: Accutane is a very powerful medication with significant side effects including joint pain. Once you stop the accutane, the joint pains, in your case back pain, should slowly resolve back to your baseline. You should report any side effects, however, to your dermatologist who is managing your accutane.

Dr. Steven Arbit Dr. Arbit
Physical & Rehabilitation Medicine
29 years in practice
Wayne State University School of Medicine
7

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What are some causes of stomach and lower back pain I took acutane for a year and also have problems going number two?

Constipation: Constipation can be a cause of low back pain. If this has been a change of your bowel habits, you should have this investigated. Acutane would not cause any of this. Acutane can cause joint and low back pain while someone is taking it, but not afterwards.

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Dr. Larry Xanthopoulos Dr. Xanthopoulos
Pediatrics
18 years in practice
Boston University School of Medicine
8

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Isn't it risky for a patient using Accutane?

Isn't it risky for a patient using Accutane?

Side effects: Like all medications Accutane has potential side effects including drying out the mucous membranes, drying out the skin and has potential teratogenic effects which is why females need to be on 2 modes of birth control (for example OCP and use condoms)

Dr. Thomas Namey Dr. Namey
Internal Medicine - Rheumatology
44 years in practice
Washington University School of Medicine
9
Dr. Monib Zirvi Dr. Zirvi
Dermatology
17 years in practice
Weill Cornell Medical College of Cornell University
10
Dr. Robert Berger Dr. Berger
Dermatology
37 years in practice
New York Medical College
11

11
I have been on Accutane for over a month, and my skin still hasn't become dry yet?

I have been on Accutane for over a month, and my skin still hasn't become dry yet?

Depends: Every one is different, dryness is dose related and usually peaks 3rd month.

Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
12

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What vitamines can I take during accutane? Any would help? C? E? I know you can't take a, but the others? Thank you xx

What vitamines can I take during accutane? Any would help? C? E? I know you can't take a, but the others? Thank you xx

The rest are okay: I'd urge you to get your vitamins from a balanced diet rather than a bottle. Avoid taking vitamin a itself; if your dermatologist isn't adverse to your taking a multivitamin with only a small amount of a, it would be okay. Your vitamin d can come from reasonable sun exposure.

Dr. Carol Jacobs Dr. Jacobs
Pediatrics
years in practice
University of Texas Medical School at San Antonio
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Is there a higher chance of relapse if you wear black hoodies/black t shirts while on accutane with sunscreen? I was on accutane for 9 months

Is there a higher chance of relapse if you wear black hoodies/black t shirts while on accutane with sunscreen? I was on accutane for 9 months

Relapse?: If you are referring to an acne flare up I don't think your choice of clothing is an issue. Black does have the spectrum of more heat retention in sunlight. Even with sunscreen always be very cautions with sun exposure while on this medication.

Dr. Barry Resnik Dr. Resnik
Dermatology
27 years in practice
Tulane University School of Medicine
14

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I am on 80mg of Accutane a day in my 4th month and I haven't noticed much improvement and my skin isn't even dry. Is this normal in the 4th month?

I am on 80mg of Accutane a day in my 4th month and I haven't noticed much improvement and my skin isn't even dry. Is this normal in the 4th month?

Accutane: Anything is possible but don't give up hope. I have never had a failure with accutane. But you should be talking to your testing dermatologist, not to the internet!

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Dr. J. Lawrence Dohan Dr. Dohan
Dermatology
53 years in practice
15

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Accutane, didn't miss dosage 1st month (30mg). Miss total six pills off/on throughout first 3 weeks of 2nd month (40 mg). Will this affect results?

Accutane, didn't miss dosage 1st month (30mg). Miss total six pills off/on throughout first 3 weeks of 2nd month (40 mg). Will this affect results?

No: Take with food for best result. Best results from taking each dose. The more doses you miss the more likely you will need to extend the total length of therapy. You do not give your weight. Probably you will soon be on 80mg a day. You will need to grease your lips.

Dr. Marvin Ott Dr. Ott
Emergency Medicine
16 years in practice
Northeastern Ohio Universities College of Medicine
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A few times recently, I noticed blood on tissue after BM. I don't have pain, and don't see blood after that. Can accutane do this? What should I do?

A few times recently, I noticed blood on tissue after BM. I don't have pain, and don't see blood after that. Can accutane do this? What should I do?

Most likey: This is an anal fissure or hemorrhoid. Accutane should not do this. It will probably go away. See your doctor if you have chest pain, passing out, difficulty breathing, or other concerning symptoms. Hope this helps!

Dr. Heidi Fowler Dr. Fowler
Psychiatry
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
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Dr. Luis Eguiguren Dr. Eguiguren
Pediatrics
37 years in practice
Central University of Ecuador School of Medicine
18

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Should I go on a second dose of Accutane if my first one didn't work?

Should I go on a second dose of Accutane if my first one didn't work?

See dermatologist: Some people need a second treatment with Accutane, usually of shorter duration. Blood work also needs to be done periodically in order to be sure there are no significant side effects. You should consult a dermatologist for more advise.

Dr. Robert Berger Dr. Berger
Dermatology
37 years in practice
New York Medical College
19

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What to do if I just started my 4th month of accutane, shouldn't it have all cleared up by now?

Not necessarily: Depends upon dose but sometimes will continue to work for 6 months after last dose. Old lesions will not be resolved yet, should see a decrease of new lesions.

Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
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Is there any way to counteract the workings of accutane? I don't want to be doing anything wrong..

No antidote. Danger!: If you took Isotretinoin and you might be pregnant, you need to get with your personal physician and very likely have the pregnancy terminated. This is a very powerful medicine and if you took it illicitly, you made a terrible mistake. There's no magic antidote. If you took some illicitly and aren't pregnant, it's less of a problem. If it's prescribed, take it properly. Best wishes.

Taking Accutane (Definition)

Accutane (Isotretinoin) is a powerful medicine that treats acne. It is known to cause severe birth defects if a woman becomes ...Read more