Doctor insights on:
Isotrentoin: There can be significant side effects so contact the prescribing doctor and discuss ...Read more
More commonly known as accutane, Isotretinoin is an oral medication that is incredibly effective for severe acne. It is especially useful to bring a halt to acne that is causing scarring. Isotretinoin has a variety of side effects including birth defects, liver damage, and problems with cholesterol, and careful monitoring ...Read more
Not going to do so: This is not a known side effect. However if you're taking the isotretinoin pills or capsules, it must be taken with a high-fat meal, one that may involve up to 20 g of fat in order for to be maximally absorbed. So if you're taking it on an empty stomach, or a meal that doesn't include much fat, for the vitamin A derivative to be fully absorbed, you might experience less absorption of the medication. ...Read more
Side effects: After december 31, 2005, only patients enrolled in the ipledge program may obtain and use isotretinoin. You will need to register with ipledge and view a video at your doctor's office before receiving your prescription. Only physicians enrolled in ipledge may prescribe isotretinoin, and only pharmacies enrolled in the program may dispense it. ...Read more
No: Hepatitis A, B, and C, are caused by viruses, so by definition cannot be caused by isotretinoin. This medication does cause abnormal liver tests in about 15% of people who take it, however, although marked elevations occur only rarely (<1%) and this is not usually a reason that patients need to stop the medication. Good luck. ...Read more
Depends: If you are a woman trying to conceive then absolutely not. Otherwise, it does have a significant number of potential adverse effects which need to be monitored. There are other, safer acne medicines but they may not be effective for you. It is not a medicine I use first line, but if the acne has not responded well to anything else, you have to weigh the risk vs. Benefit. ...Read more
A few common: itching, nosebleeds, muscle aches, headache, elevated liver enzymes, elevated lipids, ringing in the ears.
Major: increased pressure in the head, bone problems, liver toxicity, severe rash, behavior changes, hearing problems, visual disturbances, anemia, kidney problems, and severe birth defects if taken during pregnancy, especially early on. It is not a first line acne treatment. ...Read more
'Bad' can mean good: This is a rough medication. You'll experience some real discomfort. You can't go out and get drunk, and you'll have to promise not to get pregnant. It will also clear you acne -- and if it's severe enough to require isotretinoin, it's severe enough to keep you from getting the job you want. It's not for the faint-hearted. But if you're offered it, consider taking it. It's your choice. ...Read more
Accutane: Not a good idea to drink alcohol with accutane. Whether Accutane can be continued depends upon blood tests of liver function and fat metabolism. These are affected by alcohol as well as accutane. You may have to have your Accutane treatment prematurely discontinued if blood test abnormalities show up. If moderation was 1 glass of wine a month, it might be ok. But not 7 drinks per week. ...Read more
Usually too much: If you're on an adequate dose of isotretinoin, your skin is likely too dry to tolerate Epiduo also. I don't think I've ever treated a patient with a topical retinoid (like Epiduo) while they're on isotretinoin. Sometimes use afterward for scarring and/or persistent blocked pores. ...Read more
Not long: The dry skin side effects resolve as the skin continues to heal. Use oil free moisturizers. Other disturbances go away once the drug is out of your system. If you are pregnant birth defects will ensue. Wait up to 6 months before having unprotected sex if you are thinking about getting pregnant. ...Read more
Several: Your dermatologist should be able to cover this for you. Dryness of your face and mucous membranes are pretty much a guarantee. Always wear sunscreen to protect as you will be very ensitive to the sun. Your triglycerides and sometimes liver function tests can increase, but this will be followed by your doctor. Pregnancy prevention is a must. Others are possible but not enough room to cover all. ...Read more
Exercise caution: Isotretinoin is a highly effective medication for acne vulgaris, however it has numerous potential adverse effects. You need to coordinate with your dermatologist and be followed very closely. Your skin doctor needs to have you on two forms of contraception with periodic pregnancy tests. The drug is typically started at a low dose during the first month and then increased to 1 mg/kg/day. ...Read more
WHY does isotretinoin cause your skin to get WORST purge pores before it suddenly stops and clears?
Exfolliation: The medicine works by causing the deeper layers of the skin to grow up to the surface faster. This causes pores deep in the skin layers that are already affected to move up to the surface thus making it look like your acne is getting worse before it gets better. Hope this was helpful. Dr. R ...Read more
I'm taking clarivis which is isotretinoin capsules & my face is getting very dry what should I put on my face?
What happens if I'm pregnant while on 10-20mg/day isotretinoin? Is the baby being deform a 100%? Kindly advise.
Do doctors ask patients about their past and present and hereditary mental health before prescribing Isotretinoin?
They should be.: Doctors should be asking about all present and past medical history, including mental health issues, of the patient and their family, before prescribing any medications. This would especially be the case for Isotretinoin, which can cause depression.and suicidality, as well as other side effects. Doctors prescribing this will weigh the benefits vs risks before doing so. ...Read more
What are the ingredients of vinegar? Does it have alcohol? I am using vinegar in my diet while taking isotretinoin. Is it ok?
Can I start a second treatment as soon as im done with 1st one I have 13 days left of claravis/ isotreitnion is this allowed?
Usually: We usually wait 3 months to see if you really need a second treatment. ...Read more
I left using oratane gel containing 0.05% isotretinoin after 4-5 days of use. Am I safe from all long term side effects of it?
4-5 days is of no permanent consequence.
Dr Z ...Read more
I finished isotretinoin course and I'm using epiduo now, but I noticed that the area I put it on became red, should I stop using it?
EPIDUO CAN CAUSE REDNESS.
IF YOU ARE USING IT DAILY, CUT IT DOWN TO TWICE A WEEK, AND SEE WHAT HAPPENS.
OR GET A DIFFERENT PRODUCT FROM YOUR DOCTOR.
THANKS FOR YOUR QUESTION. ...Read more
I have severe cne and am on 3rd round of claravis. Still isn't working. Is claravis harmful. What else can I do? Worse around period.
Consider consult: I'm going to assume that the pills are not counterfit. When Isotretinoin doesn't touch acne, perhaps it is not acne, but something else. I've seen adenoma sebaceum and basal cell nevus syndrome mistaken for acne. I've been told that adding spironolactone to the regimen may help. Isotreinoin is a tough medication but a safe one if you comply with the directions & understand the known risks. ...Read more
How to reduce chances of relapse after isotretinoin course? Will working out, exercising, smoking, masturbating, increase the chance of relapse?
Acne relapse: Hard to predict who will relapse after treatment, seem 6 month course is better the 4 month ones, keep a health life style should help, gentle skin care, lots water and sleep, eat healthy, I think work out and exercise is fine, , smoking is always harmful, so I would quit it, ...Read more
I'm on claravis/isotreitnion. On last month of treatment but not 100% clear I've heard sum continue to get clear after finishing treatment? True?
Claravis: Yes, skin can clear after finishing treatment with claravis. ...Read more
Is cholesterol of 175 and LDL of 105 healthy for a 26 year old woman? I am currently taking isotretinoin, so perhaps these numbers are temporary.
Hi... I want to know if isotretinoin, isotroin and Accutane are same. If they are different then please mention their differences and its uses...?
My best advice is for you to go online and look up the information regarding the above three meds.
Go to the articles that are specifically designed for patients not doctors.
If you have trouble going through this please drop me a line and I will try and help you some more. ...Read more
How long does claravis/ isotreitnion stay in ur system after finishing treatment I just finished 2days ago. And does it continue to improve results?
Claravis: The half life is approximately 20 hours but the drug remains in the system for 4-5 days. Results improve over time. ...Read more
I've been taking isotretinoin 20mg/day for a week now. My dermatologist says it's the ideal dose for me, although my weight is 124lb. Can he be right?
Dosage: You can take 30-35 mg per day but perhaps your doctor wanted to start you out slowly to see your resonse. ...Read more
Potentially: Can cause depression, change in sleep or mood, sudden numbness or weakness on one side of the body, changes in vision, hearing, seizures, pain in stomach, severe diarrhea, flu-like symptoms, joint or bone aches, severe rash. There are other minor side effects. You should discuss this with the doctor before ever taking the medication. ...Read more
Roaccutane: "Treating severe acne in patients who do not respond to other medicines. It may also be used for other conditions as determined by your doctor. Isotretinoin is a retinoid. It works by reducing skin oil production, changing the characteristics of the skin oil, and preventing abnormal hardening of the skin." See: http://www. Drugs. Com/cdi/isotretinoin. Html ...Read more
Isotretinoin: The most common side effects are dry mucous membranes, photosensitivity, major birth defects and joint pain. Rare serious side effects include: pseudotumor cerebri, premature epiphyseal closure, pancreatitis, psychosis, anemia, suicidality, visual disturbance, hepatoxicity, aggression and others. Blood work is drawn every month and if side effects occur the med is stopped. ...Read more
Not necessarily: Not necessarily. Furthermore, roche pharmaceuticals stopped manufacturing Accutane (aka isotretinoin) in 2009. The official reason was that roche's patent had run out. A number of generic equals are still available. However, many who have used the drug have reported harmful side effects (depression, bowel disease), and the drug is a known teratogen (can cause harm to the fetus) in pregnant women. ...Read more