i posted this on bb.com a while ago. all about accutane.
i see a lot of people posting about accutane...good and bad. i have been prescribed accutane by my dermatologist, 80mgs per day taken twice daily(40mgs in the am and 40mgs in the pm). so heres the deal.
accutane (isotretinion) is a vitamin a derivative, it works by shrinking the sebaceous glands that produce oil. accutane may cure acne for life.
accutane is prescribed for cystic acne (sometimes called nodular acne). cystic acne is kind of like tender pockets of oil and blood under the skin. they can range in size from pencil eraser size to as big around as a quarter. they are usually very painful, red and swollen as well. they can occur on the face, chest, shoulders and back.
accutane is usually prescribed when other treatments do not work...ie otc meds, antibiotics. my doc said accutane was the only thing that would help me. i asked about antibiotics, and he said they would not work for the type of acne i have. accutane treatment typically lasts 4-6 months.
in the usa, to be prescribed accutane, you must join the ipledge program. check it out at ipledgeprogram.com. basically this program states (for men), only a one month supply may be prescribed at a time, and you must see the doc once a month to get refilled. the program may have you answer questions from time to time during treatment. for women it the program is a big deal due to birth defects, if a women is or gets pregnant while taking accutane. i wont go into detail on the female side of the program since most people in this section are men.
i had to take a blood test to get a baseline of my cholesterol and lipids. im not sure what else they test for but when i return to the doc i will get the test results. my doc told me monthly blood tests are not required for men anymore. he said he would test me again after a month or two of treatment to make sure everything was fine. for women monthly blood tests are required, but thats mainly to check for pregnancy.
do not take accutane if you have the following health conditions:
mental problems
asthma
liver disease
diabetes
heart disease
bone loss (osteoporosis) or weak bones
anorexia
food or medicine alergies
possible side effects which you should stop taking accutane and talk to your doc if you get:
birth defects, women cannot get pregnant on accutane unless you want an alien baby
mental problems
serious brain problems
increased pressure in the brain
loss of eyesight
death
bad headache
blurred vision
dizziness
nausea or vomiting
seizures
stroke
sever stomach, chest, or bowel pain
touble swallowing or painful swallowing
heartburn
diarrhea
rectal bleeding
yellowing of skin or eyes
dark urine
back pain
joint pain
hearing problems
vision problems or night vision problems
increased lipid problems
allergic reaction
hives
swollen face or mouth
trouble breathing
fever
rash or red patches or bruising on legs
blood sugar problems, may cause diabetes
decreased red and white blood cells
common side effects:
dry skin
chapped lips
dry eyes
dry nose, may lead to nose bleeds
if you or your friends and family notice these side effects, stop taking accutane and talk to your doc:
felling sad or crying spells
loss of interest in activities once enjoyed
sleeping to much, or trouble sleeping
irritable, angry, or aggressive
thoughts of violence
change in appetite or body weight
no energy
fellings of worthlessness or guilt
suicidal thoughts
acting on dangerous impulses
seeing or hearing things that are not real
do not take while taking accutane:
vitamin a suplements, they increase chances of side effects
tetracycline antibiotics
progestin only birth control pills
dilantin (phenytion)
corticosteriod meds
st johns wort
misc faqs:
acne may get worse when starting accutane, it may take up to a month or more to start working
accutane can damage the esophagus (wash it down good if you take research liquid isotretinion)
miss a dose, skip it and take next dose.
dont get pregnant (women only), accutane will not affect mens sperm or sperm count. men can take accutane, get a girl pregnant, and the baby will be fine.
things to avoid while taking accutane:
do not give blood
do not take other meds, without talking to your doc
do not drive at night til you know if accutane has affected your night vision
no waxing, dermabrasion, or laser procedures on the skin
aviod sunlight, tanning beds and ultraviolet light, wear sunscreen
accutane can be very harsh on some people, so think it over before taking any. doc told my in ten years or prescribing accutane, he has had only two cases of really bad side effects.
i would also recommend people to not take any oral steriods while on accutane due to liver toxicity.
hope this informs anyone with questions about accutane. all the information posted was taken from ipledge documents and my doc.