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Accutane



Brand Name: Examples Sotret and Claravis



Accutane is used for:

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. Accutane is a retinoid. It works by reducing skin oil production, changing the characteristics of the skin oil, and preventing abnormal hardening of the skin.

Before using Accutane:

Some medical conditions may interact with Accutane. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you: if you are pregnant, planning to become pregnant, or are breast-feeding if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines, foods, or other substances if you are woman and unable to use 2 effective forms of birth control or avoid sexual intercourse if you have diabetes, a family history of diabetes, high blood cholesterol or triglyceride levels, psychiatric disorders, suicidal thoughts, liver disease, pancreatitis, a bone loss condition (eg, osteoporosis), decreased bone density, an eating disorder, severe diarrhea, rectal bleeding, hearing problems, ringing in the ears, or stomach pain Some MEDICINES MAY INTERACT with Accutane. Tell your health care provider if you are taking any other medicines, especially any of the following: Tetracyclines because the risk of increased pressure in the brain may be increased St. John's wort because an increased risk of failure of hormonal contraceptives (eg, birth control pills) may occur Vitamin A-type medicines (eg, etretinate, vitamin A) because they may increase the risk of Accutane's side effects Corticosteroids (eg, prednisone) or phenytoin because the risk of their side effects may be increased by Accutane Progestin-only birth control (eg, "mini-pill") because its effectiveness may be decreased by Accutane This may not be a complete list of all interactions that may occur. Ask your health care provider if Accutane may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Accutane:

Use Accutane as directed by your doctor. Check the label on the medicine for exact dosing instructions. Accutane comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Accutane refilled. Take Accutane by mouth with food. Swallow the capsule with a full glass of water or other liquid. Do not break, crush, chew, or suck on the capsule before swallowing. This will help prevent the medication inside the capsule from irritating your throat. For best results, take Accutane regularly. Taking Accutane at the same time each day will help you remember to take it. Accutane can only be dispensed through a special program. You must sign a consent form stating that you will follow your doctor's instructions before you can take Accutane. This will be necessary each time you refill your prescription. You will get no more than a 30-day supply of Accutane at a time to be sure you check in with your doctor each month to discuss side effects. If you miss a dose of Accutane, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. Ask your health care provider any questions you may have about how to use Accutane.

Possible side effects of Accutane:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome: Abnormal hair growth; abnormal skin sensations; bleeding and redness or swelling of the gums;changes in menstrual flow; chapped lips; decreased tolerance to contact lenses; dizziness; dry eyes and mouth; dry nose that may lead to nosebleeds; dry or peeling skin; fatigue; flushing; general body discomfort; hair thinning; headache; itching; lack of energy; nervousness; respiratory tract infection; sleeplessness; sweating; temporary worsening of acne; voice changes. Seek medical attention right away if any of these SEVERE side effects occur: Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bizarre, aggressive, or violent behavior; bowel pain; chest pain or pounding in the chest; dark urine; depression; difficult or painful swallowing; difficulty moving; excessive thirst or urination; fainting; fast heartbeat; fever; fractured or weak bones; hearing problems or ringing in the ears; increased pressure in the brain (pressure in the eye; nausea; vision changes; vomiting); joint or back pain; leg swelling; muscle weakness with or without pain; nausea; new or worsening heartburn; rectal bleeding; red patches or bruises on the legs; shortness of breath; seizures; severe birth defects; severe diarrhea; severe headache; skin infection; slurred speech; stomach pain or tenderness; stroke; stunted growth in children; sun sensitivity; swelling of the pancreas (fever; increased heartbeat; nausea; stomach tenderness; vomiting); swollen glands; thoughts of suicide; tightness in the lungs; vision changes; vomiting; weakness; yellowing of the skin or eyes. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at _ttp://www.fda.gov/medwatch.

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