Active Ingredients: Isotretinoin
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And my favourite blues band is Johnnyswim! Then the bacteria Proprionibacterium acnes, which live deep within the follicles, feast on the sebum as their primary food source and overpopulate.
Finally, the body responds to this bacterial colonization by releasing pro-inflammatory chemicals, leading to the inflamed lesions characteristic of acne. These are the classic four factors at the root of acne: 1 increased sebum production, 2 clogged sebaceous glands, 3 P.
And while first-line acne medications like benzoyl peroxide, topical retinoids like Retin-A, and oral and topical antibiotics affect one or more of these factors, Accutane affects all of them.
There are several major side effects every Accutane patient should know about, more than a few of which I experienced first-hand.
What to expect on Accutane First things first: it is well established that Accutane causes birth defects if taken by a female patient during pregnancy.
Not long after the market release of Accutane in 1982, cases of birth defects—including cardiovascular and neurological deformities—began emerging.
The New York Times reported in 1988 that over 1,000 babies had been born in the U. The FDA responded by imposing stricter labels, including a black box warning, and by developing physician training materials.
All prescribers of isotretinoin in the U. And every single Accutane patient in the U.
Women must have two negative pregnancy tests, taken 30 days apart, before even being able to start Accutane. They must declare two forms of birth control—or abstinence—and take monthly pregnancy tests, included in their routine blood work monitoring, throughout their Accutane course.
Ask most dermatology providers, and they will tell you that iPLEDGE is a frustrating, inflexible system that often delays patients in getting the medication they most need.
Suffice it to say that birth defects are the most serious side effect for female patients of childbearing age, should they get pregnant on Accutane, but there is no evidence that Accutane affects fertility or causes birth defects once a course is completed.
Without question, the most common side effect is dryness—affecting the lips, nose, eyes, and skin over all.
If you are on Accutane, you will be dry, as the medication targets the very glands in the skin that secrete oil.
For most patients, the dryness can be tolerable with frequent applications of lip balm, Aquaphor or Vaseline to the nostrils, lubricating drops for the eyes, and moisturizer oil-free!
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