Accutane: Why use it

Isotretinoin (the generic name for accutane) is used as a acne treatment the most severe and disfiguring cases of nodular acne. Most Doctors would only recommend this treatment only after all other forms of acne medication have been tried and proved unsuccessful.

Isotretinoin must not be used to treat women who are able to bear children unless other forms of treatment have been tried first and have failed. Isotretinoin must not be taken during pregnancy because it causes birth defects in humans. If you are able to bear children, it is very important that you read, understand, and follow the pregnancy warnings for isotretinoin. This medicine is available with your doctor's prescription and should be prescribed only by a doctor who has special knowledge of the diagnosis and treatment of severe, uncontrollable cystic acne.

Regulations

Recent regulations regarding patient's access to accutane state that all women of child bearing potential must take a pregnancy test before a Doctor can prescribe the drug. The following table outlines the process that users under go before they can receive the drug.

Use of Pregnancy Tests and Accutane Qualification Stickers for Patients
Patient Type	Pregnancy Test Required	Qualification Date	Accutane Qualification Sticker	Dispense in 7 Days of Qualification
All Males	No	Date Prescription Written	Yes	Yes
Females of Childbearing Potential	Yes	Date of Confirmatory Negative Pregnancy Test	Yes	Yes
Females* Not of Childbearing Potential	No	Date Prescription Written	Yes	Yes
*Females who have had a hysterectomy or who are postmenopausal are not considered to be of childbearing potential.

Before Using This Medicine

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For isotretinoin, the following should be considered:

Allergies
Tell your doctor if you have ever had any unusual or allergic reaction to isotretinoin, acitretin, etretinate, tretinoin, or vitamin A preparations. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives (such as parabens), or dyes.

Pregnancy
Isotretinoin must not be taken during pregnancy because it causes birth defects in humans. In addition, isotretinoin must not be taken if there is a chance that you may become pregnant during treatment or within 1 month following treatment .

Breast-feeding
It is not known whether isotretinoin passes into breast milk. However, isotretinoin should not be used during breast-feeding because it may cause unwanted effects in nursing babies.

Children
Children may be especially sensitive to the effects of isotretinoin. This may increase the chance of side effects during treatment. Children may have the side effects of back, joint, or muscle pain more often than adults.

This medicine should be used with caution in teenagers, especially those with bone problems or diseases.

Older adults
Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of isotretinoin in the elderly with use in other age groups. However, older people may have a greater risk of problems and adverse effects when taking isotretinoin.

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