Accutane, or isotretinoin, is an oral medication for the treatment of severe acne, such as cystic acne. This medication is available by prescription only and should be used only when other acne treatments have failed, according to the Mayo Clinic. Additionally, certain individuals should not use this medication, such as pregnant women or those who could become pregnant. Following the guidelines and warnings when taking this medication is extremely important due to the severe nature of the possible side effects.
Severe Side Effects
Severe side effects are possible, though rare, with the use of Accutane. These include, but are not limited to, decreased vision, severe stomach pain and diarrhea, rectal bleeding, bloody cough, chest pain, confusion, depression, convulsion, difficulty speaking or swallowing, fainting, racing heart, high blood pressure, loss of appetite and bladder control, painful urination, loss of speech and coordination and tightness in the chest.
Common Side Effects
Common side effects include dryness of the eyes and mouth. Using an eye lubricant and chewing gum may help remedy these effects. Other common side effects include pain in the bones or joints, eye inflammation or itchy, burning sensations, nosebleeds, inflamed lips, skin rashes or infections, mild headaches, hair thinning and difficulty moving. Some of these effects may continue even after treatment has ceased. Due to the risks of increased sensitivity to sunlight, wearing sunscreen while outdoors is recommended.
Warning
According to the Mayo Clinic, Accutane may cause mood or behavior problems. Some individuals will have thoughts about hurting themselves or display aggression, which may result in physical force or assault. Communicating about any strange thoughts or behaviors with a doctor is important.
Considerations
Because of the risks of birth defects that can occur while taking Accutane, women of reproductive age are required to participate in a pregnancy risk program in order to receive their monthly prescription. Other guidelines for women of childbearing age include taking two effective forms of contraception beginning one month before the Accutane and ending no sooner than one month after discontinuing Accutane.
Potential Side Effects
According to the Mayo Clinic, side effects that are not listed can potentially occur with the use of Accutane, so if you notice changes soon after starting Accutane you may want to discuss them with your doctor. Some side effects, however, may occur that do not require medical attention. These side effects may go away in time and as the body adjusts to the medication. Bothersome side effects should be discussed with a doctor.
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