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Accutane, with a generic name of Isotretinoin is an oral medication indicated for treatment of severe nodular acne. Severe nodular acne is characterized as many red, swollen, painful lumps on the skin. If left untreated, these may develop into permanent scars. This medication has severe associated adverse effects making the use of this medication when other treatments are first initiated and did not yield any positive result. It acts by reducing the oil produced by the oil glands and helps skin renew more quickly and prevents hardening of the skin.
Medical attention is needed if severe allergic reactions occur or if any of the following is observed: violent behavior, bowel pain, chest pain, depression, difficulty swallowing, excessive thirst or urination, fainting, heartbeat, increased ICP or any signs of swelling of the pancreas. Other less serious side effects are dizziness, dry lips, mouth or skin and back pain. Accutane should not be given to pregnant women or to anyone who is planning to be pregnant since this causes severe birth defects. If the blood is transfused to a pregnant patient, this may also cause birth defects of the growing fetus. Clients should wait for thirty days before donating blood. Patients should also be informed that while taking this medication, they should not take vitamin A to avoid the toxic effects.
There may be worsening of acne during the early part of Accutane use. Inform patients taking this medication not to use wax hair removers since the skin would be sensitive and might result to scarring until after 6 months of discontinuing use. The skin may also be sensitive to sunlight during this time so patients are more prone to sunburn. Accutane could also cause blurred visions especially during night time. As a protection, additional caution should then be observed.