Accutane (isotretinoin) is a powerful medication used to treat severe acne. It is highly effective but comes with specific guidelines and potential side effects that must be managed carefully. 

​

Before Starting Accutane

• Consultation and Consent:

  • Schedule a detailed consultation with your DAWC dermatologist to discuss the benefits and risks of Accutane.

  • Review and sign the informed consent form acknowledging the potential side effects and necessary precautions.

• Pregnancy Prevention:

  • Women of childbearing potential must use two forms of effective contraception for at least one month before starting Accutane, during treatment, and for one month after stopping the medication.

  • Monthly pregnancy tests are required before, during, and after treatment.

• Baseline Tests:

  • Blood tests to check liver function, cholesterol, and triglyceride levels.

  • Baseline skin examination and photographs to document acne severity.
     

During Treatment

• Dosage and Administration:

  • Take Accutane exactly as prescribed by your dermatologist.

  • Usually taken once or twice a day with a meal to enhance absorption.

  • Do not crush, chew, or split the capsules.

• Monitoring:

  • Regular follow-up appointments with your dermatologist to monitor your progress and side effects.

  • Women will need monthly pregnancy tests.

  • Monthly blood tests to monitor liver function, cholesterol, and triglyceride levels.

• Skin Care:

  • ​Use a gentle, non-comedogenic cleanser to wash your face.

  • Apply a moisturizer regularly to combat dryness.

  • Use lip balm frequently to prevent chapped lips.

  • Avoid waxing and other aggressive skin treatments.

• Sun Protection:

  • Accutane can make your skin more sensitive to sunlight. Use a broad-spectrum sunscreen with SPF 30 or higher daily.

  • Wear protective clothing, hats, and sunglasses when outdoors.

• Avoid Certain Medications:

  • Avoid vitamin A supplements and tetracycline antibiotics while on Accutane.

  • Inform your dermatologist about all medications and supplements you are taking.

• Side Effect Management:

  • Common side effects include dry skin, chapped lips, dry eyes, and nosebleeds. Use moisturizers, lip balm, artificial tears, and nasal saline sprays as needed.

  • Report any severe side effects to your dermatologist immediately, including mood changes, severe headache, vision changes, or gastrointestinal issues.