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Precautions

Do NOT use Accutane if:

• you're allergic to any ingredient in Accutane
• you might be pregnant, planning to become pregnant, or conceive while taking Accutane
• you are breast-feeding
• you take tetracycline antibiotics or vitamin A-type medicines (eg, etretinate, vitamin A).

Contact your physician or health care provider if all of these affect you.

Some medical conditions may interact with Accutane. Tell your physician or pharmacist in case you have any medical ailments, particularly when any of the following affect you:

• if you're pregnant, about to conceive, or are breast-feeding
• should you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, or another substances
• if you happen to be woman and unable to work with 2 effective kinds of birth control or avoid sexual intercourse
• in case you have diabetes, a family good diabetes, high blood cholesterol or triglyceride levels, psychiatric disorders, suicidal thoughts, liver disease, pancreatitis, a bone loss condition (eg, osteoporosis), decreased bone density, an eating disorder, severe diarrhea, rectal bleeding, loss of hearing, ringing inside the ears, or stomach pain.

Some medicines may interact with Accutane. Tell your medical provider if you are taking any other medicines, especially any with the following:

• Tetracyclines because with the risk of increasing pressure in the brain
• St. John's wort because of probability of failure of hormonal contraceptives (eg, contraception pills)
• Vitamin A-type medicines (eg, etretinate, vitamin A) because they may increase the risk of Accutane's unwanted side effects
• Corticosteroids (eg, prednisone) or phenytoin for the reason that chance of their unwanted effects could be increased by Accutane
• Progestin-only contraception (eg, "mini-pill") because its effectiveness could possibly be decreased by Accutane.

This might not be a total list of all interactions which could occur. Ask your doctor if Accutane may talk with other medicines that you just take. Check with your health care provider before you start, stop, or change the dose of the medicine.

Important safety information:

• Accutane could cause drowsiness or dizziness. These effects might be worse if you get it with alcohol or certain medicines. Use Accutane with caution. Do not drive or perform other possibly unsafe tasks until you know how you answer it.
• A sudden loss of night vision may occur while you are taking Accutane. Use caution when driving through the night and get away from driving through the night in case you experience decreased night vision.
• If you wear contacts, you may have difficulty using them during and after therapy.
• Do not give blood while taking Accutane and for four weeks after stopping taking Accutane.
• Do not consume alcohol while taking Accutane.
• Worsening of acne may occur during the first part of therapy. This does not suggest failure or perhaps a have to stop the medicine.
• To prevent cracking of lips, use a lip moisturizer or balm.
• Do not have cosmetic procedures to smooth the skin, including waxing, dermabrasion, or laser procedures, as you take Accutane as well as for at the very least 6 months as soon as you stop. Accutane can raise your probability of scarring out there procedures.
• Accutane may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths and soon you know how you answer Accutane. Use a sunscreen or wear protective clothing in the event you should be outside for more than a limited time.
• Some patients, while taking Accutane or just after stopping it, have become depressed or developed serious mental problems. Stop using Accutane and tell your medical provider without delay when you have all of these symptoms: feeling sad or having crying spells; feeling anxious; progressively more irritable, angry, or aggressive than usual; losing pleasure or interest in social or athletics; sleeping a lot of or not enough; changes in weight or appetite; feeling like you might have no energy; having difficulty concentrating; having thoughts about taking your own personal life or hurting yourself (suicidal thoughts).
• Tell your health care provider in case you plan vigorous physical activity (sports) during treatment with Accutane.
• Sexually active women of childbearing age must use 2 effective types of birth control method at least four weeks before commencing therapy, during therapy, as well as 1 month after stopping the medicine. Your doctor should conduct pregnancy tests on a monthly basis whilst you are taking Accutane.
• Certain contraception pills (progestin-only pills, "mini pills") that won't contain estrogen might not be as effective whilst you take Accutane.
• You must not take the herbal supplement St. John's wort as it makes contraceptive pills less effective.
• Diabetes patients - Accutane may affect your blood glucose levels. Check blood sugar levels levels carefully. Ask your medical professional prior to deciding to alter the dose of the diabetes medicine.
• Lab tests, including pregnancy tests, cholesterol and lipid levels, liver function, blood glucose levels, and white blood cell counts, may be performed when you use Accutane. These tests might be used to monitor your complaint or look for unwanted effects. Be sure to keep all doctor and lab appointments.
• Accutane shouldn't be utilized in children younger than 12 yrs . old; safety and effectiveness in these children have not been confirmed.
• Pregnancy and breast-feeding: Do not get pregnant. Accutane could cause serious birth defects, miscarriage, early birth, or death of the fetus. If you might have sex at any time without using 2 types of effective birth control method, get pregnant, think you may be pregnant, or miss your menstrual period, stop using Accutane and call your health care provider. Do not breast-feed while taking Accutane and then for 30 days after stopping Accutane. Accutane may pass through your milk and harm the baby.