To get Accutane, you need a prescription from a dermatologist. This ensures your safety while taking the medication.
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You will have to go through the following steps to get the medication:
Step 1: Schedule an appointment with a dermatologist.
Because Accutane is a potent treatment, your dermatologist will assess your medical history and previous treatments to determine the best treatment plan for you.
It is important that you disclose any health conditions, medications, or supplements you are taking and inform your doctor of your lifestyle, diet, and if you plan to get pregnant. This is because isotretinoin is teratogenic; that is, it is likely to cause birth defects.
Step 2: Getting approved for Accutane: Diagnostic test and IPLEDGE enrollment.
Before you start Accutane, you will need to undergo blood tests to check for health markers like your liver function, cholesterol levels, etc.
Two negative pregnancy tests and a monthly test thereafter are required for women of childbearing age.
In the US, enrollment in the iPLEDGE program is mandatory, as it is designed to prevent fetal exposure to isotretinoin. You will be given information on the risks, requirements, and need for contraception for women of childbearing age.
Step 3: Initial Prescription
Your dermatologist will prescribe an initial dosage once iPLEDGE confirms compliance; this typically takes 30 days.
Ensure you follow the instructions given as directed.
Step 4: Monthly check-in and prescription refills.
Monthly visits are required to monitor your progress and for the next prescription.
Each month, you will answer questions on the iPLEDGE website to confirm you understand the risks and requirements.
Once your compliance with iPLEDGE is confirmed by your dermatologist, your next dose is prescribed.
Step 5: Completing the treatment
Your treatment, which typically lasts 4–6 months, is followed up by an assessment to monitor your skin and health.
FAQ
What Should I Tell My Care Team Before I Take This Medication?
To ensure your safety and the effectiveness of the treatment. Here’s what your care team needs to know:
Medical history: Inform your healthcare provider about any pre-existing conditions, particularly liver disease, diabetes, high cholesterol, or mental health issues.
Current Medications: List all medications you are currently taking, including over-the-counter drugs, vitamins, and supplements, as they may interact with Accutane.
Allergies: Disclose any known allergies to medications.
Pregnancy and Birth Control: Women must discuss their pregnancy plans and use effective birth control because of its effect on birth defects.
Who Should Not Take Accutane
Accutane is not suitable for everyone. Here’s who should steer clear of this medication:
Pregnant Women: Accutane can cause severe birth defects. Women who are pregnant or planning to become pregnant should not take Accutane.
Allergy to Accutane: Those allergic to isotretinoin or any of its components should avoid the medication.
Certain Medical Conditions: Individuals with liver disease, high cholesterol, or severe depression should discuss these conditions with their dermatologist as they may contraindicate Accutane use.
What May Interact with This Medication?
Accutane can interact with several medications, which may affect its efficacy or increase the risk of side effects:
Vitamin A Supplements: Since Accutane is a derivative of vitamin A, taking additional vitamin A can lead to toxicity.
Tetracycline Antibiotics: These antibiotics can increase the risk of pressure around the brain when taken with Accutane.
Other Acne Medications: Combining Accutane with other acne treatments may increase irritation or other adverse effects.
