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Accutane (isotretinoin) is a prescription medication used to treat severe skin conditions (nodular acne) in patients for whom other methods proved inefficient. Every woman of child-bearing potential must become a member of a special iPLEDGE program that requires the patients to whom the drug has been prescribed to follow certain guidelines. For instance, females intending to take Accutane are supposed to have a negative pregnancy lab test 30 days before starting the treatment. This is necessary to rule out pregnancy, as this medicine can cause life-threatening birth defects in unborn babies. In rare cases this drug can cause certain psychiatric problems, including suicidal thoughts, depression or psychosis. Your doctor needs to know whether these conditions have ever been found in other members of the family to make sure you benefit from the treatment. If you experience vomiting, nausea, vision changes and headaches these may be the symptoms of high intracranial pressure. Report them immediately to your health care provider to receive professional advice.

If you have developed any changes in hearing this may be related to your treatment with Accutane. Tell your doctor about the problem as soon as possible as you may be required to stop taking the drug completely. It is not known exactly whether Accutane can pass into breast milk and affect the health or a nursing infant. Make sure you tell your doctor if you are breastfeeding a baby before asking him for a prescription. You can always read your patient information leaflet for additional information on Accutane. If you are not sure about how to take this drug or did not understand very well the instructions provided by your doctor it’s recommended to get information from other reliable sources (e.g. from your pharmacist) to prevent dangerous health effects.