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The prescription medication isotretinoin is more commonly known as Accutane. This medication is used to treat severe acne that has not responded to less intensive courses of treatment. Accutane is a medication that was originally developed as a chemotherapy type medication for the treatment of brain and pancreatic cancer. While the medication is better known for the treatment of acne, it is still used today to treat these and other cancers.
Accutane may be prescribed to patients to treat many different types of acne but is the treatment of choice for acne vulgaris. Accutane may also be indicated in the treatment of acne rosacea. Some doctors also use Accutane for the treatment of harlequin ichthyosis, xeroderma, and keratoses. Accutane is used daily for four to six months. The dosage will vary from patient to patient depending on size as well as tolerance. Doses vary from 0.5mg to 2mg a day. In some cases the treatment can be continued for nine months. Many patients will require a second course about two months after the initial treatment to maximize results.
While Accutane is very effective in the treatment of acne, there are some unintended side effects that may occur in some patients. These side effects include acne flare, dry skin, chapped lips, cuticle infections, itch, peeling skin, flushing, nose bleeds, and dry eyes. Other side effects include inability to wear contact lenses, headaches, thinning of the skin, hair thinning, back pain, and raised blood glucose levels. These side effects are usually not disturbing enough for a patient to discontinue medication but the severity of the side effects vary from one patient to another. Patients should discuss side effects with their doctor as they occur to determine if Accutane continues to be the best course of action for their condition.