Isotretinoin

Isotretinoin is the 13-cis-retinoic acid, a vitamin A derivative, used systematically for treatment of severecystic and conglobulate acne acne not responsive to antibiotic therapy. Thought to act directly on sebaceous glands in the skin to reduce sebum production and alters the lipid composition of the skin surface.


Adult Dose
Dose: 35 to 70 mg
Single Dose: 52 (52.5)
Frequency: 24 hourly
Route: PO
Instructions:
Neonatal
Dose:
Single Dose:
Frequency:
Route:
Instructions: Not recommended in this age group
Paedriatic
Dose: Doses not established for this age group
Single Dose:
Frequency:
Route:
Instructions:
Characteristics
. It is of Synthetic origin and belongs to Retinoid. It belongs to Dermatological Products and Retinoic Acid Derivative pharmacological group.The Molecular Weight of Isotretinoin is 300.40.
Contraindications
Isotretinoin is contraindicated in conditions like Hypersensitivity.
Effects
The severe or irreversible adverse effects of Isotretinoin, which give rise to further complications include Thrombocytopenia, Hepatitis, Myalgia, Hypercholesterolemia, Hypercholesterolemia.Isotretinoin produces potentially life-threatening effects which include Depression. which are responsible for the discontinuation of Isotretinoin therapy.The symptomatic adverse reactions produced by Isotretinoin are more or less tolerable and if they become severe, they can be treated symptomatically, these include Headache, Alopecia, Abdominal pain, Blurred vision, Arthralgia, Erythematous rash, Cheilitis, Conjunctivitis, Nasal bleeding, Photophobia, Skin sepsis, Desquamation, Facial dermatitis, Epistaxis, Paronychia, Blepharoconjunctivitis, Alopecia, Erythematous rash, Pruritis, Skin fragility, Hearing impairment, Impaired night vision.
Indications
Isotretinoin is primarily indicated in conditions like Gram negative folliculitis, Keratiniztion disorders, Mild acne in patients with dysmorphohobia, Rosacea, Severe acne.
Interactions
Isotretinoin is known to interact with other drugs, the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementCarbamazepineResorcinolConcurrent use with resorcinol may cause a cumulative irritant or drying effect, especially with the application of peeling, desquamating, or abrasive agents, resulting in excessive irritation of the skinRetinol (Vitamin A)Retinol (Vitamin A)Sodium ThiosulphateThe concomitant use of isotretinoin with topical Sodium Thiosulphate may additively increase skin irritation. ModerateConcurrent use should generally be avoided.Tetracycline (HCl) These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Interfrence
Liver Function Test (LFT) Raised creatine phosphokinase
Risks
Drug should not be given to Paediatrics, Pregnant Mothers, Geriatrics, and Neonates.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Storage
Caps Store Below 15°C. Protect from Sunlight and Moisture.
Warnings
Isotretinoin should be used with caution in patients with medical history, including diabetes, family history of high blood fats (triglycerides), depression or any allergy (including drugs e.g. Tetracyclines). Do not donate blood while taking isotretinoin and for at least one month after stop taking it. Avoid exposure to the sun and sunlamps use a sunscreen and wear protective clothing when exposed to direct sunlight. Isotretinoin can affect night vision. Be cautious when driving or operating any machinery after dark. Avoid the use of alcohol while taking this. It should not be used during pregnancy or lactation. Do not apply isotretinoin gel to your lips, mouth and mucous membrane or in the angle of your nose.
Back to List

Any information that appears on this website page is provided for the purpose of general information. This website has been compiled in good faith by HMIS.Online. However, no guarantee is made as to the completeness, validity or accuracy of the information it contains.