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Isotretinoin or accutane is an effective treatment against acne and its effect is unquestionable. However, its potency in treating the said skin problem makes it a double-edged sword. Accutane is very dangerous for women who are pregnant. Taking it while pregnant may lead to several congenital defects in the baby’s ears, eyes, brain, heart and many other vital organs in the body. Remember that one dose of Accutane while pregnant is equivalent to one birth defect of the fetus.
Other diseases are also contraindicated with isotretinoin such as a history of mental illness which runs in the family. Heart disease and bone disorders such as osteoporosis should also be reported before being prescribed with this medication. If a patient has any of these conditions, there might be some adjustments or control of the dose before being allowed to take it.
A standard course of therapy is 16 to 20 weeks. At the end of 16 weeks, about 85% of patients are clear. The beneficial effects of Accutane do not stop when the drug is discontinued. A further reduction of acne lesions and improvement of scarring is seen for months after treatment has stopped. Another beneficial affect of Accutane is that after a course of the drug, the skin usually responds better to conventional acne therapy.