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What is the most important information I should know about Accutane?
• Accutane is a medication taken to treat severe nodular acne that hasnot been helped by other treatments, including antibiotics district of columbia accutane attorneys. However, Accutanecan cause serious side effects district of columbia accutane attorneys. Before starting treatment with Accutane, discusswith your doctor how bad the acne is, the possible benefits of Accutane, andthe possible side effects district of columbia accutane attorneys. Your doctor will ask you to read and sign a formindicating that you understand the serious risks associated with Accutane therapy district of columbia accutane attorneys.
• Do not take Accutane if you are pregnant or if you could become pregnantduring treatment or for one month after you stop taking Accutane district of columbia accutane attorneys. Accutane isin the FDA pregnancy category X district of columbia accutane attorneys. This means that Accutane is known to causesevere birth defects in an unborn baby district of columbia accutane attorneys. It can also cause miscarriage, prematurebirth, or death of the baby district of columbia accutane attorneys. You must take a pregnancy test and have negativeresults when you and your doctor decide that Accutane may be beneficial foryour condition district of columbia accutane attorneys. You must have a second pregnancy test with negative resultsduring the first 5 days of the menstrual period right before you start takingAccutane district of columbia accutane attorneys. Two reliable forms of birth control must be used at the same time(unless abstinence is the chosen method of birth control or if you have undergonea hysterectomy) for one month before starting treatment with Accutane, duringtreatment with Accutane, and for at least 1 month following the end of treatment district of columbia accutane attorneys. You will also be asked to take a pregnancy test on a monthly basis district of columbia accutane attorneys. Your doctorwill discuss with you and provide for you a video and written information regardingchoices for birth control, possible causes for birth control failure, and theimportance of using birth control while taking Accutane district of columbia accutane attorneys. If you become pregnant,stop using birth control, or miss your menstrual period, immediately stop takingAccutane and notify your doctor district of columbia accutane attorneys.
• Some patients have experienced depression (including feelings of sadness,irritability, unusual tiredness, trouble concentrating, and loss of appetite)and suicidal thoughts and/or behavior during, and soon after stopping, treatmentwith Accutane district of columbia accutane attorneys. Notify your doctor immediately if you begin to experience signsof depression or if you begin to have thoughts about taking your own life duringor shortly following treatment with Accutane district of columbia accutane attorneys.
• Do not take vitamin supplements containing vitamin A during treatmentwith Accutane district of columbia accutane attorneys. This could cause increased side effects district of columbia accutane attorneys.
• Do not donate blood while taking Accutane and for at least 1 month followingthe end of treatment district of columbia accutane attorneys. Blood donated while taking Accutane may be given to apregnant woman and be harmful to her baby district of columbia accutane attorneys.
• Do not use wax hair removal systems or have any skin resurfacing procedures(such as dermabrasion or laser treatment) performed while taking Accutane andfor six months following treatment due to the possibility of scarring district of columbia accutane attorneys.
• Avoid exposure to sunlight or UV rays while taking Accutane district of columbia accutane attorneys. Accutanemay increase the sensitivity of the skin to sunlight and a severe sunburn couldresult district of columbia accutane attorneys.
• Use caution when driving a vehicle at night district of columbia accutane attorneys. Accutane can cause decreasednight vision district of columbia accutane attorneys. The onset of decreased night vision may be sudden district of columbia accutane attorneys.
• Take all of the Accutane that has been prescribed for you even if yoursymptoms start to improve district of columbia accutane attorneys. The acne may seem to get worse at the start of therapy,but should then begin to improve district of columbia accutane attorneys. For the best results, finish all of the medicationthat has been prescribed district of columbia accutane attorneys. You may require more than one course of therapy withAccutane district of columbia accutane attorneys.


What is Accutane?
• Accutane is a form of vitamin A district of columbia accutane attorneys. It decreases the amount of sebum (oil)that is released by the sebaceous (oil) glands, and it increases that rate atwhich the skin renews itself district of columbia accutane attorneys.
• Accutane is used to treat severe nodular acne that has not respondedto other treatments, including antibiotics district of columbia accutane attorneys.
• Accutane may also be used for purposes other than those listed in thismedication guide district of columbia accutane attorneys.


What should I discuss with my healthcare provider before taking Accutane?
• Before taking Accutane, tell your doctor if you have
· a personal or family history of mental problems including depression,suicidal behavior, or psychosis (loss of contact with reality, hearing voices,or seeing things that are not there);
· diabetes;
· asthma;
· heart disease;
· osteoporosis (bone loss) or weak bones;
· anorexia nervosa;
· high cholesterol or triglyceride levels (types of fat) in the blood;or
· liver disease district of columbia accutane attorneys.
• You may not be able to take Accutane, or you may require a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove district of columbia accutane attorneys.
• Do not take Accutane if you are pregnant or if you could become pregnantduring treatment or for one month after you stop taking Accutane district of columbia accutane attorneys. Accutane isin the FDA pregnancy category X district of columbia accutane attorneys. This means that Accutane is known to causesevere birth defects in an unborn baby district of columbia accutane attorneys. It can also cause miscarriage, prematurebirth, or death of the baby district of columbia accutane attorneys. You must take a pregnancy test and have negativeresults when you and your doctor decide that Accutane may be beneficial foryour condition district of columbia accutane attorneys. You must have a second pregnancy test with negative resultsduring the first 5 days of the menstrual period right before you start takingAccutane district of columbia accutane attorneys. Two reliable forms of birth control must be used at the same time(unless abstinence is the chosen method of birth control or if you have undergonea hysterectomy) for one month before starting treatment with Accutane, duringtreatment with Accutane, and for at least 1 month following the end of treatment district of columbia accutane attorneys. You will also be asked to take a pregnancy test on a monthly basis district of columbia accutane attorneys. Your doctorwill discuss with you and provide for you a video and written information regardingchoices for birth control, possible causes for birth control failure, and theimportance of using birth control while taking Accutane district of columbia accutane attorneys. If you become pregnant,stop using birth control, or miss your menstrual period, immediately stop takingAccutane and notify your doctor district of columbia accutane attorneys.
• It is not known whether Accutane passes into breast milk district of columbia accutane attorneys. Do not takeAccutane without first talking to your doctor if you are breast-feeding a baby district of columbia accutane attorneys.


How should I take Accutane?
• Take Accutane exactly as directed by your doctor district of columbia accutane attorneys. If you do not understandthese instructions, ask your pharmacist, nurse, or doctor to explain them toyou district of columbia accutane attorneys.
• Accutane is a medication taken to treat severe nodular acne that hasnot been helped by other treatments, including antibiotics district of columbia accutane attorneys. However, Accutanecan cause serious side effects district of columbia accutane attorneys. Before starting treatment with Accutane, discusswith your doctor how bad the acne is, the possible benefits of Accutane andthe possible side effects district of columbia accutane attorneys. Your doctor will ask you to read and sign a formindicating that you understand the serious risks associated with Accutane therapy district of columbia accutane attorneys.
• You will get no more than a 30-day supply of Accutane at a time district of columbia accutane attorneys. Yourprescription should have a special yellow self-adhesive sticker attached toit district of columbia accutane attorneys. If your prescription does not have this yellow sticker, call your doctor district of columbia accutane attorneys. The pharmacy should not fill the prescription without this sticker district of columbia accutane attorneys.
• Take each dose of Accutane with a full glass of water district of columbia accutane attorneys. This will helpprevent the medication inside the capsule from irritating the lining of theesophagus district of columbia accutane attorneys. For the same reason, do not chew or suck on the capsule district of columbia accutane attorneys.
• Take Accutane twice a day with food or milk to get the best results fromthis medication, unless otherwise directed by your doctor district of columbia accutane attorneys.
• Take all of the Accutane that has been prescribed for you even if yoursymptoms start to improve district of columbia accutane attorneys. The acne may seem to get worse at the start of therapy,but should then begin to improve district of columbia accutane attorneys. For the best results, finish all of the medicationthat has been prescribed district of columbia accutane attorneys. You may require more than one course of therapy withAccutane district of columbia accutane attorneys.
• Your doctor may perform blood tests during treatment with Accutane tomonitor side effects from this medication district of columbia accutane attorneys.
• Due to the serious side effects that may occur with the use of this medication,do not share it with anyone else district of columbia accutane attorneys.
• Store Accutane at room temperature away from moisture and heat district of columbia accutane attorneys.


What happens if I miss a dose?
• Take the missed dose as soon as you remember district of columbia accutane attorneys. However, if it is almosttime for the next dose, skip the missed dose and only take the next regularlyscheduled dose district of columbia accutane attorneys. Do not take a double dose of this medication district of columbia accutane attorneys.


What happens if I overdose?
• Seek emergency medical attention district of columbia accutane attorneys.
• Symptoms of an Accutane overdose include vomiting, abdominal pain, flushingof the face, inflammation of the lips, headache, dizziness, and clumsiness district of columbia accutane attorneys.


What should I avoid while taking Accutane?
• Do not take vitamin supplements containing vitamin A during treatmentwith Accutane district of columbia accutane attorneys. This could cause increased side effects district of columbia accutane attorneys.
• Do not donate blood while taking Accutane and for at least 1 month followingthe end of treatment district of columbia accutane attorneys. Blood donated while taking Accutane may be given to apregnant woman and be harmful to her baby district of columbia accutane attorneys.
• Do not use wax hair removal systems or have any skin resurfacing procedures(such as dermabrasion or laser treatment) performed while taking Accutane andfor six months following treatment due to the possibility of scarring district of columbia accutane attorneys.
• Avoid exposure to sunlight or UV rays while taking Accutane district of columbia accutane attorneys. Accutanemay increase the sensitivity of the skin to sunlight and a severe sunburn couldresult district of columbia accutane attorneys.
• Use caution when driving a vehicle at night district of columbia accutane attorneys. Accutane can cause decreasednight vision district of columbia accutane attorneys. The onset of decreased night vision may be sudden district of columbia accutane attorneys.


What are the possible side effects of Accutane?
• Stop taking Accutane and seek emergency medical attention or contactyour doctor immediately if you experience any of the following serious sideeffects:
· an allergic reaction (difficulty breathing; closing of the throat;swelling of the lips, tongue, or face; or hives);
· changes in vision, blurred vision, or decreased vision (especiallyat night);
· painful or constant dryness of the eyes;
· depression including feelings of sadness, crying spells, irritability,changes in sleep patterns, unusual tiredness, trouble concentrating, loss ofappetite, and/or suicidal thoughts or other mental problems;
· stomach, chest, or bowel pain;
· rectal bleeding, or severe or bloody diarrhea;
· difficulty or pain when swallowing;
· new or worsening heartburn;
· yellowing of the skin or eyes or persistently dark urine;
· severe headache or dizziness;
· seizures;
· nausea and vomiting;
· joint or muscle pain or bone problems;
· hearing problems or hearing loss;
· trouble breathing;
· fainting;
· increased thirst or urination;
· slurred speech or problems moving;
· leg swelling;
· increased levels of cholesterol or triglyceride (types of fat) in yourblood (detected by blood tests) district of columbia accutane attorneys.
• Other, less serious side effects are more likely to occur district of columbia accutane attorneys. Continue totake Accutane and talk to your doctor if you experience
· inflammation, dryness, or cracking of the lips;
· dry skin, dry mouth, dry or bleeding nose, dryness of the eyes and/ordifficulty wearing contact lenses;
· itching; or
· increased sensitivity of the skin to the sun district of columbia accutane attorneys.
• Side effects other than those listed here may also occur district of columbia accutane attorneys. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome district of columbia accutane attorneys.


What other drugs will affect Accutane?
• Do not take any of the following medicines while taking Accutane:
· vitamin supplements containing vitamin A; or
· a tetracycline antibiotic such as tetracycline (Sumycin, Achromycin,Panmycin, Robitet, others), minocycline (Minocin, Dynacin, Vectrin), doxycycline(Doryx, Monodox, Vibramycin, Vibra-Tabs), demeclocycline (Declomycin), or troleandomycin(TAO) district of columbia accutane attorneys.
• Taking any of the drugs listed above during treatment with Accutane maybe dangerous district of columbia accutane attorneys.
• Before taking Accutane, tell your doctor if you are taking carbamazepine(Tegretol, Carbatrol, Epitol) district of columbia accutane attorneys. You may require a dosage adjustment or specialmonitoring during treatment district of columbia accutane attorneys.
• Do not use other acne medications unless otherwise directed by your doctor district of columbia accutane attorneys. They may interfere with the treatment or increase irritation of the skin district of columbia accutane attorneys.
• Do not take birth control pills that do not contain estrogen ("minipills")during treatment with Accutane district of columbia accutane attorneys. They may not work while taking Accutane district of columbia accutane attorneys.
• Drugs other than those listed here may also interact with Accutane district of columbia accutane attorneys. Talkto your doctor or pharmacist before taking any prescription or over-the-countermedicines, including herbal products district of columbia accutane attorneys.


Where can I get more information?
• Your pharmacist has additional information about Accutane written forhealth professionals that you may read district of columbia accutane attorneys.


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