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Do NOT use Accutane if:

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• you consider tetracycline antibiotics or vitamin A-type medicines (eg, etretinate, vitamin A).

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Contact your physician or physician if any of these connect with you.

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• in case you have diabetes, a family good reputation for diabetes, high blood cholesterol or triglyceride levels, psychiatric disorders, suicidal thoughts, liver disease, pancreatitis, a bone loss condition (eg, osteoporosis), decreased bone mineral density, an eating disorder, severe diarrhea, rectal bleeding, loss of hearing, ringing within the ears, or stomach pain.

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• Vitamin A-type medicines (eg, etretinate, vitamin A) since they might increase the likelihood of Accutane's unwanted effects

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This will not be a total report on all interactions that may occur. Ask your medical provider if Accutane may interact with other medicines that you take. Check with your medical provider prior to starting, stop, or customize the dose of any medicine.

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Important safety information:

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• Accutane may cause drowsiness or dizziness. These effects may be worse in the event you get it with alcohol or certain medicines. Use Accutane with caution. Do not drive or perform other possibly unsafe tasks before you discover how you respond to it.

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• A sudden reduction in night vision may occur whilst you take Accutane. Use caution when driving at night and prevent driving in the evening if you experience decreased night vision.

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• If you wear contact lenses, you may have difficulty wearing them during and after therapy.

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• Do not give blood while taking Accutane and then for four weeks after stopping taking Accutane.

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• Do not consume alcohol while taking Accutane.

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• Worsening of acne may occur through the first section of therapy. This does not suggest failure or perhaps a must stop the medicine.

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• Accutane could potentially cause you to become sunburned with less effort. Avoid the sun, sunlamps, or tanning booths until you know how you react to Accutane. Use a sunscreen or wear protective clothing if you have to be outside for more than a limited time.

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• Some patients, while taking Accutane or immediately after stopping it, have grown to be depressed or developed serious mental problems. Stop using Accutane and tell your doctor without delay if you have any of these symptoms: feeling sad or having crying spells; feeling anxious; progressively more irritable, angry, or aggressive than usual; losing pleasure or interest in social or sports activities; sleeping a lot of or not enough; modifications in weight or appetite; feeling like you've got no energy; having trouble concentrating; having thoughts about taking your own life or hurting yourself (suicidal thoughts).

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• Tell your medical provider should you plan vigorous physical exercise (sports) during treatment with Accutane.

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• Sexually active women of childbearing age must use 2 effective kinds of contraception at least 30 days before beginning therapy, during therapy, as well as four weeks after stopping the medicine. Your doctor should conduct pregnancy tests on a monthly basis when you take Accutane.
• Certain contraceptive pills (progestin-only pills, "mini pills") that do not contain estrogen is probably not as effective as you take Accutane.

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• You must not go ahead and take herbal supplement St. John's wort given it makes contraceptive pills less efficient.

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• Accutane shouldn't be utilized in children younger than 12 yrs . old; safety and effectiveness during these children have not been confirmed.

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• Pregnancy and breast-feeding: Do not become pregnant. Accutane can cause serious birth defects, miscarriage, early birth, or death with the fetus. If you have sex whenever you want without the need for 2 kinds of effective contraceptive, get pregnant, think you could possibly be pregnant, or miss your menstrual period, stop using Accutane and call your medical provider. Do not breast-feed while taking Accutane as well as four weeks after stopping Accutane. Accutane may move across your milk and harm the baby.

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