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This page/column contains information which may be of interest to consumers. The information is based on articles which appear in Australian Prescriber. As Australian Prescriber is written for health professionals, you should discuss any issues raised by this page/column with your doctor or pharmacist. They will be able to give a more detailed answer to your questions by reading the main article.

Australian Prescriber is unable to comment on individual cases or give second opinions.

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Australian Prescriber Vol. 28 No. 3 2005

Acne

Acne is a common condition. Some people develop a severe form of acne which can cause cysts and scars.

If treatment is needed for severe acne, a medicine called isotretinoin may be recommended. Isotretinoin capsules can only be prescribed by skin specialists (dermatologists).

While isotretinoin helps many patients it has serious side effects. It is important to follow the dermatologist's advice about how to reduce the risk of these side effects. This includes having regular blood tests to check for liver damage. Although there is much concern about depression and suicide, there is currently no scientific evidence to support an association with isotretinoin.

A particular problem with isotretinoin is birth defects. Women must not become pregnant while taking isotretinoin or for a month after stopping treatment.