Side Effects and Conditions Caused By Isotretinoin

Minor discomforts such as dry mouth or nose, dry eyes, dry skin, or itching usually go away as the body adjusts to the drug and do not require medical attention unless they continue or are bothersome.

Other side effects should be brought to a physician’s attention. These include:
•    burning, redness, or itching of the eyes
•    nosebleeds
•    signs of inflammation of the lips, such as peeling, burning, redness or pain

Bowel inflammation is not a common side effect, but it may occur. If any of the following signs of bowel inflammation occur, stop taking isotretinoin immediately and check with a physician:
•    pain in the abdomen
•    bleeding from the rectum
•    severe diarrhea

Conditions Caused By Benzoyl Peroxide and Tretinoin

The most common side effects of antiacne drugs applied to the skin are slight redness, dryness, peeling, and stinging, and a warm feeling to the skin. These problems usually go away as the body adjusts to the drug and do not require medical treatment.
Other side effects should be brought to a physician’s attention. Check with a physician as soon as possible if any of the following side effects occur:

•    blistering, crusting, or swelling of the skin
•    severe burning or redness of the skin>
•    darkening or lightening of the skin (This effect will eventually go away after treatment with an antiacne drug ends.)
•    skin rash

Other side effects are possible with any type of antiacne drug. Anyone who has unusual symptoms while using antiacne drugs should get in touch with his or her physician.
Interactions

Patients using antiacne drugs on their skin should tell their physicians if they are using any other prescription or nonprescription (over-the-counter) medicine that they apply to the skin in the same area as the antiacne drug.

Isotretinoin may interact with other medicines. When this happens, the effects of one or both drugs may change or the risk of side effects may be greater. Anyone who takes isotretinoin should let the physician know about all other medicines being used and should ask whether the possible interactions can interfere with drug therapy.

Among the drugs that may interact with isotretinoin are listed below:
•    Etretinate (Tegison), used to treat severe psoriasis. Using this medicine with isotretinoin increases side effects.
•    Tretinoin (Retin-A, Renova). Using this medicine with isotretinoin increases side effects.
•    Vitamin A or any medicine containing vitamin A. Using any vitamin A preparations with isotretinoin increases side effects. Do not take vitamin supplements containing vitamin A while taking isotretinoin.
•    Tetracyclines (used to treat infections). Using these medicines with isotretinoin increases the chance of swelling of the brain. Make sure the physician knows if tetracycline is being used to treat acne or another infection.

Parental Concerns

Acne comes at a difficult time, the adolescent years. While mild acne can be treated with over-the-counter medications, more severe acne needs medical attention. Experts advise against a wait-and-see attitude. Treatment options can help control acne and avoid scarring.

Isotretinoin can cause serious birth defects, including mental retardation and physical deformities. This medicine should not be used during pregnancy. Sexually active adolescent females who are able to bear children should not use isotretinoin unless they have very severe acne that has not cleared up with the use of other antiacne drugs. In addition, acne treatments that can dry the skin should be used with caution by people with skin of color.

Dry Skin Tips and Facts

Dry Skin?
Dry skin is a problem not just in the winter with its cold temperatures, and howling winds, but dry skin can come from using harsh cleansers, having too hot a bath or even getting on an airplane. Here are a few tips to help you minimize that annoying, itchy dry skin: If you want more skin care tips, visit www.DermatologyCare.ca .

Form a Barrier:
Moisturizers are designed to reduce water loss from the epidermis (the outermost layer of the skin). In addition to preventing further dryness, they provide a barrier against soot and dirt, make your pores seem smaller and offer a temporary feeling of smoothness.
Say “No” to Hot Baths

Don’t take long, hot baths because this can exacerbate dry skin in the winter months. Instead try short, lukewarm baths or showers. When you get out of the shower, gently pat dry your skin and then moisturize right away.
Moisturize! Moisturize!

A moisturizer is essential - A moisturizer performs several important functions. It replaces lost water and water-binding ingredients (such as glycerin) help keep it in the skin. Find products like Olay® Ribbons, that cleanse and moisturize, saving you one extra step.
Your Skin Wants Water!

Drink lots of water - Increase your body’s natural moisture level by staying hydrated throughout the day.
Dry lips?

Licking them won’t bring relief - it will only make them more dry and chapped. To keep your lips soft and smooth, apply a moisturizing lip salve, especially before bed.
Careful How You Cleanse

With the cold, harsh, dry winter, using mild cleansers on the skin will help prevent against dry, itchy skin.

To Shower or Bathe?
Do you have dry skin? Try showering or bathing every other day instead of daily. This will help your skin maintain the oils that are so essential to great-feeling skin.

“Airplane” Skin
Does your skin and hair feel tight or dry when you get off of an airplane? The humidity on a plane can reach as low as 1% humidity on long flights and it can take just a 3 hour flight to sap all the moisture from your skin and hair. So stay hydrated during and after your flight, limit your intake of coffee and alcohol - they just make things worse, carry your moisturizer in your hand luggage to slather on mid flight and before you deplane, splash your face with water and follow by your moisturizer.

Seal In The Moisture
Want skin that is soft and smooth? When drying off after a bath or shower, apply lotion or body oil while you’re skin is still damp. This will help seal in moisture and leave your skin feeling great.

Can It Be Contact Dermatitis?
Has your skin suddenly become red, itchy or inflamed? Maybe a red rash? You may be experiencing contact dermatitis. Remember that moisturizers can play an important preventative role by increasing the skin’s hydration levels and maintaining and repairing the skin barrier.. Inflamed skin is warmer so more water evaporation takes place therefore more moisturizing is needed.

Soothe Your Skin
Dry or sensitive skin, eczema and other factors can result in itchy skin. A traditional way to sooth the itch is to add oatmeal to your bathwater.