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- $Unique_ID{BRK01858}
- $Pretitle{}
- $Title{Of Acne and Accutane}
- $Subject{acne pimple pimples cream creams lotion lotions soap soaps Accutane
- medication medications sex life isotretinoin birth defect defects woman women
- female females cystic therapy therapies antibiotic antibiotics control
- controls controlling measure measures pregnancy pregnancies warn warning
- warnings therapy therapies pill pills requirement requirements baby babies
- malformation malformations malformed}
- $Volume{}
- $Log{
- ACNE: Blackheads and Whiteheads*0001101.scf
- ACNE: Pimples and Pustules*0001102.scf}
-
- Copyright (c) 1993 Tribune Media Services, Inc.
-
-
- Of Acne and Accutane
-
-
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-
- QUESTION: I am a young woman, with a severe case of acne. I have tried all
- the creams, lotions and soaps without a great deal of success. A friend of
- mine (a young man) has a similar case of acne and is currently under treatment
- with a medication called Accutane. However when I visited his doctor to get
- the same medicine for myself, I was met with a barrage of questions about my
- sex life, and a number of forms to sign. What goes here? I feel that my sex
- has kept me from a medicine I need and I think that is against the law. Could
- you please comment.
-
- ------------------------------------------------------------------------------
-
- ANSWER: Rather than a case of sexual harassment you have been the recipient
- of some very protective medical care. After a number of reports of birth
- defects associated with taking isotretinoin (Accutane), the manufacturer
- (Hoffman-La Roche) launched an education program to reduce the possibility of
- additional cases of birth defects to an absolute minimum. Doctors, who are
- well advised to follow the program, will prescribe this medication for women
- only when certain circumstances exist. They include: a case of disfiguring
- cystic acne that has failed to respond to other therapies including
- antibiotics; where the patient can understand and carry out instructions
- fully; when the patient can comply with mandatory birth control measures; when
- both verbal and written warnings about the danger of pregnancy have been given
- to the patient and she has acknowledged her understanding of the warnings in
- writing; when a pregnancy test is negative within two weeks of starting the
- therapy, and finally, when the therapy will begin only on the second or third
- day after the next normal period. Both counseling and pregnancy tests
- continue on a monthly basis for the time you are on the medication. In
- addition, since birth control methods may not always be 100 percent
- effective, two methods are required used simultaneously, of which one should
- be the birth control pill.
- Now, if you can meet with all of these requirements, you may obtain a
- prescription from your doctor. It will be for but 1 month's supply, and you
- can obtain renewals after each monthly visit, when the results of pregnancy
- tests are found to be negative. A lot of restrictions? You bet, but it is
- the best way to assure that no malformed babies are created.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-