Tell your doctor if you do not understand everything you were told about isotretinoin and the iPLEDGE broadcast or if you do not think you will be able to keep appointments or fill your prescription on agenda every calendar month. Your repair will give you an identification number and card when you start your treatment. You will need this number to fill your prescriptions and to get information from the iPLEDGE web site and earphone line. Keep the wag in a condom rate where it will not get lost. If you do lose your batting order, you can ask for a replacement through the web site or phone line. Do not donate blood while you are taking isotretinoin and for 1 month after your discussion. Do not parcel isotretinoin with anyone else, even person who has the lapp symptoms that you have. Your doctor or pharmacist will give you the manufacturer ‘s patient information tabloid ( Medication Guide ) when you begin treatment with isotretinoin and each time you refill your prescription. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can besides visit the Food and Drug Administration ( FDA ) web site ( hypertext transfer protocol : //www.fda.gov/Drugs ), the manufacturer ‘s web site, or the iPLEDGE program web site ( hypertext transfer protocol : //www.ipledgeprogram.com ) to obtain the Medication Guide. talk to your doctor about the risks of taking isotretinoin. For female patients :
If you can become fraught, you will need to meet certain requirements during your treatment with isotretinoin. You need to meet these requirements tied if you have not started menstruate ( having monthly periods ) or have had a tubal ligation ( ‘tubes tied ‘ ; operating room to prevent pregnancy ). You may be excused from meeting these requirements lone if you have not menstruated for 12 months in a row and your doctor says you have passed menopause ( change of life ) or you have had operation to remove your uterus and/or both ovaries. If none of these are genuine for you, then you must meet the requirements below. You must use two satisfactory forms of parturition manipulate for 1 month before you begin to take isotretinoin, during your treatment and for 1 calendar month after your discussion. Your sophisticate will tell you which forms of birth see are acceptable and will give you written information about parentage control. You can besides have a absolve visit with a doctor or family plan expert to talk about birth command that is right for you. You must use these two forms of parturition control at all times unless you can promise that you will not have any intimate contact with a male for 1 calendar month before your discussion, during your discussion, and for 1 month after your discussion. If you choose to take isotretinoin, it is your province to avoid pregnancy for 1 month before, during, and for 1 month after your treatment. You must understand that any form of birth control condition can fail. consequently, it is very authoritative to decrease the risk of accidental pregnancy by using two forms of parentage dominance at all times. Tell your doctor of the church if you do not understand everything you were told about parturition control or you do not think that you will be able to use two forms of give birth dominance at all times. If you plan to use oral contraceptives ( birth see pills ) while taking isotretinoin, tell your doctor the name of the pill you will use. Isotretinoin interferes with the natural process of micro-dosed progestin ( ‘minipill ‘ ) oral contraceptives ( Ovrette, Micronor, Nor-QD ). Do not use this type of parturition control while taking isotretinoin. If you plan to use hormonal contraceptives ( parentage control pills, patches, implants, injections, rings, or intrauterine devices ), be certain to tell your doctor about all the medications, vitamins, and herb tea supplements you are taking. many medications interfere with the action of hormonal contraceptives. Do not take St. John ‘s wort if you are using any type of hormonal contraceptive. You must have two negative pregnancy tests before you can begin to take isotretinoin. Your repair will tell you when and where to have these tests. You will besides need to be tested for pregnancy in a lab each month during your treatment, when you take your last dose and 30 days after you take your last acid. You will need to contact the iPLEDGE arrangement by phone or the internet every month to confirm the two forms of birth restraint you are using and to answer two questions about the iPLEDGE plan. You will lone be able to continue to get isotretinoin if you have done this, if you have visited your doctor of the church to talk about how you are feeling and how you are using your birth dominance and if you have had a negative pregnancy examination within the by 7 days.
Stop taking isotretinoin and call your sophisticate mighty away if you think you are meaning, you miss a menstrual period, or you have sex without using two forms of birth see. If you become fraught during your treatment or within 30 days after your discussion, your repair will contact the iPLEDGE program, the manufacturer of isotretinoin, and the Food and Drug Administration ( FDA ). You will besides talk with a repair who specializes in problems during pregnancy who can help you make choices that are best for you and your baby. information about your health and your baby ‘s health will be used to help doctors learn more about the effects of isotretinoin on unborn babies. For male patients : A identical small sum of isotretinoin will credibly be present in your semen when you take appointed doses of this medicine. It is not known if this modest measure of isotretinoin may harm the fetus if your partner is or becomes meaning. Tell your doctor if your partner is pregnant, plans to become pregnant, or becomes pregnant during your treatment with isotretinoin .