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Accutane is a medication used for treatment of nodular acne. This retinoid is used, as a rule, after treatment with antibiotics and topical medications has failed to relieve the symptoms of acne. Nodular acne is developed by a bacterium variety (Propionibacterium acnes) that normally lives on our skin and feeds on the oil, produced by oil glands of the skin. When oil glands start producing more oil (like during adolescence), this bacterium grows and spreads. The body starts producing enzyme to fight this it. In the result, nodular acne is formed on the spots where enzyme accumulates. Accutane targets the very root of the problem, the oil glands, making them produce less oil for the Propionibacterium acnes bacterium to feed on.

You cannot use Accutane, if you have such conditions as liver disease, diabetes, asthma, an eating disorder, osteoporosis or some other bone disorder, heart disease, an intestinal disorder (inflammatory bowel disease, uncreative colitis, or Crohn's disease), a personal or family history of depression or mental illness, and also if you are allergic to isotretinoin or parabens. You should not use Accutane, if you are pregnant/ plan to become pregnant or nursing a baby. The medication, even in one single dose, can severely affect the baby’s eyes, heart, brain, face or ears.

While using Accutane take no steroids, no supplements containing vitamin A, seizure medications, tetracycline antibiotics, and avoid UV rays. The medication makes your skin more sensitive and UV rays, even in small doses, may cause sunburns. Take Accutane in doses and for the period as prescribed by your doctor. Usually a treatment course starts with a low dose and lasts 16 to 20 weeks. Your doctor may find it necessary to increase your dose after several weeks of therapy. Swallow the capsules without chewing, with a lot of water. For a short while, in the beginning of treatment with Accutane, your acne may become worse, but soon the situation will start steadily improving.