Question

After trying many other treatments, a 28-year-old female is started on isotretinoin (Accutane) for treatment of severe acne. While she is on this medication , what explicit instructions must be followed? (Select all that apply.)

1. She must use two forms of birth control and have
pregnancy tests before beginning, during, and after she is on the therapy.
2. She must have vision checks performed every 6 months.
3. She must increase intake of vitamin A-rich foods.
4. She must return every 2 to 3 months for laboratory
tests.
5. She must delay any future pregnancies for a period of 5 years.

Answer 1

A female taking isotretinoin for severe acne must use two forms of birth control, have regular vision checks, and return for laboratory tests every 2 to 3 months.

Step-by-step explanation:

When taking isotretinoin (Accutane) for the treatment of severe acne, the following explicit instructions must be followed:

1. She must use two forms of birth control and have pregnancy tests before beginning, during, and after she is on the therapy. Isotretinoin can cause severe birth defects and must not be taken during pregnancy.
2. She must have vision checks performed every 6 months. Isotretinoin can cause changes in vision, so it is important to monitor any visual changes.
3. She must return every 2 to 3 months for laboratory tests. Isotretinoin can affect liver function, cholesterol levels, and blood cell counts, so regular monitoring is necessary.