This product is a controlled substance in Mexico and requires a doctor’s approval and prescription. The cost for the prescription and approval from the independant doctor is included in the purchase price of this medicine. This and other medicines similar will be screened for possible combinations by your approving doctor that may be harmful if taken together. here is no cost and a refund will be issued for the total price if your doctor does not approve your prescription. Accutane Generic name: Isotretinoin Brand names: Amnesteem, Accutane Spanish name: ROACCUTAN Why is Accutane prescribed? Accutane, a chemical cousin of vitamin A, is prescribed for the treatment of severe, disfiguring cystic acne that has not cleared up in response to milder medications such as antibiotics. It works on the oil glands within the skin, shrinking them and diminishing their output. You take Accutane by mouth every day for several months, then stop. The antiacne effect can last even after you have finished your course of medication. Most important fact about Accutane Because Accutane can cause severe birth defects, including mental retardation and malformations of the face, eyes, ears, skull, nervous system, cardiovascular system, and glands, a woman must not become pregnant while taking it. Before starting Accutane therapy, women of childbearing age will be asked to read a pamphlet, watch a video, and sign a detailed consent form regarding the danger of birth defects. You must have two negative pregnancy tests before beginning Accutane therapy, and must take monthly pregnancy tests while using Accutane. In addition, you must use 2 forms of birth control during Accutane therapy, and for 1 month before and after. Each prescription for Accutane must bear a yellow qualification sticker signifying that you meet these requirements. Scientists have not ruled out the possibility that hormone-based contraceptives (birth control pills and implants) may be less reliable when taken with Accutane, so a second form of birth control should always be used while taking Accutane. If you accidentally become pregnant while taking Accutane, you should immediately consult your doctor. How should you take Accutane? Take Accutane two times a day with a meal, unless your doctor tells you otherwise. Swallow the capsule. Don't suck or chew it. Take it with a full glass of water, milk, or other nonalcoholic liquid. Follow your doctor's instructions carefully. Depending on your reaction to Accutane, your doctor may need to adjust the dosage upward or downward. If you respond quickly and very well, your doctor may take you off Accutane even before the 15 or 20 weeks are up. After you finish taking Accutane, there should be at least a 2-month "rest period" during which you are off the drug. This is because your acne may continue to get better even though you are no longer taking the medication. Once the 2 months are up, if your acne is still severe, your doctor may want to give you a second course of Accutane. If you are still growing, your doctor may recommend a longer "rest period." Avoid consumption of alcoholic beverages. Read the patient information leaflet available with the product. Do not crush the capsules. Do not share Accutane with anyone because of the risk of birth defects and other serious side effects. What side effects may occur? Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Accutane. Side effects may include: Back pain, blood disorders, decreased HDL (good) cholesterol, dizziness, dry skin and mucous membranes, hearing problems, high blood sugar, high cholesterol and triglyceride levels, joint pain, mental or mood disorders (such as depression or mood swings), pinkeye, rash, sensitivity to sunlight, vision problems Why should Accutane not be prescribed? If Accutane gives you an allergic reaction, you will not be able to use it. If you are a woman of childbearing age, you should not take Accutane if you are pregnant, if you think there is a possibility you might get pregnant during the treatment, or if you are unable to keep coming back to the doctor for monthly checkups, including pregnancy testing.