Accutane Side Effects
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Accutane Side Effects
Clinical Trials and Postmarketing Surveillance
The Accutane side effects listed below reflect the experience from investigational studies of Accutane, and the postmarketing experience. The relationship of some of these events to Accutane therapy is unknown. Many of the side effects and adverse reactions seen in patients receiving Accutane are similar to those described in patients taking very high doses of vitamin A (dryness of the skin and mucous membranes, eg, of the lips, nasal passage, and eyes).
Dose Relationship
Cheilitis and hypertriglyceridemia are usually dose related. Most adverse reactions reported in clinical trials were reversible when therapy was discontinued; however, some persisted after cessation of therapy (see WARNINGS and SIDE EFFECTS).
Body as a Whole
- allergic reactions, including vasculitis, systemic hypersensitivity, edema, fatigue, lymphadenopathy, weight loss
Cardiovascular
- palpitation
- tachycardia
- vascular thrombotic disease
- stroke
Endocrine/Metabolic
- hypertriglyceridemia
- alterations in blood sugar levels
Gastrointestinal
- inflammatory bowel disease
- hepatitis
- pancreatitis, -bleeding and inflammation of the gums
- colitis
- esophagitis/esophageal ulceration
- ileitis
- nausea
- other nonspecific gastrointestinal symptoms
Hematologic
- allergic reactions
- anemia
- thrombocytopenia
- neutropenia
- rare reports of agranulocytosis
Musculoskeletal
- skeletal hyperostosis
- calcification of tendons and ligaments
- premature epiphyseal closure
- decreases in bone mineral density
- musculoskeletal symptoms (sometimes severe) including back pain and arthralgia
- transient pain in the chest
- arthritis
- tendonitis
- other types of bone abnormalities
- elevations of CPK/rare reports of rhabdomyolysis
Neurological
- pseudotumor cerebri
- dizziness
- drowsiness
- headache
- insomnia
- lethargy
- malaise
- nervousness
- paresthesias
- seizures
- stroke
- syncope
- weakness
Psychiatric
- suicidal ideation
- suicide attempts
- suicide, depression
- psychosis
- aggression
- violent behaviors
- emotional instability
Of the patients reporting depression, some reported that the depression subsided with discontinuation of therapy and recurred with reinstitution of therapy.
Reproductive System
- abnormal menses
Respiratory bronchospasms (with or without a history of asthma), respiratory infection, voice alteration
Skin and Appendages
- acne fulminans
- alopecia (which in some cases persists)
- bruising
- cheilitis (dry lips)
- dry mouth
- dry nose
- dry skin
- epistaxis
- eruptive xanthomas
- flushing
- fragility of skin
- hair abnormalities
- hirsutism
- hyperpigmentation and hypopigmentation
- infections (including disseminated herpes simplex)
- nail dystrophy
- paronychia
- peeling of palms and soles
- photoallergic/photosensitizing reactions
- pruritus
- pyogenic granuloma
- rash (including facial erythema, seborrhea, and eczema)
- sunburn susceptibility increased
- sweating
- urticaria
- vasculitis (including Wegener's granulomatosis)
- abnormal wound healing (delayed healing or exuberant granulation tissue with crusting)
Special Senses: Hearing
- hearing impairment, tinnitus.
Special Senses: Vision
- corneal opacities
- decreased night vision which may persist
- cataracts
- olor vision disorder
- conjunctivitis
- dry eyes
- eyelid inflammation
- keratitis
- optic neuritis
- photophobia
- visual disturbances
Urinary System
- glomerulonephritis
- nonspecific urogenital findings
Laboratory
- Elevation of plasma triglycerides
- decrease in serum high-density lipoprotein (HDL) levels
- elevations of serum cholesterol during treatment
- Increased alkaline phosphatase, SGOT (AST), SGPT (ALT), GGTP or LDH
- Elevation of fasting blood sugar, elevations of CPK
- hyperuricemia
- Decreases in red blood cell parameters
- decreases in white blood cell counts (including severe neutropenia and rare reports of agranulocytosis)
- elevated sedimentation rates
- elevated platelet counts
- thrombocytopenia
White cells in the urine, proteinuria, microscopic or gross hematuria
Carry out serious consultations before starting therapy as Accutane side effects can be extremely serious.
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