Does a dermatology perform isotretinoin treatment?

Isotretinoin is an oral retinoid used for acne that is severe, scarring, widespread, or not improving with other treatments. A dermatology consultation usually includes a review of your acne history, medicines, mental health history, allergies, and any plans for pregnancy. The clinician may arrange blood tests when appropriate and will tailor the dose to your response and tolerance. Dry lips and skin are common practical concerns, while headaches, mood changes, vision symptoms, or severe abdominal symptoms need prompt medical attention.

Bring a list of medicines, vitamins, and skincare products, and describe treatments you have already tried. Tell the dermatologist about liver problems, raised blood fats, inflammatory bowel disease, mood symptoms, and any possibility of pregnancy. Do not start leftover capsules or share isotretinoin with another person. Use the contraception and pregnancy-prevention advice provided by your clinician, avoid waxing or irritating procedures unless cleared, and follow the requested review and testing schedule.

Contact your prescribing team promptly if you develop severe headache with visual changes, marked mood or behaviour changes, intense abdominal pain, yellowing of the skin, or an allergic reaction. If you might be pregnant while taking isotretinoin, stop and contact the prescribing clinician urgently for specific advice. Seek emergency help for trouble breathing, facial swelling, fainting, or thoughts of self-harm.

Ask why isotretinoin is suitable for your acne, what monitoring you need, which side effects should be reported, how to manage dryness, and which skincare or cosmetic procedures to avoid. Ask how pregnancy prevention applies to you and what to do if you miss a dose or cannot attend a review.