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If you miss a dose, skip that dose. NOTE: This medicine is only for you. Do not share this medicine with others. Take this medicine by mouth with a full glass of water. What may interact with this medicine? If you take more than your prescribed dose, call your doctor or poison control center right away. You will need to see your doctor or health care professional monthly to get a new prescription and to check on your progress and for side effects. This medicine can cause birth defects. You may experience a flare in your acne during the initial treatment period. Do not chew or suck on the capsules. What should I watch for while using this medicine? Take your medicine at regular intervals. Do not get pregnant while taking this drug. They need to know if you have any of these conditions: * heart disease * high blood cholesterol or triglycerides * inflammatory bowel disease * liver disease * mental problems, such as depression, psychosis, attempted suicide, or a family history of mental problems * osteoporosis, osteomalacia, or other bone disorders * pancreatitis * an unusual or allergic reaction to isotretinoin, vitamin A or related drugs, parabens, other medicines, foods, dyes, or preservatives * pregnant or trying to get pregnant * breast-feeding How should I use this medicine? ISOTRETINOIN treats severe acne that has not responded to other therapy such as antibiotics. Do not stop taking except on your doctor\'s advice. Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. What is this medicine? Do not take double or extra doses. Some items may interact with your medicine. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. What should I tell my health care provider before I take this medicine? Do not take your medicine more often than directed. Talk to your pediatrician regarding the use of this medicine in children. What if I miss a dose? john\'s wort * steroid medicines like prednisone or cortisone * tetracycline antibiotics like doxycycline and tetracycline * warfarin This list may not describe all possible interactions. Special care may be needed. Females will need to have 2 negative pregnancy tests before starting this medicine and then monthly pregnancy tests during tr Do not take this medicine with any of the following medications: * vitamins and other supplements containing vitamin A This medicine may also interact with the following medications: * alcohol * benzoyl peroxide, salicylic acid, or other drying medicines used for acne * medicines for seizures * orlistat * other drugs that make you more sensitive to the sun such as sulfa drugs * progestin-only birth control hormones * st. Also tell them if you smoke, drink alcohol, or use illegal drugs.

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