Isotretinoin

Zapped is regulated by the care quality commission and our dermatologists can prescribe Roaccutane online. 

Roaccutane can be prescribed by Zapped dermatologists ONLY if the patient can commit to have the necessary tests and follow ups which include:

Blood tests

Monthly follow up

Enrollment on the pregnancy prevention program for female patients of child bearing age

All the tests and follow up can be done remotely

1. Isotretinoin capsules are a very effective treatment for severe acne (spots).

This medicine can have serious side effects, however, so it must be prescribed and supervised by a dermatologist.

Isotretinoin capsules are also known by the brand names Roaccutane and Rizuderm.

2. Key facts

  • Isotretinoin capsules start to work after a week to 10 days. They work very well - 4 out of 5 people who use them have clear skin after 4 months.

  • You will a have blood test before you start taking isotretinoin and regular blood tests during your treatment.

  • Your skin may become very dry and sensitive to sunlight during treatment. Using lip balm and moisturisers will help.

  • It's very important not to become pregnant while using isotretinoin capsules and for at least 1 month after stopping. This is because isotretinoin can harm an unborn baby. Women will be enrolled on a pregnancy prevention program while taking isotretinoin tablets.

  • If you become depressed or think about harming yourself while taking isotretinoin, stop taking the medicine and tell your doctor straight away.

3. Who can and can't take isotretinoin capsules

Isotretinoin capsules are for teenagers and adults with severe acne. Do not give isotretinoin capsules to children under the age of 12 years or before puberty.

Isotretinoin capsules aren't suitable for some people.

Do not take isotretinoin capsules if you:

  • have had an allergic reaction to isotretinoin, soya (the capsules contain soya) or any other medicines in the past

  • have an inherited digestive disorder called fructose intolerance (the capsules contain sorbitol)

To make sure isotretinoin capsules are safe for you, tell your doctor if you:

  • have had a mental health illness like depression

  • are pregnant or think you could be, or you're breastfeeding

  • have ever had an allergic reaction to isotretinoin or any other medicine

  • have liver or kidney disease

  • have high levels of cholesterol or other fats in your blood

  • have high levels of vitamin A

  • have Crohn's disease or ulcerative colitis

If you have diabetes, talk to your doctor before beginning treatment with isotretinoin capsules. You may need extra monitoring while you take isotretinoin capsules as this medicine can cause a rise in blood sugar levels.

4. Side effects

Like all medicines, isotretinoin capsules can cause side effects, although not everyone gets them. Side effects will usually go away when you stop treatment.

Dry skin and lips are very common side effects. For safety, do not have any waxing, dermabrasion, or laser skin treatment while you're taking this medicine and for at least 6 months after you stop, as this could cause scarring or skin irritation.

Common side effects

The common side effects of isotretinoin capsules happen in more than 1 in 10 people. Talk to your doctor or pharmacist if these side effects bother you or don't go away:

  • skin becoming more sensitive to sunlight

  • dry eyes

  • dry throat

  • dry nose and nosebleeds

  • headaches and general aches and pains

Serious side effects

Serious side effects are rare and happen in less than 1 in 1,000 people.

Stop taking isotretinoin capsules and call a doctor straight away if you get:

  • anxiety, aggression and violence, changes in mood, or suicidal thoughts - these can be signs of depression or other mental health problems

  • severe pain in your stomach with or without diarrhoea, feeling or being sick (nausea or vomiting) - these can be signs of a serious problem called pancreatitis

  • bloody diarrhoea – this may be a sign of gastrointestinal bleeding

  • a serious skin rash that peels or has blisters - the skin rash may come with eye infections, ulcers, a fever, and headaches

  • difficulty moving your arms or legs, and painful, swollen or bruised areas of the body, or dark pee - these can be signs of muscle weakness

  • yellow skin or the whites of your eyes turn yellow, difficulty peeing, or feeling very tired - these are signs of liver or kidney problems

  • a bad headache that doesn't go away and makes you feel sick or be sick

  • sudden changes in eyesight, including not seeing as well at night

It's very rare, but isotretinoin capsules can sometimes cause depression or make it worse, and even make people feel suicidal.

ZappedLimited is registered inEngland and Wales, Company Registration Number: 12121415. Our registered office is 8 Farnsworth drive, London, HA8 8FS.  Zapped Limited is an Introducer Appointed Representative ('IAR') of Switcha Limited, Trading as Kandoo which is authorised and regulated by the Financial Conduct Authority, Firm Registration Number: 828963 for Credit Broking and Insurance Distribution.  Switcha Limited is a Credit Broker and not a Lender. You can check this on the Financial Services Register at https://register.fca.org.uk/.

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