Isotretinoin Updates and Insights
Автор: The Dermatology Digest
Загружено: 2025-12-17
Просмотров: 15
Sonal Choudhary, MD, Dermatopathologist and Dermatologist, and Director of the Integrative Dermatology and Skincare Clinic at the University of Pittsburgh Medical Center in Pittsburgh, PA, and Noel Prevost, MPAS, PA-C, a Dermatology Physician Assistant at UPMC Falk Dermatology-Oakland discuss changes to the iPLEDGE program and share tips on how they counsel patients on isotretinoin regarding potential risks.
Key takeaways:
• The 19-day lock-out period has been removed. Now, patients who miss the 7-day window can immediately get a new pregnancy test to re-qualify for treatment.
• At-home pregnancy tests are now allowed during and after isotretinoin treatment.
• There is no causal link between isotretinoin and inflammatory bowel disease (IBD). If a patient has a history of inflammatory bowel disease, get a letter from their gastroenterologist approving treatment.
• Proceed with caution when prescribing isotretinoin to patients with bipolar disorder.
• Consider getting an approval letter from the treating psychiatrist when prescribing isotretinoin for patients with other mental health conditions.
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