RetinoidPrescription only

Isotretinoin

Capsule

Quick Summary

Isotretinoin shrinks oil glands and can clear acne for the long term.

Severe acne

Medical Uses

Severe acne: Including scarring or cystic acne.

How it's taken

Take with food under dermatologist supervision, with regular check-ups.

Your doctor decides the right dose for you and how long to take it.

Your doctor decides the right dose for you. Follow their instructions and the label.

Common Side Effects

Dry lips and skin

Very common.

Dry eyes

Common.

Joint and muscle aches

Sometimes.

Interactions

Tetracycline antibiotics

Risk of raised brain pressure.

Vitamin A supplements

Avoid.

Critical Warnings

Pregnancy

Black Box Warning: Causes severe birth defects; effective contraception is essential.

Thoughts of self-harm

Black Box Warning: Get help immediately: call 112 or Tele-MANAS (14416).

Blood tests

Liver and cholesterol checks.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.

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