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Isotretinoin is not known to cause low blood pressure, and I have not encountered this as a problem in over 12 years of prescribing the medicine. I would discuss with your primary physician about other causes for your blood pressure. Of note, Accutane, the original brand of Isotretinoin, is no longer on the market (all the generic products under-cut its price.) Isotretinoin is available as the branded generics Amnesteem, Claravis or Sortret.
There are many patients whom I put on a low dosage like this for long-term maintenance, but usually after they've already undergone a regular course. It's important to understand that the purpose of taking Accutane is to get a minimum mg of the medication into your system to combat your weight...
When my patients do not feel they are improving on Accutane, they are almost always referring to the left-over red color in every spot where they had previous lesions. From a distance, it looks like a continuing break-out, but the skin is soft and lesion-free. This is left over color after...
This is a rare side effect from Accutane. You can always move back down to the 20mg a day, but you'll be on the medication longer. Or you can just take Advil or Motrin or Aleve daily too with the 40mg. But if you find you're taking a lot of that for muscle pains, it's probably best...