Can I take Accutane with a herniated disc/disc degeneration?

Taking Accutane (isotretinoin) with a history of a herniated disc and ongoing disc degeneration is a decision that should be made carefully, considering potential interactions and side effects. Here are some points to consider:

Accutane Overview: Isotretinoin is a powerful medication used to treat severe acne. It can have significant side effects, including joint and muscle pain, which might be relevant given your back condition.

Musculoskeletal Side Effects: While taking Accutane, some individuals experience musculoskeletal symptoms such as muscle aches, joint pain, or back pain. Given your history of a herniated disc and disc degeneration, it's important to discuss with both your dermatologist and spine specialist how these potential side effects might affect your current condition.

Pain Management and Monitoring: If you decide to proceed with Accutane, ensure that your pain management plan is in place and that your condition is closely monitored by your healthcare providers. They can help manage any exacerbation of symptoms related to your back.

Alternative Treatments: Consider discussing alternative acne treatments with your dermatologist that might pose less risk to your musculoskeletal system, especially if you have concerns about potential side effects.

Collaborative Care: Make sure your dermatologist and spine surgeon communicate about your treatment plans to ensure that all aspects of your health are considered.

Ultimately, the decision to start Accutane should be based on a thorough evaluation of the benefits and risks, as well as a comprehensive discussion with your healthcare providers.