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How much of a possibility is it that my baby will be deformed in some way if i was on Accutane?

WorriedRSAMar 22, 2016
I started taking Accutane 60mg every day since september last year, i was also on a contraceptive. i have just found out that i am 18 weeks pregnant, i took the accutane from 3 months and then stopped for about 3 months due to healt insurance issues. I have had a scan and the doc says my baby is physically fine bt have to do tests to determine if the chromosomes of the baby are normal. please help with an answer

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From board-certified doctors and trusted medical professionals
Dr. Morris Westfried, MD
Dermatologic Surgeon, Board Certified in Dermatology
Answered on Mar 27, 2016
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Morris Westfried, MD

Discuss with your doctor but I would recommend a lower starting dose of  20 mg to be increased by 20 mg per month to 60 mg in month three. This may decrease side effects and still allow you to achieve clearance.

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Raffy Karamanoukian, MD, FACS

Accutane is a go-to medication for patients with recalcitrant cystic acne. It can reduce pore size and also reduce sebum production in your skin, making it less oily; and in turn, dryer. Accutane can be used to control acne, but patients receiving the medication should be carefully monitored. In...

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Morris Westfried, MD

The dose should be gradually raised up to 1-2 mg per kilogram of daily dosage. If the dose is low it should be raised .If you are on higher dose and it is still flaring they may need to temporarily lower the dose and gradually raise it.

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