Adverse Events in Isotretinoin Therapy: A Single-Arm Meta-Analysis

    Jan Kapała, Julia Lewandowska, Waldemar Placek, Agnieszka Owczarczyk‐Saczonek
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    TLDR Isotretinoin therapy for acne can cause many reversible side effects, mainly mild skin conditions, and patient understanding of these effects can improve treatment adherence.
    The study "Adverse Events in Isotretinoin Therapy: A Single-Arm Meta-Analysis" reviewed 30 clinical trials involving 3274 patients to determine the adverse effects of isotretinoin therapy, a treatment for acne vulgaris. The study found that isotretinoin affects almost all systems in the human body, causing numerous adverse events, primarily mild mucocutaneous conditions. Isotretinoin-dependent alopecia was relatively rare (8-10%) and not dose-related. The study also found that isotretinoin does not alter hair growth parameters in the short term of intake and low doses. All adverse events were reversible and could be avoided with specific preparations. The study concluded that understanding the adverse events profile and explaining it to the patient increases the likelihood of patient compliance with the recommended dosing regimen.
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