Decreased red and white blood cells
Call your prescriber if you have trouble breathing, if you faint, or feel weak.
Lipid (fats and cholesterol in blood) problems
ABSORICA can raise the level of fats and cholesterol in your blood. This can be a serious problem. Return to your prescriber for blood tests to check your lipid levels and to get any needed treatment. These problems associated with fats or cholesterol while taking ABSORICA usually go away when ABSORICA treatment is finished.
Blood sugar problems
ABSORICA may cause blood sugar problems, including diabetes. Tell your prescriber if you are very thirsty or urinate a lot.
Stomach area (abdomen) problems
Certain symptoms may mean that your internal organs are being damaged. These organs include the liver, pancreas, bowel (intestines), and esophagus (connection between mouth and stomach). If your organs are damaged, they may not get better even after you stop taking ABSORICA. Stop taking ABSORICA and call your prescriber if you have:
- Severe stomach, chest, or bowel pain
- Trouble swallowing or painful swallowing
- New or worsening heartburn
- Bleeding from the rectum
- Yellowing of your skin or eyes
- Dark urine
Bone and muscle problems
ABSORICA may affect bones, muscles, and ligaments and cause pain in your joints or muscles. Tell your prescriber if you plan to engage in hard physical activity, including sports, during treatment with ABSORICA. Tell your prescriber if you have back pain, joint pain, or a broken bone. Tell your prescriber, or any other healthcare providers, that you take ABSORICA if you break a bone.
Stop ABSORICA treatment and call your prescriber right away if you have muscle weakness. Muscle weakness, with or without pain, can be a sign of serious muscle damage.
ABSORICA may stop long bone growth in teenagers who are still growing.
Stop ABSORICA treatment and call your prescriber if your hearing gets worse or if you have ringing in your ears. Your hearing loss may be permanent.
ABSORICA may affect your ability to see in the dark. Other serious eye effects can occur. Stop taking ABSORICA and call your prescriber right away if you have any problems with your vision or dryness of the eyes that is painful or constant. If you wear contact lenses, you may have trouble wearing them during and after ABSORICA treatment. Do not drive at night until you know if ABSORICA isotretinoin capsules have affected your vision.
ABSORICA isotretinoin capsules cause birth defects. There is a very high risk of birth defects (deformed babies) if a pregnant woman takes medication that contains isotretinoin. There are additional risks to pregnant women taking isotretinoin, including premature (early) birth, miscarriage (loss of the baby), and stillbirth (death of the baby). Female patients must not get pregnant:
- For 1 month before starting ABSORICA
- While taking ABSORICA
- For 1 month after stopping ABSORICA
For female patients, stop using ABSORICA isotretinoin capsules and call your prescriber right away if you:
- Have sex at any time without using 2 forms of effective birth control
- Get pregnant
- Miss your expected period
Serious mental health problems
ABSORICA may cause depression, psychosis (seeing or hearing things that are not real), and suicide. Some patients taking ABSORICA have had thoughts about hurting themselves or putting an end to their own lives (suicidal thoughts). Some people tried to end their own lives, and some people have ended their own lives.
Stop ABSORICA treatment and call your prescriber right away if you or a family member notices that you have any of the following signs and symptoms of depression or psychosis:
- Start to feel sad or have crying spells.
- Lose interest in activities you once enjoyed.
- Sleep too much or have trouble sleeping.
- Become more irritable, angry, or aggressive than usual (for example, temper outbursts, thoughts of violence).
- Have a change in your appetite or body weight.
- Have trouble concentrating.
- Withdraw from your friends or family.
- Feel like you have no energy.
- Have feelings of worthlessness or guilt.
- Start having thoughts about hurting yourself or taking your own life (suicidal thoughts).
- Start acting on dangerous impulses.
- Start seeing or hearing things that are not real. After stopping ABSORICA capsules, you may need follow-up mental health care if you had any of these symptoms.
Serious brain problems:
ABSORICA isotretinoin capsules can increase the pressure in your brain. This can lead to permanent loss of eyesight and, in rare cases, death. Stop taking ABSORICA and call your prescriber right away if you have any of these signs of increased brain pressure:
- Bad headache
- Blurred vision
- Nausea or vomiting
- Seizures (convulsions)
- Skin problems
These are not all of the possible side effects with ABSORICA isotretinoin capsules. Your prescriber or pharmacist can give you more detailed information.
It's important to remember that all isotretinoins have the same potential safety issues. ABSORICA has no difference in safety profile and poses no additional risks than other isotretinoins.