What to do now

  1. Stop taking Accutane/isotretinoin now and call the prescriber who manages it.
  2. Say that you are pregnant, or think you may be pregnant, during treatment.
  3. Report the pregnancy through the required federal and pregnancy-registry channels with help from your doctor if needed.
  4. Arrange evaluation and counseling with an obstetrician or gynecologist.

Why this is urgent

Pregnancy exposure to Accutane can cause birth defects, miscarriage, fetal death, and premature birth.

Frequently asked questions

Should I wait for a missed period or symptoms?

No. If you think you are pregnant or miss a menstrual period, stop isotretinoin and call your doctor right away.

Who provides counseling after an Accutane pregnancy exposure?

An obstetrician or gynecologist should provide further evaluation and counseling. Your Accutane prescriber can help with the immediate medication and reporting steps.

Sources

  1. DailyMed — Isotretinoin Capsules Medication Guide
  2. MedlinePlus — Isotretinoin Drug Information
  3. FDA — Questions and Answers on the iPLEDGE REMS
  4. NCBI Bookshelf — Isotretinoin