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She had a course of isotretinoin treatment when she was younger and had a period of remission, however her acne has gradually recurred over the past few years and she has not responded to repeat treatments with antibiotics or contraceptive pill.
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Low-dose isotretinoin, e. Isotretinoin is an isomer of retinoic acid that has been used for the treatment of acne for over 30 years. Treatment with isotretinoin results in decreased sebum production. This reduces acne, prevents scarring and may lead to a better quality of life and improved mental health in some patients. Isotretinoin is highly teratogenic and is contraindicated in women if pregnancy is possible unless the price of roaccutane contraception is used Table 1.
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