A 17-year-old patient starts isotretinoin capsules from dermatology. She asks whether she can share leftover capsules with her sibling who has severe

Question

A 17-year-old patient starts isotretinoin capsules from dermatology. She asks whether she can share leftover capsules with her sibling who has severe acne. She is using contraception and has monthly pregnancy tests. What would you advise the patient?

Accepted Answer

Do not share isotretinoin; it is teratogenic and requires specialist monitoring.

Answer

Stop contraception once the acne improves.

Answer

Open capsules and apply the contents to acne lesions.

Answer

Share a few capsules because pregnancy tests are already being done.

Answer

Take isotretinoin with St John's wort to reduce mood effects.

Isotretinoin counselling — GPhC CRA MCQ

A 17-year-old patient starts isotretinoin capsules from dermatology. She asks whether she can share leftover capsules with her sibling who has severe acne. She is using contraception and has monthly pregnancy tests. What would you advise the patient?