Substance / Medication

Isotretinoin

Overview

Active Ingredient
isotretinoin
RxNorm CUI
6064

Indications

Isotretinoin capsules are indicated for the treatment of severe recalcitrant nodular acne in non-pregnant patients 12 years of age and older with multiple inflammatory nodules with a diameter of 5 mm or greater. Because of significant adverse reactions associated with its use, isotretinoin capsules are reserved for patients with severe nodular acne who are unresponsive to conventional therapy, including systemic antibiotics.

Labeler: Upsher-Smith Laboratories, LLCUpdated: 2026-02-13T00:00:00.000ZFull label on DailyMed

Boxed Warning

FDA Black Box Warning

Contraindications (4) Warnings and Precautions (5.1) Use in Specific Populations (8.1) [see,, and] Isotretinoin capsules can cause severe life-threatening birth defects and is contraindicated in pregnancy. There is an extremely high risk that life-threatening birth defects will result if pregnancy o

Indications & Related Conditions

Conditions associated via SNOMED clinical relationships

Administration & Protocol

Dosing, route, and treatment protocol

Detailed dosage and administration information is available in the full FDA drug label.

View full prescribing information on DailyMed

Monitoring & Follow-Up

Biomarkers relevant to this intervention via related conditions

No monitoring biomarkers have been mapped yet. Biomarker-intervention linkages are derived through related conditions and will expand as the knowledge graph grows.

Clinical Trials

108 trials linked to this intervention

108
Total Trials
14
Recruiting
65
With Results

Research Evidence

Published studies and systematic reviews

Sort:
Systematic Review of Rare Major Adverse Cardiovascular Events Associated With the Treatment of Acne With Isotretinoin.
Cowan Timothy L, Stark Madeleine, Sarmiento Simona et al. · Australas J Dermatol · 2025
PMID: 39927601Meta-AnalysisFull text (PMC)
Effects of isotretinoin on bone dynamics in the craniomaxillofacial region: a systematic review of preclinical evidence.
Ferreira M Fernanda, Nunes G Pereira, Chaves-Neto A Hernandes et al. · Eur Arch Paediatr Dent · 2025
PMID: 40924363Meta-Analysis
Low-dose isotretinoin for the management of rosacea: A systematic review and meta-analysis.
King Aliyah, Tan Marcus G, Kirshen Carly et al. · J Eur Acad Dermatol Venereol · 2025
PMID: 39239956Meta-AnalysisFull text (PMC)
Optimizing Rhinoplasty Outcomes: The Role of Isotretinoin and Patient Management Strategies: Systematic Review.
Ghazizadeh Matin, Barati Behrouz, Tabrizi Ali Goljanian et al. · J Cosmet Dermatol · 2025
PMID: 41307186Meta-AnalysisFull text (PMC)
Combinations of Energy-based Devices plus isotretinoin for management of acne and acne scars: A systematic review.
Xu Yidan, Wang Hao, Guo Linghong et al. · J Cosmet Dermatol · 2024
PMID: 38845186Meta-Analysis
The role of oral nutraceuticals as adjunctive therapy to reduce side effects from isotretinoin: A systematic review.
Shields Ali, Ly Sophia, Wafae Bruna et al. · J Am Acad Dermatol · 2024
PMID: 37871802Meta-AnalysisFull text (PMC)
Treatment of Acute Psychosis Caused by Isotretinoin: Systematic Review.
Stanojkovic Tijana, Zivkovic Zaric Radica, Lesnjak Ivana et al. · Psychiatry Clin Psychopharmacol · 2024
PMID: 39165893Meta-AnalysisFull text (PMC)
Low-Dose versus Conventional-dose Oral Isotretinoin Regimens: A Systematic Review on Randomized Controlled Comparative Studies of Different Regimens.
Legiawati Lili, Fahira Alessa, Taufiqqurrachman Iqbal et al. · Curr Drug Saf · 2023
PMID: 35702787Meta-Analysis

Research data from MEDLINE/PubMed

Benefits & Expected Outcomes

Benefits, expected outcomes, efficacy data, and NNT (Number Needed to Treat) are pending physician authorship and evidence review.

Risks & Side Effects

Adverse reaction and safety data for this drug is sourced from the FDA-approved label.

View adverse reactions & drug interactions on DailyMed

Related Symptoms

Symptoms associated with conditions this intervention addresses

No related symptoms have been mapped yet. Symptom linkages are derived through associated conditions.

Alternatives & Comparisons

Alternative treatments, comparison data, and clinical decision support are pending physician authorship.

Medical Disclaimer

This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider regarding any medical condition or treatment plan.

Do not start, stop, or change any treatment without consulting your healthcare provider.

Quick Facts

Type
Substance / Medication
Fully Specified Name
Isotretinoin (substance)
SNOMED CT
387208003
UMLS CUI
C0022265
RxNorm CUI
6064
Labeler
Upsher-Smith Laboratories, LLC

Clinical Data

This intervention maps to 3 entities in the Ltrl knowledge graph.

3
Conditions
0
Biomarkers
0
Specialists
0
Symptoms
108
Clinical Trials

Data is sourced from SNOMED CT, UMLS, and the Ltrl clinical knowledge graph. Content sections marked as pending require physician authorship. Consult a healthcare provider before starting any treatment.