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The anti-acne medication Accutane® is a potent drug that was meant to be used after other alternative methods of treatment failed. It could be used to treat the types of acne discussed below. Its side effects were so serious and severe, Accutane® was removed from the market in June 2009.

Acne vulgaris is the most common form of the condition. It can be mild to moderate or severe, and the lesions include nodules, cysts, whiteheads, blackheads, papules and pustules.

Severe Acne

There are two forms of severe acne vulgaris — nodular acne and cystic acne.

Nodular Acne

This form of acne has larger lesions than the milder form of the condition. These acne spots are large, can be quite painful, and at times can last months. Nodules are hard, large bumps under the skin that often leave scars.

If the nodules are not resolved, they remain impacted and can flare up repeatedly. Attempting to squeeze such lesions can do severe damage to the skin and cause the nodules to last much longer. Dermatologists can decrease the swelling and prevent scarring using a variety of techniques, including cortisone injections. Accutane® has been used to treat nodular acne.

Cystic Acne

This type of acne may look like nodular acne, but instead of being a solid bump, cystic acne is pus-filled. The bumps are painful, and like acne nodules, should not be squeezed, because doing so damages the skin, makes the condition more severe and long lasting, and can lead to severe infection. Dermatologist have used cortisone shots and had used Accutane® to treat cystic acne.

Acne Vulgaris

This is a milder form of acne and is characterized by:

• Whiteheads — These lesions result from a completely blocked pore. Sebum or oil, bacteria, and dead skin cells are trapped within the pore. These usually resolve more quickly than blackheads.
• Blackheads — These lesions occur when a pore is only partially blocked and the trapped sebum or oil, bacteria and dead skin rise slowly to the surface of the skin. The black color is not dirt but the reaction of the skin’s melanin (natural skin color) to oxygen in the air. Blackheads can last a long time and take longer to resolve than whiteheads.
• Papules — These are bumps that are red and inflamed are tender and have no head. Squeezing them is not recommended because it will not help and can result in scarring.
• Pustules — These are what are typically called pimples. It appears as a red, inflamed circle having a white or yellow center. If done properly, they can be popped or squeezed, but this must be done in the right way to avoid further lesions and infection.

Accutane® was usually used to treat the more severe forms of the acne. But because of the severe side effects of Accutane®, it was taken off of the market. The risks to taking Accutane® for skin care included very serious birth defects when female patients took the drug when pregnant, and mental illness including aggressive behavior as well as depression. Other side effects included:

• Severe headaches
• Seizures
• Strokes
• Dizziness
• Nausea or vomiting
• Systemic lupus erythematosus
• Ischemic colitis
• Colitis
• Irritable bowel syndrome
• Crohn’s disease
• Back pain
• Problems with the bones, muscles, joints, and ligaments

For more information, contact our Accutane® lawyers by calling (877) 612-9867.

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