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Article
Isotretinoin and iPledge: a view of results
Dermatology Publications and Presentations
  • Mary E. Maloney, University of Massachusetts Medical School
  • Stephen P. Stone, Southern Illinois University School of Medicine
UMMS Affiliation
Department of Medicine, Division of Dermatology
Date
8-1-2011
Document Type
Editorial
Medical Subject Headings
Abnormalities, Drug-Induced; Adverse Drug Reaction Reporting Systems; Dermatologic Agents; Female; Humans; Isotretinoin; Pregnancy; Pregnancy Complications; Program Development; Program Evaluation; United States; United States Food and Drug Administration
Abstract

Since its approval by the Food and Drug Administration (FDA) in 1982, isotretinoin has positively affected the lives of countless patients. Of course, any pharmaceutical agent has both its desired effect as well as undesirable side effects. The prescription of any given drug for any individual patient depends on the risk-benefit analysis for that patient. The side effect of teratogenicity has naturally moved to the forefront of safety standards for isotretinoin. It is important to remember that fetal exposure is the problem, not pregnancy itself, and all attention and efforts should be focused on preventing such exposure.

In the United States, 4 programs have been developed over time in an effort to prevent fetal exposure. These programs have been evaluated in terms of the numbers of pregnancies that occur, which is used as a proxy for potential fetal exposure. As we discuss the problem of teratogenicity with isotretinoin and the various programs to protect against it, we will use the term “pregnancies” as a representation of fetal exposure.

Comments

Citation: Maloney ME, Stone SP. Isotretinoin and iPledge: a view of results. J Am Acad Dermatol. 2011 Aug;65(2):418-9. doi: 10.1016/j.jaad.2011.04.006.

Related Resources
Link to Article in PubMed
PubMed ID
21763564
Citation Information
Mary E. Maloney and Stephen P. Stone. "Isotretinoin and iPledge: a view of results" Vol. 65 Iss. 2 (2011) ISSN: 0190-9622 (Linking)
Available at: http://works.bepress.com/mary_maloney/28/