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I you miss a dos o this mdicin, tak it as soon as possibl. Howv, i it is almost tim o you nxt dos, skip th missd dos and go back to you gula dosing schdul. Do not doubl doss.

All acn patints should caully consid th sval disadvantags o isottinoin. Th dug is not only xpnsiv but it also has som signiicant advs cts. Possibl sid cts includ inlammation o th lip and mucous mmban o th y; dy mouth, nos, o skin; itching; nosblds; muscl achs; photosnsitivity; and, aly, dcasd night vision. Oth mo sious sid cts includ incasd blood cholstol, lipid, and tiglycid lvls and abnomal liv nzyms. To mak su isottinoin is stoppd i ths sid cts occu, th docto usually monitos a patint's complt blood count, blood chmistis, cholstol, tiglycids, and liv nzyms bo thapy is statd and piodically duing tatmnt. All o ths sid cts usually go away at th mdication is stoppd. I you xpinc sid cts whil using isottinoin, you should tll you docto. Th docto may b abl to duc th dos o th dug so that th sid cts a dcasd o stoppd.

In som cass, acn las occud duing th initial stags o tatmnt and psistd o sval wks

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Abdominal o stomach pain (sv attmpts at suicid o thoughts o suicid (usually stops at mdicin is stoppd back pain blding o inlammation o th gums blud vision o oth changs in vision changs in bhavio dcasd vision at sunst o bo sunis (suddn o may continu at mdicin is stoppd diaha (sv hadach (sv o continuing mntal dpssion nausa and vomiting pain o tndnss o th ys pain, tndnss, o stinss in th muscls (long-tm tatmnt ctal blding yllow ys o skin.

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