Isotretinoin is an oral retinoid prescribed to manage severe nodular acne unresponsive to conventional therapies, including systemic antibiotics. This activity reviews isotretinoin’s FDA-approved indications, off-label uses, and pharmacological effects on sebaceous gland function. The discussion also addresses isotretinoin’s mechanism of action, pharmacokinetics, and administration considerations, ensuring healthcare professionals understand key factors influencing therapeutic success and patient safety. Adverse drug reactions, contraindications, monitoring requirements, and potential drug-drug interactions are also reviewed to support risk mitigation strategies during isotretinoin therapy. Additional attention is given to clinical toxicology and safety measures, especially concerning pregnancy prevention and long-term monitoring.
Copyright © 2025, StatPearls Publishing LLC.