Should You Stop Oral A Acid After Pregnancy Termination? - Dermatology

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Oral isotretinoin during pregnancy?


If you have been taking isotretinoin (A acid) for nearly two years and accidentally became pregnant, and have just undergone a termination of pregnancy, it is advisable to stop taking isotretinoin during your recovery period.
The duration for which you should refrain from taking isotretinoin can vary, but it is generally recommended to wait until you have fully recovered and received clearance from your healthcare provider.
Continuing isotretinoin during recovery may pose risks for future gynecological issues.
It is important to discuss your specific situation with your healthcare provider to determine the best course of action regarding your treatment plan and any potential impacts on your health.

Niming, 30~39 year old female. Ask Date: 2023/10/30

Dr. Wu Yuxin reply Dermatology


In addition to the need for contraception while taking oral isotretinoin, there shouldn't be any significant gynecological issues.
Whether to continue taking the medication is a decision you need to make for yourself.

Reply Date: 2023/10/30

More Info


When it comes to the use of oral A Acid (commonly known as isotretinoin) after a pregnancy termination, it is crucial to approach the situation with caution and informed decision-making. Isotretinoin is a powerful medication primarily used to treat severe acne, but it is also known for its significant teratogenic effects, meaning it can cause serious birth defects if taken during pregnancy. Given this background, let's explore the considerations surrounding its use after a pregnancy termination.

First and foremost, it is essential to prioritize your health and well-being during the recovery period following a surgical abortion. After such a procedure, your body undergoes various changes as it heals, and it is vital to allow adequate time for recovery. Continuing to take isotretinoin during this period may not be advisable, especially considering its potential side effects and the fact that your body is in a sensitive state.

The recommendation is generally to stop isotretinoin immediately after learning of a pregnancy or after a pregnancy termination. This is because the risks associated with isotretinoin during pregnancy are well-documented, and while the immediate risks may be less concerning after a termination, the medication can still have lingering effects on your body and overall health. It is crucial to consult with your healthcare provider regarding the timing of resuming isotretinoin after your body has healed.

Regarding the duration for which isotretinoin can be safely paused, it is typically recommended to wait at least one month after stopping the medication before attempting to conceive again. This is to ensure that the drug is fully cleared from your system, as isotretinoin has a long half-life and can remain in the body for some time. However, since you are not currently planning to conceive immediately, your focus should be on recovery and monitoring any potential side effects from the medication.

In terms of your concerns about having to restart the treatment regimen, it is understandable to worry about the effectiveness of your acne treatment. However, the priority should be your health and recovery. Once you have healed, you can discuss with your dermatologist the best approach to resume isotretinoin or explore alternative treatments that may be safer during your recovery phase.

Additionally, it is important to consider the psychological and emotional aspects of undergoing a pregnancy termination. The experience can be emotionally taxing, and it is advisable to seek support from healthcare professionals or counseling services if needed. This support can help you navigate any feelings of anxiety or uncertainty regarding your health and future treatment options.

In summary, it is advisable to stop taking oral A Acid after a pregnancy termination and consult with your healthcare provider about the appropriate time to resume treatment. Your health and recovery should be the primary focus, and any decisions regarding medication should be made in consultation with a qualified medical professional who understands your specific circumstances. Always prioritize your well-being and seek guidance tailored to your individual health needs.

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