Can You Continue Taking Oral A Acid After Abortion?

Pregnancy termination due to oral isotretinoin use?

During the two years of taking oral isotretinoin (A acid), if you accidentally became pregnant and have just undergone a dilation and curettage (D&C) procedure, your doctor has prescribed uterotonics for pain relief for three days.
Is it safe to continue taking oral isotretinoin during these days? Could it negatively affect the recovery of the uterus?

Niming, 30~39 year old female. Ask Date: 2023/10/31

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I wish you good health.

Reply Date: 2023/10/31

More Info

After undergoing an abortion, it is crucial to prioritize your health and recovery, especially when considering the use of medications like oral isotretinoin (commonly referred to as A acid). Isotretinoin is a powerful medication primarily used to treat severe acne, but it is also known for its potential side effects, particularly concerning pregnancy and fetal development.
First and foremost, isotretinoin is classified as a Category X medication, meaning it is contraindicated during pregnancy due to its high risk of causing severe birth defects. If you have recently become pregnant while on isotretinoin, it is essential to discuss this with your healthcare provider immediately, as they can provide guidance on the appropriate steps to take.
Regarding your specific question about continuing isotretinoin after an abortion, it is generally advisable to avoid taking isotretinoin until you have fully recovered from the procedure and have consulted with your healthcare provider. The recovery process after an abortion can vary from person to person, and it is essential to allow your body time to heal.
The medications prescribed to you post-abortion, such as uterotonics for uterine contraction and pain relief, are intended to support your recovery. Introducing isotretinoin during this time may not only complicate your recovery but could also pose additional risks. While there is no direct evidence suggesting that isotretinoin would adversely affect uterine recovery, its potential side effects and the fact that it can affect your overall health should not be overlooked.

Moreover, isotretinoin can cause various side effects, including dryness of mucous membranes, which could potentially complicate your recovery process. For instance, if you experience dryness in your mouth or throat, it may lead to discomfort or difficulty in maintaining adequate hydration, which is essential for recovery.

In summary, it is best to refrain from taking oral isotretinoin immediately after an abortion until you have consulted with your healthcare provider. They can assess your individual situation, consider your overall health, and provide personalized recommendations. It is crucial to prioritize your recovery and ensure that any medications you take do not interfere with your healing process. Always communicate openly with your healthcare provider about any medications you are considering or currently taking, especially after a significant medical procedure like an abortion. Your health and well-being should be the top priority during this time.

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