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Isotretinoin is an oral medication prescribed for treating severe cystic or nodular acne that has not improved with other treatments like topical benzoyl peroxide, clindamycin, or oral antibiotics such as tetracycline and minocycline. This drug is part of the retinoid class and functions by reducing the production of sebum, the oil in the skin, which helps decrease acne outbreaks and promotes quicker skin renewal. Isotretinoin is typically taken twice a day for a period of 4 to 5 months. Due to the potential risk of serious birth defects, individuals who can become pregnant must undergo regular pregnancy testing and use effective birth control before, during, and after the treatment. Common side effects may include dry lips, dry skin, back pain, and dry eyes. Although no longer sold under the brand name Accutane, isotretinoin is available under other names such as Claravis and Amnesteem, as well as various generic options. Always consult a healthcare professional before starting isotretinoin to ensure it is appropriate for your specific condition.