An Overview of Accutane and Pregnancy
Accutane® (
isotretinoin) is a prescription
acne medication that is extremely dangerous for use during pregnancy. It is likely to cause miscarriages, birth defects, and other problems. Women who are pregnant or who could become pregnant must not take Accutane.
Accutane and Pregnancy Category X
The U.S. Food and Drug Administration (FDA) uses a category system to classify the possible risks to a fetus when a specific medicine is taken during pregnancy. Pregnancy Category X is given to medicines that show problems to the fetus in animal studies or in humans who have mistakenly taken the medicine.
If taken during pregnancy, Accutane has a high risk for causing miscarriages and birth defects. The birth defects are usually quite severe and often result in death of the infant shortly after birth. In order to help prevent pregnant women from taking the drug, the FDA, the manufacturers of Accutane, and the manufacturers of
generic Accutane have developed the iPLEDGE program. The program became necessary when strict warnings and consent forms did not appear to be sufficient to prevent women from getting pregnant while taking this medication.
The greatest risk for problems occurs if Accutane is taken anytime within two to five weeks after conception. This means that by the time a woman discovers she is pregnant, the damage is usually already done.