HealthRX.com · Printable medication review sheet
Isotretinoin drug interaction review sheet for prescriber visits
Use this sheet before starting or during isotretinoin treatment, such as Absorica or Accutane. List every medicine, supplement and contraceptive you use, then bring it to your prescriber or pharmacist to review the interactions named in the labels.
Medicines and products I currently use
Write the name as it appears on the package. Leave the line blank if none applies.
Vitamin A or multivitamin with vitamin AName of product, if any
Tetracycline antibioticFor example doxycycline or minocycline, if any
Birth control methodPill, patch, ring, implant, injection or minipill
Phenytoin or other seizure medicineName only
Systemic corticosteroidName of any steroid pill or injection
St. John's Wort or other herbal productsName of product
Gather before the visit
Bring these to the appointment or have them ready to read out.
- Bring every prescription, over-the-counter medicine and supplement bottle or photo
- List any herbal teas, creams or energy products you use
- Note whether you have used St. John's Wort in the past month
- Check the bottle labels of any vitamin A containing products
- Confirm which contraceptive method you use and when you started it
- Bring the name of your pharmacy and its phone number
- Write down any alcohol use so it can be discussed at the visit
Questions to ask my prescriber or pharmacist
- Which of my current medicines should I review with you before I start isotretinoin?
- Does the label's tetracycline caution apply to the antibiotic I was prescribed?
- Does my birth control method still count under the iPLEDGE requirements?
- Should I stop any vitamin A product or supplement before treatment begins?
- Is the phenytoin I take a concern for bone health alongside isotretinoin?
- What symptoms should make me call you the same day during treatment?
- Can you check my triglyceride and liver tests against the label schedule?
Symptoms and changes to track
Write the date and what you noticed. Bring this log to each visit.
| Date | Symptom or change | Medicine started or stopped | Shared with prescriber |
|---|---|---|---|
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.