Background pattern
Izotek 20 mg

Izotek 20 mg

About the medicine

How to use Izotek 20 mg

Leaflet attached to the packaging: information for the user

Izotek, 10 mg, soft capsules

Izotek, 20 mg, soft capsules

Isotretinoin

WARNING

CAN CAUSE SERIOUS HARM TO THE UNBORN CHILD
Women must use effective methods of contraception.
Do not use during pregnancy or if pregnancy is suspected.

You should carefully read the contents of the leaflet before using the medicine, as it contains important information for the patient.

  • You should keep this leaflet, so that you can read it again if you need to.
  • If you have any doubts, you should consult a doctor or pharmacist.
  • This medicine has been prescribed specifically for you. Do not pass it on to others. The medicine may harm another person, even if their symptoms are the same.
  • If the patient experiences any side effects, including any side effects not listed in this leaflet, they should tell their doctor or pharmacist. See section 4.

Table of contents of the leaflet

  • 1. What is Izotek 10 mg and Izotek 20 mg and what is it used for
  • 2. Important information before taking Izotek 10 mg and Izotek 20 mg
  • 3. How to take Izotek 10 mg and Izotek 20 mg
  • 4. Possible side effects
  • 5. How to store Izotek 10 mg and Izotek 20 mg
  • 6. Contents of the packaging and other information

1. What is Izotek 10 mg and Izotek 20 mg and what is it used for

Izotek 10 mg and Izotek 20 mg contain the active substance isotretinoin - a substance similar to vitamin A and belonging to the group of drugs called retinoids (used in the treatment of acne).
Izotek 10 mg and Izotek 20 mg are used to treat severe forms of acne(such as nodular or conglobate acne or acne with a risk of permanent scarring) in adults and adolescents over 12 years of age, only after puberty. Izotek 10 mg and Izotek 20 mg will be used only if the acne cannot be alleviated after treatment with other anti-acne medications, including antibiotics and topical medications.

Treatment with Izotek 10 mg and Izotek 20 mg must be supervised by a dermatologist

(a doctor specializing in the treatment of skin diseases).

2. Important information before taking Izotek 10 mg and Izotek 20 mg

When not to take Izotek 10 mg and Izotek 20 mg:

  • If the patient is allergic to isotretinoin, peanuts, or soy, or any of the other ingredientsof this medicine (listed in section 6),
  • If the patient is pregnant or breastfeeding,
  • If there is a risk that the patient may become pregnant, it is necessary to follow the precautions listed in the Pregnancy Prevention Program,see "Warnings and precautions" section
  • For women who may become pregnant but cannot or do not want to followthe necessary pregnancy prevention measures, which are listed in the Pregnancy Prevention Program for Izotek

Izotek,

  • In liver disease,
  • In patients with very high levels of lipids in the blood(e.g. high cholesterol or triglycerides),
  • In patients with very high levels of vitamin Ain the body (hypervitaminosis A),
  • In case of concurrent treatment with tetracyclines(an antibiotic used, for example, in the treatment of acne) (see "Other medicines and Izotek 10 mg and Izotek 20 mg").

In the event of any of the above situations, the patient should consult a doctor before starting treatment with Izotek 10 mg and Izotek 20 mg.

Warnings and precautions

Before starting treatment with Izotek 10 mg and Izotek 20 mg, the patient should discuss it with their doctor or pharmacist.

Pregnancy Prevention Program

IMPORTANT

Information for women

Pregnant women must not take Izotek 10 mg and Izotek 20 mg.

This medicine can seriously harm the unborn child (the medicine has a teratogenic effect). It can cause serious damage to the brain, face, ear, eye, heart, and some glands (thymus and parathyroid) of the fetus. It also increases the risk of miscarriage. These effects

can occur even if Izotek 10 mg or Izotek 20 mg is taken for a short period of time during pregnancy.

  • Do not take Izotek 10 mg or Izotek 20 mg if you are pregnant or think you may be pregnant.
  • Do not take Izotek 10 mg or Izotek 20 mg during breastfeeding.The medicine is likely to pass into breast milk and may harm the breastfed baby.
  • Do not take Izotek 10 mg or Izotek 20 mg if you may become pregnant.
  • The patient must not become pregnant for one month after stopping treatment, because the medicine may still be present in the patient's body.

Izotek 10 mg or Izotek 20 mg may be prescribed to female patients of childbearing age only under strict conditions.

These conditions must be met:

  • The doctor must explain the risk of birth defects to the patient; the patient must understand why she must not become pregnant and how to prevent it.
  • The patient must discuss contraception with the doctor. The doctor will provide the patient with information about contraceptive methods. The doctor may refer the patient to a specialist for advice on contraception.
  • Before starting treatment, the doctor will ask the patient to have a pregnancy test.The test must show that the patient is not pregnant at the start of treatment with Izotek 10 mg or Izotek 20 mg.

Female patients must use effective methods of contraception before, during, and after treatment with Izotek 10 mg or Izotek 20 mg.

Izotek 10 mg or Izotek 20 mg.

  • The patient must agree to use at least one highly effective method of contraception (e.g. an intrauterine device or a contraceptive implant), or two effective methods that work in different ways (e.g. oral hormonal contraceptives and condoms).The patient should discuss with the doctor which methods are most suitable for them.
  • The patient must use a contraceptive for one month before taking Izotek 10 mg or Izotek 20 mg

Izotek 10 mg or Izotek 20 mg, during treatment, and for one month after stopping the medicine.

  • The patient must use contraception, even if they do not menstruate or are not currently sexually active(unless the doctor decides it is not necessary).

Female patients must agree to have pregnancy tests before, during, and after treatment with Izotek 10 mg and Izotek 20 mg.

  • The patient must agree to have regular check-ups with the doctor, ideally every month.
  • The patient must agree to have regular pregnancy tests,ideally every month during treatment and one month after stopping Izotek 10 mg or Izotek 20 mg, because the medicine may still be present in the patient's body (unless the doctor decides it is not necessary for the patient).
  • The patient must agree to have additional pregnancy testsas recommended by the treating doctor.
  • The patient must not become pregnant during and for one month after stopping treatment, because the medicine may still be present in the patient's body.
  • The treating doctor will discuss all these issues with the patient using a checklist and ask the patient (or their parent or legal guardian) to sign it.This form confirms that the patient has been informed of the risk and agrees to follow the above rules.

If the patient becomes pregnant while taking Izotek 10 mg or Izotek 20 mg, she must

stop taking the medicine immediatelyand contact her doctor. The doctor may refer the patient to a specialist for advice.

In addition, if the patient becomes pregnant within one month of stopping treatment with Izotek 10 mg or Izotek 20 mg, she should contact her doctor.

The doctor may refer the patient to a specialist for advice.

Advice for men

The amount of oral retinoids in the sperm of men taking Izotek 10 mg or Izotek 20 mg is too small to harm the unborn child of their partner. However, this medicinal product should never be shared with anyone else, especially women.

Additional precautions

This medicinal product should never be given to another person. All unused capsules should be returned to the pharmacist after treatment is completed.

Do not donate blood while taking this medicine or for one month after stopping Izotek 10 mg or Izotek 20 mg. If the patient's blood is given to a pregnant woman, it may cause birth defects.

Information for all patients

  • Tell your doctor if you have ever had problems with your mental health,including depression, aggression, or mood swings. This is because Izotek 10 mg or Izotek 20 mg may affect your mood. You may not notice some changes in your mood and behavior, so it is very important to tell your friends and family that you are taking this medicine. They may notice changes and help you identify problems that need to be discussed with your doctor.
  • Severe skin reactions have been observed during isotretinoin treatment(e.g. erythema multiforme, Stevens-Johnson syndrome, and toxic epidermal necrolysis). The rash can take the form of widespread blistering or peeling of the skin. You should also look out for ulcers in the mouth, throat, nose, and genitals, as well as conjunctivitis (redness and swelling of the eyes).
  • Izotek 10 mg and Izotek 20 mg may cause severe allergic reactions, which can include skin reactions such as rash, hives, and bruising or red spots on the hands and feet. If an allergic reaction occurs, you should stop taking Izotek 10 mg or Izotek 20 mg, seek medical attention immediately, and inform your doctor that you are taking this medicine.
  • Avoid strenuous exercise and physical activity.Izotek 10 mg and Izotek 20 mg may cause muscle and joint pain, especially in children and adolescents who engage in strenuous physical activity.
  • Isotretinoin has been associated with non-specific inflammatory bowel disease.If a patient experiences severe bloody diarrhea without a history of gastrointestinal disease, the doctor will stop treatment with Izotek 10 mg or Izotek 20 mg.
  • Izotek 10 mg and Izotek 20 mg may cause dry eye syndrome, intolerance to contact lenses, and vision problems,including decreased night vision. There have been cases of dry eye that did not improve after treatment was stopped. You should tell your doctor if you experience any of these symptoms. The doctor may recommend using moisturizing eye ointments or artificial tears. If you experience intolerance to contact lenses, the doctor may recommend wearing glasses during treatment. If you experience vision problems, the doctor may refer you to a specialist for advice and may recommend stopping Izotek 10 mg or Izotek 20 mg.
  • Mild pseudotumor cerebri has been observed during isotretinoin treatment, sometimes in combination with tetracyclines (a type of antibiotic used, for example, in the treatment of acne). If symptoms such as headache, nausea, vomiting, and vision disturbances occur, you should stop taking Izotek 10 mg or Izotek 20 mg and seek medical attention immediately. The doctor may refer you to a specialist to check for papilledema (swelling of the optic disc in the eye).
  • Izotek 10 mg and Izotek 20 mg may increase liver enzyme activity.The treating doctor will order blood tests to check liver enzyme activity before, during, and after treatment. If liver enzyme activity remains high, the treating doctor may reduce the dose or stop treatment with Izotek 10 mg or Izotek 20 mg.
  • Isotretinoin often leads to increased levels of lipids in the blood,such as cholesterol or triglycerides. The doctor will check lipid levels before starting treatment with Izotek 10 mg and Izotek 20 mg, as well as during and after treatment. During treatment, it is best to avoid drinking alcohol or reduce its consumption. You should tell your doctor if you have high lipid levels in the blood, diabetes (high blood sugar levels), or if you are overweight or have a history of alcoholism. More frequent blood tests may be necessary. If lipid levels in the blood remain high, the doctor may reduce the dose or stop treatment with Izotek 10 mg or Izotek 20 mg.
  • Tell your doctor if you have any kidney problems.The doctor may start treatment with a lower dose of Izotek 10 mg and Izotek 20 mg and then increase it to the maximum tolerated dose.
  • Izotek 10 mg and Izotek 20 mg may cause increased blood sugar levels.In rare cases, diabetes has developed in patients. The doctor may monitor blood sugar levels during treatment, especially if you already have diabetes or if you are overweight or have a history of alcoholism.
  • It is likely that the skin will become dry.During treatment, you should use a moisturizing cream or lotion and lip balm. To avoid skin irritation, you should avoid using exfoliating products and anti-acne medications.
  • Avoid excessive sun exposure and the use of sunlamps and tanning beds.The skin may become more sensitive to sunlight. Before going out in the sun, you should apply a sunscreen with a high sun protection factor (at least SPF 15) to your skin.
  • Do not have any cosmetic procedures on your skin.Izotek 10 mg or Izotek 20 mg may make your skin more sensitive. You should not wax, dermabrade, or have laser treatments (to remove rough skin or scars) during treatment and for at least 6 months after stopping treatment, as this may lead to scarring, skin irritation, or changes in skin color.
  • Talk to your doctor if you experience persistent back pain or pain in the buttocks during treatment with Izotek 10 mg and Izotek 20 mg. These symptoms may indicate inflammatory bowel disease, a type of back pain caused by inflammation. The doctor may stop treatment with Izotek 10 mg or Izotek 20 mg and refer you to a specialist for treatment of inflammatory back pain. Further evaluation, including imaging studies such as MRI, may be necessary.

Children and adolescents

Izotek 10 mg and Izotek 20 mg are not recommended for children under 12 years of age. It is not known if the medicine is safe or effective in this age group.

Treatment with Izotek 10 mg and Izotek 20 mg in adolescents over 12 years of age is only possible after puberty.

Other medicines and Izotek 10 mg and Izotek 20 mg

Tell your doctor or pharmacist about all the medicines you are taking, have recently taken, or might take, including those that are available without a prescription.

  • Do not take vitamin A supplements or tetracycline antibiotics(used, for example, in the treatment of acne) or use any anti-acne medications on the skin while taking Izotek 10 mg and Izotek 20 mg. You can use moisturizing products and emollients (creams or lotions applied to the skin to prevent water loss and soften the skin).

  • While taking Izotek 10 mg and Izotek 20 mg, avoid using topical anti-acne keratolytic or exfoliating agents.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a baby, ask your doctor for advice before taking this medicine.
Pregnancy
Izotek 10 mg and Izotek 20 mg must not be used during pregnancy. If you are able to become pregnant, you must use effective contraception while taking Izotek 10 mg or Izotek 20 mg and for one month after stopping the medicine.
If you become pregnant while taking Izotek 10 mg or Izotek 20 mgor within one month of stopping treatment, stop taking the medicine immediatelyand contact your doctor. The doctor may refer you to a specialist for advice.

Taking Izotek 10 mg or Izotek 20 mg during pregnancy may harm the fetus (because the medicine has a teratogenic effect). It also increases the risk of miscarriage.

Izotek 10 mg or Izotek 20 mg may cause serious birth defects in the fetus, including

brain, face, ear, eye, heart, and some gland(thymus and parathyroid) abnormalities.

Driving and using machines

During treatment, your night vision may be impaired. Such vision disturbances can occur suddenly. In rare cases, they may persist after treatment has stopped. Very rarely, drowsiness, dizziness, and vision disturbances have been reported. If you experience these symptoms, you should not drive or operate machinery.
Izotek 10 mg and Izotek 20 mg contain soybean oil. Do not take Izotek 10 mg or Izotek 20 mg if you are allergic to peanuts or soy.

3. How to take Izotek 10 mg and Izotek 20 mg

Take this medicine exactly as your doctor has told you. If you are not sure, ask your doctor or pharmacist.

Recommended dose:

The initial dose is usually 0.5 mg per kilogram of body weight per day (0.5 mg/kg/day).
If your weight is 60 kg, treatment will usually start with a dose of 30 mg per day.

Take the capsules once or twice a day.

Take the medicine with a full stomach. Swallow the capsules whole with a drink of water or while eating.
After a few weeks, your doctor may change your dose.This depends on how you tolerate the treatment and the results. For most patients, the dose is between 0.5 mg/kg/day and 1 mg/kg/day. If you feel that the effect of Izotek 10 mg or Izotek 20 mg is too weak or too strong, tell your doctor or pharmacist.
Treatment usually lasts from 16 to 24 weeks.For most patients, only one treatment cycle is necessary. Acne symptoms may improve for up to 8 weeks after treatment is stopped. Treatment is usually not started again until then. Some people may experience worsening of acne during the first few weeks of treatment. These symptoms usually improve as treatment continues.

Patients with kidney problems

In case of severe kidney disease, treatment should start with a lower dose (e.g. 10 mg/day), which can then be increased to the maximum tolerated dose.

Taking more than the recommended dose of Izotek 10 mg or Izotek 20 mg

If you have taken too many capsules or if someone else has taken your medicine by mistake, contact your doctor, pharmacist, or the nearest hospital immediately.
Isotretinoin is a derivative of vitamin A. Symptoms of overdose with Izotek 10 mg and Izotek 20 mg are similar to symptoms of vitamin A overdose. These include headache, nausea, vomiting, dizziness, irritability, and itching.

Missing a dose of Izotek 10 mg or Izotek 20 mg

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, do not take the missed dose. Continue with your regular dosing schedule. Do not take a double dose to make up for a missed dose.
If you have any further questions about taking this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Izotek 10 mg and Izotek 20 mg can cause side effects, although not everybody gets them.
These symptoms usually go away or get better after treatment is stopped. Others may be serious and require immediate medical attention.

Side effects that require immediate medical attention:

Skin problems

Frequency not known(frequency cannot be estimated from the available data)

  • Severe skin rashes (erythema multiforme, Stevens-Johnson syndrome, and toxic epidermal necrolysis), which can be life-threatening and require immediate medical attention. Initially, they may look like circular patches, often with central blisters, usually located on the hands and feet or buttocks. More severe rashes may cover the chest and back. They may also be accompanied by other symptoms, such as eye infections (conjunctivitis) or ulcers in the mouth, throat, or nose.

Some types of rash may take the form of widespread peeling of the skin, which can be life-threatening. The onset of these severe skin rashes is often preceded by headache, fever, body aches (flu-like symptoms).

If you experience a severe rash or the above skin symptoms, stop taking Izotek 10 mg or Izotek 20 mg and seek medical attention immediately.

Psychiatric disorders

Rare side effects(may affect up to 1 in 1000 people)

  • Depression or related disorders. Symptoms include sadness, mood changes, anxiety, and emotional discomfort.
  • Worsening of existing depression.
  • Aggression or violent behavior.

Very rare side effects(may affect up to 1 in 10,000 people)

  • Some people have had thoughts or ideas of self-harm or suicide (suicidal thoughts), attempted suicide (suicide attempts), or committed suicide. These people may not have shown symptoms of depression.
  • Abnormal behavior.
  • Psychotic symptoms: loss of contact with reality, e.g. the patient hears voices or sees things that do not exist.

If you experience any of the above psychiatric symptoms, seek medical attention immediately.

The doctor may recommend stopping Izotek 10 mg or Izotek 20 mg.Stopping the medicine may not be enough to make these effects go away; additional help may be necessary, and the doctor can provide it.

Allergic reactions

Rare side effects(may affect up to 1 in 1000 people)

  • Severe (anaphylactic) reactions: difficulty breathing or swallowing due to sudden swelling of the throat, face, lips, and mouth. Also, sudden swelling of the hands, feet, and ankles. Very rare side effects(may affect up to 1 in 10,000 people)
  • Sudden chest tightness, shortness of breath, and wheezing, especially if you have asthma.

If you experience a severe reaction, go to the emergency room immediately.

If you experience any allergic reaction, stop taking Izotek 10 mg or Izotek 20 mg and contact your doctor.

Musculoskeletal system

Frequency not known(frequency cannot be estimated from the available data)

  • Muscle weakness, which can be life-threatening, may be associated with difficulty moving arms or legs, pain, swelling, bruising, dark urine, decreased urine production, or dehydration. These are symptoms of rhabdomyolysis, a breakdown of muscle tissue that can lead to kidney failure. This can occur with strenuous physical activity while taking Izotek 10 mg or Izotek 20 mg.

Liver and kidney problems

Very rare side effects(may affect up to 1 in 10,000 people)

  • Yellowing of the skin or whites of the eyes and feeling tired. These may be symptoms of hepatitis.

Stop taking Izotek 10 mg or Izotek 20 mg immediately and contact your doctor.

  • Problems urinating, swollen and puffy eyelids, feeling very tired. These may be symptoms of kidney inflammation.

Stop taking Izotek 10 mg or Izotek 20 mg immediately and contact your doctor.

Nervous system disorders

Very rare side effects(may affect up to 1 in 10,000 people)

  • Persistent headache with nausea, vomiting, and vision disturbances, including blurred vision. These may be symptoms of benign intracranial hypertension, especially when taking Izotek 10 mg or Izotek 20 mg with tetracycline antibiotics.

Stop taking Izotek 10 mg or Izotek 20 mg immediately and contact your doctor.

Gastrointestinal disorders

Very rare side effects(may affect up to 1 in 10,000 people)

  • Severe abdominal pain with bloody diarrhea, nausea, and vomiting, or without these symptoms. These may be symptoms of severe bowel disease.

Stop taking Izotek 10 mg or Izotek 20 mg immediately and contact your doctor.

Eye disorders

Very rare side effects(may affect up to 1 in 10,000 people)

  • Blurred vision.

If you experience blurred vision, stop taking Izotek 10 mg or Izotek 20 mg immediately and contact your doctor.

If you experience any other changes in your vision, contact your doctor as soon as possible.

Other side effects

Very common side effects(may affect more than 1 in 10 people)

  • Dry skin, especially on the lips and face, skin inflammation, peeling, and inflammation of the lips, rash, mild itching, and mild peeling. From the start of treatment, use a moisturizing cream.
  • Skin more sensitive and red than usual, especially on the face.
  • Back pain, muscle pain, joint pain, especially in children and adolescents . To avoid worsening of any bone or muscle problems, avoid strenuous physical activity while taking Izotek 10 mg and Izotek 20 mg.
  • Eye inflammation (conjunctivitis) and eyelid inflammation, feeling of dryness and irritation of the eyes. Ask your pharmacist for suitable eye drops. If you experience dry eye syndrome, you may need to wear glasses instead of contact lenses.
  • Increased liver enzyme activity in blood tests.
  • Changes in lipid levels in the blood (including HDL or triglycerides).
  • Bruising, bleeding, or faster blood clotting - if the problem affects the cells responsible for blood clotting.
  • Anemia - weakness, dizziness, pale skin - if the problem affects red blood cells.

Common side effects(may affect up to 1 in 10 people)

  • Headache.
  • High cholesterol levels in the blood.
  • Protein or blood in the urine.
  • Increased susceptibility to infections, if the problem affects white blood cells.
  • Dryness of the nasal passages and formation of crusts, leading to mild nosebleeds.
  • Pain or inflammation of the throat and nasal passages.
  • Allergic reactions, such as rash, itching. If you experience any allergic reaction, stop taking Izotek 10 mg or Izotek 20 mg and contact your doctor.

Rare side effects(may affect up to 1 in 1000 people)

  • Hair loss (alopecia). This is usually temporary and should stop after treatment is completed.

Very rare side effects(may affect up to 1 in 10,000 people)

  • May cause impaired night vision, color blindness, and decreased color perception.
  • May cause increased sensitivity to light; may need to wear sunglasses to protect the eyes from too much light.
  • Other vision problems, including blurred vision, distorted vision, and clouding of the cornea (cataract).
  • May cause excessive thirst, need to urinate frequently, and blood test results showing high blood sugar levels. These may be symptoms of diabetes.
  • During the first few weeks, acne may worsen, but symptoms should start to improve as treatment continues.
  • Skin inflammation, swollen and darker than usual, especially on the face.
  • Excessive sweating or itching.
  • Arthritis; bone problems (delayed growth, excessive growth, and changes in bone density); may cause growth retardation in growing bones.
  • Calcification of soft tissues, tendon pain, and high levels of muscle breakdown products in the blood in case of strenuous physical activity.
  • Increased sensitivity to light.
  • Bacterial infections at the base of the nails, changes in the nails.
  • Swelling, discharge, or pus.
  • Excessive scarring after surgery.
  • Increased hair growth on the body.
  • Seizures, drowsiness, dizziness.
  • May cause swelling of the lymph nodes.
  • Dryness of the throat, hoarseness.
  • Hearing problems.
  • General feeling of being unwell.
  • High levels of uric acid in the blood.
  • Bacterial infections.
  • Vasculitis (sometimes with bruising or red spots).

Frequency not known(frequency cannot be estimated from the available data)

  • Dark or dark brown urine.
  • Difficulty achieving or maintaining an erection.
  • Decreased sex drive.
  • Breast tenderness or swelling, occurring in men.
  • Vaginal dryness.
  • Sacroiliitis, a type of back pain caused by inflammation, causing pain in the lower back or buttocks.
  • Urethritis.

Reporting side effects

If you experience any side effects, including any side effects not listed in this leaflet, tell your doctor or pharmacist. Side effects can be reported directly to the Department of Drug Safety, Urząd Rejestracji Produktów Leczniczych, Wyrobów Medycznych i Produktów Biobójczych, Al. Jerozolimskie 181C, 02-222 Warszawa, tel.: +48 22 49 21 301, fax: +48 22 49 21 309, website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Izotek 10 mg and Izotek 20 mg

Keep this medicine out of the sight and reach of children.
Store in a temperature below 30°C.
Store in the original packaging to protect from light.
Do not use this medicine after the expiry date which is stated on the packaging after EXP.
The expiry date refers to the last day of that month.
Return any unused capsules to the pharmacist.Only keep them if your doctor tells you to.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the packaging and other information

What Izotek 10 mg and Izotek 20 mg contain

  • The active substance of Izotek 10 mg and Izotek 20 mg is isotretinoin. Izotek 10 mg: each soft capsule contains 10 mg of isotretinoin. Izotek 20 mg: each soft capsule contains 20 mg of isotretinoin.
  • Other ingredients are: purified soybean oil, yellow wax, hydrogenated soybean oil, partially hydrogenated soybean oil, gelatin, glycerol, titanium dioxide (E 171), iron oxide red (E 172), iron oxide yellow (E 172).

What Izotek 10 mg and Izotek 20 mg look like and contents of the pack

Izotek 10 mg are oval, red-orange capsules (size 3).
Izotek 20 mg are oval, red-orange capsules (size 6).
The medicine is available in cardboard boxes containing PVC/PE/PVDC/Aluminum blisters.
Available pack sizes are 10, 30, 50, 60, or 100 soft capsules.
Not all pack sizes may be marketed.

Marketing authorization holder

Bausch Health Ireland Limited
3013 Lake Drive
Citywest Business Campus
Dublin 24, D24PPT3
Ireland

Manufacturer

Pharmathen S.A.
6, Dervenakion Str.
153 51 Pallini
Athens
Greece
Pharmathen International S.A.
Industrial Park Sapes, Block No 5
Rodopi Prefecture 69300
Greece

This medicinal product is authorized in the Member States of the European Economic Area under the following names:

Denmark:
Isotretinoin Orion
Finland: Isotretinoin Orion
Poland:
Izotek
Greece:
A-Cnotren 10 mg
Date of last revision of the leaflet:January 2024
Detailed and up-to-date information on this medicine is available by scanning the QR code on the leaflet using a smartphone. The same information is also available on the website www.izotek.pl
QR code

  • Country of registration
  • Active substance
  • Prescription required
    Yes
  • Manufacturer
  • Importer
    Pharmathen International S.A. Pharmathen S.A.

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Ekaterina Agapova

Neurology8 years of experience

Dr. Ekaterina Agapova is a neurologist specialising in the diagnosis and treatment of neurological conditions and chronic pain. She provides online consultations for adults, combining evidence-based medicine with a personalised approach.

She offers expert care for:

  • Headaches and migraines, including tension-type and cluster headaches.
  • Neck and back pain, both acute and chronic.
  • Chronic pain syndromes – fibromyalgia, neuropathic pain, post-traumatic pain.
  • Mononeuropathies – carpal tunnel syndrome, trigeminal neuralgia, facial nerve palsy.
  • Polyneuropathies – diabetic, toxic, and other types.
  • Multiple sclerosis – diagnosis, monitoring, long-term support.
  • Dizziness and coordination disorders.
  • Sleep disturbances – insomnia, daytime sleepiness, fragmented sleep.
  • Anxiety, depression, and stress-related conditions.

Dr. Agapova helps patients manage complex neurological symptoms like pain, numbness, weakness, poor sleep, and emotional distress. Her consultations focus on accurate diagnosis, clear explanation of findings, and tailored treatment plans.

If you’re struggling with chronic pain, migraines, nerve disorders, or sleep problems, Dr. Agapova offers professional guidance to restore your well-being.

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Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Doctor

Jonathan Marshall Ben Ami

Family medicine8 years of experience

Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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5.0(4)
Doctor

Salome Akhvlediani

Pediatrics11 years of experience

Dr Salome Akhvlediani is a paediatrician providing online consultations for children of all ages. She supports families with preventive care, diagnosis, and long-term management of both acute and chronic conditions.

Her areas of focus include:

  • Fever, infections, cough, sore throat, and digestive issues.
  • Preventive care – vaccinations, regular check-ups, and health monitoring.
  • Allergies, asthma, and skin conditions.
  • Nutritional advice and healthy development support.
  • Sleep difficulties, fatigue, and behavioural concerns.
  • Ongoing care for chronic or complex health conditions.
  • Guidance for parents and follow-up after medical treatment.

Dr Akhvlediani combines professional care with a warm, attentive approach – helping children stay healthy and supporting parents at every stage of their child’s growth.

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