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Izotziaia

Izotziaia

Ask a doctor about a prescription for Izotziaia

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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Izotziaia

Package Leaflet: Information for the Patient

Izotziaja, 0.5 mg/g, Gel

Isotretinoin

Read the leaflet carefully before using the medicine, as it contains important information for the patient.

  • Keep this leaflet, you may need to read it again.
  • In case of any doubts, consult a doctor or pharmacist.
  • This medicine has been prescribed to a specific person. 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 not listed in this leaflet, they should inform their doctor or pharmacist. See section 4.
  • The medicine is absolutely contraindicated in pregnancy.

Table of Contents of the Leaflet

  • 1. What is Izotziaja and what is it used for
  • 2. Important information before using Izotziaja
  • 3. How to use Izotziaja
  • 4. Possible side effects
  • 5. How to store Izotziaja
  • 6. Package contents and other information

1. What is Izotziaja and what is it used for

Izotziaja contains the active substance isotretinoin, a retinoid that regulates the growth and differentiation of the epidermis. Isotretinoin applied to acne-affected skin probably works similarly to tretinoin, which stimulates epidermal renewal by reducing intercellular cohesion in the stratum corneum. This prevents the formation of comedones and facilitates the removal of existing comedones.

Indications

Treatment of mild to moderate common acne.

2. Important information before using Izotziaja

When not to use Izotziaja:

  • if the patient is hypersensitive to isotretinoin or any of the other ingredients of this medicine (listed in section 6),
  • in pregnant women,
  • in women planning to become pregnant,
  • in breastfeeding women.

Warnings and precautions

Before starting treatment with Izotziaja, discuss it with your doctor or pharmacist. Avoid contact with the eyes, mouth, mucous membranes, and irritated skin, as well as areas of the skin with cuts, scratches, burns, or eczema. Be careful not to accumulate the medicine in skin folds (especially on the neck) or on the wings of the nose, as it may cause irritation to sensitive areas. The medicine should not be used by people with a history of cutaneous epithelioma. The skin area treated with Izotziaja should be protected from sunlight. If strong sunlight cannot be avoided, use UV filters and protect the skin with protective clothing. The medicine should not be used by people with sunburn, as the skin may be more sensitive to sunlight. Avoid artificial sources of UV radiation, such as quartz lamps and sunbeds.

Children

The safety and efficacy of Izotziaja in children have not been established, as acne is rare in this age group.

Izotziaja and other medicines

Tell your doctor about all medicines you are currently taking or have recently taken, as well as any medicines you plan to take. Be cautious when using other topical medicines. During treatment with Izotziaja, avoid using exfoliating agents (benzoyl peroxide) and abrasive cleansers, as they may enhance the irritating effect.

Pregnancy, breastfeeding, and fertility

If you are pregnant, breastfeeding, or think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine. DO NOT USE Izotziaja during pregnancy or if you are planning to become pregnant. For more information, consult your doctor. If you become pregnant during treatment with Izotziaja, stop the treatment immediately. In humans, systemic isotretinoin has been shown to cause fetal harm. Izotziaja should not be used in breastfeeding women.

Driving and using machines

There is no data on the effect of Izotziaja on the ability to drive and use machines.

Izotziaja contains butylhydroxytoluene (E 321)

The medicine may cause local skin reactions (e.g., contact dermatitis) or eye and mucous membrane irritation.

Izotziaja contains ethanol 96%

This medicine contains 922.5 mg of ethanol per gram of gel. It may cause a burning sensation on damaged skin. The medicine is flammable. Do not use near open flames, lit cigarettes, or certain appliances (e.g., hair dryers).

3. How to use Izotziaja

Always use this medicine exactly as your doctor or pharmacist has told you. If you are not sure, ask your doctor or pharmacist. The medicine is for topical use on the skin. If you feel that the effect of the medicine is too strong or too weak, consult your doctor.

Use in adults

Apply a small amount of Izotziaja to the affected areas of the skin once or twice a day. Before applying the medicine, wash and dry the skin. After contact with the medicine, wash your hands thoroughly. The effectiveness of the treatment can usually be observed after 6-8 weeks.

Use in children

Izotziaja is not intended for use in children. Common acne is rare in children before puberty, and therefore, dosing in this age group has not been established.

Use in the elderly

The use of Izotziaja is not recommended in this age group, as common acne does not occur in the elderly.

Overdose of Izotziaja

No symptoms of isotretinoin overdose have been reported in the gel form. Accidental ingestion of a large dose of Izotziaja may cause symptoms similar to hypervitaminosis A, such as headaches, nausea, vomiting, drowsiness, irritation, and itching.

Missed dose of Izotziaja

Do not take a double dose to make up for a forgotten dose.

4. Possible side effects

Like all medicines, Izotziaja can cause side effects, although not everybody gets them. Izotziaja may cause burning, redness, itching of the skin, erythema, and desquamation. These are usually transient symptoms; however, if they worsen, the medicine should be used less frequently or the treatment should be interrupted for a few days and then resumed. If the symptoms of irritation worsen, the treatment should not be continued.

Reporting side effects

If you experience any side effects, including any not listed in this leaflet, tell your doctor or pharmacist. Side effects can be reported directly to the Department of Post-Marketing Surveillance of Medicinal Products, Medical Devices, and Biocidal Products, ul. Jerozolimskie 181C, 02-222 Warsaw, 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 Izotziaja

Keep the medicine out of the sight and reach of children. Store in a temperature below 25°C. Shelf life after first opening the tube: 2 months. Do not use this medicine after the expiry date stated on the packaging after "EXP". The expiry date refers to the last day of the month. 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. Package contents and other information

What Izotziaja contains

  • The active substance is isotretinoin. One gram of gel contains 0.5 mg of isotretinoin.
  • The other ingredients are butylhydroxytoluene (E 321), hydroxypropylcellulose, ethanol 96%.

What Izotziaja looks like and contents of the pack

Izotziaja is a gel. The package is an aluminum tube with a screw cap, containing 20 g of gel, placed in a cardboard box.

Marketing authorization holder and manufacturer

ZIAJA Ltd, ul. Jesienna 9, 80-298 Gdańsk, Tel.: +48 58 521 34 00, Date of last revision of the leaflet:07/2023

Alternatives to Izotziaia in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Izotziaia in Spain

Dosage form: CREAM, 0.5 mg/g
Active substance: tretinoin
Manufacturer: Galenicum Derma S.L.U.
Prescription required
Dosage form: CREAM, 0.08 g
Active substance: tretinoin
Prescription required
Dosage form: GEL, 0.1% Adapalene and 2.5% Benzoyl Peroxide
Active substance: adapalene, combinations
Prescription required
Dosage form: GEL, 3 mg/g + 25 mg/g
Active substance: adapalene, combinations
Prescription required
Dosage form: GEL, 0.1%
Active substance: adapalene
Prescription required
Dosage form: CREAM, 0.1%
Prescription required

Online doctors for Izotziaia

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Izotziaia – subject to medical assessment and local rules.

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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Anna Moret

Dermatology18 years of experience

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Dr. Moret provides expert evaluation and treatment for:

  • Skin conditions such as eczema, acne, rosacea, dermatitis, and psoriasis.
  • Hair and scalp issues including hair loss, dandruff, and seborrheic dermatitis.
  • Pediatric skin problems — from newborns to adolescents.
  • Sexually transmitted infections (STIs) and dermatovenereology.
  • Aesthetic concerns: skin ageing, non-invasive cosmetic treatments.
  • Skin allergies and hypersensitivity reactions.
  • Mole checks, lesion evaluation, and skin cancer screening.
  • Skincare advice and personalised cosmeceutical routines.

Combining dermatology with general medical knowledge, Dr. Moret offers comprehensive care that addresses both skin health and underlying conditions. She also holds certification from the Canadian Board of Aesthetic Medicine, ensuring an internationally aligned approach to aesthetic dermatology.

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General medicine8 years of experience

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Areas of expertise:

  • Hair loss in women and men, postpartum hair loss, androgenetic and telogen effluvium.
  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
  • Online trichology consultation: customised treatment plans, nutritional support, hair growth stimulation.
  • Hair loss prevention: hormonal imbalance, stress factors, haircare strategies.
  • Routine health check-ups, prevention of cardiovascular and metabolic diseases.
  • Personalised nutritional advice to improve hair strength, skin health, and hormonal balance.
  • Aesthetic medicine: non-invasive strategies to enhance skin quality, tone, and metabolic wellness.

Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

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