Akno 10 | Isotretinoin | 15pcs | Soft Capsule | ePharma
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Akno 10mg Soft Capsule

Generic: Isotretinoin

Type: Capsule

Pack Size: 15 Pcs

Isotretinoin is used in adults and children (older than 12 years of age) to treat a severe form of acne that has not improved after other anti-acne treatments


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Discount Price: ৳ 570
MRP: ৳ 600 5% Off

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✅ Description:

Akno 10mg Capsule contains Isotretinoin, a member of the Retinoid group of medicines. It is prescribed to both adults and children over 12 years old for the treatment of severe forms of acne that have not responded to other anti-acne treatments. These severe forms include nodular acne, conglobate acne, and acne that poses a risk of permanent scarring. Acne is a skin condition characterized by inflammatory lesions, oily skin, and painful nodules, and can occur on the face, back, and chest.

During Akno 10mg Capsule treatment, your doctor may conduct blood tests and pregnancy tests, with your progress closely monitored by a dermatologist. You'll likely be advised to reduce strenuous exercise and physical activity. Sun protection is crucial, so use sunscreen with SPF 15 or higher when going outdoors.

It's important to avoid excessive sun exposure, tanning lamps, and sunbeds. Alcohol consumption should be avoided while taking Akno 10mg Capsules to prevent potential side effects. Donating blood is discouraged during treatment and for at least one month after stopping the medication. Cosmetic procedures should also be avoided while taking Akno 10mg Capsule and for at least six months after discontinuation.

Akno 10mg Capsule is not recommended for individuals with liver or kidney disease, hyperlipidemia (high blood lipid levels), or elevated Vitamin A levels. Caution should be exercised in patients with a history of mental illness or a family history of mental illness, asthma, diabetes, heart problems, bone disorders like osteoporosis, or eating disorders.

This medication is contraindicated for use in pregnant women, those planning pregnancy, breastfeeding women, and children under 12 years old. Consult your doctor for guidance. Elderly patients (aged 65 and older) should also use Akno 10mg Capsule with caution.

Akno 10mg Capsule may lead to side effects such as dry skin on the face and lips, joint or muscle pain, headaches, easy bruising or bleeding, weakness, and more. If any of these symptoms worsen, consult your doctor. Additionally, be aware that this medication can sometimes cause depression, psychosis, suicidal thoughts, or thoughts of self-harm in certain individuals. If you experience any of these behaviors or thoughts, seek medical attention promptly.

Safety Advices


Alcohol
UNSAFE

Avoid consuming alcohol with Akno 10.


Pregnancy
UNSAFE

Akno 10 is highly unsafe to use during pregnancy.


Breastfeeding
UNSAFE

Akno 10 is probably unsafe to use during breastfeeding.


Driving
CAUTION

Akno 10 may cause side effects that could affect your ability to drive, including impaired night vision.


Kidney
CONSULT YOUR DOCTOR

Akno 10 should be used with caution in patients with kidney problems. Consult your doctor before taking it.


Liver
CONSULT YOUR DOCTOR

Akno 10 is not recommended for use in patients with liver disease. Consult your doctor before taking it.

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✔️ Uses of Akno 10
  • Acne
✔️ How does Akno 10 work?

Isotretinoin is a synthetic retinoid that reduces sebaceous gland size and sebum production. It also regulates cell proliferation and differentiation.

✔️ Side Effects of Akno 10
  • Common side effects include dry skin, rash, increased liver enzymes, cheilitis (lip inflammation), xerosis (dry skin), xerostomia (dry mouth), and more.
  • Serious side effects are rare and may include anaphylaxis and hemorrhagic pancreatitis.
✔️ Quick Suggestions:
  • Take Akno 10 with food.
  • Avoid exposure to sunlight while using Akno 10. Use protective measures such as sunscreen or protective clothing.
  • Avoid face waxing and laser treatment while using this medicine, as it makes your skin more fragile.
  • Avoid taking tetracycline as it may reduce the activity of Akno 10.
  • Do not take Akno 10 if you are pregnant, planning pregnancy, or breastfeeding.
  • It may cause dryness of the mouth, lips, and eyes. Drink plenty of water, use moisturizer, and avoid wearing contact lenses. Inform your doctor if it bothers you.
✔️ Indications:

Isotretinoin is prescribed to treat severe forms of acne, including nodular or conglobate acne, or acne that is at risk of causing permanent scarring, when other treatments like systemic antibacterials and topical therapies have not been effective.

✔️ Pharmacology

Isotretinoin, a derivative of vitamin A, exerts its therapeutic effects in the treatment of acne through various mechanisms:

  • Cell Cycle Regulation: Isotretinoin modulates the cell cycle, leading to altered differentiation, survival, and apoptosis (programmed cell death) of skin cells. This regulation helps in preventing the formation of clogged pores.
  • Sebum Production Reduction: One of the key actions of isotretinoin is its ability to significantly reduce sebum (skin oil) production. This is important because excessive sebum production can contribute to the development of acne.
  • Acne-Causing Bacteria: While isotretinoin does not directly kill acne-causing bacteria, it creates an environment less conducive to their growth. By reducing sebum production and altering the microenvironment of the skin, it makes it more difficult for bacteria to thrive.
  • Retinol-Binding Protein (RBP) and Nuclear Retinoic Acid Receptor (RAR): Isotretinoin has a low affinity for RBP and RAR. Instead, it is thought to primarily exert its effects through other retinoic acid receptors.
  • RARγ Receptor: Both retinoic acid and its metabolite 4-oxo isotretinoin bind to the RARγ receptor. This receptor is believed to play a role in isotretinoin's ability to treat acne.
  • Apoptosis of Sebocytes: Isotretinoin induces apoptosis (cell death) of sebocytes, the cells responsible for producing sebum. This leads to a reduction in sebum production.
  • Reduction in Hyperkeratosis: Isotretinoin helps reduce hyperkeratosis (excessively thickened outer layer of skin) through mechanisms that are not fully understood. By reducing hyperkeratosis, it decreases the formation of acne lesions.
  • Enhanced Immune Mechanism: Isotretinoin may enhance the skin's immune response, making it more effective at combating inflammation and infections associated with acne.
  • Chemotaxis Alteration: Isotretinoin can influence the chemotaxis of monocytes, a type of white blood cell. This alteration in chemotaxis helps reduce inflammation, a common feature of acne.
✔️ Dosage & Administration of Akno 10

Adult Dose:

  • Oral Severe, Recalcitrant Nodular Acne: 0.5-1 mg/kg/day PO divided BID for 15-20 weeks. Dose up to 2 mg/kg/day (as tolerated) if the disease is very severe with scarring or primarily on the trunk.
  • Hepatic impairment: Contraindicated.

Child Dose:

  • Severe, Recalcitrant Nodular Acne: <12 years: Safety and efficacy not established; >12 years: 0.5-1 mg/kg/day PO divided BID for 15-20 weeks. Dose up to 2 mg/kg/day (as tolerated) if the disease is very severe with scarring or primarily on the trunk.

Renal Dose:

  • Renal impairment: Severe: Reduce initial dose (e.g. 10 mg daily), then gradually increase to 1 mg/kg as necessary.

Should be taken with food.

✔️ Interaction
  • Additive toxicity with vitamin A or its derivatives.
  • Decreased efficacy of microdosed progesterone (use 2 forms of contraception).
  • May increase the risk of bone loss with phenytoin.
  • May increase the risk of osteoporosis with systemic corticosteroids.
  • Reduces plasma levels of carbamazepine.
  • Potentially fatal: Increased risk of pseudotumor cerebri with tetracyclines.
✔️ Contraindications

Pregnancy, lactation.

✔️ Pregnancy & Lactation

Pregnancy is an absolute contraindication for isotretinoin treatment. If, despite all precautions, you become pregnant during or within a month after isotretinoin treatment, there is a high risk of severe and serious fetal malformations. These malformations can affect various parts of the body, including the central nervous system, face, ears, eyes, heart, and more. The risk of miscarriage is also increased. If a woman undergoing isotretinoin treatment becomes pregnant, the treatment must be immediately discontinued, and the patient should seek advice and evaluation from a specialist in teratology. Isotretinoin is highly lipophilic, which means it can pass into breast milk. Because infants exposed to isotretinoin through breast milk may experience adverse reactions, nursing mothers should not take isotretinoin.

✔️ Precautions & Warnings
  • Patients with preexisting or predisposition to hypertriglyceridemia, monitor triglyceride levels.
  • Monitor blood lipids and liver function at weekly or bi-weekly intervals.
  • Monitor blood glucose in known or suspected diabetes mellitus patients.
  • Use caution in patients with a history of psychiatric disorders.
  • May impair night vision.
  • Avoid wax epilation and skin resurfacing procedures for at least 6 months.
  • Avoid prolonged exposure to UV light or sunlight.
  • Discontinue if hearing impairment, abdominal pain, rectal bleeding, severe diarrhea, or adverse ocular effects occur.
  • Patients should not donate blood during therapy and for at least 1 month following drug discontinuation.
  • Lactation: Unknown whether distributed into breast milk; because of potential for serious adverse reactions in nursing infants, do not administer to women who are breastfeeding.
✔️ Storage Conditions

Keep below 30°C temperature, away from light & moisture. Keep out of the reach of children.

Frequently Asked Questions (FAQ)

No. Do not undergo cosmetic procedures such as skin waxing, dermabrasion, laser, or artificial UV light detanning while taking SOTRET 20MG CAPSULE or at least for 6 months after stopping it as they could cause scarring, skin irritation, or changes in your skin colour. Consult your doctor before undergoing any cosmetic procedure while taking SOTRET 20MG CAPSULE.

According to some studies, menstrual irregularity was observed during treatment follow-ups. Consult your doctor if you experience irregularity in your periods during treatment with SOTRET 20MG CAPSULE.

Akno 10 is primarily indicated for treating severe forms of acne that have not responded to standard therapies involving systemic antibiotics and topical treatments. These severe acne forms may include nodular or conglobate acne, or cases where there is a risk of permanent scarring. Isotretinoin USP 10mg is used when other treatments have proven ineffective for managing such severe acne conditions.

Isotretinoin can lead to bone or muscle issues, such as joint pain, muscle pain, stiffness, or limited mobility.

Isotretinoin works by reducing the size of your oil glands and regulating the skin's growth process. This helps to prevent the formation of pimples and blocked pores.
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Check our pricing section for Akno 10mg Soft Capsule price in Bangladesh. After Submitting Order, You will receive a phone call for verification, price and delivery confirmation. We deliver inside/outside Dhaka (Delivery all over Bangladesh). We offer express/urgent medicine delivery inside Dhaka. Do not forget to check discount/cashback offers if you are eligible to avail any.

Disclaimer:
ePharma sole intention is to ensure that its consumers get proper information as musch as possible. Although we do not guarantee the accuracy and the completeness of the information that provided and here information is for informational purposes only. The information contained herein should NOT be used as a substitute for the advice of a qualified physician. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your healthcare professional and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

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