Does Accutane cause severe bleeding from nose?

Question

Hi doctor,

I have been using Accutane for seven months. I am currently in the last two weeks of my last round of treatment. In the past one and a half weeks, I have been experiencing relatively bad headaches that have not gotten any worse.

Yesterday, I experienced a severe nosebleed that lasted for about two minutes. Pretty quickly after stopping the first nosebleed, I experienced a second nosebleed that resulted in me pulling a blood clot out of my nose that was approximately 0.9 inches long and 0.8 inches wide.

My concern is that I am running a half-marathon in two days, and I am unsure of whether I should go through with this or let my body rest.

Please advise.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Nosebleeds are a known side effect of Isotretinoin, but fortunately, they often resolve quickly after discontinuing the medication. Considering your upcoming marathon in two days, I recommend temporarily stopping the tablet. It is also essential to have your blood pressure checked, as Isotretinoin can potentially cause an increase in blood pressure.

However, there's no need to worry too much about the nosebleed (caused by a blood clot), as marathons typically have paramedic teams that can provide assistance if needed. Enjoy your life and go ahead with the marathon, and I wish you the best of luck!

I hope this helps.

Thank you.