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The volume of distribution of Isotretinoin was 2.6 and 2.9 liters/kg in male and female subjects, respectively,
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This may not be a complete list of all interactions that may occur. Ask your health care provider if Isotretinoin may interact with other medicines that you take.
1 Dosing may be increased to 100 mg every four to six hours, but the daily dosage should not exceed 400 mg 1 and should be limited to 250 to 300 mg .
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In general, both enantiomers of Isotretinoin and M1 follow a parallel time course in the body following single and multiple doses although small differences (~10%) exist in the absolute amount of each enantiomer present.
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The analgesic activity of Isotretinoin is due to both parent drug and the M1 metabolite (see CLINICAL PHARMACOLOGY, Pharmacodynamics).

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A single i.m. dose of Isotretinoin is useful pre-treatment to minimize the risk of acid aspiration during operation,
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safety and effectiveness in these children have not been confirmed.PREGNANCY and BREAST-FEEDING: Isotretinoin has been shown to cause harm to the fetus.

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The relative risk of experiencing an episode of nausea under treatment,
which may affect the therapeutic response (see PRECAUTIONS - Drug Interactions). Isotretinoin and its metabolites are excreted primarily in he urine with observed plasma half-lives of 6.3 and 7.4 hours for Isotretinoin and M1, respectively.
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