Since isotretinoin works by decreasing the amount of oil in your skin, almost every single person will experience dry skin , chapped lips , a dry nose (to the point of nose bleeding), and dry eyes or mouth , depending on the dosage given
Rarer but serious side effects include pancreatitis and risk of thyroid tumors, which a doctor should monitor for during the duration of the drugs use
It may be time to consider a Vitamin B12 injection if you are experiencing common symptoms, including: Weakness, fatigue, or lightheadedness Heart palpitations Pale skin Mouth or tongue soreness or bleeding Constipation, diarrhea, loss of appetite, or gas Numbness or tingling, muscle weakness, and problems walking Vision loss Possible depression, memory loss, or behavioral changes Anemia Intestinal disorders and weight loss Vitamin B12 injections can potentially treat anyone experiencing symptoms associated with a deficiency
Bibcode:2020Anima..10.1855G