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Absorica LD

Absorica LD is a lower-dose version of the brand-name drug Absorica, which contains the active ingredient isotretinoin. It is prescribed for the treatment of severe recalcitrant nodular acne, particularly in cases where other treatments have failed. Absorica LD belongs to a class of drugs known as retinoids, which are derivatives of vitamin A. This medication works by reducing the amount of oil produced by the skin's oil glands, promoting quicker skin cell renewal, and ultimately reducing the severity of acne and preventing long-term scarring.



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Frequently Asked Questions

How long does it take for Absorica LD to start working?
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Most patients begin to see improvement in their acne within the first month of treatment, but it may take the full course of 15 to 20 weeks to achieve the best results.

What should I do if I miss a dose of Absorica LD?
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If you miss a dose, take it as soon as you remember, unless it is almost time for your next dose. Do not double up on doses. It’s important to take the medication consistently for the best results.

Can I take Absorica LD if I’m planning to become pregnant?
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No, Absorica LD should not be taken by women who are pregnant or planning to become pregnant due to the high risk of severe birth defects. Women of childbearing potential must use two forms of contraception and adhere to the iPLEDGE program guidelines.

Are there any foods I should avoid while taking Absorica LD?
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While there are no specific foods to avoid, it’s best to take Absorica LD with a meal to improve absorption. Avoid alcohol, as it can increase the risk of liver-related side effects.

Will my acne come back after I stop taking Absorica LD?
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For many patients, Absorica LD provides long-lasting results, and acne may not return after completing a course of treatment. However, some patients may experience a recurrence of acne and may require additional treatment.

Can I wear makeup while taking Absorica LD?
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Yes, you can wear makeup while taking Absorica LD, but it’s important to use non-comedogenic products that won’t clog your pores. Be gentle with your skin, as it may be more sensitive during treatment.

Comprehensive Drug Guide

How Does Absorica LD Work?

Absorica LD works by shrinking the sebaceous glands, which reduces the amount of oil (sebum) they produce. This reduction in oil production decreases the likelihood of clogged pores, which can lead to acne breakouts. Additionally, Absorica LD speeds up the shedding of dead skin cells, helping prevent blockages in the hair follicles. It also has anti-inflammatory properties that reduce the redness and swelling associated with severe acne.



Common Dosages

Absorica LD is available in capsule form, with common strengths including:

  • 8 mg
  • 16 mg
  • 24 mg
  • 32 mg

The dosage prescribed will depend on the patient’s weight and the severity of their acne. The goal is to reach a total cumulative dose over the course of treatment, typically lasting several months.


The typical dosing of Absorica LD is based on the patient’s weight and the severity of their acne. The initial dose is generally 0.5 to 1 mg per kilogram of body weight per day, divided into two doses. The treatment course usually lasts 15 to 20 weeks, with the goal of reaching a cumulative dose of 120 to 150 mg per kilogram. Dosing adjustments may be made based on the patient’s response and any side effects they experience.



Typical Dosing

FDA Approved Indications

Absorica LD is FDA-approved for the treatment of severe recalcitrant nodular acne in patients who have not responded to other treatments, such as antibiotics. It is specifically designed for cases of acne that are deep, painful, and likely to cause permanent scarring if left untreated. There are no widely recognized off-label uses for Absorica LD, as its primary purpose is to manage severe acne.



Who Shouldn't Take Absorica LD?

Absorica LD should not be used by individuals who are pregnant or planning to become pregnant, as it can cause severe birth defects. Women of childbearing potential must adhere to the strict guidelines of the iPLEDGE program, which includes using two forms of contraception. Additionally, Absorica LD is contraindicated in patients with a history of allergic reactions to isotretinoin or any of its components. It should also be avoided in patients with severe liver disease or very high blood lipid levels.



Advice From The Pharmacist

When taking Absorica LD, it is important to follow your dosing instructions carefully and take the medication with food, as this helps improve absorption. Avoid vitamin A supplements and excessive exposure to sunlight or UV rays, as Absorica LD can increase your skin’s sensitivity. It is also important to avoid waxing, dermabrasion, or laser treatments while on Absorica LD and for several months afterward, as these procedures can cause scarring. Women of childbearing potential must strictly follow the contraception requirements of the iPLEDGE program, and all patients should report any side effects to their healthcare provider immediately.



Side Effects of Absorica LD

Common Side Effects

Common side effects of Absorica LD include dry skin, lips, and eyes, as well as itching, rash, and nosebleeds. More serious side effects, though less common, include elevated triglycerides, liver enzyme changes, and mood changes, including depression. Rare but severe side effects can include pancreatitis, hearing loss, or vision problems. If you experience any serious side effects, it is important to contact your healthcare provider immediately.



Risks and Warnings of Absorica LD

The most significant risk associated with Absorica LD is the potential for severe birth defects if taken during pregnancy. Because of this, strict adherence to the iPLEDGE program is essential. Additionally, Absorica LD can cause mood changes, including depression and suicidal thoughts, so it’s important to monitor your mental health during treatment. Regular blood tests are required to monitor liver function and lipid levels. Patients should also be aware of the possibility of dry skin and mucous membranes, which can lead to complications if not properly managed.



Interactions with Absorica LD

Common Drug Interactions

Absorica LD can interact with other medications, including tetracycline antibiotics, which can increase the risk of intracranial hypertension. It may also interact with vitamin A supplements, leading to vitamin A toxicity. Patients should avoid alcohol, as it can increase the risk of liver damage and high triglyceride levels. It is important to inform your healthcare provider of all medications, supplements, and herbal products you are taking before starting Absorica LD.



Alternatives to Absorica LD

Alternative treatments to Absorica LD include other forms of isotretinoin, such as Absorica or generic isotretinoin. For patients who cannot tolerate isotretinoin, other acne treatments like oral antibiotics (e.g., doxycycline, minocycline), hormonal therapies for women (e.g., birth control pills), or topical retinoids (e.g., tretinoin) may be considered. Laser treatments, chemical peels, or other dermatological procedures may also be options. Consulting with a dermatologist can help determine the best treatment plan based on the severity of the acne and the patient’s medical history.