Does isotretinoin therapy have any effects on electrocardiography, heart rate and blood pressure?

J Dermatolog Treat. 2012 Jun;23(3):168-71. doi: 10.3109/09546634.2010.546831. Epub 2011 Jan 22.

Abstract

Background: Isotretinoin therapy is associated with numerous adverse effects of various systems. Although some cases have been reported, cardiac side effects are rare following isotretinoin treatment.

Objective: To investigate the effects of isotretinoin on the cardiovascular system.

Methods: Seventy patients with acne vulgaris were enrolled in the study. The patients were treated with a dose of 0.5-1.0 mg/kg per day of isotretinoin. Screening for biochemical and hematologic parameters, heart rate, blood pressure and electrocardiographic parameters were done before treatment and after 3 months of isotretinoin treatment.

Results: Heart rate, systolic/diastolic tension and electrocardiographic parameters (P-wave duration and QTc duration) were not statistically different before compared with after treatment.

Conclusion: As far as we know, there is no study researching the effect of isotretinoin on P- and QT-wave measurements in the literature. We found that isotretinoin did not affect P- and QT-wave measurement. Further studies with longer periods of follow-up are needed to understand the effect of isotretinoin on the cardiovascular system.

MeSH terms

  • Acne Vulgaris / drug therapy*
  • Adolescent
  • Adult
  • Blood Pressure / drug effects*
  • Blood Pressure Determination / methods
  • Cardiovascular System / drug effects
  • Dermatologic Agents / adverse effects
  • Dermatologic Agents / therapeutic use*
  • Electrocardiography / drug effects*
  • Female
  • Heart Rate / drug effects*
  • Humans
  • Isotretinoin / adverse effects
  • Isotretinoin / therapeutic use*
  • Male
  • Young Adult

Substances

  • Dermatologic Agents
  • Isotretinoin