Since Isotroin is adversely affecting your menstrual cycle, you should consult your dermatologist and gynaecologist to find a suitable alternative. Effective treatment for both PCOD and back acne simultaneously often requires a combined approach addressing the underlying hormonal imbalance through medication and lifestyle changes.

If your acne is not improving even after stopping Isotroin a year ago, it likely means the root cause is still untreated. Consult a dermatologist for a reassessment of your persistent acne. Your doctor will prescribe suitable medicines after evaluation of the underlying cause.

Isotroin 20 capsule may cause mild lower backache, especially in the first few weeks. This is usually not serious and often settles on its own. However, if the backache becomes severe, consult your doctor. Staying hydrated, gentle stretching, and avoiding heavy workouts on painful days usually help.

Yes, you can take Isotroin 20 mg (isotretinoin) with Juliana (which contains drospirenone and ethinyl estradiol), and this combination is generally considered an acceptable part of a dual contraception plan. However, these two medicines should be taken together if advised by the doctor.

It is normal to still get pimples after only 20 days of treatment with Isotroin, as the medication typically takes several weeks to show noticeable effects. Acne that worsens during periods is often hormonal, so breakouts on the face and neck can continue for a while. Just continue the treatment as prescribed and keep your skincare simple and gentle. If the acne does not settle after a few more weeks, talk to your doctor.