Accutane and Methotrexate drug interactions - a phase IV clinical study of FDA data
Summary:
Drug interactions are reported among people who take Accutane (isotretinoin) and Methotrexate (methotrexate sodium). Common drug interactions include blood triglycerides increased among females and inflammatory bowel disease among males.
The phase IV clinical study analyzes what interactions people have when they take Accutane and Methotrexate. It is created by eHealthMe based on reports of 88 people who take the same drugs from the FDA, and is updated regularly.
What is Accutane?
Accutane has active ingredients of isotretinoin. It is often used in acne. eHealthMe is studying from 35,221 Accutane users. Check the latest studies of Accutane.
What is Methotrexate?
Methotrexate has active ingredients of methotrexate sodium. It is often used in rheumatoid arthritis. eHealthMe is studying from 604,312 Methotrexate users. Check the latest studies of Methotrexate.
88 people who take Accutane and Methotrexate together, and have interactions are studied.

What are the common drug interactions of Accutane and Methotrexate, by gender? *:
female:
- Blood triglycerides increased
- Atelectasis (partial or complete collapse of the lung)
- Anaemia (lack of blood)
- Pancreatitis (inflammation of pancreas)
- Drug hypersensitivity
- Arthralgia (joint pain)
- Blood cholesterol increased
- Pain
- Pulmonary tuberculosis (lungs tuberculosis)
- Renal failure (kidney dysfunction)
male:
- Inflammatory bowel disease
- Crohn's disease (a condition that causes inflammation of the gastrointestinal tract)
- Pain
- Lip dry
- Bone pain
- Dizziness
- Osteoarthritis (a joint disease caused by cartilage loss in a joint)
- Pruritus (severe itching of the skin)
- Intestinal obstruction
- Arthralgia (joint pain)
What are the common drug interactions of Accutane and Methotrexate, by age (0-1 to 60+)? *:
0-1:
n/a
2-9:
- Inflammatory bowel disease
- Dry skin
- Epistaxis (bleed from the nose)
- Insomnia (sleeplessness)
- Irritable bowel syndrome
- Lip dry
- Sepsis (a severe blood infection that can lead to organ failure and death)
- Suicidal ideation
- Atrioventricular block second degree (heart block second degree)
- Crohn's disease (a condition that causes inflammation of the gastrointestinal tract)
10-19:
- Inflammatory bowel disease
- Crohn's disease (a condition that causes inflammation of the gastrointestinal tract)
- Irritable bowel syndrome
- Anal fistula
- Colitis ulcerative (inflammation of colon with ulcer)
- Intestinal obstruction
- Anxiety
- Back pain
- Gastrointestinal injury (injury to gastrointestinal tract)
- Intestinal haemorrhage (bleeding from intestine)
20-29:
- Alopecia (absence of hair from areas of the body)
- Arthralgia (joint pain)
- Balance disorder
- Hidradenitis (chronic disease of a type of sweat gland)
- Lymphadenopathy (disease or enlargement of lymph nodes)
- Migraine (headache)
- Pain
- Pain of skin
- Pericarditis (inflammation of the pericardium)
- Pruritus (severe itching of the skin)
30-39:
- Inflammatory bowel disease
- Colitis ulcerative (inflammation of colon with ulcer)
- Crohn's disease (a condition that causes inflammation of the gastrointestinal tract)
- Irritable bowel syndrome
- Rectal fissure (painful condition in which a cut or tear occurs in the anus)
- Pain
- Paraesthesia (sensation of tingling, tickling, prickling, pricking, or burning of a person's skin with no apparent long-term physical effect)
- Psoriasis (immune-mediated disease that affects the skin)
- Cardiac disorder
- Depression
40-49:
- Colitis ulcerative (inflammation of colon with ulcer)
- Depression
- Inflammatory bowel disease
- Hypotension (abnormally low blood pressure)
- Injury
- Pericardial effusion (fluid around the heart)
- Pulmonary tuberculosis (lungs tuberculosis)
- Hernia (hernia happens when part of an internal organ or tissue bulges through a weak area of muscle)
- Drug hypersensitivity
- Fungal infection
50-59:
- Blood triglycerides increased
- Colitis ulcerative (inflammation of colon with ulcer)
- Injury
- Anxiety
- Anaemia (lack of blood)
- Atelectasis (partial or complete collapse of the lung)
- Blood cholesterol increased
- Cardiac tamponade (fluid accumulates in heart covering)
- Cerebrovascular accident (sudden death of some brain cells due to lack of oxygen when the blood flow to the brain is impaired by blockage or rupture)
- Cholelithiasis (the presence or formation of gallstones in the gallbladder or bile ducts)
60+:
- Inflammatory bowel disease
- Colitis ulcerative (inflammation of colon with ulcer)
- Intestinal obstruction
- Pain in extremity
- Sepsis (a severe blood infection that can lead to organ failure and death)
- Small intestinal obstruction (blockage in small intestine)
- Back pain
- Bronchitis (inflammation of the mucous membrane in the bronchial tubes)
- Diverticulitis (digestive disease which involves the formation of pouches (diverticula) within the bowel wall)
- Drug eruption (adverse drug reaction of the skin)
What are the existing conditions these people have? *
- Crohn's Disease (a condition that causes inflammation of the gastrointestinal tract): 13 people, 14.77%
- Psoriasis (immune-mediated disease that affects the skin): 11 people, 12.50%
- Bronchitis (inflammation of the mucous membrane in the bronchial tubes): 10 people, 11.36%
- Joint Pain: 8 people, 9.09%
- Colitis (inflammation of colon): 8 people, 9.09%
- Vasculitis (inflammation of a blood vessel or blood vessels): 7 people, 7.95%
- Folliculitis (infection of hair root): 7 people, 7.95%
- Psoriatic Arthropathy (inflammation of the skin and joints with kin condition which typically causes patches (plaques) of red, scaly skin to develop): 6 people, 6.82%
- Hidradenitis (chronic disease of a type of sweat gland): 6 people, 6.82%
* Approximation only. Some reports may have incomplete information.
Do you take Accutane and Methotrexate?
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Related studies:
Effectiveness of, side effects of, and alternative drugs to the 2 drugs:
- Accutane (35,221 reports)
- Methotrexate (604,312 reports)
Browse all drug interactions of Accutane and Methotrexate:
a b c d e f g h i j k l m n o p q r s t u v w x y zSub-studies by gender and age:
Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+
Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+
Browse all side effects of Accutane:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all side effects of Methotrexate:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all interactions between Accutane and drugs from A to Z:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all interactions between Methotrexate and drugs from A to Z:
a b c d e f g h i j k l m n o p q r s t u v w x y zRelated publications that referenced our studies
- Henien M, Carey B, Hullah E, Sproat C, Patel V, "methotrexate-associated osteonecrosis of the jaw: A report of two cases", Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 2017 Dec .
- Ersoy MA, Ersoy HT, "Manic symptoms associated with isotretinoin and methylphenidate combination: a case report", Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 2014 Sep .
- Henien M, Carey B, Hullah E, Sproat C, Patel V, "methotrexate-associated osteonecrosis of the jaw: A report of two cases", Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 2017 Dec .
- Ersoy MA, Ersoy HT, "Manic symptoms associated with isotretinoin and methylphenidate combination: a case report", Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 2014 Sep .
How the study uses the data?
The study uses data from the FDA. It is based on isotretinoin and methotrexate sodium (the active ingredients of Accutane and Methotrexate, respectively), and Accutane and Methotrexate (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.
How to use the study?
DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.
Who is eHealthMe?
With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).
WARNING, DISCLAIMER, USE FOR PUBLICATION
WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.
DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.
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