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Dry lips are the most common side effect of Isotretinoin (Accutane). If you are on a treatment of Accutane® and your lips aren't dry, then you are either not using the drug, or you are not ingesting the medication with greasy food. Sticky ointments are best for relieving this dryness and can avoid cracking, these solutions must be used multiple times a day. Sometimes, you can acquire a secondary bacterial infection on your lips, this will commonly respond to local antibiotics. Some specialists will recommend a few days of mild cortisone ointment for you if you have important inflammation on and around your lips. With dry skin, you can see this most often on the back of your hands and forearms. Dryness can cause a secondary bacterial infection in your skin, your skin can become fragile and the healing of your skin can slow down. We often forget about defending our lips from chronic sun damage, long term exposure will often produce "actinic cheilitis", which describes changes like loss of a distinct lip line, and white areas on the lower lip called leucoplakia. These changes are precancerous and you should take care to defend your lips to reduce this occurrence. Those who are prone to cold sores can suffer them more frequently after sun exposure. Those using Accutane® will have dry lips that are more prone to sunburn. Normal sunscreens are not entirely satisfactory for lip defense, and a number of lipsunscreens have been produced. Dry Eyes For dry gritty eyes, contact lenses may have to be discontinued, but the use of artificial tears is encouraged and in most cases can be very useful. Dry eyes are an usual problem. There are several contributing factors and a range of severity. The film of tears over your eyes is composed of oil, water and mucin. These are secreted in the meibomian glands, lacrimal glands and goblet cells. Your tears are then spread by your eyelids to cover your eyeballs, which contributes to moisten them. The tears drain away through a tear duct that is located in the inner part of your lower eyelid. If this is blocked it will produce excess tears and lead to watery eyes. Several disease conditions, trauma, and/or environmental conditions can play a part in causing symptoms of dry eyes such as burning, grittiness and blurry vision. It is also certain that a low level of inflammation that is often not observed (subclinical) can produce dry eyes. Accutane® (isotretinoin) will cause dry eyes in some people. You can find this to be a problem, particularly if you use contact lenses. You may need to stop wearing them temporarily, but frequent use of artificial tears can allow you to continue using your lenses. Artificial tears have active components that can contain various methylcellulose compounds, polyvinyl alcohol and polyethylene glycol.
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