iPLEDGE Risk Evaluation and Mitigation Strategy (REMS)
The iPLEDGE Program was originally implemented in early 2005 and approved as the iPLEDGE REMS in 2010. The goals of the iPLEDGE REMS are to prevent fetal exposure to isotretinoin and to inform prescribers, pharmacists, and patients about isotretinoin’s serious risks and safe-use conditions. It is a “shared system” REMS, meaning that it includes all FDA-approved isotretinoin products. It provides a centralized system for prescribers, pharmacies, and patients to manage patient risk, regardless of which isotretinoin product is being used.
In an effort to provide timely isotretinoin information to prescribers, pharmacies, patients, and distributors, the FDA will post any related updates on isotretinoin and the iPLEDGE REMS on this page.Learn More
How to care for iPLEDGE patients
The iPLEDGE program, physicians “prescribing and/or dispensing these drugs should consider whether there are compelling reasons not to complete these tests or studies
Life After iPLEDGE
On a Saturday morning in early July, dermatologist Robert Greenberg, M.D., made an unplanned trip to his Vernon, CT, office, at 5:30 a.m. before leaving for vacation.
Tips to navigate iPledge
Isotretinoin is a medication that was FDA approved in 1982 for the treatment of severe or scarring acne. We also use it for acne that is not improving with alternative medications.
AAD Suggests Halting iPLEDGE Program
A scheduled change to the iPLEDGE Risk Evaluation and Mitigation Strategy (REMS) has led to a delay in isotretinoin prescriptions. Physicians and their teams have been unable to access the iPLEDGE site during an update to incorporate an FDA-approved modification to the iPLEDGE REMS that took effect
iPLEDGE Must Abstain from Abstinence
Isotretinoin has unmatched efficacy in the treatment of acne. However, because isotretinoin is a teratogen that can cause profound birth defects, the iPLEDGE program regulates the drug’s distribution in the United States. To minimize fetal exposure to isotretinoin, the program requires that female patients capable