 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  using this medication. Contact your doctor for more information. Do not have cosmetic procedures to smooth your skin (such as waxing, laser, dermabrasion) during and for 6 months after isotretinoin therapy. Skin scarring may occur. Avoid the use of alcohol while taking this medication because it may increase the risk of certain side effects (such as pancreatitis). Limited information suggests isotretinoin may cause some bone loss effects. Playing contact or repetitive impact sports (such as football, basketball, soccer, tennis) may result in bone problems, including an increased risk of broken bones. Limited information also suggests isotretinoin may stop normal growth in some children (epiphyseal plate closure). Consult your doctor for more details. Older adults may be more sensitive to the side effects of this drug, especially the effects on bones. Children may be more sensitive to the side effects of this drug, especially back/joint/muscle pain. This drug must not be used during pregnancy or by those who may become pregnant during treatment. If you become pregnant or think you may be pregnant, inform your doctor right away. See also Warning section. Since this drug can be absorbed through the skin and lungs and may harm an unborn baby, women who </s>