PMID- 31587447 OWN - NLM STAT- MEDLINE DCOM- 20200518 LR - 20200518 IS - 1529-8019 (Electronic) IS - 1396-0296 (Linking) VI - 32 IP - 6 DP - 2019 Nov TI - Depression, isotretinoin, and folic acid: A practical review. PG - e13104 LID - 10.1111/dth.13104 [doi] AB - Isotretinoin (ISO) is a first-generation retinoid discovered in 1952 and approved by the FDA for the treatment of nodulocystic acne in 1982. The anti-inflammatory properties of ISO have found its use in disorders other than acne. ISO can create psychiatric problems, including depression and suicidal ideation. These neuropsychiatric problems are very similar to disorders secondary to hyperhomocysteinemia (HHcy), vitamin B12, and folic acid (vitamin B9) deficiencies. Given that previous literature suggested folate supplementation improved the efficacy of traditional antidepressant medications, clinicians may wish to consider folate supplementation for patients with depression or possible depressive symptoms, such as acne patients with genetic susceptibility. Brain-derived neurotrophic factor may be a cytokine-specific screening biomarker in immune-based antidepressive therapy. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Abdelmaksoud, Ayman AU - Abdelmaksoud A AUID- ORCID: 0000-0003-4848-959X AD - Mansoura Dermatology, Venerology and Leprology Hospital, Mansoura, Egypt. FAU - Vojvodic, Aleksandra AU - Vojvodic A AUID- ORCID: 0000-0002-2057-3776 AD - Department of Dermatology and Venereology, Military Medical Academy of Belgrade, Serbia. FAU - Ayhan, Erhan AU - Ayhan E AUID- ORCID: 0000-0003-1416-2636 AD - Department of Dermatology, University of Health Sciences, Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkey. FAU - Donmezdil, Suleyman AU - Donmezdil S AD - Department of Psychiatry, University of Health Sciences, Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkey. FAU - Jovicevic, Tatjana Vlaskovic AU - Jovicevic TV AD - Clinic for Mental Disorders "Dr Laza Lazarevic", Belgrade, Serbia. FAU - Vojvodic, Petar AU - Vojvodic P AD - Clinic for Mental Disorders "Dr Laza Lazarevic", Belgrade, Serbia. FAU - Lotti, Torello AU - Lotti T AUID- ORCID: 0000-0003-0840-1936 AD - Department of Dermatology, University of Rome "G. Marconi", Rome, Italy. FAU - Vestita, Michelangelo AU - Vestita M AUID- ORCID: 0000-0002-2203-0353 AD - Unit of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy. AD - Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. LA - eng PT - Journal Article PT - Review DEP - 20191014 PL - United States TA - Dermatol Ther JT - Dermatologic therapy JID - 9700070 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Fatty Acids) RN - 935E97BOY8 (Folic Acid) RN - EH28UP18IF (Isotretinoin) SB - IM MH - Acne Vulgaris/complications/drug therapy MH - Brain-Derived Neurotrophic Factor/blood/physiology MH - Depression/*drug therapy/etiology MH - Fatty Acids/administration & dosage/physiology MH - Folic Acid/*administration & dosage MH - Humans MH - Hyperhomocysteinemia/classification MH - Isotretinoin/*adverse effects OTO - NOTNLM OT - depression OT - folic acid OT - low dose isotretinoin EDAT- 2019/10/07 06:00 MHDA- 2020/05/19 06:00 CRDT- 2019/10/07 06:00 PHST- 2019/08/09 00:00 [received] PHST- 2019/09/26 00:00 [accepted] PHST- 2019/10/07 06:00 [pubmed] PHST- 2020/05/19 06:00 [medline] PHST- 2019/10/07 06:00 [entrez] AID - 10.1111/dth.13104 [doi] PST - ppublish SO - Dermatol Ther. 2019 Nov;32(6):e13104. doi: 10.1111/dth.13104. Epub 2019 Oct 14.