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Acne Treatments to Avoid During Pregnancy: Oral isotretinoin and other retinoids (adapalene, tazarotene, tretinoin) Hormone therapies (estrogen, anti-androgens like spironolactone or flutamide) Oral tetracycline antibiotics (doxycycline, minocycline, tetracycline) High-dose salicylic acid treatments These medications can pose serious risks to your baby and should be avoided entirely

It is important to note that orlistat can reduce levothyroxine absorption, and the BNF recommends separating administration by at least 4 hours and monitoring thyroid function

"It starts with heightened surveillance from both the patient and the physician," Dr