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Optic disc evaluation (to look for a small/crowded optic nerve head that may increase NAION risk)

Its really not a fun process, but purge breakouts do often go away much faster than regular pimples, so theres one redeeming factor

Lai 5 , Maria Edelen 6 , Chengbo Zeng 6 , Kedie Pintro 1 , Nora Horick 1 and Areej El-Jawahri 1 , (1)Massachusetts General Hospital, (2)Harvard Medical School, (3)New York-Presbyterian/Weill Cornell Medical Center, (4)University of Pittsburgh Medical Center, (5)University of California-San Francisco, San Francisco, CA, (6)Brigham and Women's Hospital Background: Patients with decompensated cirrhosis (DC) struggle with a life-limiting illness course

doi: 10.4103/idoj.IDOJ_77_20 111

All of these medications have FDA-boxed warnings