Can a doctor prescribe isotretinoin? Dermatologists tailor the treatment to each patient. Due to possible side effects, your dermatologist can only prescribe this medicine if you: Enroll in iPLEDGE™, a program from the U.S. Food and Drug Administration (FDA). Can gas cause chest pain and left arm pain? Angina is discomfort or pain felt when the heart is getting less oxygen than it needs. Along with left arm pain, symptoms might occur in the shoulders, neck, back, or jaw. Angina can also feel like indigestion. Angina is not a heart attack, but a sign of a heart problem. When should you be concerned about chest pain? Some types of chest pain should send you to the emergency room immediately. If you experience pain, pressure or discomfort in the center of your chest or in your arms, back, jaw, neck or stomach — along with shortness of breath, a cold sweat, nausea, fatigue or lightheadedness — for at least five minutes, call 9 -1-1.
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