Ethanol should not be consumed during treatment or for 2 months after discontinuation (forms a teratogenic metabolite). Use not recommended during lactation.
Unlabeled use
Contraindications
Hypersensitivity to acitretin, other retinoids, or any component of the formulation. Use during pregnancy. Ethanol ingestion. Severe hepatic or renal dysfunction. Chronically-elevated blood lipid levels. Concomitant use with methotrexate or tetracyclines.
Warnings and precautions
Risk of depression (including thoughts of self-harm). Use with caution in mental illness. Changes in hepatic transaminases may occur. Use with caution in patients at risk of hypertriglyceridemias. Lipid changes (increased triglycerides, increased cholesterol, and decreased HDL) may occur. Visual changes (decrease in night vision or decreased tolerance to contact lenses) are possible.