Acitretin

Table of contents

  • Brand Names
  • Chemistry
  • Pharmacologic Category
  • Therapeutic Use
  • Pregnancy and Lactation Implications
  • Contraindications
  • Warnings and Precautions
  • Adverse Reactions
  • Caution and personalized dose adjustment in patients with the following genotypes
  • Other genes that may be involved
  • Drug Interactions
  • Nutrition/Nutraceutical Interactions
  • Dosage
  • Pharmacokinetics and Pharmacodynamics
  • Special Considerations

Brand Names

Europe

Austria: Neotigason; Belgium: Neotigason; Bulgaria: Neotigason; Cyprus: Neotigason; Czech Republic: Neotigason; Denmark: Neotigason; Estonia: Neotigason; Finland: Neotigason; France: Soriatane; Germany: Neotigason; Greece: Neotigason; Hungary: Neotigason; Ireland: Neotigason; Italy: Neotigason; Latvia: Neotigason; Lithuania: Neotigason; Luxembourg: Neotigason; Malta: Neotigason; Netherlands: Neotigason; Poland: Neotigason; Portugal: Neotigason; Romania: Neotigason; Slovakia: Neotigason; Slovenia: Neotigason; Spain: Neotigasón; Sweden: Neotigason; UK: Neotigason.

North America

Canada: Soriatane; USA: Soriatane.

Latin America

Argentina: Neotigasón; Brazil: Neotigason; Mexico: Neotigasón.

Drug combinations

Chemistry

Acitretin: C~21~H~26~O~3~. Mw: 326.43. (1) 2,4,6,8-Nonatetraenoic acid, 9-(4-methoxy-2,3,6-trimethylphenyl)-3,7-dimethyl-, (all-E)-; (2)(all-E)-9-(4-Methoxy-2,3,6-trimethylphenyl)-3,7-dimethyl-2,4,6,8-nonatetraenoic acid. CAS-55079-83-9 (1987).

Pharmacologic Category

Antipsoriatic Agents; Retinoid-Like Compounds. (ATC-Code: D05BB02).

Mechanism of action

Therapeutic use

Treatment of severe psoriasis.

Pregnancy and lactiation implications

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.

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