Product image of Neotigason (Acitretin) supplied by GNH India

Neotigason

Active Ingredient:
Acitretin
Origin:
EU

Neotigason (Acitretin)

Acitretin, the active ingredient in Neotigason, is a retinoid presented as oral tablets for systemic use. It is prescribed for severe psoriasis and related keratinization disorders in adult patients, helping to normalize skin cell growth and reduce plaque formation.

GNH India supplies Neotigason as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable sourcing for regulated markets. Customers benefit from consistent batch release, comprehensive documentation, and responsive technical support throughout the supply chain.

Manufacturer / TM Owner

Teva B.V

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Indications & Clinical Uses

  • Neotigason (acitretin) is used in the management of disorders characterized by abnormal keratinocyte proliferation and differentiation.
  • Severe psoriasis: reduces plaque thickness, scaling and erythema by normalizing epidermal cell turnover.
  • Psoriatic keratoderma: improves hyperkeratosis of palms and soles, decreasing pain and functional impairment.
  • Other severe keratinization disorders: restores regular skin architecture and mitigates excessive keratin buildup.

How It Works

  • Acitretin binds selectively to nuclear retinoic acid receptors (RARα, RARβ, RARγ) and retinoid X receptors, altering gene transcription that controls keratinocyte differentiation and proliferation. This modulation leads to reduced epidermal hyperplasia, normalization of cornified envelope formation, and decreased inflammatory cytokine production, thereby correcting the pathological skin changes seen in severe psoriasis and related keratinization disorders.

Side Effects

Acitretin may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Dry skin: excessive dryness and scaling.
  • Cheilitis: inflammation and cracking of the lips.
  • Elevated triglycerides: increase in serum triglyceride levels.
  • Headache: mild to moderate cephalic pain.

Serious or Rare Side Effects

  • Liver toxicity: elevated transaminases or hepatitis.
  • Pseudotumor cerebri: increased intracranial pressure with visual disturbances.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.

Precautions & Warnings

When prescribing acitretin, clinicians should observe several safety measures to minimize risks.

  • Teratogenic risk: contraindicated in pregnancy; effective contraception required for women of childbearing potential.
  • Pregnancy contraindication: must not be used by pregnant patients or those planning conception for at least 3 years after discontinuation.
  • Lipid monitoring: regular assessment of serum triglycerides and cholesterol recommended.
  • Liver function: periodic liver enzyme tests required to detect hepatotoxicity.
  • Concomitant vitamin A: avoid additional vitamin A supplements to prevent additive toxicity.
  • Store at ambient temperature: keep below 25 °C, in original packaging, protected from moisture and light.

Avoid Interactions

Acitretin can interact with other medicines, affecting efficacy or safety.

Major Interactions (Avoid)

  • Tetracyclines: combined use may increase risk of intracranial hypertension.
  • Vitamin A supplements: additive retinoid toxicity.
  • Oral contraceptives: acitretin reduces hormonal efficacy, increasing pregnancy risk.

Moderate Interactions (Monitor Closely)

  • Statins: may exacerbate lipid abnormalities.
  • Methotrexate: concurrent hepatotoxic potential requires liver function monitoring.

Frequently Asked Questions

Neotigason contains acitretin and is indicated for the treatment of severe plaque psoriasis, psoriatic keratoderma (thickening of the skin on palms and soles), and other severe keratinization disorders where abnormal skin cell growth requires systemic therapy.

Acitretin binds to nuclear retinoic acid receptors (RARs) and retinoid X receptors (RXRs), modulating gene expression that controls keratinocyte differentiation and proliferation. This results in reduced epidermal hyperplasia, normalization of skin cell turnover, and decreased inflammatory signaling in affected skin.

The dose of Neotigason is individualized by the prescribing clinician based on disease severity, patient weight, and laboratory monitoring. Typical regimens start at a low dose and may be adjusted, but exact dosing must be determined by a qualified healthcare professional.

Neotigason (acitretin) is classified as pregnancy category X because it is highly teratogenic. It must not be used by pregnant women or women planning to become pregnant, and effective contraception is required for at least three years after stopping therapy. Safety during breastfeeding has not been established, and breastfeeding is generally discouraged.

To order Neotigason, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

The primary alternative for severe psoriasis includes methotrexate and biologic agents. Compared with methotrexate, acitretin offers a non‑immunosuppressive oral option but carries a higher risk of teratogenicity and lipid abnormalities. Biologics target specific immune pathways and may have faster skin clearance, but they are injectable and often more costly.

Neotigason tablets should be stored at ambient temperature, preferably below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and avoid storing in bathrooms or other humid environments.

Neotigason is taken orally, usually with a full glass of water. It may be taken with or without food, but consistent administration with respect to meals helps maintain stable drug levels. Patients should follow the prescribing physician’s instructions regarding timing and any required dietary considerations.

The most serious risks include teratogenic effects (birth defects), severe liver toxicity, marked hyperlipidemia, depression or mood changes, and rare but serious conditions such as pseudotumor cerebri or severe skin reactions like Stevens‑Johnson syndrome. Regular laboratory monitoring and prompt reporting of symptoms are essential.

Neotigason should not be used by pregnant women, women planning pregnancy, or those who cannot ensure effective contraception for at least three years after stopping therapy. It is also contraindicated in patients with severe hepatic impairment, uncontrolled hyperlipidemia, or a history of severe depression or intracranial hypertension.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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