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 an oral formulation for prescription use. It is employed in the management of severe psoriasis and related disorders of keratinization, acting on patients who require systemic therapy after topical measures have proved insufficient.

GNH India supplies Neotigason as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Teva B.V

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Indications & Clinical Uses

Neotigason (acetretin) is used within the retinoid class to treat disorders of epidermal proliferation and differentiation.

  • Severe psoriasis: reduces plaque thickness, scaling and erythema.
  • Psoriatic keratoderma: improves hyperkeratotic lesions on palms and soles.
  • Disorders of keratinization: normalises abnormal skin cell turnover in conditions such as ichthyosis.

How It Works

  • Acitretin is a synthetic retinoid that binds to nuclear retinoic acid receptors (RAR‑α, RAR‑β, and RAR‑γ). This interaction modulates gene expression involved in epidermal cell proliferation and differentiation, leading to decreased keratinocyte hyperplasia and normalization of skin barrier formation.

Side Effects

Acitretin may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Dry skin and mucous membranes.
  • Cheilitis (cracked lips).
  • Hair thinning or loss.
  • Elevated triglyceride levels.
  • Headache or mild nausea.
  • Itching or rash.

Serious or Rare Side Effects

  • Hepatotoxicity (liver enzyme elevation).
  • Severe hyperlipidaemia.
  • Pseudotumor cerebri (increased intracranial pressure).
  • Bone demineralisation or fractures.
  • Severe allergic reactions (e.g., Stevens‑Johnson syndrome).
  • Teratogenic effects (birth defects).

Precautions & Warnings

Before initiating therapy, clinicians should evaluate several safety parameters.

  • Pregnancy contraindication: avoid use in women of childbearing potential; effective contraception required.
  • Liver function: monitor hepatic enzymes regularly.
  • Lipid profile: check triglycerides and cholesterol before and during treatment.
  • Vitamin A supplementation: discontinue to prevent additive toxicity.
  • Concomitant tetracyclines: avoid due to risk of intracranial hypertension.
  • Store at room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Vitamin A or other retinoids: additive teratogenic and toxicity risk.
  • Tetracycline antibiotics: increased risk of pseudotumor cerebri.
  • Systemic corticosteroids: may exacerbate bone loss.

Moderate Interactions (Monitor Closely)

  • Oral contraceptives: reduced effectiveness, consider alternative contraception.
  • Warfarin: potential alteration of anticoagulant effect.
  • Statins: possible increase in lipid abnormalities.
  • Methotrexate: enhanced hepatotoxic potential when combined.

Frequently Asked Questions

Neotigason, whose active ingredient is acitretin, is prescribed for severe plaque psoriasis, psoriatic keratoderma affecting the palms and soles, and other disorders of keratinization such as certain forms of ichthyosis. It is a systemic option when topical therapies are insufficient.

Acitretin binds to retinoic acid receptors in the cell nucleus, influencing gene transcription that controls skin cell growth and differentiation. By normalising keratinocyte proliferation, it reduces the thickened, scaly plaques characteristic of psoriasis and related keratinisation disorders.

The dosage of Neotigason is individualised by the prescribing clinician based on disease severity, patient weight, and laboratory monitoring. Only a qualified health professional can determine the appropriate regimen, and patients should follow the prescribed instructions exactly.

Neotigason is classified as pregnancy category X because it is highly teratogenic. It must not be used by women who are pregnant, planning pregnancy, or breastfeeding. Effective contraception is required for women of childbearing potential throughout treatment and for a period after discontinuation.

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

Compared with biologic agents, acitretin (Neotigason) is an oral retinoid that does not target immune pathways but modulates skin cell turnover. It is generally less expensive but may have more frequent mucocutaneous side effects and requires careful monitoring of liver function and lipids, whereas biologics have different safety profiles.

Neotigason should be stored at room temperature, below 25 °C, in its original packaging. Keep the product away from moisture and direct sunlight to maintain stability and potency throughout its shelf life.

Neotigason is taken orally, usually with a full glass of water. The tablet (or capsule) is swallowed whole and should be taken as directed by the prescriber, often with meals to minimise gastrointestinal discomfort.

The most serious risks include severe liver toxicity, marked hyperlipidaemia, pseudotumor cerebri (increased intracranial pressure), and teratogenic effects that can cause birth defects. Patients should be monitored regularly for liver enzymes, lipid levels, and any neurological symptoms.

Neotigason is contraindicated in pregnant women, women planning pregnancy, and nursing mothers. It should also be avoided in patients with severe liver disease, uncontrolled hyperlipidaemia, or those taking contraindicated medications such as vitamin A supplements or tetracycline antibiotics.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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