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 a capsule for oral use. It treats severe plaque psoriasis, pustular psoriasis, ichthyosis and other disorders of keratinization in adult patients, and is indicated when topical therapies are insufficient. 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 global distribution, offering consistent batch release and regulatory compliance.

Manufacturer / TM Owner

Aurobindo Pharma (Italia) S.R.L.

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Indications & Clinical Uses

Acitretin is used to manage disorders of keratinization and severe psoriasis.

  • Severe plaque psoriasis: reduces scaling and erythema, improving skin appearance.
  • Pustular psoriasis: controls pustule formation and accelerates lesion clearance.
  • Ichthyosis: normalizes epidermal differentiation, decreasing hyperkeratosis.
  • Disorders of keratinization: modulates keratinocyte proliferation to improve skin texture.

How It Works

  • Acitretin binds to nuclear retinoic acid receptors (RARα, RARβ, RARγ) and retinoid X receptors, altering transcription of genes that regulate keratinocyte differentiation and proliferation. This modulation normalizes epidermal growth, reduces hyperkeratinization, and exerts anti‑inflammatory effects in the skin by influencing retinoic acid signaling pathways, promoting maturation of epidermal cells and decreasing inflammatory cytokine production.

Side Effects

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

Common Side Effects

  • Dry skin: increased xerosis and scaling.
  • Cheilitis: inflammation and cracking of the lips.
  • Elevated triglycerides: rise in serum lipid levels.
  • Hair loss: temporary alopecia.
  • Headache: mild to moderate intensity.

Serious or Rare Side Effects

  • Hepatotoxicity: liver enzyme elevations or injury.
  • Severe hyperlipidemia: marked increase in cholesterol or triglycerides.
  • Pseudotumor cerebri: increased intracranial pressure causing headaches and visual changes.

Precautions & Warnings

When prescribing acitretin, several precautions should be observed to minimize risks.

  • Pregnancy contraindication: teratogenic; avoid use in women of childbearing potential and discontinue at least 3 years before conception.
  • Liver function monitoring: assess baseline hepatic enzymes and repeat periodically.
  • Lipid profile monitoring: check serum triglycerides and cholesterol before treatment and during therapy.
  • Skeletal effects: avoid in children; monitor for premature epiphyseal closure in adolescents.
  • Concomitant vitamin A: avoid excessive vitamin A intake from supplements or diet.
  • Store at ambient temperature: keep capsules below 25°C in the original container, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Tetracyclines: increased risk of intracranial hypertension.
  • Vitamin A supplements: additive teratogenicity and hypervitaminosis A.
  • Oral retinoids (e.g., isotretinoin): cumulative toxicity, avoid concurrent use.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (warfarin): potential enhancement of anticoagulant effect.
  • Lipid‑lowering agents (fibrates, statins): may exacerbate lipid abnormalities.
  • CYP450 inducers (e.g., rifampicin): may reduce acitretin plasma levels.

Frequently Asked Questions

Neotigason, containing the retinoid acitretin, is indicated for severe plaque psoriasis, pustular psoriasis, ichthyosis and other disorders of keratinization where conventional topical therapies have not provided adequate control.

Acitretin binds to nuclear retinoic acid receptors and retinoid X receptors, modifying gene expression that controls keratinocyte differentiation and proliferation. This normalizes epidermal growth, reduces hyperkeratinization, and exerts anti‑inflammatory effects that improve psoriatic skin lesions.

The dosage of Neotigason is individualized. A qualified prescriber determines the starting dose, titration schedule, and maintenance dose based on the severity of disease, patient weight, liver function, and lipid profile, following local prescribing guidelines.

Acitretin is classified as pregnancy category X and is contraindicated in pregnancy because of its strong teratogenic potential. Women of childbearing potential must use effective contraception during treatment and for at least three years after stopping. Use during breastfeeding is not recommended.

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

Compared with systemic agents such as methotrexate, acitretin offers a non‑immunosuppressive oral option that primarily targets keratinocyte proliferation. Biologic therapies provide higher efficacy for some patients but require injection and are more costly. Choice of therapy depends on disease severity, comorbidities, and patient preference.

Neotigason capsules should be stored at ambient temperature, preferably below 25 °C, in the original blister pack. Protect them from moisture, direct sunlight, and excessive heat to maintain product stability throughout its shelf life.

Neotigason is taken orally as a capsule with a full glass of water. It is usually recommended to swallow the capsule with food to improve tolerability, although specific instructions should follow the prescribing physician’s advice.

Serious risks include hepatotoxicity (elevated liver enzymes or liver injury), severe hyperlipidemia, pseudotumor cerebri (increased intracranial pressure), and teratogenic effects. Patients should report persistent abdominal pain, visual disturbances, severe skin reactions, or any signs of liver dysfunction promptly.

Neotigason should not be used by pregnant women, women planning pregnancy, or those who cannot ensure effective contraception for three years after discontinuation. It is also contraindicated in children, patients with uncontrolled hyperlipidemia, severe liver disease, or known hypersensitivity to acitretin or other retinoids.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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