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 tablet for oral use. It is prescribed for severe forms of psoriasis and other keratinization disorders in adults.
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, a retinoid, is indicated for disorders characterized by abnormal keratinocyte proliferation.
  • Severe plaque psoriasis: reduces scaling and plaque thickness by normalizing keratinocyte differentiation.
  • Pustular psoriasis: controls widespread pustular eruptions and accelerates lesion clearance.
  • Other keratinization disorders: improves skin texture and reduces hyperkeratosis in conditions such as ichthyosis.

How It Works

  • Acitretin binds to nuclear retinoic acid receptors (RARs) and retinoid X receptors (RXRs), altering gene transcription that regulates keratinocyte growth and differentiation. This modulation decreases epidermal hyperplasia and normalizes the maturation of skin cells, leading to reduced scaling and plaque formation in psoriasis.

Side Effects

Acitretin may cause a range of adverse reactions, which are grouped by frequency.

Common Side Effects

  • Dry skin: increased epidermal dryness and scaling.
  • Hair loss: temporary alopecia.
  • Elevated liver enzymes: mild rise in transaminases.

Serious or Rare Side Effects

  • Severe liver injury: hepatitis or hepatic failure.
  • Pancreatitis: acute inflammation of the pancreas.
  • Skeletal toxicity: premature epiphyseal closure in children or adults with prolonged use.

Precautions & Warnings

  • Neotigason requires careful monitoring and specific safety measures.
  • Pregnancy: contraindicated due to high teratogenic risk (Category X).
  • Contraception: effective contraception required for women of childbearing potential during treatment and for at least three years after discontinuation.
  • Liver function: monitor hepatic enzymes before and during therapy.
  • Lipid profile: assess triglycerides and cholesterol regularly.
  • Bone health: avoid use in growing children; monitor skeletal development.
  • Store at ambient temperature below 25°C: keep in original container, protect from moisture and light.

Avoid Interactions

Acitretin can interact with several medicines, necessitating vigilance.

Major Interactions (Avoid)

  • Tetracyclines: increased risk of intracranial hypertension.
  • Vitamin A supplements: additive toxicity.
  • Methotrexate: enhanced hepatotoxicity.

Moderate Interactions (Monitor Closely)

  • Oral contraceptives: reduced efficacy, require additional barrier methods.
  • Statins: potential increase in lipid abnormalities.
  • Anticoagulants: possible alteration of INR.

Frequently Asked Questions

Neotigason contains acitretin and is used to treat severe plaque psoriasis, pustular psoriasis, and other keratinization disorders. It works by normalizing skin cell growth, helping to reduce scaling, redness, and plaque formation in affected patients.

Acitretin binds to retinoic acid receptors (RAR) and retinoid X receptors (RXR) in the cell nucleus. This interaction modifies gene expression that controls keratinocyte differentiation and proliferation, leading to reduced epidermal hyperplasia and improved skin appearance.

The dose of Neotigason is individualized by the prescribing clinician based on disease severity, patient weight, and laboratory monitoring. Only a qualified healthcare professional should determine the appropriate regimen.

Neotigason is classified as pregnancy category X because it is highly teratogenic. It should not be used by pregnant women or women who may become pregnant. Breastfeeding is not recommended while taking acitretin, as it can be excreted in milk.

To order Neotigason, submit an enquiry on the product page at gnhindia.com with 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 systemic agents such as methotrexate, acitretin offers a non‑immunosuppressive option that primarily targets keratinocyte differentiation. Unlike biologics, it does not require injection and has a different safety profile, but it carries risks of teratogenicity, liver toxicity, and lipid abnormalities that must be monitored.

Neotigason tablets should be stored at ambient temperature below 25 °C, in the original packaging, protected from moisture and light. Keep the product out of reach of children and avoid storing in humid or excessively hot environments.

Neotigason is taken orally as a tablet, usually with a full glass of water. It may be taken with or without food, depending on the prescriber’s advice, and should be swallowed whole, not crushed or chewed.

The most serious risks include severe liver injury, acute pancreatitis, marked hyperlipidaemia, skeletal toxicity such as premature epiphyseal closure, and teratogenic effects. Patients should report any signs of liver dysfunction, abdominal pain, or unusual bone pain to their healthcare provider promptly.

Neotigason should not be used by pregnant women, women of childbearing potential who are not using reliable contraception, children and adolescents with active growth plates, patients with severe hepatic impairment, or anyone with known hypersensitivity to acitretin or other retinoids.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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