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 systemic use. It is indicated for severe plaque psoriasis and other keratinization disorders in adult patients.

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 belongs to the retinoid class and is used to treat disorders of keratinocyte growth and differentiation.

  • Severe plaque psoriasis: reduces scaling, erythema and plaque thickness.
  • Other keratinization disorders (e.g., ichthyosis): normalises abnormal skin cell turnover.
  • Refractory psoriasis: provides an oral systemic option when topical and other systemic agents are insufficient.

How It Works

  • Acitretin binds to nuclear retinoic acid receptors (RARs) and retinoid X receptors (RXRs) in keratinocytes, modulating gene expression that controls cell differentiation and proliferation. This leads to a normalization of epidermal growth, reduced hyperkeratosis, and anti‑inflammatory effects on the skin.

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).
  • Hair thinning or loss.
  • Elevated triglycerides or cholesterol.
  • Headache or mild nausea.
  • Skin sensitivity to sunlight.
  • Musculoskeletal discomfort.

Serious or Rare Side Effects

  • Hepatotoxicity (elevated liver enzymes).
  • Severe hyperlipidaemia.
  • Pseudotumour cerebri (increased intracranial pressure).
  • Depression or mood changes.
  • Bone demineralisation or hyperostosis.
  • Teratogenic effects (birth defects).

Precautions & Warnings

Before initiating therapy, several safety considerations should be addressed.

  • Pregnancy contraindication: Acitretin is category X and must not be used by pregnant women.
  • Women of childbearing potential: effective contraception required for at least 3 years after discontinuation.
  • Liver function: baseline and periodic monitoring of hepatic enzymes is advised.
  • Lipid profile: check serum triglycerides and cholesterol before and during treatment.
  • Skeletal health: monitor for signs of bone pain or hyperostosis, especially with long‑term use.
  • Store at room temperature: keep in the original packaging, protect from moisture and direct sunlight.

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 retinoid toxicity.
  • Oral contraceptives: reduced hormonal efficacy, raising pregnancy risk.
  • Methotrexate: heightened hepatic toxicity when combined.
  • Warfarin: possible alteration of INR and bleeding risk.

Moderate Interactions (Monitor Closely)

  • Statins: may exacerbate dyslipidaemia; lipid levels should be checked.
  • Antifungal agents (e.g., ketoconazole): can increase Acitretin plasma concentrations.

Frequently Asked Questions

Neotigason, containing the retinoid Acitretin, is prescribed for severe plaque psoriasis and other keratinization disorders such as ichthyosis. It works as a systemic oral therapy to reduce skin scaling, redness, and plaque thickness in adult patients.

Acitretin binds to nuclear retinoic acid and retinoid X receptors in skin cells, altering gene transcription that controls keratinocyte differentiation and proliferation. This normalises epidermal growth, reduces hyperkeratosis, and provides anti‑inflammatory effects on the skin.

The specific dose of Neotigason is determined by the prescribing physician based on the severity of the condition, patient weight, and clinical response. Dosage adjustments are made during treatment to balance efficacy and safety.

Acitretin is classified as pregnancy category X. It is contraindicated in pregnancy because it can cause severe birth defects. Women of child‑bearing potential must use effective contraception during treatment and for at least three years after stopping. Breastfeeding is also not recommended.

To place an order, 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 is an oral retinoid that does not require injection and has a different safety profile. It is often used when biologics are unsuitable or as part of combination therapy. Unlike methotrexate, it does not cause bone marrow suppression but carries a higher risk of teratogenicity and lipid abnormalities.

Neotigason should be stored at room temperature, below 25 °C, in its original packaging. Protect the tablets from moisture, excessive heat and direct sunlight to maintain stability and potency.

Neotigason is taken orally, usually once daily with a meal or a glass of milk to improve absorption and reduce gastrointestinal irritation. The exact timing and whether it is taken with food should follow the prescribing clinician’s instructions.

The most serious risks include teratogenicity (birth defects), severe liver toxicity, marked hyperlipidaemia, and rare cases of pseudotumour cerebri (increased intracranial pressure). Patients should be monitored regularly for liver function, lipid levels and any neurological symptoms.

Neotigason should not be used by pregnant women, women planning pregnancy, or those who cannot ensure effective contraception for the required period. It is also contraindicated in patients with severe liver disease, uncontrolled hyperlipidaemia, or known hypersensitivity to retinoids.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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