Acitretin in psoriasis: an overview of adverse effects.

Abstract:

:Oral retinoids are among the drugs of choice for pustular and erythrodermic psoriasis. In addition, retinoids are effective in combination with other topical and systemic agents for the treatment of plaque-type psoriasis. Acitretin, the active retinoid metabolite, has replaced etretinate in retinoid therapy of psoriasis because of its more favorable pharmacokinetic profile, including a significantly shorter half-life. Retinoids, including acitretin, are potent teratogens, leading to strict requirements for pregnancy prevention during and after their use. Other retinoid side effects are generally preventable or manageable through proper patient selection, dose adjustments, and routine monitoring. Mucocutaneous side effects such as cheilitis and hair loss are the most common dose-dependent side effects, requiring dose reduction in some patients. Less common effects such as hepatotoxicity, serum lipid alterations, pancreatitis, and possible skeletal effects are also discussed.

journal_name

J Am Acad Dermatol

authors

Katz HI,Waalen J,Leach EE

doi

10.1016/s0190-9622(99)70359-2

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

S7-S12

issue

3 Pt 2

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(99)70359-2

journal_volume

41

pub_type

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