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Tretinoin

Generic Name
Tretinoin
Brand Names
Altreno, Atralin, Biacna, Refissa, Renova, Retin-A, Stieva-A, Tri-luma, Twyneo, Veltin, Vesanoid, Ziana
Drug Type
Small Molecule
Chemical Formula
C20H28O2
CAS Number
302-79-4
Unique Ingredient Identifier
5688UTC01R

Overview

Tretinoin, also known as all-trans-retinoic acid (ATRA), is a naturally occurring derivative of vitamin A (retinol). It is an oxidation product in the physiological pathway of vitamin A metabolism. In human circulation, tretinoin is normally found at very low concentrations, approximately 4 to 14 nmol/L. Tretinoin exhibits anti-inflammatory, antineoplastic, antioxidant, and free radical-scavenging activities. It has been used in dermatology for many years to treat various skin conditions ranging from acne to wrinkles and activates nuclear receptors to regulate epithelial cell growth and differentiation. Tretinoin is given orally to treat acute promyelocytic leukemia and topically to treat skin conditions such as acne.

Background

Tretinoin, also known as all-trans-retinoic acid (ATRA), is a naturally occurring derivative of vitamin A (retinol). It is an oxidation product in the physiological pathway of vitamin A metabolism. In human circulation, tretinoin is normally found at very low concentrations, approximately 4 to 14 nmol/L. Tretinoin exhibits anti-inflammatory, antineoplastic, antioxidant, and free radical-scavenging activities. It has been used in dermatology for many years to treat various skin conditions ranging from acne to wrinkles and activates nuclear receptors to regulate epithelial cell growth and differentiation. Tretinoin is given orally to treat acute promyelocytic leukemia and topically to treat skin conditions such as acne.

Indication

Oral tretinoin is indicated for induction of remission in adults and pediatric patients one year of age and older with acute promyelocytic leukemia (APL), characterized by the presence of t(15;17) translocation or presence of PML/RARα gene expression and who are refractory to or who have relapsed from anthracycline chemotherapy or for whom anthracycline-based chemotherapy is contraindicated. Topical tretinoin is also indicated alone or in combination with benzoyl peroxide or clindamycin for the treatment of acne vulgaris. It is also used in prescription and over-the-counter for treating various skin conditions such as melasma, hyperpigmentation, and photoaging alone or in combination with other drugs.

Associated Conditions

  • Acne Vulgaris
  • Alopecia
  • Cornification and dystrophic skin disorders
  • FAB classification M3 Acute promyelocytic leukemia
  • Fine Wrinkles
  • Photodamaged Skin
  • Skin hyperpigmentation
  • Keratinization disorders of the feet
  • Keratinization disorders of the hand
  • Moderate Melasma
  • Mottled hyperpigmentation
  • Severe Melasma
  • Severe, recalcitrant Cystic acne
  • Tactile roughness of facial skin

FDA Approved Products

Tretinoin
Manufacturer:Teva Pharmaceuticals USA, Inc.
Route:ORAL
Strength:10 mg in 1 1
Approved: 2023/02/28
NDC:0555-0808
Tretinoin
Manufacturer:Bryant Ranch Prepack
Route:ORAL
Strength:10 mg in 1 1
Approved: 2015/10/31
NDC:63629-8752
Tretinoin
Manufacturer:Major Pharmaceuticals
Route:ORAL
Strength:10 mg in 1 1
Approved: 2022/07/06
NDC:0904-6867
Tretinoin
Manufacturer:Par Pharmaceutical, Inc.
Route:ORAL
Strength:10 mg in 1 1
Approved: 2023/04/13
NDC:10370-268
Clindamycin Phosphate and Tretinoin
Manufacturer:Solaris Pharma Corporation
Route:TOPICAL
Strength:0.25 mg in 1 g
Approved: 2023/10/18
NDC:73473-306

Singapore Approved Products

TRETINON CREAM 0.05% W/W
Manufacturer:Y.S.P. Industries (M) Sdn. Bhd.
Form:CREAM
Strength:0.05 % w/w
Online:Yes
Approved: 2021/11/30
Approval:SIN16390P
STIEVA-A CREAM 0.025%
Manufacturer:THERAPEX, DIVISION DE E-Z-EM CANADA INC., Aspen Pharma Pty Ltd
Form:CREAM
Strength:0.025% w/w
Online:Yes
Approved: 1990/02/10
Approval:SIN03877P
TRI-LUMA CREAM
Manufacturer:HILL DERMACEUTICALS, INC., G. Production Inc.
Form:CREAM
Strength:0.5 mg/g
Online:Yes
Approved: 2004/10/19
Approval:SIN12607P

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