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Alitretinoin
( al-i-TRET-i-no-in) is used as a topical treatment for
cutaneous AIDS-related Kaposi's sarcoma in cases when there is no need
for oral or intravenous medication.
This medicine is available only with your doctor's prescription, in the following dosage form:
Why is this medication prescribed?
Alitretinoin is used to treat skin lesions associated with Kaposi's sarcoma. It helps stop the growth of Kaposi's sarcoma cells.
This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
How should this medicine be used?
Alitretinoin comes in topical gel.
Alitretinoin is usually used twice a day. Your doctor may tell you to
use alitretinoin more or less frequently depending on your response to
it. Follow the directions on your prescription label carefully, and ask
your doctor or pharmacist to explain any part you do not understand.
Use alitretinoin exactly as directed. Do not use more or less of it or
use it more often than prescribed by your doctor.
Alitretinoin
controls Kaposi's sarcoma lesions but does not cure them. It will take
at least 2 weeks of using alitretinoin before a benefit can be seen.
For some patients, it may take 8-14 weeks to see results. Do not stop
using alitretinoin without talking to your doctor.To apply
alitretinoin, follow these steps:
- Wash your hands and affected skin area thoroughly with mild soap
(not medicated or abrasive soap or soap that dries the skin) and water.
- Use clean fingertips, a gauze pad, or a cotton swab to apply the medication.
- Apply enough gel to cover the lesion with a generous coating.
- Apply the medication to the affected skin area only. Do not apply to unaffected areas; do not apply on or near mucus membranes.
- Allow the gel to dry for 3-5 minutes before covering with clothing.
What special precautions should I follow?
Before using alitretinoin,
- tell your doctor and pharmacist if you are allergic to
alitretinoin, etretinate, isotretinoin, tazarotene, tretinoin, or any
other drugs.
- tell your doctor what other medications you are taking, including
vitamins or herbal products. Do not use insect repellants that contain
DEET while using alitretinoin.
- tell your doctor if you have or have ever had a type of skin cancer known as T-cell lymphoma.
- tell your doctor if you are pregnant, plan to become pregnant, or
are breast-feeding. If you become pregnant while using alitretinoin,
call your doctor immediately. You should not plan to become pregnant
while using alitretinoin.
- plan to avoid unnecessary or prolonged exposure to sunlight and to
wear protective clothing, sunglasses, and sunscreen. Alitretinoin may
make your skin sensitive to sunlight.
What should I do if I forget a dose?
Apply the missed dose as soon as you remember.
However, if it is almost time to apply the next dose, skip the missed
dose and continue your regular application schedule.
What side effects can this medication cause?
Alitretinoin may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- warmth or slight stinging of the skin
- lightening or darkening of the skin
- red, scaling skin
- rash
- swelling, blistering, or crusting of the skin
- pain at site of application
- itching
What storage conditions are needed for this medicine?
Keep this medication in the container it came
in, tightly closed, and out of reach of children. Store it at room
temperature and away from excess heat and moisture (not in the
bathroom). Throw away any medication that is outdated or no longer
needed. Talk to your pharmacist about the proper disposal of your
medication.
What other information should I know?
Keep all appointments with your
doctor.Alitretinoin is for external use only. Do not let alitretinoin
get into your eyes, your nostrils, mouth, or any broken skin, and do
not swallow it.
Do not apply dressings,
bandages, cosmetics, lotions, or other skin medications to the area
being treated unless your doctor tells you.
Do
not let anyone else use your medication. Ask your pharmacist any
questions you have about refilling your prescription. Tell your doctor
if your skin condition gets worse or does not improve.
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