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RETIN A (Retirides®)
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Chemical- Tretinoin BP 0.025%, 0.05% or 0.1% cream and 1g excipients c.s.p.
Description- Tretinoin or vitamin A acid, the single active ingredient used in
Retirides, is a cellular stimulant which is effective in the treatment of common
acne. Information for users- Retirides 0.05% is recommended for the external
treatment of common acne, especially in the case of blackheads, pimples and
papules.
Directions- Apply a sufficient amount of cream so as to cover the
affected area with a thin layer. Massage gently. Retirides is available in 3
different strengths (0.025%, 0.5% and 0.1%). Your doctor will prescribe the
appropriate strength depending on your skin type and degree of acne, and will
also recommend the number of daily applications necessary. It is advisable to
start the treatment with a low concentration of the cream and a single daily
application. Following this and according to the patient's individual needs, the
strength and/ or number of daily applications may be increased.
Contraindications- If any ingredient should cause hypersensitivity, discontinue
use. Caution- Due to the possibility of irritation, it is advisable to begin
treatment on a small area of skin. Exposure to the sun or to ultraviolet rays
causes additional irritation. During treatment with Retirides, such exposure
should thus be avoided as much as possible or a dun filter should be used. In
the event of exceptional exposure (such as a day at the seaside), refrain if
possible from applying the cream the day before, the day of exposure to the sun
and the day after exposure. Keep Retirides away from the eyes, mouth and nose.
Should contact occur, rinse the affected area carefully with abundant water.
Please note- If the patient has been previously treated with keratolytic
preparations or exfoliants, he should wait until the skin rash clears up before
beginning even low strength Retirides treatment. Studies of the effect of this
product on pregnant women are incomplete. For this reason, it should only be
applied when absolutely necessary and always under a doctor's supervision. It is
thought that this product may possibly be excreted into mother's milk. Retirides
should thus be used with caution by nursing mothers. Interaction- This product
should be used with caution due to the possible interaction of tretinoin with
concomitant external medication, abrasive soaps, drying cosmetics and products
with a high alcohol content. Care should also be taken regarding the application
of preparations containing sulphur, resorcinol or salicylic acid. Side effects-
The effectiveness of tretinoin based products is almost always accompanied by
skin irritation. In the treatment of acne, this phenomenon is directly related
to the effectiveness of the product and disappears once applications are more
spaced out. During the first weeks of treatment there may be an apparent
worsening of the problem. Such a reaction is perfectly normal because small
cysts deep within the skin are being eliminated at an accelerated rate. Correct
application- Acne may worsen during the first two or three weeks of treatment.
Should this occur, do not interrupt treatment unless skin rash or other symptoms
become severe. Avoid washing the face frequently. Doing so with a neutral soap
two or three times per day is sufficient. Dry face without rubbing. Wait a full
half-hour before applying the cream. Avoid the simultaneous application of other
external acne products and the use of perfumes, colognes, and tonics, lotions
which are scented or which contain alcohol. These products may irritate the
skin. Intoxication and its treatment- Overdose of this product is unlikely if
the patient realizes that an increased application does not bring better or
quicker result. Likely reactions would be a marked inflammation, flaking and
discomfort. In addition, the DL 50* of tretinoin is very high and skin
absorption very low (approximately 5% of the dosage administered). Presentation-
Retirides is available in 30 gram tubes containing 0.025%, 0.05% and 0.1%
tretinoin. Keep this and all other medicines safely out of the reach of
children.
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