
Retinoic Acid Coupons & Savings Card – Discount Prices from $131.52
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1GM, Retinoic Acid (1 Bottle)
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$160.68
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$131.52
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$142.51
COUPON PRICERetinoic Acid savings card
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Walmart
$131.52
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Retinoic Acid dosage forms
Dosage | Quantity | Price from | Per unit |
---|---|---|---|
1GM | 1 Bottle | $131.52 | $131.52 |
1GM | 1 Bottle | $122.35 | $122.35 |
Retinoic Acid Warnings
Retinoic acid, a derivative of vitamin A, is widely used in dermatology for its effectiveness in treating various skin conditions. However, its use carries significant risks that warrant careful consideration.
Teratogenicity and Pregnancy Risks
Retinoic acid is known to cause severe birth defects if used during pregnancy. Exposure can lead to fetal retinoid syndrome, characterized by malformations of the skull, face, central nervous system, and heart. Due to these risks, retinoic acid is contraindicated for pregnant women and those planning to become pregnant. Women of childbearing potential should use effective contraception during treatment and for a period after discontinuation.
Retinoic Acid Syndrome
In patients with acute promyelocytic leukemia (APL), treatment with retinoic acid can lead to retinoic acid syndrome, also known as differentiation syndrome. This potentially life-threatening condition is characterized by symptoms such as fever, respiratory distress, weight gain, and fluid accumulation. Prompt recognition and management are crucial to mitigate severe complications.
Photosensitivity
Topical application of retinoic acid increases skin sensitivity to ultraviolet (UV) radiation, heightening the risk of sunburn and long-term sun damage. Users are advised to apply sunscreen daily and limit sun exposure to protect the skin.
Liver Toxicity and Hyperlipidemia
Oral retinoic acid has been associated with elevated liver enzymes and lipid abnormalities, including increased triglyceride and cholesterol levels. Regular monitoring of liver function and lipid profiles is recommended during treatment to detect and manage potential hepatotoxicity and hyperlipidemia.
Skeletal Abnormalities
Long-term use of retinoic acid may lead to skeletal changes such as bone spurs, calcification, and premature closure of growth plates in children, potentially resulting in growth inhibition. These effects are often irreversible, underscoring the need for cautious use, especially in pediatric populations.
Contraindications and Precautions
Retinoic acid is contraindicated in individuals with certain skin conditions, such as eczema or psoriasis, as it may exacerbate these conditions. Additionally, due to its teratogenic potential, it should not be used by pregnant women or those planning pregnancy. Patients should consult healthcare providers to assess the suitability of retinoic acid therapy and to implement appropriate safety measures.
Given these risks, it is essential for patients and healthcare providers to weigh the benefits of retinoic acid treatment against its potential hazards, ensuring informed decision-making and vigilant monitoring throughout therapy.
Retinoic Acid Side Effects
Retinoic acid, commonly used in dermatology, can lead to several side effects, particularly during the initial stages of treatment. Users often experience skin irritation, including redness, dryness, peeling, and a burning or stinging sensation. These effects are typically most pronounced during the first few weeks and tend to diminish as the skin adjusts to the medication. To minimize irritation, it's advisable to start with a lower concentration and gradually increase usage as tolerated. Another notable side effect is increased sensitivity to sunlight, making the skin more prone to sunburn. Therefore, it's essential to apply retinoic acid at night and use a broad-spectrum sunscreen with an SPF of 30 or higher during the day. Wearing protective clothing and limiting sun exposure can further reduce the risk of sun-related skin damage. In some cases, individuals may experience an initial worsening of acne, known as the "retinoid purge," where breakouts increase before improvement is observed. This phase is usually temporary and subsides with continued use. Rarely, allergic reactions such as itching, swelling, or rash may occur. If these symptoms develop, it's important to discontinue use and consult a healthcare provider. Retinoic acid is contraindicated during pregnancy due to the risk of birth defects. Women of childbearing age should use effective contraception during treatment and consult their healthcare provider before starting retinoic acid. To reduce the likelihood of side effects, it's recommended to apply retinoic acid to clean, dry skin, avoiding areas around the eyes, nostrils, and mouth. Using a moisturizer can help alleviate dryness and irritation. If severe or persistent side effects occur, seek medical advice promptly.
Retinoic Acid Interactions
Retinoic Acid, a derivative of vitamin A, is commonly used in both topical and oral forms to treat various skin conditions and certain types of leukemia. However, its effectiveness and safety can be influenced by interactions with other medications and substances.
Photosensitizing Agents: Combining retinoic acid with medications that increase skin sensitivity to sunlight, such as phenothiazines, sulfonylureas, and thiazide diuretics, may heighten the risk of phototoxic reactions. Patients should take precautions to minimize sun exposure and use appropriate sun protection measures.
Vitamin A Supplements: Concurrent use of retinoic acid with vitamin A supplements can lead to hypervitaminosis A, resulting in symptoms like vision impairment, headaches, and nausea. It's advisable to avoid excessive vitamin A intake while undergoing retinoic acid therapy.
Tetracycline Antibiotics: Using tetracycline antibiotics alongside retinoic acid may increase the risk of benign intracranial hypertension, a condition characterized by elevated pressure within the skull. Patients should be monitored for symptoms such as headaches, visual disturbances, and nausea.
Alcohol Consumption: For individuals taking Acitretin, a form of retinoic acid, alcohol intake can convert acitretin into etretinate, a compound with a prolonged presence in the body, potentially leading to hepatotoxicity. Therefore, alcohol should be avoided during and for a specified period after acitretin therapy.
Cytochrome P-450 Enzyme Interactions: Retinoic acid is metabolized by the liver's cytochrome P-450 enzyme system. Medications that inhibit these enzymes, such as Fluconazole, can elevate retinoic acid levels, increasing the risk of toxicity. Conversely, drugs that induce these enzymes, like Rifampin, may reduce retinoic acid's effectiveness. Close monitoring and possible dosage adjustments are recommended when these medications are used concurrently.
Methotrexate: Combining retinoic acid with methotrexate may heighten the risk of hepatotoxicity. Liver function tests should be regularly performed to monitor for potential liver damage.
Topical Irritants: When using topical retinoic acid, it's important to avoid concurrent application of other skin-irritating agents, such as Benzoyl Peroxide, Salicylic Acid, or products containing high concentrations of alcohol. These combinations can exacerbate skin irritation and dryness.
Given these potential interactions, it's crucial for patients to inform their healthcare providers about all medications, supplements, and substances they are using. This ensures that any necessary precautions or adjustments can be made to maintain the safety and effectiveness of retinoic acid therapy.
What is retinoic acid used for?
Retinoic acid is primarily used for the treatment of acne and certain skin conditions. It is also used in dermatology to reduce the appearance of fine wrinkles, improve skin texture, and treat sun-damaged skin. Additionally, retinoic acid plays a role in the treatment of acute promyelocytic leukemia (APL) as part of chemotherapy regimens.
Is retinoic acid the same as retinol?
Retinoic acid and retinol are related but not the same. Retinol is a form of vitamin A, while retinoic acid is an active metabolite of retinol. Retinol is converted into retinoic acid in the body, which is the form that exerts effects on the skin and other tissues. Retinoic acid is often used in topical treatments for skin conditions, whereas retinol is commonly found in over-the-counter skincare products.
Is retinoic acid over the counter?
Retinoic acid is not available over the counter. It typically requires a prescription from a healthcare provider. Over-the-counter options include retinol, which is a less potent form of vitamin A.
What is the closest thing to tretinoin over-the-counter?
The closest over-the-counter alternative to tretinoin is retinol. Retinol is a less potent form of vitamin A that is commonly found in various skincare products. While it is not as strong as tretinoin, it can still help with skin cell turnover and improve the appearance of fine lines and wrinkles over time.
Who should use retinoic acid?
Retinoic acid is typically used by individuals seeking treatment for acne, certain skin conditions, or signs of aging. It is often prescribed by dermatologists for those with moderate to severe acne or for individuals looking to improve skin texture and reduce fine lines. However, it should be used under medical supervision, as it can cause irritation and other side effects. Pregnant women or those planning to become pregnant should avoid using retinoic acid due to potential risks to the fetus.