Atralin

Generic Name: tretinoin topical (TRET in oin)
Brand Names: Altinac, Atralin, Avita, Renova, Retin A Micro Gel, Retin-A, Tretin-X

What is Atralin?

Atralin (tretinoin) Gel is a topical (applied to the skin) form of vitamin A that helps the skin renew itself.

Atralin Gel 0.05% is used for the topical treatment of acne vulgaris. The Renova brand of tretinoin is used to reduce the appearance of fine wrinkles and mottled skin discoloration, and to make rough facial skin feel smoother.

Atralin Gel may also be used for other purposes not listed in this medication guide.

Important information about Atralin

Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Atralin can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun. Avoid getting Atralin in your eyes, mouth, and nose, or on your lips. If it does get into any of these areas, wash with water. Do not use Atralin on sunburned, windburned, dry, chapped, irritated, or broken skin. Also avoid using this medication in wounds or on areas of eczema. Wait until these conditions have healed before using Atralin.

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Use this medication for as many days as it has been prescribed for you even if you think it is not working. It may take weeks or months of use before you notice improvement in your skin. If you are using Atralin to treat acne, your condition may get slightly worse for a short time when you first start using the medication. Call your doctor if skin irritation becomes severe or if your acne does not improve within 8 to 12 weeks.

Before using Altinac

FDA pregnancy category C. It is not known whether Atralin is harmful to an unborn baby. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment. Tretinoin can pass into breast milk and may harm a nursing baby. Do not use Atralin Gel without telling your doctor if you are breast-feeding a baby.

See also: Atralin pregnancy and breastfeeding warnings (in more detail)

How should I use Atralin?

Use Atralin Gel exactly as your doctor has prescribed it for you. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects. Do not use this medication for longer than your doctor has prescribed.

Wash your hands before and after applying Atralin. Before applying, clean and dry the skin area to be treated.

Applying Atralin to wet skin may cause skin irritation.

Do not wash the treated area for at least 1 hour after applying Atralin. Avoid the use of other skin products on the treated area for at least 1 hour following application of Atralin.

Applying an excessive amount of Atralin gel may result in "pilling" of the medication. If this occurs, use a thinner layer of gel with the next application.

Atralin should be used as part of a complete skin care program that includes avoiding sunlight and using an effective sunscreen and protective clothing.

Use this medication for as many days as it has been prescribed for you even if you think it is not working. It may take weeks or months of use before you notice improvement in your skin. If you are using Atralin to treat acne, your condition may get slightly worse for a short time when you first start using the medication. Call your doctor if skin irritation becomes severe or if your acne does not improve within 8 to 12 weeks.

Store Atralin at room temperature away from moisture and heat. The gel formulations of tretinoin are flammable, keep them away from open flame.

What happens if I miss a dose?

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not apply extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Atralin is not expected to cause overdose symptoms.

What should I avoid while using Atralin?

Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Atralin can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun. Avoid getting this medication in your eyes, mouth, and nose, or on your lips. If it does get into any of these areas, wash with water. Do not use Atralin on skin that is sunburned, windburned, dry, chapped, or irritated. Also avoid using this medication in wounds or on areas of eczema. Wait until these conditions have healed before using Atralin.

Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, or skin cleansers, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime. Do not use other medication skin products unless your doctor has told you to.

Your skin may be more sensitive to weather extremes such as cold and wind while using this medicine.

Atralin side effects

Stop using Atralin Gel and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Less serious Atralin side effects may include burning, warmth, stinging, tingling, itching, redness, swelling, dryness, peeling, irritation, or discolored skin.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Atralin side effects (in more detail)

What other drugs will affect Atralin?

Do not use skin products that contain benzoyl peroxide, sulfur, resorcinol, or salicylic acid unless otherwise directed by your doctor. These products can cause severe skin irritation if used with Atralin.

The following drugs can interact with Atralin, which can make your skin more sensitive to natural and artificial sunlight. Before using this medication, tell your doctor if you are using any of these:

• a diuretic (water pill);

• tetracycline (Sumycin, Panmycin, Robitet), minocycline (Minocin), doxycycline (Doryx, Vibramycin), demeclocycline (Declomycin), and others;

• an antibiotic such as ciprofloxacin (Cipro), ofloxacin (Floxin), and others;

• a sulfa drug such as Bactrim, Septra, Cotrim, and others; or

• chlorpromazine (Thorazine), prochlorperazine (Compazine), fluphenazine (Permitil, Prolixin), promethazine (Phenergan, Promethegan), perphenazine (Trilafon), and others.

This list is not complete and there may be other drugs that can affect Atralin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about Atralin.