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tazarotene topical

Generic Name: tazarotene topical (ta ZAR oh teen)
Brand Name: Avage, Fabior, Tazorac

What is tazarotene topical?

Tazarotene is a compound similar to vitamin A. It helps the skin to renew itself more quickly and may improve the appearance and texture of skin.

The Avage brand of tazarotene cream is used to reduce the appearance of fine wrinkles on the face, mottled light and dark skin patches on the face, and benign facial lentigines (non-cancerous freckles) in adults and adolescents who are at least 17 years old.

The Fabior and Tazorac brands of tazarotene topical are used to treat acne vulgaris in adults and adolescents who are at least 12 years old.

Tazorac is also used to treat plaque psoriasis (raised, silvery flaking of the skin) in adults.

Tazarotene topical may also be used for purposes not listed in this medication guide.

What is the most important information I should know about tazarotene topical?

Tazarotene topical can harm an unborn baby or cause birth defects. Do not use if you are pregnant. You must have a negative pregnancy test within 2 weeks before starting this treatment. Use effective birth control while using tazarotene topical.

Stop using this medication and tell your doctor right away if you become pregnant, if you stop using birth control, or if you miss a menstrual period.

Slideshow: Psoriasis: Treatment Options to Manage Your Symptoms

Women who use tazarotene topical should start the medication during a menstrual period.

Avoid exposure to sunlight or tanning beds. Tazarotene topical can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 15 or higher) when you are outdoors.

Do not use tazarotene topical 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 fully healed before using tazarotene topical.

Ask a doctor before using other skin products that might dry or irritate your skin.

What should I discuss with my healthcare provider before using tazarotene topical?

You should not use tazarotene topical if you are allergic to it, or if you are pregnant or may become pregnant.

To make sure you can safely use tazarotene topical, tell your doctor if you have any of these other conditions:

  • eczema, sunburn, or another skin condition;

  • a personal or family history of skin cancer;

  • lentigo maligna (a type of skin cancer);

  • a history of allergic reaction to a skin product;

  • if you are sensitive to sunlight; or

  • if you work outdoors.

FDA pregnancy category X. This medication can harm an unborn baby or cause birth defects. Do not use tazarotene topical if you are pregnant. Tell your doctor if you are pregnant or plan to become pregnant while using tazarotene topical.

You must have a negative pregnancy test within 2 weeks before starting this treatment. Use effective birth control while using tazarotene topical.

Stop using this medication and tell your doctor right away if you become pregnant, if you stop using birth control, or if you miss a menstrual period.

It is not known whether tazarotene topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I use tazarotene topical?

Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Wash your hands before and after using tazarotene topical, unless you are using the medication to treat the skin on your hands.

Tazarotene topical is usually applied once daily in the evening or at bedtime. Follow your doctor's instructions.

Women who use tazarotene topical should start the medication during a menstrual period.

Wash the skin with a mild cleanser and allow it to dry completely. Apply a thin layer of the medication to the affected skin, and rub in completely.

Avoid applying the medication to unaffected areas. If medication accidentally gets on areas that do not need treatment, wash it off.

Shake the Fabior foam well just before each use.

If you use a skin moisturizer, use it before or after applying tazarotene topical. Wait until the moisturizer or the medicine is completely absorbed before applying the other substance over it.

Your skin may be more sensitive to weather extremes such as cold and wind during treatment with tazarotene topical. Protect your skin with clothing and use a moisturizing cream or lotion as needed.

Store at room temperature, away from moisture and heat. Do not freeze.

Fabior foam is flammable. Do not use near high heat or open flame. The canister may explode if it gets too hot. Do not puncture or burn an empty foam canister. Store the bottle in an upright position.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

An overdose of tazarotene topical is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.

Overdose symptoms may include severe forms of some of the side effects listed in this medication guide.

What should I avoid while using tazarotene topical?

Avoid getting this medication in your eyes, mouth, or vagina. If this does happen, rinse with water.

Do not use tazarotene topical 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 fully healed before using tazarotene topical.

If you also use a benzoyl peroxide acne medication, do not use it at the same time you use tazarotene topical. Apply one medication only in the morning and the other only in the evening.

Avoid using other medications on the areas you treat with tazarotene topical unless your doctor tells you to.

Avoid exposure to sunlight or tanning beds. Tazarotene topical can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 15 or higher) when you are outdoors.

Ask a doctor before using other skin products that might dry or irritate your skin, such as: harsh soaps or skin cleansers, or skin products with alcohol, spices, astringents, lime, medicated soaps or shampoos, permanent wave solutions, electrolysis, chemical hair removers or waxes, or other products that might dry or irritate the skin.

Tazarotene topical side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using tazarotene topical and call your doctor at once if you have a serious side effect such as:

  • severe skin irritation (burning, stinging, itching) after applying this medication;

  • severe redness or discomfort; or

  • swelling, warmth, oozing, or other signs of skin infection.

Less serious side effects may include:

  • mild burning, stinging, or itching;

  • mild pain, redness, or irritation; or

  • skin dryness or peeling.

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: Side effects (in more detail)

Tazarotene topical dosing information

Usual Adult Dose for Acne:

Tazorac(R) topical cream 0.1%:
For the topical treatment of patients with acne vulgaris: Cleanse the face gently. After the skin is dry, apply a thin layer (2 mg/cm2) once a day, in the evening, to the skin areas where acne lesions appear. Use enough to cover the entire affected area.

Topical foam 0.1%:
For the topical treatment of acne vulgaris: After washing with a mild cleanser and fully drying the affected area, tazarotene topical foam should be applied once a day in the evening. Dispense a small amount of foam into the palm of the hand. Using fingertips, apply only enough foam to lightly cover the entire affected areas of the face and/or upper trunk with a thin layer; gently massage the foam into the skin until the foam disappears.

Topical gel 0.1%:
For the topical treatment of patients with facial acne vulgaris of mild to moderate severity: Cleanse the face gently. After the skin is dry, apply a thin film (2 mg/cm2) once a day, in the evening, to the skin where acne lesions appear. Use enough to cover the entire affected area.

Usual Adult Dose for Psoriasis:

Tazorac(R) topical cream 0.05% and 0.1%:
For the topical treatment of patients with plaque psoriasis: Apply once a day, in the evening, to psoriatic lesions, using enough (2 mg/cm2) to cover only the lesion with a thin film. If a bath or shower is taken prior to application, the skin should be dry before applying the cream. Because unaffected skin may be more susceptible to irritation, application of tazarotene topical cream to these areas should be carefully avoided.

Topical gel 0.05% and 0.1%:
For the topical treatment of patients with stable plaque psoriasis of up to 20% body surface area involvement: Apply once a day, in the evening, to psoriatic lesions, using enough (2 mg/cm2) to cover only the lesion with a thin film to no more than 20% of body surface area. If a bath or shower is taken prior to application, the skin should be dry before applying the gel. Because unaffected skin may be more susceptible to irritation, application of tazarotene topical gel to these areas should be carefully avoided.

Treatment should start with tazarotene topical cream or gel 0.05%, with strength increased to 0.1% if tolerated and medically indicated.

Usual Pediatric Dose for Acne:

12 years or older:
Tazorac(R) topical cream 0.1%:
For the topical treatment of patients with acne vulgaris: Cleanse the face gently. After the skin is dry, apply a thin layer (2 mg/cm2) once a day, in the evening, to the skin areas where acne lesions appear. Use enough to cover the entire affected area.

Topical foam 0.1%:
For the topical treatment of acne vulgaris: After washing with a mild cleanser and fully drying the affected area, tazarotene topical foam should be applied once a day in the evening. Dispense a small amount of foam into the palm of the hand. Using fingertips, apply only enough foam to lightly cover the entire affected areas of the face and/or upper trunk with a thin layer; gently massage the foam into the skin until the foam disappears.

Topical gel 0.1%:
For the topical treatment of patients with facial acne vulgaris of mild to moderate severity: Cleanse the face gently. After the skin is dry, apply a thin film (2 mg/cm2) once a day, in the evening, to the skin where acne lesions appear. Use enough to cover the entire affected area.

What other drugs will affect tazarotene topical?

Tell your doctor about all other medicines you use, especially:

  • a diuretic (water pill) such as chlorothiazide (Diuril), hydrochlorothiazide (HCTZ, HydroDiuril, Hyzaar, Lopressor HCT, Vasoretic, Zestoretic), chlorthalidone (Hygroton, Thalitone), indapamide (Lozol), metolazone (Mykrox, Zaroxolyn), and others;

  • doxycycline (Doryx, Oracea, Periostat, Vibramycin), minocycline (Dynacin, Minocin, Solodyn), or tetracycline (Ala-Tet, Brodspec, Panmycin, Sumycin, Tetracap);

  • an antibiotic such as ciprofloxacin (Cipro), gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), or ofloxacin (Floxin);

  • phenothiazines such as chlorpromazine (Thorazine), fluphenazine (Permitil, Prolixin), perphenazine (Trilafon), prochlorperazine (Compazine, Compro), promethazine (Pentazine, Phenergan, Anergan, Antinaus), thioridazine (Mellaril), or trifluoperazine (Stelazine); or

  • sulfa drugs (Bactrim, Septra, Sulfatrim, SMX-TMP, and others).

This list is not complete and other drugs may interact with tazarotene topical. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about tazarotene topical.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 5.01. Revision Date: 2012-07-13, 10:12:23 AM.

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