Solage Side Effects
Please note - some side effects for Solage may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.
Side Effects of Solage - for the Consumer
Solage
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Solage:
Seek medical attention right away if any of these SEVERE side effects occur when using Solage:Burning, dry skin, itching, peeling, redness, stinging, tingling, or warmth at application site; unusual sensitivity to wind and cold.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blistering, crusting, swelling, or excessive redness of the skin; changes in skin color; lightening of the skin surrounding the treatment area.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
TopSolage Side Effects - for the Professional
Solage
Adverse Reactions in Clinical Trials
Because clinical trials are conducted under widely varying conditions, adverse reaction rate observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice.
In the pivotal clinical trials, adverse reactions were primarily mild to moderate in intensity, occurring in 66% and 30% of patients, respectively. The majority of these events were limited to the skin and 64% had an onset of a skin related adverse reaction early in treatment (by week 8). The most frequent adverse reactions in patients treated with Solagé were erythema (49% of patients), burning, stinging, or tingling (26%), desquamation (14%), pruritus (12%), and skin irritation (5%). Some patients experienced temporary hypopigmentation of treated lesions (5%) or of the skin surrounding treated lesions (7%). Ninety-four of 106 patients (89%) had resolution of hypopigmentation upon discontinuation of treatment to the lesion, and/or re-instruction on proper application to the lesion only. Another 8% (9/106) of patients with hypopigmentation events had resolution within 120 days after the end of treatment. Three of the 106 patients (2.8%) had persistence of hypopigmentation beyond 120 days. Approximately 6% of patients discontinued study participation with Solagé due to adverse reactions. These discontinuations were due primarily to skin redness (erythema) or related cutaneous adverse reactions. Rare cases of depigmentation at sites distant from the application have been reported in Post Marketing Surveillance.
|
||||||||
| Body Sytstem | Solagé (mequinol 2%, tretinoin 0.01%) | Tretinoin, 0.01% |
Mequinol, 2%, |
Vehicle | ||||
|
Skin and Appendages |
N | % | N | % | N | % | N | % |
| Erythema | 613 | 41.1 | 261 | 55.3 | 13 | 5.1 | 8 | 4.6 |
| Burning/Stinging/ Tingling | 270 | 18.1 | 173 | 36.7 | 26 | 10.2 | 20 | 11.4 |
| Desquamation | 171 | 11.5 | 93 | 19.7 | 7 | 2.8 | 2 | 1.1 |
| Pruritus | 148 | 9.9 | 66 | 14.0 | 12 | 4.7 | 3 | 1.7 |
| Irritation Skin* | 90 | 6.0 | 25 | 5.3 | 1 | 0.4 | 1 | 0.6 |
| Halo Hypopigmentation | 96 | 6.4 | 16 | 3.4 | 2 | 0.8 | 2 | 1.1 |
| Hypopigmentation | 62 | 4.2 | 8 | 1.7 | 2 | 0.8 | 0 | 0.0 |
| Skin Dry | 46 | 3.1 | 18 | 3.8 | 3 | 1.2 | 1 | 0.6 |
| Rash | 31 | 2.0 | 21 | 4.4 | 0 | 0.0 | 1 | 0.6 |
| Crusting | 30 | 2.0 | 18 | 3.8 | 0 | 0.0 | 1 | 0.6 |
| Rash Vesicular Bullae | 18 | 1.2 | 8 | 1.7 | 0 | 0.0 | 0 | 0.0 |
| Dermatitis | 29 | 1.9 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 |
| Discomfort Skin | 52 | 3.5 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 |
| Irritant Dermatitis | 17 | 1.1 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 |
Post-marketing Experience
The following adverse reactions have been reported during post-approval use of Solagé: skin discoloration, erythema, skin exfoliation, skin irritation, and skin burning sensation. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.
TopSide Effects by Body System - for Healthcare Professionals
General
In general, topical adverse reactions have been primarily mild to moderate in intensity, and occurred in 66% and 30% of patients, respectively. The majority of these reactions were limited to the skin. Approximately 6% of patients discontinued study participation due to adverse reactions.
Dermatologic
Dermatological side effects have included skin reactions in 64% of patients within 8 weeks of therapy. The most frequently reported side effects have included erythema (49%), burning, stinging, or tingling (26%), desquamation (14%), pruritus (12%), and skin irritation (5%). Temporary hypopigmentation of treated lesions or of the skin surrounding treated lesions in 5% and 7% of patients, respectively have been reported. Halo hypopigmentation, dry skin, rash, crusting, vesicular bullae rash, dermatitis, skin discomfort, and irritant dermatitis have been reported in greater than 1% of patients. Rare cases of depigmentation have also been reported in postmarketing experience. Mequinol-tretinoin topical may induce photosensitivity in some individuals, as well as an increased susceptibility to irritation from wind, cold, and dryness.
Resolution of hypopigmentation occurred in 89% of patients following discontinuation of treatment to the lesion. Another 8% of patients with hypopigmentation had resolution of symptoms in within 120 days after the end of treatment. Persistence of hypopigmentation occurred in 2.8% of patients beyond 120 days.
Hepatic
Hepatic side effects to mequinol-tretinoin topical have not been reported. However, reversible, clinically insignificant changes in liver function tests have been reported following both oral and topical administration of tretinoin. These abnormalities have included elevations in serum bilirubin, alkaline phosphatase, glutamic-oxaloacetic transaminase, and glutamic-pyruvic transaminase.
Nervous system
Nervous system side effects have included at least one case of neurotoxicity in a patient who received tretinoin topical therapy.
A patient with liver disease developed neurological side effects following 4 weeks of tretinoin therapy. Symptoms included headache, memory loss, truncal ataxia, and dysarthria, all of which improved upon temporary discontinuation of medication and recurred when the patient resumed usage. Upon withdrawal of medication a second time, the symptoms resolved within 4 weeks.
Ocular
Ocular side effects to topical tretinoin have included ectropions which have developed infrequently and were reversible. In addition, a transient and harmless stinging of the eye has occurred when tretinoin was applied onto the surrounding skin, and has generally lasted about 30 to 60 seconds.
TopMore Solage resources
- Solage Prescribing Information (FDA)
- Solage Concise Consumer Information (Cerner Multum)
- Solage Topical Advanced Consumer (Micromedex) - Includes Dosage Information
- Solage MedFacts Consumer Leaflet (Wolters Kluwer)
Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date, and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This information does not endorse drugs, diagnose patients, or recommend therapy. This drug information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug of drug combination is safe, effective, or appropriate for any given patient. Drugs.com does not assume any responsibility for any aspect of healthcare administered with the aid of information provided. 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.
