the package insert of the medicine Retacnyl.
topical Treatment of acne vulgaris.
When should I not use?
Hypersensitivity to any of the components of the formula.
How to use?
it Should be applied 1 time per day before bedtime, to the skin to adequately clean and dry. The frequency of application should be adjusted according to the sensitivity of the skin. If irritation occurs, the product may be applied on alternate days. In the absence of any local reaction, the frequency may be increased to 2 times per day. From the end of the 2nd week until the end of the treatment, the frequency should be 1 application daily, or less, in the case of irritation persistent. The frequency must be chosen so as to avoid reactions of irritation and unpleasant. It is acceptable to only a erythema rims, peeling, moderate and lightweight feel of burning. We can anticipate that patients with delicate skin and blond hair or redhead will show more severe reactions, and one should choose the appropriate dosage. In the 2nd week, the irritation primary will be increased by an apparent exacerbation of the acne, with the increase of capsules and pustules. This reaction is normal and is due to the evolution of the inflammatory of the microcistos, which is accelerated by the treatment. The frequency of application should not be changed for this reason. On this occasion, the good doctor-patient relationship is of great importance. A patient is informed, motivated, regularly monitored and receiving moral support during the stage of irritation and primary efflorescence, you may face the treatment with more optimism. The improvement will be clearly visible by the 6th week of treatment, reaching optimal results in about 12 to 14 weeks. After the improvement, should be established with maintenance treatment, with 2 or 3 weekly applications. To obtain an ideal result, the patient should be alerted about the normal reactions to the start of treatment, such as irritation and primary edema transient. It is necessary to regular monitoring for dose adjustment, so as to reduce irritation to a minimum. The patient should be advised of the delay in obtaining the first signs of improvement, the importance of the therapeutic program of 3 months and the need for maintenance treatment, to prevent recurrences.
What are the evils that can cause me?
Irritation of the skin, which is reversible with the reduction of frequency of application or discontinuation of treatment.
Warnings and Precautions
what should I know before using?
Before you start the treatment for the first time, it is recommended to apply the product on a small area of the skin, to check for signs of possible intolerance to the product, such as, edema, or eczema transient in nature. It is recommended to wash the skin 2 times per day using a mild soap and non-irritating. Avoid washing more frequently. Avoid the use of perfumes and other products that contain fragrance or alcohol, which can cause irritation to intense. Avoid contact with eyes, eyelids, mouth, nostrils and mucous membranes. If this occurs, rinse thoroughly with warm water. Injury hiperceratóticas of the oral mucosa or genital (such as, leucoplaquia, leucoceratose, lichen erosive) the product has irritating effect due to the very nature of hyperkeratosis. The product should not be applied on damaged skin (cuts or abrasions) or in cases of eczema or psoriasis. The exposure to the sun or ultraviolet lamps causes irritation additional. Try to avoid sun exposure during the treatment. If it cannot be avoided, use appropriate clothing, hat and sunscreen. Can be recommended the adjustment of the frequency of application. In the case of exposure possible to the sun (for example, a trip to the beach), do not use the product in the eve, on the day of exposure and on the following day. If you experience sunburn, wait for the recovery of the skin before you restart the treatment with Retacnyl. – Drug interactions: it is recommended special caution in concomitant treatment with other topical medicines, in particular those with effect descamativo or which may cause local irritation. In the case of previous treatment with other preparations ceratolíticas or esfoliativas, it is recommended to wait for the full restoration of the skin before you start the use of Retacnyl. Use in pregnancy and lactation: there is, to date, controlled studies in pregnant women. The use of the product should be avoided during pregnancy, unless the benefit to the mother justifies the potential risk to the fetus. It is not known whether the tretinoin is excreted in milk. In nursing mothers, the product should be used with caution and should not be applied on the chest.