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A-Ret® Gel

A-Ret® Gel

A-Ret® Gel is a topical medication for acne. This treatment reduces acne outbreaks and unclogs blocked pores. A-Ret® Gel is formulated for the use in adults and children over 10 years of age.  Show full description

Active ingredients

Other names for this medication

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A-Ret® Gel (Tretinoin) 0.025%, 20 g

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Description

A-Ret® Gel is manufactured by Menarini. This is a topical treatment for moderate to severe acne. A-Ret® Gel has potent anti-inflammatory and exfoliating properties, thus it reduces the number and severity of acne lesions. It also unclogs the pores preventing new breakouts. The active ingredient of this medication is Tretinoin, also known as all-trans retinoic acid (ATRA). This is a naturally occurring derivative of vitamin A (retinol) of retinoid class.

Acne (also called acne vulgaris) is an inflammatory skin disorder characterized by clogged pores, inflamed pimples, whiteheads, cysts, non-inflamed comedones, and possible scarring of the healed outbreaks. It is caused by a rapid growth of P. acnes (Propionibacterium acnes) bacteria. When skin is oily and there is an excess of dead skin cells on the skin surface, pores get clogged forming the positive environment for P. acnes proliferation. The immune response to P. acnes bacteria overgrowth causes inflammation and acne progression. Genetic predisposition and increase in androgen hormones are among the most common reasons of acne.

A-Ret® Gel in higher dosage (0.1%) is used to treat photoaging, fine wrinkles, and facial skin roughness. It is also can be used off-label to treat melasma, actinic keratosis, ichthyosis, keloids, and keratosis follicularis.

MOA (mechanism of action):

Tretinoin acts as a comedolytic and anti-inflammatory agent and works by unclogging blocked pores. In particular, it modifies the abnormal follicular keratinization and promotes the turnover rate of dead epithelial cells (constituents of the outermost skin layer). With the exfoliation of keratinized skin cells, the content of blocked pores releases and the overgrowth of P. acnes starts reducing. Tretinoin also makes epithelial cells divide faster causing the comedones to be pushed out of the blocked pores more rapidly.

Dosage

A-Ret® Gel is for external use only. Do not apply to your eyes, mouth, inside of the nose, private parts, and any other mucosal surface.

A-Ret® Gel is normally applied 1-2 times daily, usually for 6-8 weeks at least. In case your acne has not improved after 8 weeks of treatment, discontinue the A-Ret® Gel use and seek medical advice.

How to use A-Ret® Gel:

1. Wash your hands and the affected areas with mild soap or cleanser, pat dry.

2. Apply a thin layer of the gel to the affected areas with your finger tips or a cotton wool.

3. Gently rub until the gel is mostly absorbed.

4. Wash your hands after the gel application.

Precautions

Do not let A-Ret® Gel collect in folds of the skin, such as where your nose meets your face.

Do not apply A-Ret® Gel to the irritated, itchy, cracked or burnt skin (sunburns and windburns included).

Do not apply A-Ret® Gel to the open wounds or cuts.

Do not cover the A-Ret® Gel application site with occlusive bandages or other covering.

Do not use A-Ret® Gel in combination with harsh skin products, medicated soaps and shampoos, products with drying effect on the skin, peeling agents, products containing alcohol, spices or lime.

Do not get permanent wave solutions and waxing products on skin being treated with A-Ret® Gel.

Do not apply skin moisturizers or makeup to the skin being treated with A-Ret® Gel 1 hour before and after the gel application.

Patients should use sunscreens (min. SPF 15) and protective clothing while using A-Ret® Gel.

Missing a dose

If you miss a dose you should take it as soon as you remember about your missing. If it is the time for the next dose you should continue your regular dosing schedule. Do not apply a double dose.

Overdose

Do not exceed the doctor's recommended dose. If an overdose occurs and you are feeling unwell, you should seek emergency medical attention or contact your healthcare provider immediately.

Storage

Store at a room temperature from 20 and 25 degrees C (68 and 77 degrees F) away from moisture and heat. Throw away the tube after the expiration date. Keep away from children.

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Side effects

The most common side effects associated with the use of A-Ret® Gel are:

  • itchy skin
  • burning or stinging sensation
  • redness
  • scaling
  • skin rash
  • contact dermatitis
  • exacerbation of the psoriasis
  • dry skin

Side effects occurrence does not only depend on the medication you are using, but also on your overall health and other factors.

Contraindications

Do not apply A-Ret® Gel if you are allergic to Tretinoin.

Do not apply A-Ret® Gel if you have a history of severe allergic reactions associated with the use of retinoids or Vitamin A.

Do not apply A-Ret® Gel if you are allergic to any of the other ingredients comprised in A-Ret® Gel.

Do not use A-Ret® Gel if you or any of your family members have ever had an epidermal tumor.

Do not use A-Ret® Gel if you are taking any pain medications (aspirin, ibuprofen, meloxicam, tramadol), asthma drugs (albuterol), antibiotics (clindamycin, doxycycline, minocycline), omega-3 polyunsaturated fatty acids (fish oil), muscle relaxers (cyclobenzaprine), corticosteroids (fluticasone, prednisone), epilepsy drugs (gabapentin, clonazepam), hormones (melatonin), stomach drugs (omeprazole), antidepressants (trazodone, alprazolam) or antihistamines (cetirizine).

Do not use A-Ret® Gel if you have eczema, rosacea, hepatic disease or perioral dermatitis.

Do not use A-Ret® Gel if you have skin cancer, skin photosensitivity disorder, sunburn or sunlight (UV) exposure.

Do not use A-Ret® Gel in combination with any other acne medications.

Do not apply A-Ret® Gel if you have sunburn, windburn or skin irritation with redness, peeling or itching.

Do not use A-Ret® Gel in children under 10 years of age.

A-Ret® Gel is strictly prohibited in women who are pregnant, plan to have a baby or are breastfeeding.

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Frequently asked questions

Q: Is A-Ret® Gel effective against acne?

A: Yes. A-Ret® Gel fights acne due to its comedolytic and anti-inflammatory properties.

Q: Can A-Ret® Gel be used in teenagers?

A: A-Ret® Gel can be used in children over 10 years of age.

Q: Is it safe to breastfeed during the A-Ret® Gel treatment course?

A: No. A-Ret® Gel is strictly prohibited for the use in pregnant, planning to get pregnant or nursing women.

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