Acitretin

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Acitretin chemical structure
Acitretin
Systematic (IUPAC) name
9-(4-methoxy-2,3, 6-trimethyl-phenyl)- 3,7-dimethyl-nona-2,4,6,8- tetraenoic acid
Identifiers
CAS number 55079-83-9
ATC code D05BB02
PubChem 6437841
DrugBank APRD00778
Chemical data
Formula C21H26O3 
Mol. weight 326.429 g/mol
Pharmacokinetic data
Bioavailability  ?
Metabolism  ?
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Excretion  ?
Therapeutic considerations
Pregnancy cat.

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Legal status
Routes  ?

Acitretin (trade name Soriatane®) is a second generation retinoid. It is taken orally, and is typically used for psoriasis.

It is a metabolite of etretinate, which was used prior to the introduction of acitretin. Etretinate was discontinued because it had a narrow therapeutic index as well as a long elimination half-life (t1/2=120 days), making dosing difficult. In contrast, Acitretin's half-life is approximately 2 days.

Women must avoid becoming pregnant for at least 3 years after discontinuing acitretin. In comparison, etretinate was not recommended at all for women who planned to become pregnant.