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Vesanoid, |Vesanoid Vesanoid

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Vesanoid

Generic Name: tretinoin (TREH tih noyn)
Brand Names: Vesanoid

What is tretinoin?

Tretinoin is a cancer medication that interferes with the growth of cancer cells and slows their growth and spread in the body.

Tretinoin is used to treat acute promyelocytic leukemia (a type of blood cancer).

Tretinoin may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about tretinoin?

Do not use vitamin A supplements or multivitamins that contain vitamin A while you are taking tretinoin. Do not use this medication without your doctor"s consent if you are pregnant. It could cause harm to the unborn baby. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment. Tretinoin can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What should I discuss with my healthcare provider before taking tretinoin?

Before using tretinoin, tell your doctor if you have high cholesterol, or if you have ever had a reaction to another retinoid (such as Accutane, Retin-A, Renova).

If you have any of these conditions, you may not be able to use tretinoin, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category D. This medication can cause birth defects, miscarriage, premature birth, or death of a baby. Do not use tretinoin if you are pregnant. Tell your doctor right away if you miss a period or become pregnant during treatment. Use an effective form of birth control while you are using this medication and for at least 1 month after your treatment ends. You may need to have a pregnancy test every month during your treatment. You must use effective birth control while you are taking tretinoin unless you have had a hysterectomy and no longer have a uterus. Use birth control even if you have been infertile (unable to have children) in the past, or if you have gone through menopause. It is not known whether tretinoin passes into breast milk or if it could harm a nursing baby. Do not take tretinoin without telling your doctor if you are breast-feeding a baby.

How should I use tretinoin?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor.

Take each dose with a full glass of water.

You may need to continue taking tretinoin for up to 90 days. Follow your doctor"s instructions.

Store tretinoin at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

Contact your doctor if you miss a dose of tretinoin.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a tretinoin overdose may include headache, dizziness, weakness, facial flushing, stomach pain, or dry, cracked lips.

What should I avoid while using tretinoin?

Do not use vitamin A supplements or multivitamins that contain vitamin A while you are taking tretinoin. Tretinoin can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Tretinoin side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

fever, breathing problems, weight gain, swelling of your hands or feet;
sudden and severe pain behind your eyes, with nausea, vomiting, and vision problems;
black, bloody, or tarry stools; or
vomit that looks like blood or coffee grounds.

Other less serious side effects are more likely to occur, such as:

feeling tired or weak;
headache;
fever;
dry skin, mouth, or nose;
bone pain;
nausea and vomiting;
rash or itching;
white patches or sores inside your mouth or on your lips;
increased sweating;
vision problems; or
hair loss or skin changes.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect tretinoin?

Before taking tretinoin, tell your doctor if you are using any of the following drugs:

cimetidine (Tagamet);
cyclosporine (Neoral, Sandimmune, Gengraf);
troleandomycin (Tao);
rifampin (Rifadin, Rimactane, Rifater);
phenobarbital (Luminal);
fluoxetine (Prozac), fluvoxamine (Luvox);
steroids (prednisone and others);
itraconazole (Sporanox), ketoconazole (Nizoral);
clarithromycin (Biaxin), erythromycin (Erythrocin, Ery-Tab, E.E.S.);
a tetracycline antibiotic such as minocycline (Dynocin, Minocin, Vectrin), doxycycline (Doryx, Vibramycin), demeclocycline (Declomycin);
amiodarone (Cordarone), mibefradil (Posicor), diltiazem (Tiazac, Cardizem), verapamil (Covera, Calan); or
HIV medicines such as indinavir (Crixivan), saquinavir (Invirase), ritonavir (Norvir), saquinavir (Invirase), or nelfinavir (Viracept).

If you are using any of these drugs, you may not be able to use tretinoin, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect tretinoin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your healthcare provider may have additional information about tretinoin that you may read.

What does my medication look like?

Tretinoin is available with a prescription under the brand name Vesanoid. Other brand or generic formulations may also be available. Ask your healthcare provider or pharmacist any questions you have about this medication, especially if it is new to you.

Vesanoid 10 mg--two-tone, orange-yellow and reddish-brown capsules

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.
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 1996-2006 Cerner Multum, Inc. Version: 2.01. Revision Date: 6/6/06 1:49:40 PM.

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