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anthralin (Psoriatec, Dritho-Scalp, Micanol, Zithranol-RR)

 

Classes: Keratolytic Agents

Dosing and uses of Psoriatec, Dritho-Scalp (anthralin)

 

Adult dosage forms and strengths

cream

  • 1%
  • 1.2%

 

Psoriasis

1% cream: Rub cream qDay well into psoriatic lesions in skin

0.5% scalp cream: Apply as directed after washing hair and remove by washing or showering

 

Pediatric dosage forms and strengths

Safety & efficacy not established

 

Psoriatec, Dritho-Scalp (anthralin) adverse (side) effects

Frequency not defined

Allergic reactions around surrounding skin

Lesion soreness

Staining of hair, skin, and fingernails

 

Warnings

Contraindications

Hypersensitivity

Acute or actively inflamed psoriatic eruptions

 

Cautions

Avoid contact with eyes or mucous membranes

 

Pregnancy and lactation

Pregnancy category: C

Lactation: excretion in milk unknown/not recommended

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of Psoriatec, Dritho-Scalp (anthralin)

Metabolism: N/A

Excretion: N/A

 

Mechanism of action

Not fully understood

Inhibits cell proliferation putatively through inhibition of DNA synthesis as well as from its strong reducing properties

Anti-psoriatic action may be partly through inactivating epidermal 12-lipoxygenase & reducing levels of endothelial cell adhesion molecules which are markedly elevated in psoriasis