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mequinol/tretinoin (Solage)

 

Classes: Retinoid-like Agents, Topical

Dosing and uses of Solage (mequinol/tretinoin)

 

Adult dosage forms and strengths

mequinol/tretinoin

topical solution

  • (2%/0.01%)

 

Dermatologic Conditions

Apply to affected area qHS or evening

 

Other Indications & Uses

Solar lentigines

 

Pediatric dosage forms and strengths

mequinol/tretinoin

topical solution

  • (2%/0.01%)

 

Acne Vulgaris

<12 years old: Safety & efficacy not established

>12 years old: Apply to affected area qHS or evening

 

Solage (mequinol/tretinoin) adverse (side) effects

>10%

Erythema (49%)

Peeling of skin (14%)

Pruritus (12%)

 

1-10%

Skin hypopigmented (5%)

Sensation of burning of skin

Stinging of skin

Tingling of skin

Application site reaction

Crusting

 

<1%

Phototoxicity

 

Warnings

Contraindications

Hypersensitivity

Pregnancy, women of childbearing potentiaL

Children

 

Cautions

Pts with moderately or heavily pigmented skin

Works gradually

Do not use larger than recommended amounts

May exacerbate vitiligo

Minimize exposure to sunlight or sunlamps

Discontinue if sensitivity develops

 

Pregnancy and lactation

Pregnancy category: X

Lactation: use caution

 

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 Solage (mequinol/tretinoin)

Peak Plasma: Mequinol: 10 ng/mL

Metabolism: N/A

Excretion: urine & feces

 

Mechanism of action

Mequinol: depigmenting agent

Tretinoin: may repair skin damage due to UV radiation