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Tretinoin 10 mg/mL Oral Suspension

FDA-approved generic
Dose form
Suspension
Active ingredients
Tretinoin

Tretinoin 10 mg/mL Oral Suspension is a liquid dosage form in which tretinoin is uniformly dispersed throughout a liquid medium, ensuring a homogeneous mixture for administration. This formulation is primarily used to treat acute promyelocytic leukemia (APL) by promoting the differentiation of promyelocytes into mature blood cells, thereby reducing the proliferation of abnormal cells.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Tretinoin
Suspension
66fd7b0bdc31c32733aec9f2
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Tretinoin 10 mg/mL Oral Suspension is a liquid medication formulated to provide a uniform and homogeneous mixture of tretinoin for oral administration. Tretinoin, also known as all-trans retinoic acid, is a derivative of vitamin A that plays a crucial role in cell growth and differentiation.

This formulation is primarily used in the treatment of acute promyelocytic leukemia (APL), a subtype of acute myeloid leukemia characterized by the accumulation of immature white blood cells called promyelocytes. By promoting the maturation of these cells into normal functioning white blood cells, tretinoin helps restore healthy blood cell development and improves the body's ability to fight infections.

The oral suspension form offers several advantages, especially for patients who may have difficulty swallowing tablets or capsules. It allows for more precise dosing adjustments and ensures that the medication is evenly distributed throughout the liquid, providing consistent therapeutic effects with each dose. This can be particularly beneficial for pediatric patients or those requiring individualized dosing regimens.

Patients prescribed Tretinoin Oral Suspension should be aware of potential side effects, which may include headache, fever, dry skin, nausea, and bone pain. Regular monitoring by a healthcare provider is important to manage any adverse effects and to adjust the dosage if necessary. It is also essential to follow the prescribed dosing schedule and not to discontinue the medication without consulting a healthcare professional.

For prescribers, this compounded formulation allows for tailored dosing that meets the specific needs of each patient. The liquid suspension can improve compliance and therapeutic outcomes, particularly in populations that require customized dosing solutions. Collaboration with a specialized compounding pharmacy ensures that the suspension is prepared accurately and safely according to established guidelines.

If you have any questions, please reach out to us.

Drug Interactions

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Tretinoin 10 mg/mL Oral Suspension is a liquid dosage form where tretinoin, a derivative of vitamin A, is uniformly dispersed in a liquid medium to ensure a homogeneous mixture for administration. This formulation is primarily used in the treatment of acute promyelocytic leukemia (APL) and other dermatological conditions, such as acne and certain types of skin disorders, by promoting cell turnover and reducing the proliferation of abnormal cells.

When considering the use of Tretinoin 10 mg/mL Oral Suspension, it is crucial to be aware of potential drug interactions that may affect the efficacy and safety of the treatment. Tretinoin is metabolized by the liver, primarily through the cytochrome P450 enzyme system, particularly CYP3A4. Therefore, drugs that induce or inhibit this enzyme can significantly alter tretinoin plasma levels.

Concomitant use of CYP3A4 inhibitors, such as ketoconazole, itraconazole, erythromycin, and grapefruit juice, may increase tretinoin levels, potentially leading to enhanced toxicity. Patients may experience increased side effects such as headache, fever, skin reactions, and elevated liver enzymes. It is advisable to monitor patients closely and adjust the tretinoin dosage if necessary.

Conversely, CYP3A4 inducers like rifampin, phenytoin, and St. John's Wort can decrease tretinoin plasma concentrations, potentially reducing its therapeutic efficacy. In such cases, healthcare providers may need to consider dosage adjustments or alternative therapies to maintain the desired therapeutic effect.

Additionally, caution is advised when using tretinoin with other photosensitizing agents, as it may increase the risk of phototoxicity. Patients should be counseled on the importance of using sun protection measures, such as wearing protective clothing and applying broad-spectrum sunscreen, to minimize the risk of sunburn and skin damage.

Patients taking vitamin A supplements or other retinoids should be monitored for signs of hypervitaminosis A, as the combination with tretinoin can lead to additive toxic effects. Symptoms may include nausea, vomiting, dizziness, and skin peeling. It is recommended to avoid concurrent use of these products unless specifically directed by a healthcare provider.

For patients undergoing treatment with Tretinoin 10 mg/mL Oral Suspension, it is essential to maintain open communication with healthcare providers regarding all medications, supplements, and herbal products they are using. This will help in identifying potential interactions and ensuring safe and appropriate use of the formulation.

If you have any questions or require further information about the use of Tretinoin 10 mg/mL Oral Suspension and its potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any concerns you may have.

How Does it Work

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Tretinoin 10 mg/mL Oral Suspension is a liquid dosage form designed to deliver tretinoin, a derivative of vitamin A, in a uniform and easily administrable manner. This formulation ensures that the active ingredient, tretinoin, is evenly dispersed throughout the liquid medium, providing a consistent dose with each administration. The suspension is particularly beneficial for patients who may have difficulty swallowing tablets or capsules.

Tretinoin works by modulating gene expression, which in turn influences cell differentiation and proliferation. It is primarily used in the treatment of acute promyelocytic leukemia (APL), a subtype of acute myeloid leukemia. In APL, tretinoin induces the differentiation of immature blood cells into mature cells, thereby reducing the proliferation of leukemic cells. This mechanism helps in restoring normal hematopoiesis and reducing the leukemic burden in patients.

For prescribers, it is important to note that tretinoin's efficacy in treating APL is due to its ability to target the PML-RARα fusion protein, which is a result of a chromosomal translocation specific to this leukemia subtype. By binding to this fusion protein, tretinoin disrupts its function, leading to the degradation of the oncoprotein and promoting the differentiation of promyelocytes. This targeted action makes tretinoin a critical component in the treatment regimen for APL, often used in combination with other chemotherapeutic agents to enhance therapeutic outcomes.

It is crucial to adhere to the prescribed dosage and schedule, and to communicate any adverse effects to the healthcare provider promptly. Regular monitoring of blood counts and liver function tests is recommended to ensure appropriate treatment.

For both patients and prescribers, understanding the pharmacodynamics and pharmacokinetics of tretinoin is essential for optimizing treatment outcomes. The oral suspension form allows for flexible dosing adjustments, which can be particularly advantageous in managing side effects and achieving the desired therapeutic response. If you have any questions or require further information about Tretinoin 10 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. We are here to assist you with any inquiries or concerns you may have regarding this formulation.

Other Uses

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Tretinoin 10 mg/mL Oral Suspension is primarily known for its use in treating acute promyelocytic leukemia (APL) and certain dermatological conditions when used topically. However, this formulation may have other potential applications that are being explored in clinical settings. One such area of interest is its potential role in chemoprevention, where tretinoin could be used to prevent the development of certain types of cancer in high-risk patients. This is based on its ability to modulate cell differentiation and proliferation, which are key processes in cancer development. Additionally, there is ongoing research into its use in treating other types of leukemia and myelodysplastic syndromes, where its mechanism of action could provide therapeutic benefits.

For patients, it is important to understand that while these uses are promising, they are still under investigation and should only be considered under the guidance of a healthcare professional. Patients should be aware of the potential side effects, which can include symptoms such as headache, fever, dry skin, and gastrointestinal disturbances, and should report any adverse reactions to their healthcare provider promptly. It is also crucial for patients to adhere to the prescribed dosage and administration instructions to ensure safety and efficacy.

For prescribers, it is essential to stay informed about the latest research and clinical trials involving tretinoin oral suspension to make evidence-based decisions when considering off-label uses. Prescribers should weigh the potential benefits against the risks and monitor patients closely for any adverse effects. Additionally, they should provide comprehensive counseling to patients regarding the potential side effects and the importance of adherence to the treatment regimen. As always, if there are any questions or if further information is needed, please reach out to us at Bayview Pharmacy for assistance.

Frequently Asked Questions

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What is Tretinoin 10 mg/mL Oral Suspension?

Tretinoin 10 mg/mL Oral Suspension is a liquid dosage form where tretinoin is uniformly dispersed in a liquid medium, creating a homogeneous mixture for easy administration.

How should I store Tretinoin 10 mg/mL Oral Suspension?

Store the suspension at room temperature, away from direct sunlight and moisture. Ensure the bottle is tightly closed when not in use to maintain its stability and effectiveness.

How do I take Tretinoin 10 mg/mL Oral Suspension?

Shake the bottle well before each use to ensure the medication is evenly distributed. Measure the prescribed dose using a proper measuring device and take it as directed by your healthcare provider.

What are the potential side effects of Tretinoin 10 mg/mL Oral Suspension?

Common side effects may include dry skin, mild irritation, or redness. If you experience severe side effects such as difficulty breathing or swelling, seek medical attention immediately.

Can I take Tretinoin 10 mg/mL Oral Suspension with food?

Yes, you can take this oral suspension with or without food. However, taking it with food may help reduce any potential stomach upset.

What should I do if I miss a dose of Tretinoin 10 mg/mL Oral Suspension?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Is Tretinoin 10 mg/mL Oral Suspension safe for children?

The safety and effectiveness of Tretinoin 10 mg/mL Oral Suspension in children have not been established. Consult a healthcare provider for advice specific to pediatric use.

Can I use other skincare products while taking Tretinoin 10 mg/mL Oral Suspension?

Consult your healthcare provider before using other skincare products, especially those containing alcohol, astringents, or other medications that may cause irritation.

How long does it take to see results from Tretinoin 10 mg/mL Oral Suspension?

Results can vary, but some individuals may start to see improvements in their skin condition within a few weeks. Full effects may take several months, so it is important to continue using the medication as directed.

What should I do if I experience severe side effects from Tretinoin 10 mg/mL Oral Suspension?

If you experience severe side effects such as difficulty breathing, swelling, or severe skin irritation, stop using the medication and seek immediate medical attention.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Tretinoin 10 mg/mL Oral Suspension
Suspension
30 mL
controlled

Take orally

Twice daily