Land: Canada
Språk: engelsk
Kilde: Health Canada
TRETINOIN
BAUSCH HEALTH, CANADA INC.
D10AD01
TRETINOIN
0.04%
GEL
TRETINOIN 0.04%
TOPICAL
15G/50G
Prescription
CELL STIMULANTS AND PROLIFERANTS
Active ingredient group (AIG) number: 0112395006; AHFS:
APPROVED
2012-03-20
PRODUCT MONOGRAPH PR RETIN-A MICRO ® Tretinoin Gel (microsphere) 0.1% w/w and 0.04% w/w COMEDOLYTIC AGENT BAUSCH HEALTH, CANADA INC. DATE OF REVISION: 2150 St-Elzear Blvd. West September 29, 2020 Laval, Quebec H7L 4A8 Submission Control No.: 238486 _Pr_ _RETIN-A MICRO_ _®_ _ Product Monograph Page 2 of 21_ PRODUCT MONOGRAPH PR RETIN-A MICRO Tretinoin Gel (microsphere) 0.1% w/w and 0.04% w/w CLINICAL PHARMACOLOGY RETIN-A MICRO tretinoin gel (microsphere) is a novel formulation containing either 0.1% w/w or 0.04% w/w tretinoin by weight for the topical treatment of acne vulgaris. Tretinoin is a member of the retinoid family of compounds, and an endogenous metabolite of Vitamin A. Tretinoin is highly effective in the treatment of acne, although the exact mode of action of tretinoin is unknown. Current evidence suggests that this efficacy is due primarily to the ability of tretinoin to modify abnormal follicular keratinization. Comedones form in follicles due to abnormal keratinization and intercellular cohesiveness, with an excess of keratin retained in the follicle. Tretinoin promotes detachment of cornified cells and the enhanced shedding of corneocytes from the follicle. By increasing the mitotic activity of follicular epithelia, tretinoin also increases the turnover rates of thin, loosely adherent corneocytes. Through these actions, the comedo contents are extruded and the formation of the microcomedo, the precursor lesion of acne vulgaris, is reduced. Additionally, tretinoin acts by modulating the proliferation and differentiation of epidermal cells. These effects are mediated by tretinoin’s interaction with a family of nuclear retinoic acid receptors. Activation of these nuclear receptors causes changes in gene expression. The exact mechanisms whereby tretinoin-induced changes in gene expression regulate skin function are not understood. This formulation uses patented methyl methacrylate/glycol dimethacrylate crosspolymer porous microspheres (MICROSPONGE System) to enable inclusion of the active ingredient Les hele dokumentet