Acitretin 25mg Capsule: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Severe headache with blurred vision or nausea
- Yellowing of the eyes or skin, or dark urine
- Severe upper abdominal pain that spreads to the back
- Swelling of the face, lips, tongue, or throat, or difficulty breathing
- Painful rash with blisters or peeling skin
- Blood in stool or vomit
- Decreased urine output or swelling in the legs
- New or worsening depression or thoughts of self-harm
If experiencing severe symptoms, call emergency services immediately.
What is sentrane 25mg capsule used for?
This medicine is an oral retinoid used to treat severe psoriasis and other skin conditions. It works by slowing down rapid skin cell growth and helping skin cells mature normally. It is taken once daily with food, and regular blood tests and strict pregnancy prevention are required.
- Generic Name: Acitretin (25mg)
- Manufacturer: Taj Pharma India Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 sentrane 25mg capsule के बारे में (Hindi Summary)
उपयोग: यह दवा एक्ट्रेटिन 25 मिलीग्राम कैप्सूल है, जिसका उपयोग गंभीर सोरायसिस (सोरायसिस), पस्टुलर सोरायसिस और त्वचा के कुछ अन्य विकारों जैसे इक्थियोसिस और डारियर रोग के इलाज के लिए किया जाता है। यह त्वचा की कोशिकाओं की असामान्य वृद्धि को धीमा करके और उन्हें सामान्य रूप से परिपक्व होने में मदद करके काम करती है। यह दवा केवल डॉक्टर की सलाह पर ही लेनी चाहिए। गर्भवती महिलाओं या गर्भधारण की योजना बना रही महिलाओं को यह दवा नहीं लेनी चाहिए क्योंकि इससे गंभीर जन्म दोष हो सकते हैं।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में होंठों का सूखना, मुँह का सूखना, त्वचा का सूखना और पपड़ी बनना, आँखों का सूखना, बालों का पतला होना, सिरदर्द, मांसपेशियों और जोड़ों में दर्द शामिल हैं। कुछ लोगों में रक्त में वसा (ट्राइग्लिसराइड और कोलेस्ट्रॉल) का स्तर बढ़ सकता है और लीवर की जाँच में बदलाव आ सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन लीवर की गंभीर क्षति, पैन्क्रियाटाइटिस, या सिर के अंदर दबाव बढ़ने जैसी स्थितियाँ हो सकती हैं। कोई भी गंभीर लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: यह दवा केवल त्वचा रोग विशेषज्ञ की देखरेख में ही लें। गर्भवती महिलाओं या गर्भधारण कर सकने वाली महिलाओं को इस दवा को शुरू करने से पहले, दवा लेने के दौरान और दवा बंद करने के कम से कम तीन साल बाद तक प्रभावी गर्भनिरोधक का उपयोग करना चाहिए। इस दवा को लेते समय और बंद करने के कम से कम तीन साल तक रक्तदान न करें। शराब का सेवन पूरी तरह से बंद कर दें। धूप से बचाव करें और सनस्क्रीन का उपयोग करें। नियमित रूप से रक्त परीक्षण कराते रहें और डॉक्टर के बताए अनुसार ही दवा लें।
💊 sentrane 25mg capsule Uses & Benefits
[{"condition":"Severe plaque psoriasis","description":"This medicine is used to reduce thick scaling and redness in people with extensive or disabling plaque psoriasis that has not responded to other treatments.","evidence":"Well-established"},{"condition":"Pustular psoriasis","description":"It can help control widespread pustular psoriasis, including palmoplantar pustulosis, by normalizing rapid skin cell turnover.","evidence":"Well-established"},{"condition":"Ichthyosis","description":"This medicine is used in several inherited forms of ichthyosis to soften and thin thick, scaly skin.","evidence":"Well-established"},{"condition":"Darier disease","description":"It is used to reduce the rough, greasy bumps and scaling seen in Darier disease, especially when other treatments fail.","evidence":"Moderate"},{"condition":"Lichen planus","description":"This medicine may be prescribed for severe or widespread lichen planus that does not improve with standard therapies.","evidence":"Moderate"},{"condition":"Pityriasis rubra pilaris","description":"It can improve the widespread redness and scaling of pityriasis rubra pilaris in some patients.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Cutaneous lupus erythematosus","description":"Sometimes used off-label for skin-limited lupus when other treatments are not effective or not tolerated.","evidence":"Limited"},{"condition":"Graft-versus-host disease of the skin","description":"Occasionally used off-label to manage skin changes related to chronic graft-versus-host disease.","evidence":"Limited"},{"condition":"Keratoderma","description":"May be used off-label to soften very thick skin on the palms and soles in some inherited or acquired keratodermas.","evidence":"Limited"}]
Primary treatment for: Severe psoriasis
Also treats: Pustular psoriasis, Ichthyosis, Darier disease, Lichen planus, Pityriasis rubra pilaris
📋 Drug Information
| Generic Name(s) | Acitretin (25mg) |
| Brand Name | sentrane 25mg capsule |
| Manufacturer | Taj Pharma India Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | DERMA |
| Action Class | Retinoids- Second generation |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature between 15°C and 30°C. Keep it in the original container, tightly closed, and protect it from light and moisture. Do not store it in the bathroom. Keep it out of reach of children and pets. |
| Shelf Life | The shelf life is usually 24 months from the date of manufacture, but check the expiry date on the pack. Do not use after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by binding to specific retinoid receptors inside skin cells. These receptors normally respond to natural vitamin A derivatives and help control how quickly skin cells grow and how they mature. In conditions like psoriasis, skin cells multiply too fast and do not mature properly. By activating retinoid receptors, this medicine slows down the rapid turnover of skin cells and helps them develop normally. It also reduces the thickness of the outer skin layer and decreases scaling. In addition, it has mild anti-inflammatory effects that help calm redness and swelling in the skin. Because it affects cell growth and maturation, it can also cause side effects in other tissues that depend on normal vitamin A signaling, such as mucous membranes, hair, nails, and bones.
Mechanism Steps
💡 How to Take sentrane 25mg capsule
Strength: Acitretin 25 mg immediate-release capsule for oral use.
Dosage Information
| Adult Dosage | The usual starting dose of this medicine for adults is 25 mg once daily, taken with the main meal. Your doctor may increase the dose gradually up to a maximum of 50 mg per day, depending on how you respond and how well you tolerate it. Some people may need a higher dose for severe conditions, but this must be decided by a specialist. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and other medicines you take. Do not change the dose on your own. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician or pediatric dermatologist for guidance. |
| Elderly Dosage | Older adults may be more sensitive to the side effects of this medicine, especially dry skin, dry eyes, and changes in blood fats. The dose must be individualized by a qualified clinician based on kidney and liver function and other medical conditions. |
| Renal Impairment | This medicine should be used with caution in people with kidney disease. Dose adjustment may be needed, and your doctor will decide based on your kidney function. Regular monitoring is advised. |
| Hepatic Impairment | This medicine is not recommended for people with severe liver disease. In mild to moderate liver disease, the dose may need to be reduced or the medicine avoided. Your doctor will decide based on liver function tests. |
| Maximum Daily Dose | The maximum recommended daily dose is 50 mg per day for most adults, but in some severe cases a specialist may prescribe up to 75 mg per day. Never exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of sentrane 25mg capsule
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Methotrexate | Major | |
| Tetracyclines | Major | |
| Vitamin A supplements | Major | |
| Alcohol | Major | |
| Phenytoin | Moderate | |
| Oral contraceptives | Moderate | |
| Glucocorticoids | Moderate | |
| Glyburide | Moderate | |
| St. John's wort | Moderate | |
| Probenecid | Minor |
🚨 Major Interactions
- Methotrexate
- Tetracyclines
- Vitamin A or other retinoids
- Alcohol
- Phenytoin
⚡ Moderate Interactions
- Oral contraceptives
- Glucocorticoids
- Glyburide
- St. John's wort
🍷 Alcohol Interaction
Alcohol should be completely avoided while taking this medicine and for at least two months after stopping. Alcohol can increase the conversion of this medicine into a metabolite called etretinate, which stays in the body for a very long time and can cause serious birth defects. Alcohol also increases the risk of liver damage. If you drink alcohol regularly, discuss this with your doctor before starting treatment.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Pregnancy or planning to become pregnant during treatment or within three years after stopping","Breastfeeding","Severe liver disease or uncontrolled liver problems","Severe kidney disease","Uncontrolled high blood triglycerides or cholesterol","Known allergy to acitretin or other retinoids","Use of other retinoids or vitamin A supplements","Use of tetracycline antibiotics","Use of methotrexate"]
⚠️ Warnings & Precautions
["This medicine can cause severe birth defects. Strict pregnancy prevention is required for women who can become pregnant.","Do not donate blood during treatment or for at least three years after stopping, because the medicine in donated blood could harm a pregnant recipient.","Avoid alcohol completely during treatment and for at least two months after stopping.","This medicine can raise blood fats and liver enzymes. Regular blood tests are essential.","Your skin may become more sensitive to sunlight. Use sunscreen and protective clothing.","This medicine can cause dry eyes and decreased night vision. Be careful when driving at night.","Tell your doctor if you have a history of liver disease, kidney disease, diabetes, high blood fats, or mental health problems.","Do not take vitamin A supplements or other retinoids while using this medicine.","This medicine may interact with other medicines. Always tell your doctor about all medicines you take.","Long-term use may affect bones. Your doctor may monitor your bone health."]
🤱 Lactation Safety
This medicine passes into breast milk and may harm a nursing infant. Breastfeeding is not recommended while taking this medicine. Discuss alternative feeding options with your doctor.
💊 Overdose Management
If you take too much of this medicine, seek medical attention immediately. Overdose symptoms may include severe headache, nausea, vomiting, drowsiness, and increased pressure inside the skull. Treatment is supportive and may include monitoring of vital signs, liver tests, and blood fats. There is no specific antidote. Do not try to make yourself vomit unless told to do so by a healthcare professional.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember if it is less than half the time until your next dose. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose.
Additional Safety Advice
This medicine must only be taken under the supervision of a dermatologist or other qualified specialist. Never share this medicine with anyone else, even if they have a similar skin condition. Because this medicine can cause serious birth defects, women who can become pregnant must use effective contraception before starting, during treatment, and for at least three years after the last dose. Two negative pregnancy tests are usually required before treatment, and pregnancy testing is repeated during treatment. Do not donate blood while taking this medicine or for at least three years after stopping it, because the medicine in donated blood could harm a pregnant recipient. Avoid alcohol completely during treatment and for at least two months after stopping, because alcohol can change how this medicine is processed and may increase the risk of liver problems. Use sunscreen and protective clothing because your skin may burn more easily. Keep all follow-up appointments for blood tests, and tell your doctor about any new medicines, including over-the-counter products and herbal supplements.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may be more sensitive to the side effects of this medicine, especially dry skin, dry eyes, and changes in blood fats. They may also have a higher risk of liver and kidney problems. The dose must be individualized by a qualified clinician based on kidney and liver function and other medical conditions. Regular monitoring is especially important in this age group.
🤰 Pregnancy Planning (TTC)
This medicine can cause severe birth defects. Women who can become pregnant must use effective contraception before starting, during treatment, and for at least three years after stopping. Two negative pregnancy tests are usually required before treatment, and pregnancy testing is repeated during treatment. If you are planning a pregnancy, discuss it with your doctor well in advance. Men taking this medicine should also discuss pregnancy planning with their doctor, as the medicine may affect sperm.
🏥 Post-Surgery Considerations
This medicine can affect wound healing and increase the risk of bleeding. Tell your surgeon and anesthesiologist that you are taking this medicine before any surgery. Your doctor may recommend stopping the medicine for a period before surgery. Do not stop the medicine on your own; follow your doctor's instructions.
🦷 Dental Procedures
This medicine can cause dry mouth and increase the risk of gum problems and tooth decay. Tell your dentist that you are taking this medicine before any dental procedure. Good oral hygiene, regular dental check-ups, and drinking water frequently can help. If you need dental surgery, your dentist may consult with your doctor about whether to adjust your treatment.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause muscle and joint aches, so start any new exercise routine slowly. Avoid high-impact activities if you have bone or joint pain. Stay well hydrated during exercise. If you experience severe muscle pain, weakness, or dark urine, stop exercising and seek medical attention, as these could be signs of a rare muscle problem.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause dry eyes and decreased night vision, which may affect driving, especially at night. It can also cause tiredness and headache. If you operate heavy machinery or drive, be cautious until you know how this medicine affects you. Dry skin and lips may be uncomfortable but can be managed with moisturizers and lip balm. You may need to take time off for blood tests and doctor visits. Discuss any work-related concerns with your doctor.
🛑 When to Stop This Medicine
Do not stop taking this medicine without talking to your doctor. Your doctor will decide when to stop based on your skin response, side effects, and blood test results. If you experience a serious side effect, such as severe headache, vision changes, yellowing of the eyes or skin, or severe abdominal pain, stop the medicine and seek immediate medical attention. If you are a woman who can become pregnant, you must continue contraception for at least three years after stopping.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to persistent dryness of the skin, eyes, and mucous membranes. It can cause ongoing changes in blood fats and liver enzymes, which is why regular monitoring is needed. Prolonged use may also affect bone health, leading to bone pain or changes seen on X-rays. Some people may experience decreased night vision. Because the medicine is stored in fat, some effects may persist after stopping. Your doctor will review the benefits and risks periodically and may recommend breaks or alternative treatments.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Creams and ointments containing corticosteroids, vitamin D analogues, or coal tar can help mild to moderate psoriasis.
Evidence: Well-establishedUltraviolet light therapy, including narrowband UVB, can be effective for widespread psoriasis.
Evidence: Well-establishedAn oral medicine that suppresses the immune system and can be used for severe psoriasis.
Evidence: Well-establishedInjectables that target specific parts of the immune system and are used for moderate to severe psoriasis.
Evidence: Well-establishedStress reduction, good skin care, and avoiding triggers can help manage psoriasis symptoms.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine is not known to directly interact with vaccines. However, because it can affect the immune system and skin, talk to your doctor before receiving any live vaccines. Inactivated vaccines are generally considered safe. If you are planning to travel to areas where certain vaccines are recommended, discuss the timing with your doctor.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in the original container, tightly closed
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Protect from light and moisture
❌ DON'T
Do not store in the bathroom
✅ DO
Keep out of reach of children and pets
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with the prescription label clearly visible. Bring a copy of your prescription and a letter from your doctor explaining why you take this medicine, especially if you are crossing international borders. Store it at room temperature and protect it from extreme heat or cold. If you are traveling across time zones, keep taking your dose at the same time each day as much as possible, but do not take a double dose. If you are a woman who can become pregnant, continue your contraception and pregnancy testing schedule even while traveling. Do not donate blood during travel or for at least three years after stopping this medicine.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start to see improvement in your skin after 2 to 4 weeks, but it usually takes 2 to 3 months to see the full benefit. Your doctor may adjust the dose based on your response.
A: No, you should avoid alcohol completely during treatment and for at least two months after stopping. Alcohol can increase the risk of liver problems and prolong the presence of harmful metabolites in your body.
A: Avoid alcohol, vitamin A supplements, other retinoids, and tetracycline antibiotics. Also avoid excessive sun exposure and use sunscreen. Do not donate blood during treatment or for at least three years after stopping.
A: No, this medicine can cause severe birth defects and must not be used during pregnancy. Women who can become pregnant must use effective contraception and undergo regular pregnancy testing before, during, and for at least three years after treatment.
A: Common side effects include dry lips, dry mouth, dry skin, dry eyes, hair thinning, headache, and muscle aches. Blood tests may show increased blood fats or liver enzymes.
A: You will need blood tests before starting treatment and regularly during treatment, usually every 1 to 2 weeks for the first month or two, then every 1 to 3 months. Your doctor will decide the exact schedule.
A: No, you must not donate blood during treatment or for at least three years after stopping, because the medicine in your blood could harm a pregnant recipient.
A: If you miss a dose, take it as soon as you remember if it is less than half the time until your next dose. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time.
🤔 Common Patient Concerns
🔄 Substitutes for sentrane 25mg capsule
View AllAlternative brands with exact same active ingredient:
-
glacitret 25mg capsuleTripada Biotec Pvt Ltd ₹464.06 20.1% COSTLIER
-
acitinext 25 capsuleEthinext Pharma ₹506.25 31.1% COSTLIER
-
psotretin 25mg tabletNuper therapeutics ₹515.63 33.5% COSTLIER
-
a tret 25mg capsuleKaizen Pharmaceuticals Pvt Ltd ₹553.13 43.2% COSTLIER
-
acitrin 25mg capsuleIpca Laboratories Ltd ₹576.26 49.2% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a vitamin supplement and is safe for everyone.
Fact: This medicine is a powerful prescription retinoid, not a simple vitamin. It can cause serious side effects and birth defects, so it must only be used under medical supervision. - Myth: You can stop this medicine as soon as your skin looks better.
Fact: You should only stop this medicine when your doctor tells you to. Stopping suddenly may cause your skin condition to flare up. - Myth: This medicine can be taken without blood tests.
Fact: Regular blood tests are essential because this medicine can affect the liver and blood fat levels. - Myth: It is safe to drink alcohol occasionally while taking this medicine.
Fact: Alcohol should be completely avoided because it can increase the risk of liver problems and prolong the presence of harmful metabolites in the body.
🔄 Alternative Options
Generic Alternatives
- Acitretin 25 mg capsule
Brand Alternatives
- A Tret 25mg Capsule