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Pronunciation |
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(a
DAP a
leen) |
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U.S. Brand
Names |
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Differin® |
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Generic
Available |
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No |
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Pharmacological Index |
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Acne Products |
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Use |
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Treatment of acne vulgaris |
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Pregnancy Risk
Factor |
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C |
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Pregnancy/Breast-Feeding
Implications |
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Clinical effects on the fetus: No teratogenic effects were seen in rats at
oral doses of adapalene 0.15-5 mg/kg/day
Breast feeding/lactation: There are no adequate and well controlled studies
in pregnant women; it is not known whether adapalene is excreted in breast milk
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Contraindications |
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Hypersensitivity to adapalene or any of the components in the vehicle
gel |
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Warnings/Precautions |
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Use with caution in patients with eczema; avoid excessive exposure to
sunlight and sunlamps; avoid contact with abraded skin, mucous membranes, eyes,
mouth, angles of the nose |
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Adverse
Reactions |
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>10%: Dermatologic: Erythema, scaling, dryness, pruritus, burning,
pruritus or burning immediately after application
less than or equal to 1%: Skin irritation, stinging sunburn, acne flares;
dermatitis, contact dermatitis, eyelid edema, conjunctivitis, skin
discoloration, eczema, rash |
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Overdosage/Toxicology |
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Toxic signs of an overdose commonly respond to drug discontinuation, and
generally return to normal spontaneously within a few days to weeks
When confronted with signs of increased intracranial pressure, treatment with
mannitol (0.25 g/kg I.V. up to 1 g/kg/dose repeated every 5 minutes as needed),
dexamethasone (1.5 mg/kg I.V. load followed with 0.375 mg/kg every 6 hours for 5
days), and/or hyperventilation should be employed |
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Mechanism of
Action |
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Retinoid-like compound which is a modulator of cellular differentiation,
keratinization and inflammatory processes, all of which represent important
features in the pathology of acne vulgaris |
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Pharmacodynamics/Kinetics |
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Absorption: Topical: Minimum absorption occurs
Elimination: In bile |
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Usual Dosage |
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Children >12 years and Adults: Topical: Apply once daily at bedtime;
therapeutic results should be noticed after 8-12 weeks of
treatment |
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
|
No effects or complications reported |
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Patient
Information |
|
For external use only. Apply with gloves in thin film at night to thoroughly
clean/dry skin; avoid area around eyes or mouth. Do not apply occlusive
dressing. Results make take 8-12 weeks to appear. You may experience transient
burning or stinging immediately after applying. Report worsening of condition or
skin redness, dryness, peeling, or burning that persists between applications.
Pregnancy/breast-feeding precautions: Inform prescriber if you are or
intend to be pregnant. Consult prescriber if
breast-feeding. |
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Nursing
Implications |
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Observe for signs of hypersensitivity, blistering, excessive dryness; do not
apply to mucous membranes |
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Dosage Forms |
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Cream, topical (Differin®): 0.1%
Gel, topical (alcohol free): 0.1% (15 g, 45 g)
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