Acitretin interactions

Acitretin (Soriatane), a retinoid has 91 documented interactions across the FDA labels and fact sheets we index: 34 major, 43 moderate, 4 minor, and 10 where a label reports no significant interaction. Each entry below quotes the sentence behind it. This drug page is a starting point, not a verdict for your situation.

Interactions from the label

Major interactions (34)

  • AdapaleneretinoidMajor

    Acitretin is contraindicated in cases of hypersensitivity (e.g., angioedema, urticaria) to the preparation (acitretin or excipients) or to other retinoids . (Acitretin label, Contraindications)

  • AlcoholAlcoholMajor

    Clinical evidence has shown that concurrent ingestion of acitretin and ethanol has been associated with the formation of etretinate, which has a significantly longer elimination half-life than acitretin. (Acitretin label, Boxed warning)

  • BexaroteneretinoidMajor

    Acitretin is contraindicated in cases of hypersensitivity (e.g., angioedema, urticaria) to the preparation (acitretin or excipients) or to other retinoids . (Acitretin label, Contraindications)

  • Since both acitretin and tetracyclines can cause increased intracranial pressure, their combined use is contraindicated (see WARNINGS: Pseudotumor Cerebri ). (Acitretin label, Contraindications)

  • Primary forms of contraception include: tubal ligation, partner’s vasectomy, intrauterine devices, birth control pills, and injectable/implantable/insertable/topical hormonal birth control products. (Acitretin label, Boxed warning)

  • Primary forms of contraception include: tubal ligation, partner’s vasectomy, intrauterine devices, birth control pills, and injectable/implantable/insertable/topical hormonal birth control products. (Acitretin label, Boxed warning)

  • Demeclocyclinetetracycline antibioticMajor

    Since both acitretin and tetracyclines can cause increased intracranial pressure, their combined use is contraindicated (see WARNINGS: Pseudotumor Cerebri ). (Acitretin label, Contraindications)

  • Desogestrel and ethinyl estradioloral contraceptiveMajor

    For patients with amenorrhea, the second test should be done at least 11 days after the last act of unprotected sexual intercourse (without using 2 effective forms of contraception [birth control] simultaneously). (Acitretin label, Boxed warning)

  • Doxycyclinetetracycline antibioticMajor

    Since both acitretin and tetracyclines can cause increased intracranial pressure, their combined use is contraindicated (see WARNINGS: Pseudotumor Cerebri ). (Acitretin label, Contraindications)

  • Drospirenone and ethinyl estradioloral contraceptiveMajor

    For patients with amenorrhea, the second test should be done at least 11 days after the last act of unprotected sexual intercourse (without using 2 effective forms of contraception [birth control] simultaneously). (Acitretin label, Boxed warning)

  • Primary forms of contraception include: tubal ligation, partner’s vasectomy, intrauterine devices, birth control pills, and injectable/implantable/insertable/topical hormonal birth control products. (Acitretin label, Boxed warning)

  • EstradiolestrogenMajor

    Primary forms of contraception include: tubal ligation, partner’s vasectomy, intrauterine devices, birth control pills, and injectable/implantable/insertable/topical hormonal birth control products. (Acitretin label, Boxed warning)

  • Estradiol and dienogestoral contraceptiveMajor

    For patients with amenorrhea, the second test should be done at least 11 days after the last act of unprotected sexual intercourse (without using 2 effective forms of contraception [birth control] simultaneously). (Acitretin label, Boxed warning)

  • Primary forms of contraception include: tubal ligation, partner’s vasectomy, intrauterine devices, birth control pills, and injectable/implantable/insertable/topical hormonal birth control products. (Acitretin label, Boxed warning)

  • For patients with amenorrhea, the second test should be done at least 11 days after the last act of unprotected sexual intercourse (without using 2 effective forms of contraception [birth control] simultaneously). (Acitretin label, Boxed warning)

  • Primary forms of contraception include: tubal ligation, partner’s vasectomy, intrauterine devices, birth control pills, and injectable/implantable/insertable/topical hormonal birth control products. (Acitretin label, Boxed warning)

  • FulvestrantestrogenMajor

    Primary forms of contraception include: tubal ligation, partner’s vasectomy, intrauterine devices, birth control pills, and injectable/implantable/insertable/topical hormonal birth control products. (Acitretin label, Boxed warning)

  • IsotretinoinretinoidMajor

    Acitretin is contraindicated in cases of hypersensitivity (e.g., angioedema, urticaria) to the preparation (acitretin or excipients) or to other retinoids . (Acitretin label, Contraindications)

  • LevonorgestrelprogestinMajor

    It has not been established if there is a pharmacokinetic interaction between acitretin and combined oral contraceptives. (Acitretin label, Boxed warning)

  • For patients with amenorrhea, the second test should be done at least 11 days after the last act of unprotected sexual intercourse (without using 2 effective forms of contraception [birth control] simultaneously). (Acitretin label, Boxed warning)

  • MedroxyprogesteroneprogestinMajor

    It has not been established if there is a pharmacokinetic interaction between acitretin and combined oral contraceptives. (Acitretin label, Boxed warning)

  • MegestrolprogestinMajor

    It has not been established if there is a pharmacokinetic interaction between acitretin and combined oral contraceptives. (Acitretin label, Boxed warning)

  • MethotrexateimmunosuppressantMajor

    An increased risk of hepatitis has been reported to result from combined use of methotrexate and etretinate. (Acitretin label, Contraindications)

  • MifepristoneCYP3A4 inhibitorMajor

    It has not been established if there is a pharmacokinetic interaction between acitretin and combined oral contraceptives. (Acitretin label, Boxed warning)

  • Minocyclinetetracycline antibioticMajor

    Since both acitretin and tetracyclines can cause increased intracranial pressure, their combined use is contraindicated (see WARNINGS: Pseudotumor Cerebri ). (Acitretin label, Contraindications)

  • Primary forms of contraception include: tubal ligation, partner’s vasectomy, intrauterine devices, birth control pills, and injectable/implantable/insertable/topical hormonal birth control products. (Acitretin label, Boxed warning)

  • NorethindroneprogestinMajor

    For patients with amenorrhea, the second test should be done at least 11 days after the last act of unprotected sexual intercourse (without using 2 effective forms of contraception [birth control] simultaneously). (Acitretin label, Boxed warning)

  • For patients with amenorrhea, the second test should be done at least 11 days after the last act of unprotected sexual intercourse (without using 2 effective forms of contraception [birth control] simultaneously). (Acitretin label, Boxed warning)

  • Norgestimate and ethinyl estradioloral contraceptiveMajor

    For patients with amenorrhea, the second test should be done at least 11 days after the last act of unprotected sexual intercourse (without using 2 effective forms of contraception [birth control] simultaneously). (Acitretin label, Boxed warning)

  • Norgestrel and ethinyl estradioloral contraceptiveMajor

    For patients with amenorrhea, the second test should be done at least 11 days after the last act of unprotected sexual intercourse (without using 2 effective forms of contraception [birth control] simultaneously). (Acitretin label, Boxed warning)

  • ProgesteroneprogestinMajor

    It has not been established if there is a pharmacokinetic interaction between acitretin and combined oral contraceptives. (Acitretin label, Boxed warning)

  • Tetracyclinetetracycline antibioticMajor

    Since both acitretin and tetracyclines can cause increased intracranial pressure, their combined use is contraindicated (see WARNINGS: Pseudotumor Cerebri ). (Acitretin label, Contraindications)

  • Tigecyclinetetracycline antibioticMajor

    Since both acitretin and tetracyclines can cause increased intracranial pressure, their combined use is contraindicated (see WARNINGS: Pseudotumor Cerebri ). (Acitretin label, Contraindications)

  • TretinoinretinoidMajor

    Acitretin is contraindicated in cases of hypersensitivity (e.g., angioedema, urticaria) to the preparation (acitretin or excipients) or to other retinoids . (Acitretin label, Contraindications)

Moderate interactions (43)

  • AcarboseantidiabeticModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • AlogliptinDPP-4 inhibitorModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Alogliptin and metforminDPP-4 inhibitorModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • BexagliflozinSGLT2 inhibitorModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Drugs That Increase the Risk of Hypercalcemia Increase frequency of monitoring of calcium concentrations in patients taking concomitant Calcium Chloride Injection and other drugs that increase the risk of hypercalcemia (e.g., calcipotriene, estrogen, lithium, parathyroid hormone, teriparatide, thiazide diuretics, Vitamin A, and Vitamin D). (Calcium chloride label, Drug interactions)

  • CanagliflozinSGLT2 inhibitorModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • DapagliflozinSGLT2 inhibitorModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Dapagliflozin and metforminSGLT2 inhibitorModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • DulaglutideGLP-1 receptor agonistModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Patients with elevated vitamin A levels may be at increased risk. (Elexacaftor, tezacaftor, and ivacaftor label, Warnings and precautions)

  • EmpagliflozinSGLT2 inhibitorModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Empagliflozin and metforminSGLT2 inhibitorModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • ExenatideGLP-1 receptor agonistModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • GlimepiridesulfonylureaModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • GlipizidesulfonylureaModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Glipizide and metforminsulfonylureaModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • GlyburidesulfonylureaModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Glyburide and metforminsulfonylureaModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Insulin aspartinsulinModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Insulin degludecinsulinModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Insulin detemirinsulinModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Insulin glargineinsulinModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Insulin lisproinsulinModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • IvacaftorCYP3A4 inhibitorModerate

    Patients with elevated vitamin A levels may be at increased risk. (Ivacaftor label, Warnings and precautions)

  • LinagliptinDPP-4 inhibitorModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Linagliptin and metforminDPP-4 inhibitorModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • LiraglutideGLP-1 receptor agonistModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • MetforminbiguanideModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • MiglitolantidiabeticModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • NateglinidemeglitinideModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • OrlistatModerate

    The effect of ORLISTAT on the absorption of supplemental vitamin D, vitamin A, and nutritionally-derived vitamin K is not known at this time [see Clinical Pharmacology (12.3) , and Warnings and Precautions (5.1) ] . (Orlistat label, Drug interactions)

  • PhenytoinanticonvulsantModerate

    Phenytoin: If acitretin is given concurrently with phenytoin, the protein binding of phenytoin may be reduced. (Acitretin label, Drug interactions)

  • PioglitazonethiazolidinedioneModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Pioglitazone and glimepiridethiazolidinedioneModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Pioglitazone and metforminthiazolidinedioneModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • RepaglinidemeglitinideModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • SaxagliptinDPP-4 inhibitorModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Saxagliptin and metforminDPP-4 inhibitorModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • SemaglutideGLP-1 receptor agonistModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • SitagliptinDPP-4 inhibitorModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • Sitagliptin and metforminDPP-4 inhibitorModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

  • TirzepatideGLP-1 receptor agonistModerate

    Glyburide: In a trial of 7 healthy male volunteers, acitretin treatment potentiated the blood glucose-lowering effect of glyburide (a sulfonylurea similar to chlorpropamide) in 3 of the 7 subjects. (Acitretin label, Drug interactions)

Minor mentions (4)

  • Drugs that may cause hypercalcemia: Vitamin D, vitamin A, thiazide diuretics, estrogen, calcipotriene and teriparatide administration may cause hypercalcemia. (Calcium gluconate label, Drug interactions)

  • CimetidineH2 blockerMinor

    Other: There appears to be no pharmacokinetic interaction between acitretin and cimetidine, digoxin, or glyburide. (Acitretin label, Drug interactions)

  • Digoxindigitalis glycosideMinor

    Other: There appears to be no pharmacokinetic interaction between acitretin and cimetidine, digoxin, or glyburide. (Acitretin label, Drug interactions)

  • Fluconazoleazole antifungalMinor

    Vitamin A Based on a case report in one patient receiving combination therapy with all-trans-retinoid acid (an acid form of vitamin A) and fluconazole, central nervous system (CNS) related undesirable effects have developed in the form of pseudotumor cerebri, which disappeared after discontinuation of fluconazole treatment. (Fluconazole label, Drug interactions)

No significant interaction reported (10)

  • ApixabananticoagulantNo interaction

    Investigations into the effect of acitretin on the protein binding of anticoagulants of the coumarin type (warfarin) revealed no interaction. (Acitretin label, Drug interactions)

  • ArgatrobananticoagulantNo interaction

    Investigations into the effect of acitretin on the protein binding of anticoagulants of the coumarin type (warfarin) revealed no interaction. (Acitretin label, Drug interactions)

  • BivalirudinanticoagulantNo interaction

    Investigations into the effect of acitretin on the protein binding of anticoagulants of the coumarin type (warfarin) revealed no interaction. (Acitretin label, Drug interactions)

  • DabigatrananticoagulantNo interaction

    Investigations into the effect of acitretin on the protein binding of anticoagulants of the coumarin type (warfarin) revealed no interaction. (Acitretin label, Drug interactions)

  • EdoxabananticoagulantNo interaction

    Investigations into the effect of acitretin on the protein binding of anticoagulants of the coumarin type (warfarin) revealed no interaction. (Acitretin label, Drug interactions)

  • EnoxaparinanticoagulantNo interaction

    Investigations into the effect of acitretin on the protein binding of anticoagulants of the coumarin type (warfarin) revealed no interaction. (Acitretin label, Drug interactions)

  • FondaparinuxanticoagulantNo interaction

    Investigations into the effect of acitretin on the protein binding of anticoagulants of the coumarin type (warfarin) revealed no interaction. (Acitretin label, Drug interactions)

  • HeparinanticoagulantNo interaction

    Investigations into the effect of acitretin on the protein binding of anticoagulants of the coumarin type (warfarin) revealed no interaction. (Acitretin label, Drug interactions)

  • RivaroxabananticoagulantNo interaction

    Investigations into the effect of acitretin on the protein binding of anticoagulants of the coumarin type (warfarin) revealed no interaction. (Acitretin label, Drug interactions)

  • WarfarinanticoagulantNo interaction

    Investigations into the effect of acitretin on the protein binding of anticoagulants of the coumarin type (warfarin) revealed no interaction. (Acitretin label, Drug interactions)

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Not medical advice. Severity reflects the label's wording, not your circumstances. A "major" flag can be routine under supervision and a "minor" one can matter at high doses. Ask a pharmacist.