Minoxidil + Azelaic acid + Tretinoin Pharmacology

Minoxidil + Azelaic acid + Tretinoin

About Minoxidil + Azelaic acid + Tretinoin
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Mechanism of Action of Minoxidil + Azelaic acid + Tretinoin
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Pharmacokinets of Minoxidil + Azelaic acid + Tretinoin
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Onset of Action for Minoxidil + Azelaic acid + Tretinoin
N/A
Duration of Action for Minoxidil + Azelaic acid + Tretinoin
N/A
Half Life of Minoxidil + Azelaic acid + Tretinoin
N/A
Side Effects of Minoxidil + Azelaic acid + Tretinoin
N/A
Contra-indications of Minoxidil + Azelaic acid + Tretinoin
N/A
Special Precautions while taking Minoxidil + Azelaic acid + Tretinoin
N/A
Pregnancy Related Information
Use with caution
Old Age Related Information
N/A
Breast Feeding Related Information
Use with caution
Children Related Information
N/A
Indications for Minoxidil + Azelaic acid + Tretinoin
Baldness
Interactions for Minoxidil + Azelaic acid + Tretinoin
N/A
Typical Dosage for Minoxidil + Azelaic acid + Tretinoin
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Schedule of Minoxidil + Azelaic acid + Tretinoin
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Storage Requirements for Minoxidil + Azelaic acid + Tretinoin
N/A
Effects of Missed Dosage of Minoxidil + Azelaic acid + Tretinoin
N/A
Effects of Overdose of Minoxidil + Azelaic acid + Tretinoin
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Minoxidil

About Minoxidil
A potassium channel agonist,Direct-Acting Vasodilator, Hair- growth stimulant,In androgenic alopecia.
Mechanism of Action of Minoxidil
Minoxidil works by activating PGHS 1 (prostaglandin endoperoxide synthase-1) which helps promote hair growth. It enhances follicular size and results in thicker hair shafts and stimulates and prolongs the anagen phase of the hair cycle. This will results in longer and increased number of hairs.
Pharmacokinets of Minoxidil
Absorption: It is poorly absorbed after topical administration
Onset of Action for Minoxidil
N/A
Duration of Action for Minoxidil
N/A
Half Life of Minoxidil
N/A
Side Effects of Minoxidil
1.Headache
2.Dizziness
3.Irritation
4.Itch
5.Contact dermatitis
6.Palpitation
7.Irregular heart beat
8.Nausea
9.Vomiting
10.Diarrhoea
11.Dermatitis
12.Chest pain
13.Hypertension
14.Hypotension
Contra-indications of Minoxidil
1.Hypersensitivity to Minoxidil
Special Precautions while taking Minoxidil
1.Renal impairment
2.Hepatic impairment
3.Cardiac impairment
4.Avoid contact with broken area, eye and mucus membrane
Pregnancy Related Information
Contraindicated.
Old Age Related Information
Use with caution
above 65 years: contraindicated
Breast Feeding Related Information
Contraindicated.
Children Related Information
Contraindicated
NEONATES: contraindicated
Indications for Minoxidil
1. Alopecia areata
2. Androgenic alopecia
Interactions for Minoxidil
N/A
Typical Dosage for Minoxidil
Topical
Adult: Apply 1 ml solution on the dry scalp and hair 2 times daily for 4 months or longer
Children: contraindicated
Schedule of Minoxidil
N/A
Storage Requirements for Minoxidil
Store at room temperature. Protect from heat and light. Keep out of the reach of children
Effects of Missed Dosage of Minoxidil
Apply the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.

Effects of Overdose of Minoxidil
Give supportive measures and symptomatic treatment. Thoroughly wash the hair. In accidental ingestion drug can be removed from the body by inducing emesis or gastric lavage. Absorption of the drug can be reduced by administration of activated charcoal

Azelaic Acid

About Azelaic Acid
Anti bacterial, Acne Product (Topical), AntiAcne,in rosacea treatment, a hair growth stimulant.
Mechanism of Action of Azelaic Acid
Azelaic acid is used in acne vulgaris due to its antimicrobial and an anti-keratinizing effect on the follicular epidermis. The antimicrobial effect is due to inhibition of synthesis of microbial cellular proteins. Azelaic acid possesses bacteriostatic and bactericidal (at high concentrations) properties against Staphylococcus epidermidis and Propionibacterium acnes which produce acne
By reducing the concentration of bacteria present on the skin, Azelaic acid decreases the inflammation associated0 with acne lesions. Azelaic acid also possesses a direct anti-inflammatory effect by scavenging oxygen radicals. The anti-keratinizing effects of Azelaic acid may be due to decreased synthesis of filaggrin (keratin filament aggregating protein). By inhibiting filaggrin, Azelaic acid normalizes the keratinization of the follicle and produces a reduction in non-inflamed acne lesions. Azelaic acid does not affect sebum excretion

The antiproliferative and cytotoxic actions of Azelaic acid may be due to reversible inhibition of a variety of oxido-reductive enzymes including DNA polymerase, tyrosinase, and mitochondrial enzymes of the respiratory chain. At the cellular level, Azelaic acid causes mitochondrial swelling and accumulation of cytoplasmic lipid droplets. Azelaic acid has shown efficacy in treating lentigo, cutaneous malignant melanoma, and melasma (chloasma). When Azelaic acid is applied topically in these conditions, there is a reduction in epidermal melanogenesis and replacement of abnormal melanocytes by normal cells; flattening of nodular areas may also occur. Hyperactive and malignant melanocytes are much more susceptible to the effects of Azelaic acid than are normal melanocytes.
Pharmacokinets of Azelaic Acid
Absorption: About 4 % of the applied medicament is absorbed in to the systemic circulation.
Onset of Action for Azelaic Acid
N/A
Duration of Action for Azelaic Acid
N/A
Half Life of Azelaic Acid
N/A
Side Effects of Azelaic Acid
1.Local irritation
2.Burning
3.Pruritis
4.Stinging
5.Tingling
6.Itching
7.Redness
8.Dryness
9.Peeling
10.Warmth

Contra-indications of Azelaic Acid
1. Hypersensitivity to Azelaic acid
Special Precautions while taking Azelaic Acid
1.Avoid contact with eyes mucous membrane
2.Stop the use of medicament if irritation occurs
3.Avoid use of Azelaic acid topical on dry chapped or irritated skin wounds or in Eczema
4.Avoid occlusive dressing

Pregnancy Related Information
Use with caution.
Old Age Related Information
Use with caution.
Breast Feeding Related Information
Use with caution.
Children Related Information
Use with caution
NEONATES: contraindicated
Indications for Azelaic Acid
1. Acne
2.Lentigo
3.Cutaneous malignant melanoma
4.Melasma (chloasma)
Interactions for Azelaic Acid
N/A
Typical Dosage for Azelaic Acid
Topical: Azelaic acid 10 - 20 % is used. Clean and dry the face apply the medicament 1-2 times daily.
Schedule of Azelaic Acid
N/A
Storage Requirements for Azelaic Acid
Store at 15 - 30 degree C. Keep out the reach of children.
Effects of Missed Dosage of Azelaic Acid
Apply the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Azelaic Acid
Give supportive measures and symptomatic treatment

Tretinoin

About Tretinoin
Retinoid, vitamin A metabolite, Anti-acne,in hyperpigmentation.
Mechanism of Action of Tretinoin
Tretinoin is All Trans retinoic acid (acid form of vitamin A). Tretinoin is a potent comedolytic. It stimulates mitosis and epidermal cell turnover and also promotes lysis of keratocytes. It inhibits the binding of horny cells to each other and prevents the formation of comedones. It acts as a follicular epithelium irritant. Through these actions, the comedo contents are extruded and the formation of the microcomedo, the precursor lesion of acne vulgaris, is reduced
Pharmacokinets of Tretinoin
Absorption: Absorption after topical application is minimal.
Onset of Action for Tretinoin
N/A
Duration of Action for Tretinoin
N/A
Half Life of Tretinoin
N/A
Side Effects of Tretinoin
1. Feeling of warmth
2. Stinging
3. Erythema
4. Peeling
5. Blisters
6. Crusting
7. Pigmentation (hypo/hyper)
8. Contact dermatitis
9. Itching
10. Rredness
11. Edema
Contra-indications of Tretinoin
1. Hypersensitivity to Tretinoin and other Retinoid
2. Abraded skin
3. Sunburn
Special Precautions while taking Tretinoin
1. Eczema
2. Avoid contact with eyes, nose, mucous membrane, open wounds
3. Avoid use of medicated cosmetics and topical preparations containing high level of alcohols, spices or lime
4. Minimize exposure to sunlight and ultraviolet light
5. Avoid concomitant use of keratolytic agents
Pregnancy Related Information
Contraindicated
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
Use with caution
NEONATES : Use with caution
Indications for Tretinoin
1. Acne
2. Wrinkles
3. Photo ageing of skin
4. Dry scaly surface
Interactions for Tretinoin
Sulfer, Resorcinol, Benzoyl peroxide or Salicylic acid : Concomitant use of topical keratolytic medications may result in significant skin irritation. Use medicated or abrasive soaps and cleansers, soaps and cosmetics that have a strong drying effect and products with high concentration of alcohol, astringents, spices or lime cautiously because of possible interaction with tretinion.
Typical Dosage for Tretinoin
Topical:
Acne: 0.01-0.1% cream/gel/solution on the affected area 1-2 times daily.
Wrinkling: 0.05% cream is applied once daily at night.
Schedule of Tretinoin
H
Storage Requirements for Tretinoin
Store at 15 - 25 degree C in a tightly closed container.
Effects of Missed Dosage of Tretinoin
Apply the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Tretinoin
Give supportive measures and symptomatic treatment.

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Minoxidil + Azelaic acid + Tretinoin is a generic medicine name and there are several brands available for it. Some of the brands for minoxidil + azelaic acid + tretinoin might be better known than minoxidil + azelaic acid + tretinoin itself. If the pharmacy that's willing to deliver medicines to your home doesn't have minoxidil + azelaic acid + tretinoin in stock, you can ask for one of the branded alternatives for minoxidil + azelaic acid + tretinoin.