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tretinoin

Structure via PubChem · Public domain (PubChem)

EntityQ29417· pop 32· linked from 571 articles

Also known as all-trans-retinoic acid (ATRA), Avita®, Renova®, (2E,4E,6E,8E)-3,7-dimethyl-9-(2,6,6-trimethyl-1-cyclohexenyl)nona-2,4,6,8-tetraenoic acid, 3,7-Dimethyl-9-(2,6,6-trimethyl-1-cyclohexen-1-yl)-2,4,6,8-nonatetraenoic acid, beta-Retinoate, trans-Retinoate, 3,7-Dimethyl-9-(2,6,6-trimethyl-1-cyclohexen-1-yl)-2,4,6,8-nonatetraenoate

Tretinoin, also known as 'all-trans retinoic acid (ATRA'), is a medication used for the treatment of acne and acute promyelocytic leukemia. For acne, it is applied to the skin as a cream, gel or ointment. For acute promyelocytic leukemia, it is effective only when the RARA-PML fusion mutation is present and is taken by mouth for up to three months. Topical tretinoin is also the most extensively investigated retinoid therapy for photoaging.

Key facts

Drug.Watchedfields
changed
Drug.verifiedrevid
470612798
Drug.image
Tretinoin structure.svg
Drug.image_class
skin-invert-image
Drug.width
275
Drug.pronounce
See pronunciation note
Drug.tradename
Retin-A, Avita, Renova, others
Drug.Drugs.com
Topical
Drug.MedlinePlus
a608032
Drug.DailyMedID
Tretinoin
Drug.pregnancy_AU
X
Drug.pregnancy_AU_comment
/ (Oral); D (Topical)
Drug.routes_of_administration
Topical, by mouth
Drug.ATC_prefix
D10
Drug.ATC_suffix
AD01
Drug.ATC_supplemental
,
Drug.legal_AU
S4
Drug.legal_BR
C2

via Wikipedia infobox

Chemical data

Formula
C20H28O2
Molecular weight
300.4 g/mol
IUPAC name
(2E,4E,6E,8E)-3,7-dimethyl-9-(2,6,6-trimethylcyclohexen-1-yl)nona-2,4,6,8-tetraenoic acid
SMILES
CC1=C(C(CCC1)(C)C)/C=C/C(=C/C=C/C(=C/C(=O)O)/C)/C
InChIKey
SHGAZHPCJJPHSC-YCNIQYBTSA-N
XLogP
6.3
Polar surface area
37.3 Ų
H-bond donors
1
H-bond acceptors
2
Formal charge
0

via PubChem

Wikidata facts

Subclass of
retinoic acid
Has part
hydrogen
Mass
300.209
Has use
medication
Show 12 more facts
chemical formula
C₂₀H₂₈O₂
World Health Organisation international non-proprietary name
tretinoin
melting point
181
medical condition treated
acne
canonical SMILES
CC1=C(C(CCC1)(C)C)C=CC(=CC=CC(=CC(=O)O)C)C
isomeric SMILES
CC1=C(C(CCC1)(C)C)/C=C/C(=C/C=C/C(=C/C(=O)O)/C)/C
Commons category
Tretinoin
subject has role
primary metabolite
MCN code
3004.50.60
found in taxon
Homo sapiens
significant drug interaction
oxytetracycline
legal status (medicine)
boxed warning
Sources (8)

via Wikidata · CC0

~12 min read

Encyclopedic overview

16 sections
Contents
  • Medical uses
  • Skin use
  • Acne
  • Photoaging
  • Available forms
  • Leukemia
  • Side effects
  • Dermatology
  • Acute promyelocytic leukemia
  • Mechanism of action
  • Synthesis
  • History
  • Etymology
  • Research
  • References
  • External links

Tretinoin, also known as 'all-trans retinoic acid (ATRA'), is a medication used for the treatment of acne and acute promyelocytic leukemia. For acne, it is applied to the skin as a cream, gel or ointment. For acute promyelocytic leukemia, it is effective only when the RARA-PML fusion mutation is present and is taken by mouth for up to three months. Topical tretinoin is also the most extensively investigated retinoid therapy for photoaging.

Common side effects when used as a cream are limited to the skin and include skin redness, peeling, and sun sensitivity. When taken by mouth, side effects include hypertriglyceridemia, hypercholesterolemia, shortness of breath, headache, numbness, depression, skin dryness, itchiness, hair loss, vomiting, muscle pains, and vision changes. Other severe side effects include high white blood cell counts and blood clots. Use during pregnancy is contraindicated due to the risk of birth defects. It is in the retinoid family of medications.

Excerpted from Wikipedia’s “tretinoin” article, available under the CC BY-SA 4.0 licence.

Gallery (5)