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Acitretin

Acitretin Side Effects

Allison Gourley, PharmDKristianne Hannemann, PharmD
Reviewed by Allison Gourley, PharmD, Kristianne Hannemann, PharmD
Last reviewed on February 12, 2024

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Chapped lips (over 75%)
  • High cholesterol and fat levels (up to 66%)
  • Skin peeling (50-57%)
  • Hair loss (50-57%)
  • Runny nose (25-50%)
  • Itching or scaly skin (25-50%)
  • Nail changes (25-50%)
  • Dry eyes (10-25%)
  • Dry mouth (10-25%)
  • Nosebleed (10-25%)
  • Shivering (10-25%)
  • Joint pain (10-25%)
  • Pain or stiffness in the back (10-25%)
  • Nerve pain or tingling (10-25%)
  • Sticky or fragile skin (10-25%)
  • Red, circular rash (10-25%)

Less Common Side Effects

  • Tiredness
  • Trouble sleeping
  • Changes in mood
  • Changes in appetite
  • Headache
  • Flushing or hot flashes
  • Vision changes
  • Nausea
  • Diarrhea
  • Bleeding gums
  • Taste loss

Acitretin serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Allergic reaction: hives, itching, swelling of your face, mouth, or tongue, problems breathing, peeling skin
  • Capillary leak syndrome: sudden weight gain, fever, low blood pressure
  • High brain pressure: really bad headache, nausea, vomiting, blurry vision
  • Vision loss or vision changes:
  • Depression or thoughts of self-harm or suicide
  • Heart attack, blood clot, or stroke: shortness of breath, dizziness, nausea, chest pain, weakness, trouble speaking, swelling of a leg
  • Serious liver problems: yellowing of your skin or the whites of your eyes, dark urine, loss of appetite
  • Dangerously high blood sugar levels: frequent urination, more thirsty or hungry

Source: DailyMed

The following Acitretin side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Back pain

bad, unusual, or unpleasant (after) taste

bone or joint pain

change in taste

continuing ringing or buzzing or other unexplained noise in the ears

difficulty with moving or walking

excessive muscle tone

feeling of warmth

headache (severe and continuing)

hearing loss

increased sensitivity to pain

increased sensitivity to touch

muscle stiffness, tension, or tightness

nausea (severe and continuing)

redness of the face, neck, arms, and occasionally, upper chest

redness of the skin

sleeplessness

thinning of the skin with easy bruising

tingling in the hands and feet

tongue irritation

trouble sleeping

vomiting (severe and continuing)

Less common

Abnormal sensation of burning or stinging

blurred vision

belching

breast pain

cracking, redness, skin irritation, or rash (including a rash that looks like psoriasis)

eye pain

general feeling of discomfort or illness

heartburn

increased hair growth on the forehead, back, arms, and legs

indigestion

infection, ulcers, unusual odor, or small red spots in the skin

itching of the vagina or genital area

loosening of the fingernails

loss of eyebrows or eyelashes

pain during sexual intercourse

redness of the eyes

redness or soreness around the fingernails

redness or swelling of the eyelid

sensitivity of the eyes to light

sore mouth or tongue

thick, white vaginal discharge with no odor or with a mild odor

watery eyes

white patches in the mouth or on the tongue

Rare

Bleeding gums

bleeding time increased

chest pain

coughing

coughing up blood

darkened urine

diarrhea

difficulty in breathing or swallowing

double vision or other problems in seeing, including decreased night vision after sunset and before sunrise

hoarseness

increased menstrual flow or vaginal bleeding

itchy or painful ears

light-colored stools

nosebleeds

pale or cold hands or feet

paralysis

prolonged bleeding from cuts

red or dark brown urine

sore on the edge of the eyelid (stye)

stomach pain

thick, white, curd-like vaginal discharge

unpleasant breath odor

unusual tiredness or weakness

vaginal itching or irritation

vomiting of blood

yellowing of the skin or eyes

Incidence not known

Assault

attack

burning, numbness, tingling, or painful sensations

chest discomfort

confusion

difficulty with speaking

doing things to injure oneself

inability to move the arms, legs, or facial muscles

inability to speak

pain in the chest, groin, or legs, especially calves

pain or discomfort in the arms, jaw, back, or neck

slow speech

slurred speech

sudden loss of coordination

sudden, severe weakness or numbness in the arms or legs

sweating

thoughts of killing oneself

unsteadiness or awkwardness

vision changes

weakness in the arms, hands, legs, or feet

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

Dizziness or lightheadedness

feeling of constant movement of self or surroundings

sensation of spinning

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Chapped, red, or swollen lips

difficulty in wearing contact lenses

dry or runny nose

dryness of the eyes

increased ability to sunburn

increased amount of ear wax (unusual)

irritation in the mouth or swollen gums

itchy skin

loss of hair (usually reversible)

scaling and peeling of the eyelids, fingertips, palms, and soles of feet

sticky skin

unusual thirst

Less common

Constipation

increased sweating

Incidence not known

Cracking fingernails or fingernails break easily

muscular pain, tenderness, wasting, or weakness

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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Why trust our experts?

Allison Gourley, PharmD, is a kidney and pancreas transplant pharmacist at a teaching hospital in the San Francisco Bay Area. When she’s not educating patients about their immunosuppressants, she's actively involved in transplant research.
Kristianne Hannemann, PharmD, is a licensed pharmacist in California. She has been a retail pharmacy manager and staff pharmacist for over 7 years and has contributed drug information content to different health companies.

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