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Tazorac

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Tazorac (tazarotene) is a vitamin A derivative used to manage skin conditions like psoriasis and acne. It helps reduce the thickness and scaling of skin patches by slowing down the overproduction of skin cells. It is commonly used by adults seeking to improve skin texture and clarity.


Ingredient
Category
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Tazarotene
Reference Brand
Zorac
Manufacturer
Allergan
Product Form
Gel, Cream
Regulatory Classification
Rx
Primary Category
Psoriasis treatment, Acne treatment
Product Category
Retinoid
Pharmacological Class
Topical Retinoids
Manufacturer Description
A powerful vitamin A derivative used to clear skin affected by psoriasis or stubborn acne.
Mechanism of Action
Tazarotene is a retinoid that helps normalise the growth and shedding of skin cells. In psoriasis, it slows the overproduction of skin cells, and in acne, it keeps pores clear and reduces inflammation.
Route of Administration
Topical
Onset Time
1 to 4 weeks for acne; up to 12 weeks for psoriasis
Duration
Effect lasts while treatment continues.
Contraindications
Pregnancy (highly teratogenic), Eczema, Sunburned skin
Severe Adverse Events
Severe skin blistering, Extreme inflammation, Photosensitivity
Common Side Effects
Skin peeling, Dryness, Redness
Uncommon Side Effects
Stinging, Burning sensation, Itching
Drug Interactions
Benzoyl peroxide, Other peeling agents, Photosensitising drugs
Pregnancy Safety Warnings
Strictly contraindicated. Must not be used during pregnancy.
Age Restrictions
Safety not established for children under 12.
Storage Guidelines
Store at room temperature. Keep tube tightly closed.
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Tazorac FAQ

Can Tazorac be used on the face and body simultaneously?

Tazorac may be applied to any affected skin area, but using it on large surface areas increases the risk of irritation. Most clinicians recommend treating the face first, then gradually extending to the trunk or limbs if tolerated.

What should I do if I experience severe burning after application?

Stop using the product immediately, rinse the area gently with water, apply a fragrance-free moisturizer, and contact your prescriber. They may reduce the strength or advise an alternate treatment schedule.

Is it safe to combine Tazorac with chemical exfoliants like glycolic acid?

Concurrent use can intensify skin irritation. If you wish to use both, space applications by at least 6 hours and monitor your skin closely. Your dermatologist can suggest a compatible regimen.

Will Tazorac cause my skin to become more sensitive to sunlight?

Yes. Tazarotene can increase photosensitivity. Apply a broad-spectrum sunscreen (SPF 30 or higher) each morning and limit direct sun exposure while using the medication.

How long does it typically take to see improvement in acne?

Most patients notice a reduction in inflammatory lesions within 4-6 weeks, while comedonal improvement may take up to 12 weeks. Consistent nightly use is essential for optimal results.

Can I use Tazorac while pregnant or planning pregnancy?

No. Tazarotene is contraindicated in pregnancy due to a high risk of birth defects. Effective contraception is required during treatment and for at least 1 month after the last application.

What is the difference between the 1 % and 5 % strengths?

The 5 % formulation delivers a higher concentration of tazarotene, providing a stronger therapeutic effect but also a greater potential for irritation. Your prescriber selects the strength based on disease severity and skin tolerance.

Is it necessary to use a moisturizer with Tazorac?

Moisturising is recommended to alleviate dryness and scaling. Apply a non-comedogenic moisturizer after Tazorac has fully absorbed (approximately 15 minutes).

Can Tazorac be used on broken or open skin?

No. Applying Tazorac to open wounds, abrasions, or severely inflamed skin can cause excessive irritation and should be avoided.

Does Tazorac interact with oral isotretinoin?

Concurrent use of two systemic or topical retinoids can increase the risk of severe skin irritation and systemic side effects. Your dermatologist will usually advise against using them together.

What is Tazorac?

Tazorac is a topical medication marketed in the United Kingdom that contains the active ingredient tazarotene. It belongs to the skin-care category of prescription medicines and is supplied in a tube formulation with strengths of 1 % and 5 %. The product is authorised by the Medicines and Healthcare products Regulatory Agency (MHRA) for use on the skin under the supervision of a qualified healthcare professional.

How Tazorac Works in the Body

Tazarotene is a synthetic retinoid, a class of compounds chemically related to vitamin A. When applied to the skin, it binds to nuclear retinoic acid receptors (RAR-α, RAR-β, and RAR-γ). Activation of these receptors influences gene expression in skin cells, leading to:

  • Normalisation of keratinocyte differentiation - the skin cells mature and shed more regularly, reducing the formation of clogged pores.
  • Reduction of inflammation - inflammatory pathways are down-regulated, which helps calm irritated lesions.
  • Promotion of collagen synthesis - longer-term use can improve the appearance of fine lines and photodamaged skin.

These actions collectively help treat conditions characterised by abnormal skin cell growth and inflammation.

Conditions Treated by Tazorac

In the United Kingdom, Tazorac is approved for the following indications:

  • Plaque psoriasis affecting the scalp, trunk, or limbs.
  • Acne vulgaris of moderate severity, particularly when comedonal lesions are present.

The medication is prescribed for patients whose disease has not responded adequately to milder topical treatments. It is generally used after a dermatologist has evaluated the severity and extent of the skin condition.

Evidence-Based Off-Label Uses

Research literature reports that tazarotene may improve signs of photo-aged skin (sun-induced fine lines, mottled pigmentation, and rough texture). While these findings stem from controlled studies, the indication is not approved by the MHRA.

Disclaimer: Off-label use of Tazorac for photo-aging should only be undertaken under the supervision of a qualified healthcare provider who can assess individual risk and benefit.

Who Should (Not) Use Tazorac?

Ideal Candidates

  • Adults diagnosed with plaque psoriasis or moderate acne who require a prescription-strength retinoid.
  • Individuals who can apply a thin layer of medication once daily and adhere to recommended skin-care routines.

Absolute Contra-indications

  • Known hypersensitivity to tazarotene, any excipients in the tube, or other retinoids.
  • Pregnancy (tazarotene is classified as Category X; it can cause fetal malformations).
  • Breastfeeding, unless the prescriber determines that the benefit outweighs the risk.

Relative Contra-indications

  • Severe liver disease - systemic absorption, though minimal, may be higher in compromised patients.
  • Eczema or atopic dermatitis in the treatment area, as irritation may be amplified.
  • Use on broken or inflamed skin (e.g., open wounds, abrasions).

Special Populations

  • Pregnancy & lactation: Tazarotene must be avoided. Women of child-bearing potential should use reliable contraception during treatment and for at least one month after discontinuation.
  • Elderly patients: Skin may be more fragile; start with the lower-strength formulation (1 %) and monitor tolerance.
  • Children & adolescents: Not routinely approved for use under 12 years; dosing in younger patients should be guided by a paediatric dermatologist.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Skin irritation (redness, burning, or stinging) - often transient during the first weeks.
  • Dryness or flaking - may be managed with a non-comedogenic moisturizer applied after the medication has absorbed.
  • Mild itching - usually resolves with continued use or dose adjustment.

Serious Adverse Events

  • Severe contact dermatitis - characterised by intense erythema, swelling, and pain; requires immediate discontinuation and medical review.
  • Hyper-pigmentation in patients with darker skin tones if applied excessively.
  • Systemic retinoid toxicity is rare but can present with headache, nausea, or joint pain; seek urgent care if these symptoms appear.

Drug Interactions

  • Topical or oral vitamin A derivatives (e.g., isotretinoin, other retinoid creams) - may increase the risk of skin irritation and systemic retinoid effects.
  • Photosensitising agents (e.g., certain antibiotics, tetracyclines) - can amplify sun-sensitivity; use broad-spectrum sunscreen.
  • Keratin-modulating agents (e.g., salicylic acid, benzoyl peroxide) - concurrent use may heighten irritation; spacing applications by several hours is advisable.

Food and Lifestyle Interactions

  • Sun exposure: Tazarotene can make skin more susceptible to UV damage. Apply sunscreen (SPF 30 or higher) and limit direct sun exposure while using the product.
  • Alcohol: No direct interaction, but excessive alcohol intake may exacerbate skin dryness.
  • Driving or operating machinery: Not typically impaired, but severe irritation around the eyes could affect vision; exercise caution if symptoms arise.

General advice: Always inform your healthcare provider of all prescription medicines, over-the-counter products, supplements, and herbal remedies you are using before starting Tazorac.

How to Take Tazorac

  • Formulation & Strength: Tazorac is supplied in a tube containing either a 1 % or 5 % cream. The appropriate strength is chosen by your prescriber based on the severity of your condition and skin type.
  • Application frequency: Apply a thin layer to the affected area once daily in the evening, after washing and gently patting the skin dry.
  • Quantity: Use no more than a pea-sized amount for each treatment zone; spreading a larger amount does not increase effectiveness and raises irritation risk.
  • Special populations:
  • Elderly or sensitive skin: Begin with the 1 % formulation, applying every other night for the first week, then increase to nightly as tolerated.
  • Renal or hepatic impairment: No specific dose adjustment is required, but monitor for systemic side effects.
  • Missed dose: Apply the missed dose as soon as you remember unless it is close to the time of the next scheduled dose; do not double-dose.
  • Overdose: In the unlikely event of large-area application, watch for widespread redness, swelling, or systemic symptoms (e.g., headache, nausea). Seek medical attention promptly.
  • Discontinuation: Do not stop abruptly if you have been using Tazorac for several weeks without medical guidance. Your prescriber may advise a gradual reduction to minimise rebound skin changes.

Monitoring and Follow-Up

  • Initial review: A dermatologist should reassess the treated skin after 4 weeks to evaluate efficacy and tolerance.
  • Long-term follow-up: Subsequent visits every 8-12 weeks are typical, especially for psoriasis patients requiring ongoing therapy.
  • Laboratory tests: Routine blood work is not required for topical tazarotene, but if systemic absorption is a concern (e.g., extensive body-surface coverage), liver function tests may be considered.
  • When to seek urgent care: Rapid swelling, blistering, severe pain, or signs of an allergic reaction (e.g., swelling of the face or lips).

Storage and Handling

  • Temperature: Store the tube at room temperature (15-25 °C), protected from direct sunlight and moisture.
  • Safety: Keep out of reach of children and pets. The tube is child-resistant but should still be stored securely.
  • Expiry: Do not use the product beyond the expiry date printed on the label. Discard any remaining medication in accordance with local pharmacy waste guidelines.
  • Stability: Do not freeze; frozen product may alter texture and efficacy.

Medication-Specific Glossary

Retinoid
A class of compounds derived from vitamin A that modulate skin cell growth and differentiation.
Comedolytic
An action that helps prevent the formation of comedones (clogged pores) by normalising keratinisation.
Keratinocyte Differentiation
The process by which skin cells mature and move from the basal layer to the surface, ultimately shedding as dead skin.
Photodamage
Skin changes caused by chronic exposure to ultraviolet (UV) radiation, including fine lines, pigmentary alterations, and loss of elasticity.
Receptor-Mediated Gene Expression
The alteration of cellular activity that occurs when a drug binds to a nuclear receptor, influencing which proteins are produced.

Medical Disclaimer

This article provides educational information about Tazorac and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Tazorac is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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