Questions in The Dermatology Forum are being answered by Dr. A. Rockoff, a board certified dermatologist, affiliated with Tufts University School of Medicine.


Subject: medication side affects
Topic Area: Psoriasis
Forum: The Dermatology Forum

Question Posted By: tony carter{asking for my freind } on Thursday, October 26, 2000

I am a 41 year old female and have developed a planter pustular psoriasis on my left foot,I have had numerous creams ie diprosone u.v , advantan, elcon, tar cream and two doses of nizoral,tetrex. Now i have started on neotiagason acitretin 25 mg and have been on this for the last five days, it has stripped my mouth and everything i eat tastes like salt and my hair is starting to fall out could you please offer some advice as to why and what other side effects this drug will cause
thankyou

Answer Posted By: Derm M.D. ASR on Thursday, October 26, 2000
Tony:

Whenever I get a question like yours (which is often), I ask myself, "Why wouldn't a patient who gets a powerful drug and is worried about side-effects ask the doctor who prescribed the drug? Is it that the doctor is so intimidating, or inaccessible? If not, what then? But whatever it is, it must be common, because you're hardly the first person to ask me this.

So this is my advice to people who have seen a doctor and have questions about his or her recommendations: call up and ask! If they won't get back to you or answer in language you can understand, get another doctor. Answering is their job.

OK, I feel better. Now I can get off my soapbox.

Now as to acitretin, that is a drug with which I have little familiarity, so I can't answer you with much confidence. You (or your freind) shouldn't fool around with a drug that potent. Call the doctor at once and find out if you (or he) should change the dose, stop, or whatever.

Best.

Dr. Rockoff
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