ARAZLO is a brand name for Tazarotene, supplied as a lotion. The medicine, its uses, side effects and dosage are the same regardless of brand.
Used for: ARAZLO™ (tazarotene lotion), is indicated for: • For the topical treatment of acne vulgaris in patients 10 years of age and older. 1.1 Pediatrics Pediatrics (≥ 10 years of age) The safety and efficacy of ARAZLO in pediatric patients (10 years of age and older) has been established. In a clinical pharmacokinetic study,…
Verbatim from this product's HC label. Tap a section to expand.
1 Recommended Dose and Dosage Adjustment ARAZLO should be applied in a thin layer to the affected area once a day on clean and dry skin. In pediatric patients 10 to less than 12 years of age, it is recommended that the application be PrARAZLO™ Product Monograph Page 5 of 25 Protected B / Protégé B limited to the face only.
Health Canada has not authorized an indication in pediatric subjects less than 10 years of age (see 1 INDICATION; 7 WARNINGS AND PRECAUTIONS). Concomitant use with oxidizing agents, such as benzoyl peroxide should be avoided. g. one in the morning and the other in the evening).
4 Administration Apply a thin layer of ARAZLO once daily on affected areas and rub in gently. For face application, dot onto the chin, cheeks, nose, and forehead, then gently rub over the entire face. If a bath or shower is taken prior to application, the skin should be dry before applying the lotion.
Wash hands after applying ARAZLO. If needed, use a moisturizer before or after the use of ARAZLO and allow sufficient time for the skin to dry between both applications. Avoid the eyes, mouth, paranasal creases, and mucous membranes.
If ARAZLO gets in or near eyes, rinse thoroughly with water. Treatment should be discontinued when control has been achieved. Treatment may be reinitiated as necessary. Intermittent use should be the least number of applications that will prevent recurrence of acne.
5 Missed Dose Apply the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next dose. Do not use extra medicine to make up the missed dose.
1 Adverse Reaction Overview Across the clinical studies that contributed to the evaluation of safety for ARAZLO, the most frequently reported events were generally associated with application site reactions and other related, topical skin events.
Most events were mild or moderate in severity. Few events across studies were serious and none of the serious adverse events (SAEs) were considered by the investigator to be treatment related. 2 Clinical Trial Adverse Reactions Because clinical trials are conducted under very specific conditions, the adverse reaction rates observed in the clinical trials may not reflect the rates observed in practice and should not be compared to the rates in the clinical trials of another drug.
Adverse reaction information from clinical trials is useful for identifying drug-related adverse events and for approximating rates. In 2 multicenter, randomized, double-blind, vehicle-controlled clinical trials, subjects age 9 years and older applied ARAZLO or vehicle once daily for 12 weeks.
The majority of subjects were white (74%) and female (66%). 8% were between 9 years to less than 12 years of age. Adverse reactions reported by ≥1% of subjects treated with ARAZLO and more frequently than subjects treated with vehicle are summarized in Table 2.
Most adverse reactions were mild to moderate in severity. 3% of the subjects treated with ARAZLO. 8% (22/779) of subjects discontinued ARAZLO because of TEAEs. 8) PrARAZLO™ Product Monograph Page 10 of 25 Protected B / Protégé B System Organ Classa Preferred Term ARAZLO (N=779) Vehicle Lotion (N=791) TEAE = treatment-emergent adverse event a Counts reflect numbers of subjects reporting one or more adverse events that map to MedDRA.
At each level of summarization (System Organ Class or Preferred Term) subjects are counted once. Counts reflect numbers of subjects reporting 1 or more TEAEs that map to system organ classes or preferred terms. At each level of summarization (system organ class or preferred term), subjects are counted once.
; 10 ACTION AND CLINICAL PHARMACOLOGY; 14 CLINICAL TRIALS). Safety and efficacy of ARAZLO in children below the age of 10 years has not been established. Therefore, Health Canada has not authorized an indication in pediatric patients less than 10 years of age.
4 Geriatrics). 2 CONTRAINDICATIONS ARAZLO (tazarotene lotion) is contraindicated in the following: • Patients who are hypersensitive to retinoic compounds or to any ingredient in the formulation, including any non-medicinal ingredient, or component of the container.
For a complete listing, see 6 DOSAGE FORMS, STRENGTHS, COMPOSITION AND PACKAGING. 1 Pregnant Women). • Topical retinoids should not be used in the presence of seborrheic dermatitis. 1 Recommended Dose and Dosage Adjustment ARAZLO should be applied in a thin layer to the affected area once a day on clean and dry skin.
In pediatric patients 10 to less than 12 years of age, it is recommended that the application be PrARAZLO™ Product Monograph Page 5 of 25 Protected B / Protégé B limited to the face only. Health Canada has not authorized an indication in pediatric subjects less than 10 years of age (see 1 INDICATION; 7 WARNINGS AND PRECAUTIONS).
Concomitant use with oxidizing agents, such as benzoyl peroxide should be avoided. g. one in the morning and the other in the evening). 4 Administration Apply a thin layer of ARAZLO once daily on affected areas and rub in gently. For face application, dot onto the chin, cheeks, nose, and forehead, then gently rub over the entire face.
If a bath or shower is taken prior to application, the skin should be dry before applying the lotion. Wash hands after applying ARAZLO. If needed, use a moisturizer before or after the use of ARAZLO and allow sufficient time for the skin to dry between both applications.
Avoid the eyes, mouth, paranasal creases, and mucous membranes. If ARAZLO gets in or near eyes, rinse thoroughly with water. Treatment should be discontinued when control has been achieved. Treatment may be reinitiated as necessary. Intermittent use should be the least number of applications that will prevent recurrence of acne.
ARAZLO (tazarotene lotion) is contraindicated in the following: • Patients who are hypersensitive to retinoic compounds or to any ingredient in the formulation, including any non-medicinal ingredient, or component of the container.
For a complete listing, see 6 DOSAGE FORMS, STRENGTHS, COMPOSITION AND PACKAGING. 1 Pregnant Women). • Topical retinoids should not be used in the presence of seborrheic dermatitis.
Not medical advice. Always read the patient information leaflet and follow your prescriber or pharmacist.
Other brands of Tazarotene in Canada.
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System organ classes are included only if at least 1 preferred term within that class was experienced by ≥ 1% of the subjects in either treatment group. Most individual Treatment Emergent Adverse Events (TEAE) reported in both studies (V01- 123A-301 and V01-123A-302) were experienced by 1 or 2 subjects each.
Of the events that occurred in ≥ 1% of the subjects for ARAZLO, almost all were associated with application site reactions; none of these reactions were unexpected for tazarotene or for a topical, facial, acne treatment. It was observed that the application site reactions predominantly occurred for the patients using ARAZLO, while other events generally occurred at similar frequencies in both treatment groups.
9%). 3 Less Common Clinical Trial Adverse Reactions (< 1% and More Frequent than the Vehicle in Pooled Pivotal Phase 3 Studies [V01-123A-301 and V01-123A-302]) Blood and lymphatic system disorders: Eosinophilia General disorders and administration site conditions: Pain, administration site pain, application site dermatitis, application site erosion.
Gastrointestinal disorders:
Diarrhoea Immune system disorders: Hypersensitivity Infections and infestations: Gastroenteritis, bacterial vaginosis Injury, poisoning and procedural complications: Arthropod bite Musculoskeletal and connective tissue disorders: Back pain, arthralgia Skin and subcutaneous tissue disorders: Eczema, rash, erythema Respiratory, thoracic and mediastinal disorders: Nasal congestion Reproductive system and breast disorders: Dysmenorrhoea PrARAZLO™ Product Monograph Page 11 of 25 Protected B / Protégé B Cutaneous Safety and Tolerability Assessments Cutaneous safety and tolerability at the drug application site were evaluated through active assessments of scaling, erythema, hypopigmentation, hyper-pigmentation, itching, burning, and stinging, with grades for none, mild, moderate, and severe.
Overall, the incidence and mean scores of erythema, scaling, burning, stinging and itching was higher in the ARAZLO group as compared to the vehicle group at any post-baseline visit; however, the signs and symptoms were generally mild-to-moderate in severity.
Subjects treated with ARAZLO showed transient increases in severity that peaked around Week 2 for most parameters and improved over the course of the study. At Week 12, most subjects showed small changes relative to baseline in nearly all assessed parameters.
Table 3:
Pooled Pivotal Phase 3 Studies (V01-123A-301 and V01-123A-302): Incidence of Cutaneous Safety and Tolerability parameters by Severity and Study Visits. 0 […]
5 Missed Dose Apply the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next dose. Do not use extra medicine to make up the missed dose. 5 OVERDOSAGE If ARAZLO is applied excessively, neither more rapid nor better results will be obtained and marked redness, peeling, or discomfort may occur.
In this event, discontinue use and wait until the skin has recovered. Inadvertent oral ingestion of tazarotene may lead to the same adverse effects as those associated with excessive oral intake of Vitamin A (hypervitaminosis) or other retinoids, including teratogenesis in women of childbearing age.
If accidental oral ingestion occurs, the patient should be monitored, and appropriate supportive measures should be administered as necessary, including pregnancy testing in women of childbearing age. For management of a suspected drug overdose, contact your regional poison control centre.
PrARAZLO™ Product Monograph Page 6 of 25 Protected B / Protégé B 6 DOSAGE FORMS, STRENGTHS, COMPOSITION AND PACKAGING Table 1 – Dosage Forms, Strengths, Composition and Packaging. *Does not include any fragrance, colorant or alcohol ARAZLO is a white to off-white, lightweight, non-greasy lotion supplied in a 45 g white aluminum tube.
Physicians’ samples are supplied in 3 g white aluminum tubes. It is provided in a formulation with known hydrating and moisturizers such as diethyl sebacate, light mineral oil and sorbitol solution which may alleviate dryness of skin.
7 WARNINGS AND PRECAUTIONS General ARAZLO is for external topical use only. Not for oral, ophthalmic, or intravaginal use. Avoid contact with the eyes, eyelids, angles of the nose, lips, mucous membranes, severely inflamed skin or to open lesions or to other areas where treatment is not intended.
In the event of contact with the eye, flush with cold water. ARAZLO is not recommended for use on the scalp, axillae, or intertriginous areas. 1 Pregnant Women). Skin Use of topical tazarotene may produce contact dermatitis. If burning/stinging, itching, and dryness become more severe, the medication should either be discontinued until the integrity of the skin is restored or the dosing should be reduced to an interval the patient can tolerate.
Discontinue and do not resume treatment if allergic contact dermatitis is identified. 045%) Tazarotene in a hydrating lotion with Diethyl Sebacate, Light Mineral Oil, Sorbitol Solution 70% Carbomer Copolymer Type B, Carbomer Homopolymer Type A, Diethyl Sebacate, Edetate Disodium Dihydrate, Light Mineral Oil, Methylparaben, Propylparaben, Purified Water, Sodium Hydroxide, Sorbitan Monooleate and Sorbitol Solution 70%.
PrARAZLO™ Product Monograph Page 7 of 25 Protected B / Protégé B and pruritus. Depending upon severity of these signs and symptoms, instruct patients to use a moisturizer, reduce the frequency of the application of ARAZLO, or discontinue use.
Therapy can be […]