Calcipotriene

Calcipotriene Brand Names

Calcitrene | Dovonex | Dovonex Scalp | Sorilux

What is Calcipotriene

Calcipotriene is a vitamin D3 analog indicated for the topical symptomatic treatment of chronic plaque psoriasis.

Calcipotriene is structurally similar to naturally occurring calcitriol. In 1986, vitamin D analogs were discovered to be effective in the treatment of psoriasis, however, oral vitamin D has limited usefulness due to side effects associated with the large dosages often needed for therapy.

Hence, topical calcipotriene provides a safe and effective alternative to oral vitamin D. Marked improvement in clearing of psoriatic lesions occurs in approximately 50% to 70% of patients, although lesions can recur within 2 to 3 months following discontinuance of treatment.

Clinical trials comparing calcipotriene with other antipsoriatic agents demonstrated that calcipotriene is at least as effective as betamethasone and is superior to short-contact anthralin.

Indications

  • psoriasis

For the treatment of plaque psoriasis

NOTE: According to the American Academy of Dermatology (AAD), combining calcipotriene with a topical corticosteroid is more effective than either treatment alone. In addition, fewer adverse events were reported with combination therapy in most clinical studies.

Side Effects

  1. abdominal pain
  2. anorexia
  3. constipation
  4. contact dermatitis
  5. depression
  6. erythema
  7. exfoliative dermatitis
  8. fatigue
  9. folliculitis
  10. hypercalcemia
  11. hypercalciuria
  12. hypertension
  13. nausea
  14. polydipsia
  15. pruritus
  16. rash
  17. skin atrophy
  18. skin hyperpigmentation
  19. skin irritation
  20. vomiting
  21. weakness
  22. weight loss
  23. xerosis

Monitoring Parameters

  • laboratory monitoring not necessary

Contraindications

  • accidental exposure
  • breast-feeding
  • children
  • hypercalcemia
  • hypercalciuria
  • hypervitaminosis D
  • infants
  • neonates
  • nephrolithiasis
  • occlusive dressing
  • ocular exposure
  • pregnancy
  • sunlight (UV) exposure
  • tobacco smoking

Interactions

  • Calcium
  • Calcium Acetate
  • Calcium Carbonate
  • Calcium Carbonate; Magnesium Hydroxide
  • Calcium Carbonate; Risedronate
  • Calcium Carbonate; Simethicone
  • Calcium Chloride
  • Calcium Gluconate
  • Calcium; Vitamin D
  • Chromium
  • Hetastarch; Dextrose; Electrolytes
  • Polycarbophil
  • Porfimer
  • Verteporfin
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