Tazarotene
Brand names: Zorac (psoriasis), Twyneo (acne — newer combined formulation)
Tazarotene is a topical retinoid used for mild-to-moderate plaque psoriasis and for acne.
Adult dose
Dose auto-extracted from US FDA prescribing information (openFDA / DailyMed) — cross-check; US labelling may differ from UK — not yet clinician-verified. Always confirm against the product SmPC and your local formulary before prescribing.
Contraindications
- Pregnancy — retinoids may cause fetal harm when administered to a pregnant female
- Known hypersensitivity to any of its components
Side effects
- Plaque psoriasis (10–23% of patients): pruritus
- Plaque psoriasis: erythema
- Plaque psoriasis: burning
- Acne vulgaris (10–30% of patients): desquamation and dry skin
- Acne vulgaris: erythema and burning sensation
- Photosensitivity and risk of sunburn
Interactions
- No formal drug-drug interaction studies have been conducted with tazarotene cream
- Oral tazarotene 1.1 mg did not affect the pharmacokinetics of a combined oral contraceptive (norethindrone 1 mg with ethinylestradiol 35 micrograms) over a complete cycle; the impact on progestogen-only oral contraceptives has not been evaluated
- Administer with caution in patients also taking drugs known to be photosensitisers (§5.3)
Clinical monograph
How it works
As a receptor-selective retinoid it binds retinoic acid receptors to normalise keratinocyte differentiation and proliferation and exert anti-inflammatory effects in the skin.
Prescribing in practice
- Contraindicated in pregnancy and in women planning pregnancy because of the teratogenic potential of retinoids, so effective contraception is required.
- Apply sparingly to plaques only, avoiding healthy skin, flexures, the face and eyes to limit irritation.
- Skin irritation is dose-related and patients should minimise sun exposure and use sun protection.
Monitoring
No routine bloods are required; monitor for local irritation and review treatment response, and confirm pregnancy status where relevant.
Counselling the patient
- Do not use if pregnant, breastfeeding or trying to conceive, and use reliable contraception.
- Apply a thin layer to the plaques only and protect surrounding skin.
- Redness, burning and dryness are common, especially early in treatment, and sun protection should be used.
Evidence & guidelines
Topical tazarotene is an established option for localised plaque psoriasis and acne, supported by randomised controlled trial evidence.
Reference: BAD Psoriasis Guidelines 2017; BAD Acne Guidelines 2020; NICE NG198; Drug verified in RxNorm (NLM); confirm dosing against the manufacturer SPC (eMC). Verify against your local formulary and current prescribing references before prescribing. The structured dose values shown have been reviewed by a clinician. Monograph status: clinician-reviewed (2026-07-04).
Related
Curated clinical cross-links plus same-class fallbacks.
- PASI — Psoriasis Area and Severity Index · Diagnosis
- DLQI — Dermatology Life Quality Index · Diagnosis
- PASI Score (Psoriasis Area and Severity Index) · Psoriasis
- DLQI (Dermatology Life Quality Index) · Quality of Life
- Acne Severity Classification (IGA Scale) · Acne
- CASPAR Criteria for Psoriatic Arthritis · Diagnosis
- Suspicious Pigmented Lesion — Melanoma Pathway · NICE NG14 2015 / BAD
- Cellulitis and Erysipelas · NICE NG141 2019 / CREST
- Psoriasis — Severity Assessment and Step-Up Therapy · NICE NG153 2019 / BAD
- Atopic Eczema — Assessment and Step-Up Therapy · NICE NG95 2023
- Urticaria and Angioedema · BSACI / EAACI Guidelines 2022
- Acne Vulgaris — Grading and Treatment · NICE NG198 2021 / BAD