Adult Dosing

Mild to moderate Plaque psoriasis

Adults

• Apply ointment to affected areas bid
• Max: 200 g/wk

Pediatric Dosing

• Safety and effectiveness in pediatric patients have not been established

• Treatment of mild to moderate plaque psoriasis in adults 18 years

• Hypersensitivity to any of the ingredients of the product
• Hypervitaminosis D

• N/A

Renal Dose Adjustment

• Renal impairment: No dose adjustments

Hepatic Dose Adjustment

• Hepatic impairment: No dose adjustments

• For topical administration only, not for oral, ophthalmic or intravaginal use
• Safety and efficacy in patients with known/suspected disorders of calcium metabolism have not been established
• Safety and efficacy in patients with erythrodermic, exfoliative or pustular psoriasis have not been established
• Safety and efficacy of the duration of treatment >52wks is not established
• Hypercalcemia can occur as the treatment affects calcium metabolism
• Calcium aberrations may occur, discontinue the treatment until aberrations in parameters of calcium metabolism are normalized
• Occlusive use may result in increase absorption producing systemic effects
• Avoid exposure of the treated areas to natural or artificial sunlight, including tanning booths and sun lamps, avoid UV light exposure
• Limit or avoid concurrent use of phototherapy in patients on ointment therapy

Cautions: Use cautiously in

• Patients on therapy known to increase serum calcium level
• Patients on thiazide diuretics
• Concomitant use with calcium supplements
• Concomitant use with high doses of vitamin D
• Hypercalcemia

Pregnancy Category:C

Breastfeeding: Dose adjustments in nursing mother do not affect breastfed infant. Requirements of calcitriol and calcium are usually reduced during lactation in women with hypoparathyroidism. Administration of a minimum of 400 IU of vitamin D daily to all infants, children and adolescents is recommended by the American Academy of Pediatrics. This information is based on LactMed database (available at http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT last accessed 03 November 2010).Manufacturer advices discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother because of the potential for fetotoxic effects in nursing infants

• DERM: Skin discomfort, pruritus, worsening of psoriasis
• METABOLIC: Hypercalcemia, hypercalciuria
• GU: Urine abnormality, kidney stones, nephrolithiasis

• Fat soluble vitamin; Precise mechanism of action unknown
• Topically administered calcitriol can be absorbed systemically in sufficient amounts
• Metabolized by liver; undergoes enterohepatic recycling
• Excreted in bile; urine
• Half-life: 3-6 hrs

US Trade Name(s)

• Vectical

US Availability

Vectical

• OINT: 3 mcg/gm

Canadian Trade Name(s)

• Silkis

Canadian Availability

Silkis

• OINT: 3 mcg/gm

UK Trade Name(s)

• Silkis

UK Availability

Silkis

• OINT: 3 mcg/gm

Australian Trade Name(s)

• N/A

Australian Availability

• N/A

Dermatologic

Dermatologic Topical Agents

Miscellaneous Agents

Pricing data from www.DrugStore.com in U.S.A.

• Vectical 3 MCG/GM OINT [Tube] (GALDERMA)
  100 gm = $556.49
  300 gm = $1543.36

Warning: This pricing information is subject to change at the sole discretion of DS Pharmacy. For the most current and up-to-date pricing information, please visit drugstore.com.