ALTABAX® (retapamulin ointment), 1% is indicated for use in adults and pediatric patients aged 9 months and older for the topical treatment of impetigo (up to 100 cm2 in total area in adults or 2% total body surface area in pediatric patients aged 9 months or older) due to Staphylococcus aureus (methicillin-susceptible isolates only) or Streptococcus pyogenes.

To reduce development of drug-resistant bacteria and maintain the effectiveness of ALTABAX and other antibacterial drugs, ALTABAX should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria.

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IMPORTANT SAFETY INFORMATION for ALTABAX® (retapamulin ointment), 1%

Local Irritation
In the event of sensitization or severe local irritation from ALTABAX, usage should be discontinued, the ointment wiped off, and appropriate alternative therapy for the infection instituted.

Not for Systemic or Mucosal Use
ALTABAX is not intended for ingestion or for oral, intranasal, ophthalmic, or intravaginal use. ALTABAX has not been evaluated for use on mucosal surfaces. Epistaxis has been reported with the use of ALTABAX on nasal mucosa.

Potential for Microbial Overgrowth
The use of antibiotics may promote the selection of nonsusceptible organisms. Should superinfection occur during therapy, appropriate measures should be taken.

Prescribing ALTABAX in the absence of a proven or strongly suspected bacterial infection is unlikely to provide benefit to the patient and increases the risk of the development of drug-resistant bacteria.

Drug Interactions
Concomitant administration of retapamulin and CYP3A4 inhibitors, such as ketoconazole, has not been studied in pediatric patients. In pediatric patients 2 to 24 months of age, systemic exposure of retapamulin was higher compared with patients ≥ 2 years of age after topical application. Based on the higher exposure of retapamulin, it is not recommended to coadminister ALTABAX with strong CYP3A4 inhibitors in patients younger than 24 months of age.

Adverse Reactions
The most common drug-related adverse reaction was application site irritation (1.4% of patients).

Click here for Full Prescribing Information for ALTABAX® Ointment.

To report SUSPECTED ADVERSE REACTIONS, contact Almirall, LLC at 1-866-665-2782, or the FDA at 1-800-FDA-1088 or