TOCTINO 30 MG — DIN 02337649
ALITRETINOIN : 30 MG · GLAXOSMITHKLINE INC · CAPSULE · wholesale supply in Canada
Health Canada status: CANCELLED POST MARKET
What is TOCTINO?
TOCTINO 30 MG contains ALITRETINOIN : 30 MG. It is listed in the Health Canada Drug Product Database under DIN 02337649, held by GLAXOSMITHKLINE INC, supplied as CAPSULE for ORAL administration. Health Canada currently lists it as cancelled post market, status dated 14-Jul-2023. This Drug Identification Number is no longer authorized for sale in Canada, so Nexara does not supply it. The record is kept here because buyers still meet the number on old formularies, purchase orders and tender documents; Nexara can help identify an authorized alternative.
What is TOCTINO used for?
Treatment of severe chronic hand eczema refractory to high potency topical corticosteroids in adults.
Authorized indication as written in the Health Canada product monograph. For healthcare professionals and licensed purchasers; this is not medical advice.
How much does Alitretinoin cost around the world?
Alitretinoin is listed on 3 of the national price registers Nexara ingests. Each country publishes on a different basis, so those figures are not comparable with one another — or with a Canadian wholesale price.
What a market publishes matters more than the number it publishes. Norway publishes a max AUP (pharmacy retail); United Arab Emirates publishes a public; United Kingdom publishes a hospital. Comparing an ex-factory ceiling against a pharmacy public price tells you nothing about either, and comparing either against a Canadian landed cost tells you less.
| Market | Price basis published there | Brands | Packs listed | Range |
|---|---|---|---|---|
| Norway | max AUP (pharmacy retail) | 2 | 5 | NOK███.██ |
| United Arab Emirates | public | 2 | 2 | AED███.██ |
| United Kingdom | hospital | 2 | 2 | GBP███.██ |
9 pack listings across 6 brand entries and 3 price bases, refreshed 07 Sep 2026. Ranges span every Alitretinoin pack in that market, so a high figure is usually a larger pack rather than the same product.
This table is a regulatory record of where the molecule is listed. The DIN on this page is no longer authorized for sale in Canada, so Nexara does not quote it — see the alternatives above.
Is there a generic Alitretinoin in Canada, and who makes it?
Every market authorization holder with a Canadian DIN for this molecule, and how many of their listings Health Canada currently shows as marketed.
3 holders have a Canadian DIN containing Alitretinoin, across 5 DINs, of which 2 are currently marketed. Marketed count is the number that matters: an approval that is not marketed cannot be bought.
| Market authorization holder | DINs | Marketed | Brand names | Position |
|---|---|---|---|---|
| DR. REDDY'S LABORATORIES INC | 2 | 2 | HANZEMA | Sourceable in Canada |
| GLAXOSMITHKLINE INC | 2 | 0 | TOCTINO | No marketed DIN |
| LIGAND PHARMACEUTICALS INC | 1 | 0 | PANRETIN | No marketed DIN |
Health Canada’s Drug Product Database does not flag which listing is the originator and which are subsequent-entry products, so Nexara does not label them here. Interchangeability is determined provincially, not federally — confirm for your province before a formulary switch. Nexara can confirm which of these is actually obtainable, and on what lead time, per order.
How is it supplied and stored?
Pack configuration, storage class and the handling constraints that drive cold-chain planning. One DIN can cover more than one pack size, and the pack — not the DIN — is what gets priced, shipped and invoiced.
| Strength on the label | 30 MG |
|---|---|
| Dosage form | CAPSULE |
| Route | ORAL |
| Pack configuration (monograph) | Not explicitly detailed in the provided text (refers to Dosage Forms, Composition and Packaging section). |
| Storage | Not explicitly detailed in the provided text (refers to Storage and Stability section). |
Pack detail is kept as a regulatory record. This DIN is no longer authorized for sale in Canada, so Nexara does not quote this pack.
Substance and classification
| Active substance | Alitretinoin |
|---|---|
| ATC code | D11AH04 |
| AHFS class | 38:00.00 |
| Biosimilar biologic | No |
Health Canada record and identifiers
The regulatory facts straight from the Drug Product Database, plus every identifier form Nexara accepts on a purchase order. A DIN written without its leading zeros is the commonest reason an order line fails to match.
| DIN (8-digit, as used in ordering) | 02337649 |
|---|---|
| DIN (unpadded, as printed on some documents) | 2337649 |
| Brand name | TOCTINO |
| Generic / active ingredient | ALITRETINOIN : 30 MG |
| Market authorization holder | GLAXOSMITHKLINE INC |
| Health Canada schedule | Prescription |
| ATC code | D11AH04 |
| ATC anatomical main group | D — Dermatologicals |
| ATC therapeutic subgroup | D11AH |
| Current status | CANCELLED POST MARKET |
| Status date | 14-Jul-2023 |
| Original market date | 2012-12-04 00:00:00 |
| Status source | Live Health Canada DPD sync |
Verify on the primary sources
How is it administered?
Should only be prescribed by physicians knowledgeable in systemic retinoids. For women of childbearing potential, prescriptions are limited to 30 days and require monthly pregnancy testing.
Included because it drives pack selection and wastage. Consult the monograph.
Contraindications
Pregnancy, breastfeeding, hepatic insufficiency, severe renal insufficiency, uncontrolled hypercholesterolemia/hypertriglyceridemia, uncontrolled hypothyroidism, hypervitaminosis A, hypersensitivity.
Warnings and precautions
Teratogenic risk; benign intracranial hypertension; psychiatric effects (depression, suicide risk); lipid elevations; pancreatitis; inflammatory bowel disease; decreased night vision.
What can be used instead?
Alternatives on every axis a buyer actually considers — the same molecule in another presentation, the same class, an adjacent class, or a fixed-dose combination. Every row is led by the marketed DIN count, because that is what can be bought this week.
1 · Same molecule, other Canadian presentations
2 of 5 Canadian DINs for this molecule are currently marketed. Marketed products are listed first.
| Product | Strength | Form | Holder | Health Canada status | DIN |
|---|---|---|---|---|---|
| HANZEMA | 10 MG | CAPSULE | DR. REDDY'S LABORATORIES INC | MARKETED | 02477432 |
| HANZEMA | 30 MG | CAPSULE | DR. REDDY'S LABORATORIES INC | MARKETED | 02477440 |
| PANRETIN | 0.1 % | GEL | LIGAND PHARMACEUTICALS INC | CANCELLED (UNRETURNED ANNUAL) | 02240328 |
| TOCTINO | 10 MG | CAPSULE | GLAXOSMITHKLINE INC | CANCELLED POST MARKET | 02337630 |
2 · Same class — other molecules in ATC D11AH
| Molecule | Canadian brands | DINs | Marketed | Sourceable |
|---|---|---|---|---|
| Dupilumab | DUPIXENT | 5 | 4 | Yes |
| Abrocitinib | CIBINQO | 3 | 3 | Yes |
| Alitretinoin | HANZEMA · PANRETIN · TOCTINO | 5 | 2 | Yes |
| Tacrolimus | LEO PHARMA - TACROLIMUS · PROTOPIC | 4 | 2 | Yes |
| Tralokinumab | ADTRALZA | 2 | 2 | Yes |
| Lebrikizumab | EBGLYSS | 2 | 2 | Yes |
| Pimecrolimus | ELIDEL | 1 | 1 | Yes |
| Ruxolitinib | OPZELURA | 1 | 1 | Yes |
| Delgocitinib | ANZUPGO | 1 | 1 | Yes |
| Crisaborole | EUCRISA | 1 | 1 | Yes |
A molecule with zero marketed DINs cannot be sourced domestically, however many approvals it holds — if one of these sits on a formulary or in an older protocol, that is the line to check.
3 · Adjacent classes in ATC D11A
| ATC subgroup | Molecules | DINs | Marketed |
|---|---|---|---|
| D11AX | Brimonidine · Deoxycholic Acid · Eflornithine · Finasteride · Hydroquinone · +6 more | 466 | 88 |
| D11AF | Wart And Anti-Corn Preparations | 33 | 1 |
| D11AA | Antihidrotics | 397 | 0 |
| D11AC | Cetrimide · Medicated Shampoos · Others · Povidone-Iodine · Selenium Compounds · +1 more | 27 | 0 |
Not clinical advice. These tables describe what can be supplied in Canada, not what should be prescribed. Substitution within or across classes is a prescriber and pharmacist decision, and interchangeability is determined provincially.
What else is TOCTINO called?
The same molecule, Alitretinoin, is registered under other names elsewhere. Buyers and prescribers searching from outside Canada — or working from a foreign prescription or tender document — often know it by one of these:
| Name | Script | Registered in |
|---|---|---|
| Alitretinoin Orifarm | Latin | Norway |
Names are taken from national medicine registers and published price lists. A product registered abroad is not authorized for sale in Canada unless it holds its own DIN; import is possible only through the routes Health Canada permits.
Can this still be bought in Canada?
No. This Drug Identification Number is cancelled post market in Health Canada's Drug Product Database, so the product is no longer authorized for sale in Canada and Nexara does not supply it. This page is kept as a regulatory record.
If you are looking for a current equivalent, the alternatives above list every product sharing this therapeutic class, with the marketed ones first. Ask us to source an alternative
Ordering questions
Who can buy this from Nexara?
Licensed entities only. Nexara holds Health Canada establishment licence DEL 3-002896-A and ships only to a licensed address. Patients and unlicensed buyers are routed to a partner pharmacy.
Is there a minimum order?
Yes, set per product line and per pack multiple rather than on the order total, so you are never asked to buy a part-pack. The minimum for this line is confirmed with your quote.
What is the lead time?
Confirmed per order at quotation, and it depends on current stock position and whether the product is in shortage.
Why is there no price on this page?
Nexara quotes a delivered Canadian price per order, against a verified licence. Foreign list prices are published on incompatible bases and are not a guide to what any buyer can obtain here, so this page shows which markets list the molecule and on what basis, and nothing more.
Can Nexara supply this for a clinical trial?
Yes — comparator and background-therapy supply, including sourcing from other markets where a Canadian pack will not satisfy the protocol. Clinical trial supply.