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Viaminate is an orally active, first-generation synthetic retinoid (retinoic acid derivative) developed in China by the Institute of Materia Medica, Chinese Academy of Medical Sciences. Chemically, it is an amide compound formed by tretinoin (all-trans retinoic acid) and ethyl p-aminobenzoate. Viaminate acts as an agonist of retinoic acid receptors (RAR) and retinoid X receptors (RXR), regulating epithelial cell growth, differentiation, and proliferation. It is widely approved and marketed in China for the treatment of moderate to severe acne vulgaris, as well as other keratinization disorders such as ichthyosis, psoriasis, and lichen skin diseases. Viaminate reduces sebum secretion, inhibits the keratinization of the sebaceous gland duct epithelium, and exerts anti-inflammatory and immunomodulatory effects, with a milder side-effect profile compared to all-trans retinoic acid.
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