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1 May 2026Oral drugs

Retinol = Vitamin A oral

Retinol guidance for prevention and treatment of vitamin A deficiency, including xerophthalmia and measles supplementation.

This guide page is for structured reference only and does not replace a clinician, pharmacist, or emergency review. Dose choice, route choice, interactions, and safety decisions still need professional judgment.

Therapeutic action

Vitamin.

Indications

  • Prevention of vitamin A deficiency.
  • Treatment of vitamin A deficiency (xerophthalmia).

Forms and strengths

  • 200,000 IU capsule, approximately 8 drops, with 1 drop equal to 25,000 IU.

Dose and duration

Prevention of vitamin A deficiency

  • Child under 6 months: 50,000 IU single dose.
  • Child from 6 to 12 months: 100,000 IU every 4 to 6 months.
  • Child over 1 year: 200,000 IU every 4 to 6 months.

Treatment of vitamin A deficiency

  • Child under 6 months: 50,000 IU once daily on D1, D2, and D8 or D15.
  • Child from 6 to 12 months: 100,000 IU once daily on D1, D2, and D8 or D15.
  • Child over 1 year and adult: 200,000 IU once daily on D1, D2, and D8 or D15.

Pregnancy

  • Prevention: after delivery only, 200,000 IU single dose.
  • Night blindness and Bitot's spots: 10,000 IU once daily or 25,000 IU once weekly for at least 4 weeks.
  • Corneal lesion: 200,000 IU once daily on D1, D2, and D8 or D15.

Contra-indications, adverse effects, precautions

  • Do not exceed indicated doses.
  • Overdosage may cause gastrointestinal disturbances, headache, raised intracranial pressure, and foetal abnormalities.
  • Breast-feeding: no contra-indication at recommended doses.
  • Do not swallow the capsule. Cut open the end of the capsule and squeeze the dose directly into the mouth.
  • Administer routinely 2 doses on D1 and D2 to children suffering from measles to prevent complications of measles.

Dosage and duration

Vitamin A capsule dose by age
Age200 000 IU capsule
PreventionTreatment
< 6 months2 drops2 drops
6 months to < 1 year4 drops4 drops
1 to < 5 years1 cap1 cap
≥ 5 years and adult-1 cap

Source

MSF Essential drugs practical guidelines (January 2026)

This page reproduces the structured reference information for this batch while leaving out the Storage and Remarks sections.

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