Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Acitretin is a second-generation retinoid. It is taken orally, and is typically used for psoriasis. Most of them might experience redness, itching, skin scaling, peeling and dry skin the first several weeks as the body needs to adjust to the medication. Dry eyes, eye irritation, crusting of the eyelids, dry mouth, peeling of the skin of fingertips, palms or soles of feet, chapped lips, runny nose, thirst, taste changes and hair loss may also occur. However, it is not known to affect triglyceride levels in blood. Moreover, 230 mg/dl is slightly above normal, which can be brought down by means of diet and exercise. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ashakiran. S.