![]() ![]() ![]() The reason is that patients are way too ambitious with the amount applied, frequency of application, eagerness to combine this with other activities & their overall expectations. Prescription retinoids are by far the hardest skin care active t o get right. You can obtain a prescription for topical retinoids including tretinoin/Retrieve or Differin/adapalene from your local general practitioner or nurse practitioner. Regulation is also required due the pregnancy rating of retinoids, namely Category X. This is due to Galderma’s strategic marketing & funded drug trials, smart financial move by this pharmaceutical company. (Though Diffein has a more powerful action against acne compared to tretinoin, the side effect profile is marginally less). Having said this, retinoid use is not complicated providing you follow some simple steps, as illustrated in this write up.Ī contradiction is that Adapalene or Differin, which is a more powerful second-generation topical retinoid is available over the counter in the United States & in some European countries. I do agree with this view as I feel that the absolutely majority of consumers will run into trouble with powerful retinoids. This is the primary reason why the FDA & TGA classified Retin A / Retrieve / Tretinoin as a prescription medication. This is beyond my speciality interest.īecause of Retin A’s power in bringing about changes, it only makes sense that there’s an increased potential for side effects. This is a medical investigation as some cases may require allergic patch testing. In some cases, testing is required to exclude contact dermatitis. Patients with sensitive skin should ideally be treated with laser & light-based technology, topicals including chemical peels should be avoided.ĭisclaimer: If you have sensitive skin and would like to pursue topical treatments as part of your skin care routine, please consult a medical dermatologist & not myself. Be guided by your medical dermatologist (refer to disclaimer below).If you have reactive skin, decrease use.If no reaction, proceed to apply once a week to target areas.Combine half or even quarter pea size amount of tretinoin with your moisturiser.Sensitive skin patients including rosacea patients can start as follows. Once you have mastered retinol, you can cautiously titrate tretinoin into your skin care routine as tolerated. ![]() Yes, however it is much easier titrating retinol into your skin care routine compared to the more powerful version of vitamin A, namely tretinoin. ![]()
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