Like any medication, there are some common side effects associated with topical tretinoin. If youre new to the ingredient, or have fair or sensitive skin, Dr. Houshmand also recommends starting with a retinol strength of 0.025% about twice a week. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. However, now you can get it over the counter. The higher concentration of tretinoin tends to make its side effects more pronounced than retinol, so you may want to take that into consideration before making a decision. Its fat-soluble, which means it can stay in your body for a long time. The 0.05% and 0.1% strengths are stronger and are used to treat moderate to severe acne. Because retinol has a lower concentration, the irritation it causes will likely be less severe. Check with your doctor before using topical medicines with tretinoin. Tretinoin Strength Chart: Different Concentrations and Benefits Start by using it for two or three nights every week, then build usage to see how your skin responds. It's 10 times more bioavailable than retinol, so it works faster, and a lot less is needed to drive impactful results," says Bowe. Children younger than 9 years of age Use and dose must be determined by your doctor. This can be done by using a stronger acne medication or by using a different acne treatment altogether. Purging occurs due to increased cell turnover. Tretinoin is a derm-grade retinoid that smooths and exfoliates the skin while reducing oil production and acne and fighting sun damage. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK499819/, Makrantonaki, E, Ganceviciene, Zouboulis, C (2011, Jan-March). Make sure you tell your doctor if you have any other medical problems, especially: Use this medicine only as directed by your doctor. Why Topical Retinoids Are Mainstay for Therapy for Acne. It is a triple combination of tretinoin with a steroid and hydroquinone (a potent medication to inhibit the enzyme tyrosinase which makes melanin pigment). They may also recommend starting with the microsphere formulation of tretinoin gel, Retin-A Micro. However, thats a conversation better reserved for the experts. These include systemic lupus erythematosus, cutaneous lupus erythematosus, albinism, and porphyria. Finally, 0.025% was compared to 0.1% and it was found that both produced similar improvements in photoaging. After 24 weeks of treatment, however, the tretinoin group showed a visible increase of wrinkle improvement over the non-prescription group. Unless your dermatologist prescribes more, stick to formulas with 1% retinol or less. Some of these studies also examined histologic changes, meaning skin was examined under the microscope to see benefits of tretinoin. The third factor is the severity of your skin condition. Usually for someone with sensitive skin or someone who is new to tretinoin, a lower strength tretinoin is prescribed. Therefore, it could be concluded that while all strengths are effective, the time taken to achieve the cosmetic result can differ, as can the side effects. It is important to note that tretinoin may make your skin more sensitive to sunlight, so it is important to use a sunscreen with an SPF of 30 or higher when you are using this medication. In fact, its considered by many derms to be the gold standard in treating tough acne. (2016). Tretinoin for Acne: Usage, Benefits, Efficacy, and Side Effects A comparative study of the effects of retinol and retinoic acid on histological, molecular, and clinical properties of human skin. Do not scrub your face with a sponge or washcloth.
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