The list of ingredients above is provided for informational purposes only. Always check the actual product label in your possession for the most accurate ingredient information due to product changes or upgrades that may not yet be reflected on our web site.
Acne.org is not associated with this product. All proceeds from links go toward Acne.org maintenance.
[The prices listed above may change at any time and in some cases do not include shipping.]
When my doc first prescribed tretinoin, I did my due diligence and researched on the Internet. I got terrified 'the purge' would happen to me, as I had a bad experience with clindamycin in high school and I broke out pretty badly. I put off using T for weeks. But my boyfriend said to me one day, "You'll never know if you don't try it out - why would else this treatment be so popular if it didn't work?"
Here's some background: I am a 23 y/o Asian female with moderate acne since middle school, mostly painful and swollen papules/pustules that come up around my menstrual cycle. I'd have 2-3 big pimples on my face at a given time (mostly around my T zone), and some other random zits would pop up here and there. But the worst were the red marks that got left behind - I'd pop my zits (bad habit, I know) and then the marks would just not go away! My skin is naturally pretty oily, with some dry patches here and there bc of my eczema, but my complexion was always reddish and when I drank alcohol I'd always get Asian glow and my face would look splotchy. I had bad hyperpigmentation and the only way to improve my complexion was to first stop the acne. I was sick of having to rely on makeup and foundation daily to hide the zits, it was especially hard because I love to exercise and hated working out because I had to remove my makeup.
When I started T, I started VERY slowly. I used it twice a week for 3 weeks. The first three weeks my face flaked a bit, especially around the chin/mouth area. But I'd exfoliate every now and then and it'd take care of the flakiness. It never got to the point where I had patchy or broken skin, I found that moisturizing multiple times a day helped to control the dryness. I didn't experience a purge. The worst it ever got with the T was a few small whiteheads around my chin/mouth. But since T speeds up the rate of skin cell production, the zits went away and faded pretty quickly - a trend that would happen in the months to come, which was awesome. I didn't experience any 'purge' at any point in time. My skin started getting better, and by week 5-6 you could start to see some results. I stopped getting those painful hormonal zits that I usually get a few times a month, and it felt great. I was also taking minocycline for the first month I was on T, but I stopped after a while as I didn't think it was really making any impact.
After 3 weeks of 2x/week, I upped the T to 3x/week for another 3 weeks. Then I upped to 4x/week for 3 weeks. Now I'm at 4-5x a week, and my skin has adjusted pretty well. I'm 13 weeks in now. There's no flaking at all now and my complexion has improved so much. I stopped getting painful, swollen zits. I have virtually no acne anymore. At times there's a small whitehead or two, but those almost always fade after 2-3 days. My hyperpigmentation has improved as well, though that takes a bit longer to see big improvements for complexion. I've also started buffering now, as I'm getting a little lazy with having to wait every time I use T, so I'll mix moisturizer and T together and apply right after I wash. The other day, I went to work without using foundation! That was definitely a first for me, and it felt great.
I highly recommend using this product for acne, but you MUST be diligent about using it the correct way. I always see people say things like "I started T 2 weeks ago and I have been using it 3x week, my skin broke out!" Well, of course it would break out - you're not using it correctly. The key is to start slowly to make sure your skin adjusts, and to use it in a regimented scheduled way, making sure to wait at least 25 min between applications of T and moisturizer.
Here's my skin regimen, if that's of interest:
Cerave or Neutrogena Ultra Gentle Creamy Cleanser
Moisturize with CeraVe Lotion
Nights with T:
Cerave or Neutrogena Cleanser
---Wait at least 25min
pea-sized amount of T
---Wait at least 25min but I like it give it up to an hour if I have time
Cerave Lotion and 3 drops jojoba oil (I use Now Foods Organic Jojoba Oil, it's actually great for oily skin. I would highly recommend this product to hydrate skin, it makes your complexion incredibly supple the morning after)
Panoxyl 4% benzoyl peroxide face wash, on days I do not use T (bp and T counteract each other so do not use on days you use T)
Philosophy Microdelivery Vitamin C Peel: for hyperpigmentation, this stuff is expensive but does wonders. I would only recommend this after your skin has adjusted to T (at least 3 months into treatment). I only use this every 1-2 weeks or so.
Using this after accutane and I'm doing wonderful! Its helped a bit with my fine lines (I'm over 30), but not as much as I had hoped or I would give it 5 stars. It does dry you out a bit, so use every other day at first and/or in the winter if needed. So far so good! I've been on this about a year and a half.
I am a 22 year old female with mild-moderate acne. However, I started using MAC makeup on my face, and it caused a terrible breakout that just wouldn't clear up. So I went to my derm and he prescribed retin A coupled with clindamycin. I have only been using retin A (a generic brand, though) for roughly 4-5 weeks. I know it takes 6+ weeks minimum to work, so I am patiently waiting! It finally seems to be improving and I cannot wait to see results! I was a bit apprehensive to give it a try based on reviews, but I gave it a shot. I wanted to share my routine that seems to help a lot with the dryness/flaking/oil.
I'm the morning: I wash my face with Acne Free face wash, which is pretty mild with only 2.5% BP. I've used this for years and have always had good results. I use witch hazel on a cotton ball as a toner (I LOVE this and it is SO cheap!). In the morning, I use cetaphil oil control lotion (which seems to help a bit with the oil). A bit spendier, but worth it. I try to leave time to wait 10 min before putting on clindamycin because that's what has been recommended. However, being a flight attendant with an insane schedule, I only have time about half of the time to wait... And it's been fine. After that, I do my normal makeup routine.
HINT! The combination of both medications and the dryness make my skin SO oily (and previously I had normal skin) BUT I just use a thin layer of baby powder on a blush/bronzer beush over my makeup and I can go all day with no oil :) and trust me, I have tried the fancy bare minerals/MAC/Clinique cure for oil, and this has been my godsend. And, again, it's SO cheap!
PM routine: wash my face with acne free face wash again. Along with witch hazel as a toner. At night I use a heavier cetaphil lotion for dry skin. It's far too heavy and "oily" for day wear, but it does a lot of repairing at night! non comedogenic, of course. Again, I leave it for 10ish min (or more) and apply the retin A. A SMALL amount! Pea sized is all :)
If I could stress one thing, it would be START SLOW. I did every 3rd day for 2 weeks, every other day for 2 1/2 weeks. I JUST started using it every day. It has helped a lot with the dryness.
I didn't have much of the initial breakout I read about right away, it got a little worse, but nothing major. About the 3rd or 4th week I started breaking out more. But nothing terrible or cystic and they clear up fast. I have been very unhappy with my skin the last couple of weeks, but I can tell things are getting better. There are horror stories, but I can tell it will be worth the wait, and the wait hasn't been that bad. My advice is to take things slow, use everything in moderation, moisturize, and be patient. I will review this in a few weeks with an update. I really just wanted to help those currently struggling with dryness and oil who are going through this process as well. Good luck!
In my freshman year of high school i started breaking out really bad. I had a whole bunch of white heads and red bumps all over my cheeks it literally covered my cheeks. I finally went to my doctor and he prescribed me Retin-A with clindamycin. This stuff cleared my acne within 2 weeks. I was so happy that it cleared up my face. You only need to use a pea size amount of the Retin-A a little goes a long way. The clindamycin was a lotion which i used in the morning. I used the Retin-A at night. The reason why i give this a four though is because I ran out of this medication and was to lazy to get a refill. I stopped using it for about 2 months and broke out again. I tried going on it again but my skin got immune to it. Now my acne is been the worst its ever been in years Im very depressed and sad at the moment. My acne now covers my cheeks again and my face is scarred and discolored I think its time to go on oral pills. Ive never tried oral pills before I pray to god and i hope they work because i dont know what to do and high school is not fun for me right now.
I'm a 20 year old female, with prior terrible hormonal cystic acne. I have only been using retina a (0.05%) for a few weeks. However, prior to starting this medication I also orally took Doxycycline for about a month. I HIGHLY recommend starting this way, in order to avoid a tremendous initial breakout. The Doxycycline was able to kill all of the bacteria on the surface, and beneath my skin, so I never actually had an initial breakout at all! In fact, from the second I started using Retin A I fell in love. Since most of my acne has already cleared up due to the antibiotics, Retin A is mainly my source for fading my very hyper-pigmented acne scars, and preventing future acne flareups. So far, I am very very happy with this product. It is excessively drying, which is a downside for sure, considering I already have moderately dry skin, but with the right skin care routine (I am using Cera Ve Hydrating Cleanser, Cera Ve Moisturizer, and Cetaphil sunscreen spf 50 regardless of the weather) I think the dryness is a minor downside. I cannot wait to see what this does for the remainder of my scars. I have always been very self conscious of my skin, and never been able to be seen without makeup, and slowly, but surely I feel like I can finally have fresh, clear and exposed natural skin!
I have treatment resistant moderate acne. Very little prevents new acne on my face from forming, and this is no different.
However, this is a fairly drying product, and i use it every night because it seems to reduce the amount of oil on my skin. I think this drying helps my existing pimples go down faster.
Note: Its effectiveness is reduced with exposure to benzoyl peroxide or direct light (sun or flourscent), which is why you will probably be instructed to apply it at night. It's a shame - I would LOVE to apply it in the morning - my face would be so much less greasy during the day!
Overall, I recommend it, though I wouldn't expect anyone with moderate/severe acne to see significant clearance from it.
Tretinoin was prescribed to me after clindamycin which did absolutely nothing. Started with tretinoin .025% and then bumped up to .1% and still nothing. I think its not worth it
Ok, I've been a follower of Acne.org since my acne got really bad, and I decided to make an account just to review Retin A, which has been devastating to me face. First, a little background.
I'm a 27 year old Mexican male. When I started college I broke out really bad with cystic acne but got it quickly under control with minocycline and occasional facials from my dermatologist. Once the acne was under control, I washed with Cetaphyl, applied clindamycin foam (I got free little samples from my derm), and moisturized with Eucerin's SPF moisturizer. I got a facial from my derm about once a semester. My skin was perfect and after a little while, my complexion was even. This lasted for about three years. At some point I stopped using the clindamycin foam and solely did the Cetaphyl/Eucerin moisturizer combo, along with a facial twice a year, and my face was fine. I was also partying a lot, staying up late, and eating more or less unhealthily, but not acne!
Eventually I moved abroad, was faced with very little money, and decided to try honey as a face wash. Same thing: clear face, in fact, it felt even better. It was bright. I was still getting facials twice a year and this seemed most crucial. This lasted two years (and between two countries) and then I got my last facial and moved abroad, to another country, again. I was using honey as a face wash still. At some point at the 9 month mark I started to break out around my mouth. Summer was coming and I hadn't gotten my typical facial in march because I hadn't returned to my derm in the states. I moved countries again and started taking Minocycline, since I remembered how it worked. It cleared me up fairly quickly and I stayed on it for a whole 9 months in fear of breaking out. Once those same summer months came around again, I started breaking out in the same areas. I also let go of the Mino because I felt that it wasn't working, maybe I had developed a resistance, and I had started to read horrible stories about liver damage, etc... I started trying treatments like the Oil Cleansing Method, homemade zinc-mint facemasks, etc, but maybe it was to hot where I was living (no AC) and I kept breaking out around my mouth. Since I'm brown, I had pretty noticeable PIH.
For the summer, I moved countries again (where the derms were cheap) and decided to see someone about my face. She prescribed a really rough soap that I immediately abandoned, Bioderma Sebium Pore Refiner, which I also abandoned pretty quickly, a Clindamycin/Benzoyl Peroxide cream (like Duac) and Retin A. She claimed that my face was producing too much oil—and I wonder if it had to do with the oil cleansing? I was to use the Clindamycin/BP one day and Retin A the other.
I was pretty excited to use Retin A. I had only heard good things and hadn't read the reviews here. I thought, "Acne free and younger looking? Great!" I was prescribed .25% in gel and I started using it at night. My face immediately reacted and I started to feel red, tight, and irritated. My pimples would pop in disgusting ways and I noticed that I was starting to develop more on my face. I read about purging and thought I would keep with the procedure but I wish I would have abandoned the product instantly. Around month 2 my face started to develop cysts. I also got a bad sunburn because I was at the beach (even though I slathered on sunblock continuously) and at around month 4, while I was still breaking out, I had the stupid idea to switch to a .1% Retin A cream. I was living in another country again, this time where medicine was cheap and available without prescription. I had read somewhere on this forum that the 1% works faster, and that any purging would happen more quickly. I was also reading that it would take even up to 6 months for all purging to subside. Well, I went through months 5 and 6 with the worst acne of my life. I have never had some many cysts and pus filled pimples ever. I was using honey as a wash and doing everything to calm my face down. It was horrible and many of my friends, upon looking at me return from the summer, would do double takes. Some of the closer ones asked me what was wrong, what I was doing different, and my self-confidence drastically diminished. In fact, it vanished. I stopped going out. I stayed in all the time and made excuses.
Once the 6th month came around, I finally let go of using Retin A but this was too late. My cheeks have PIH almost everywhere. Once I stopped using Retin A, I kept up with the BP, and while my face drastically calmed down, I was still irritated and breaking out, though they weren't heavy cysts. I continued researching and began a very healthy diet. I had actually been eating healthy and exercising for quite a while, 3 years or so, ever since I finished college. I was practicing yoga 3 times a week, running, eating mainly salads, quinoa, fish, and slowly trying to get my life back. I took a probiotic supplement, milk thistle, dandelion root, and tried to get my liver back in order from a whole year of Minocycline. I was thinking that that was the culprit. I started taking 15000 grams of Vitamin A a day too. While I was traveling, I found some argan oil and introduced it to my regimen. At this point I was washing my face with Sebamed Antibacterial Cleansing Foam and applying a few drops of argan oil and then a squirt or two of Cetaphyl Dermacontrol SPF 30 moisturizer during the day and washing with Sebamed and applying the Clindamycin/BP cream at night. I was still breaking out but not as much, and it looked like their were still residual clogged pores from the Retin A that were surfacing.
This December I moved countries again and decided to let go of the Clindamycin/BP cream because I decided it was irritating me. Well, I bought a glycolic acid 30% peel, as well as Tepezcohuite serum, and for the past three weeks I've given myself a peel weekly, which is drastically helping with my PIH. I was washing with Cetaphyl cleanser again, applying the Tepezcohuite serum, and finishing off with some argan oil drops. During the day, I'd add the same Cetaphyl sunblock I've been using the the past 6 months so I can avoid darkening my spots.
I just moved countries again and I found a really good natural product for washing my face that's called Aloevida facial champú. It's made of 70% aloe vera, and I've now switched out my Cetaphyl cleanser for this. This same brand also has an SPF cream that's 60& aloe vera and I've switched out the Cetaphyl moisturizer for this too.
Currently, I apply an organic honey mask to my face in the mornings for 30 minutes, then shower and apply the Tepezcohuite serum and argan oil, following up with the aloe spf. In the evenings I wash with the aloe facial champú and apply the Tepez serum and a little more argan oil than the mornings, since I don't apply the aloe spf. My face is starting to clear up and while the glyoclic acid peels have brought some white heads to surface, I'm only breaking out maybe once a week in comparison to the horror of Retin A.
I really recommend that only people who are very desperate and who have sever acne, try it. Before I started Retin A, I was breaking out as often as I do now. But because of my idiocy and misplaced desperation (once on Retin A I finally KNEW what desperation is), my face is completely changed. I have a few scars but thankfully I mostly have PIH, some of which is is close to purple/black. Now I'm just waiting things out. I'm going to finish 6 treatments and then break for a month. My goal is to hopefully let go of the Tepezcohuite serum. While it's nice, it has a lot of ingredients (good ones nonetheless), and I'm trying to have as minimal a regimen as possible.
I've been on .05% Retin-A for 3 months now... 3 months of consisten break outs! Just when I think it is getting better, BAM! acne all over my face again. My acne is hormonal and even though I'm on birth control pills, nothing is working. About a month ago my derm suggested using 10% benzoyl peroxide on the opposite time of day I use Rein-A; the acne goes away quicker but 3 more show up where one dissappeared. I'm waiting for my .1% to get in so I can use that for a month or so, but if that doesn't work I'm just going to use Accutane.
Has anyone else had Tretinoin take this long to work? I am a pretty healthy person, drink lots of water, wash my face twice a day every day and try not to touch my face as much as possible.