So I got prescribed tretinoin cream .0375% and to wash my face with PanOxyl 10% morning and night, applying the cream at night. I've been doing this for 2 months and my skin has been peeling so badly ever since I started. It hurts and cracks when I smile, sometimes bleeding depending on how bad it is that day. I went in for a follow up appointment with my derm and told her about this issue and asked if there was another moisturizer I could use that would give my skin more moisture (currently using either cetaphil cream or cerave cream) and she said no and to stop using the cream for a day and then start up again. I did this and it did not improve at all. I was thinking that maybe washing with the PanOxyl in addition to the tretinoin cream is just too much for my skin because I'm really sensitive and maybe I should just use a gentle cleanser but my dermatologist also told me not to do this. Also, before I started using these treatments I had cystic acne as well as just red inflammed pimples, never white heads or black heads. Ever since I started using the tretinoin cream I've had tons and tons of white heads, I'm assuming this is from the "purging" phase but I was wondering when the initial breakouts stop because they are still continuing.