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New To Tretinoin - Question On How To Use

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My dermatologist prescribed me a tretinoin cream and recommended the following regimen:

- glycolic acid wash daily

- Neutrogena multivitamin moisturizer with AHA

- tretinoin cream at night (every night or every other night if skin too dry)

I bought the Neutrogena cream but I don't like how greasy my skin feels when I use it. My skin is also peeling a lot so I want to make the following changes:

- glycolic acid wash in the morning / gentle wash at night

- gentle face moisturizer

- tretinoin cream at night every other night

- effaclar serum (AHA) on other nights

How does that look like? Is this going to be still too harsh?

Thank you in advance!

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Hey, I would say if you are new to tretinoin then keep all the glycolic items on hol for now and just wait to see how your skin responds to it. A lot of people, myslef included have redness, itchiness and irritation as well as a few extra breakouts to deal with when starting this topical, so just take it easy.

Use a gentle cleanser and moisturiser without any fragrance as this reduces the chance of irritating your skin further, and be most gentle on your skin. After a few weeks your skin should start adapting to the retinoid and then you can start adding other things into your regimen.

Hope this helps.

Current Routine


Spironolactone (started 1/06/2014)


Isotrex 0.05mg gel (started 1/06/2014)

Other things that help: Sugar-free diet, a teaspoon of oily fish oil with added vitamin A + D3 every other day and a daily vitamin supplement.

Exercise: 30-45 minute brisk walk 4 times a week.

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