Acne is a big problem for many people, especially young people, isn't it? Sometimes your doctor may recommend a cream or gel to treat it. Among them, Tretinoin is a very famous and very effective drug. So, if you have to use this drug, it is very important to know exactly what it is. Let's talk about this simply.
What is this Tretinoin?
Simply put, Tretinoin is a medication used to treat acne. It belongs to a class of drugs called retinoids. It works by controlling the production and shedding of skin cells, reducing the appearance of acne. It is also sometimes prescribed by doctors for things like fine lines and wrinkles, and sun spots. It is available in the market as a gel or cream.
Things you need to tell your doctor before using this medicine
Before your doctor prescribes Tretinoin for you, it is imperative that you tell your doctor some information about yourself, as it is very important for your safety.
- If you have an allergy to Tretinoin or any other medication: Be sure to tell your doctor if you have experienced any itching or rash after using this medication in the past.
- If you are pregnant or planning to become pregnant: This is very important . Using retinoids like tretinoin during pregnancy can be harmful to the baby. So it's important to talk to your doctor about this.
- If you are a breastfeeding mother: Inform your doctor about this as well.
- If you have burns, cuts, or other damage to your skin: Do not apply this medicine to damaged skin.
- If you have other skin conditions like eczema: Tell your doctor about that too.
How exactly do you use this?
To get the most out of a medicine, you need to use it properly.
1. For topical use only: This medicine is for topical use only . Do not take it orally or ingest it in any other way.
2. Wash your hands: Wash your hands thoroughly with soap before and after applying the medicine.
3. Cleanse the skin: Before applying the medication, wash the acne-prone area with a mild cleanser and let it dry thoroughly. It is best to leave it on for about 20-30 minutes.
4. Apply a very thin film: Take a small amount (about the size of a pea) on your fingertips and apply a very thin film over the entire area of acne. Applying too much will not help the acne heal faster, and will only increase the risk of skin irritation.
5. Do not apply around the eyes, nostrils, or mouth: Do not let the medicine get on these sensitive areas. If you accidentally get it, wash it off immediately with water.
6. Use as directed by your doctor: Follow your doctor's instructions on how many times a day and when to use it. Usually, you should use it once a day, before going to bed at night.
7. If given to children: This is rarely used in children under the age of 12. However, in some cases, if the doctor recommends it, you should follow those instructions exactly.
What if you overdose? If you think you have taken more medicine than you thought, immediately call the National Poisons Information Centre at the Colombo National Hospital . Or go to the Emergency Treatment Unit (ETU) of the nearest hospital.
What do you do if you miss a dose of medication?
If you forget to take a dose, take it as soon as you remember. But if it is almost time for your next dose, skip the missed dose and take the next dose at the scheduled time. Never take a double dose.
Are there any things you shouldn't use with Tretinoin?
Yes, some things can cause problems when used with Tretinoin, so tell your doctor about all other medications and creams you are using.
- Other products that dry out the skin: Other acne medications like Benzoyl Peroxide or Salicylic Acid, and toners containing alcohol can make the skin very dry, red, and flaky when used together with Tretinoin.
- Medications that increase sun sensitivity: Some antibiotics, such as tetracycline, can make your skin more sensitive to the sun. Tretinoin can do the same, so using both together can increase your risk of sunburn.
Things to consider when using
- Patience is important: You won't see results right away when you start using this medicine. It will take a few weeks, maybe a month or two, before you see any significant changes. So be patient and continue using it.
- Protect yourself from the sun: This is very important . Your skin will become very sensitive to the sun (photosensitive) when using Tretinoin. Therefore, if you are going out during the day, be sure to apply a good sunscreen . Wear a hat and cover your skin as much as possible. Do not use things like sun lamps and tanning beds.
- Skin changes: During the first few weeks, your skin may become a little red, dry, and flaky. You may also notice a slight increase in acne. This is normal. However, if this condition is severe, tell your doctor.
What are the possible side effects?
Like any medication, Tretinoin can cause some side effects. Let's take a look at what they are.
| Side effect | What to do |
|---|---|
| Serious side effects that should be reported to the doctor immediately | |
| Allergic reactions Skin rash, severe itching, swelling of the face, lips, tongue or throat. | Stop the medication immediately and notify the doctor or ETU. |
| Severe skin reactions Unbearable burning, itching, soreness, and crusting where the medicine was applied. | Notify the doctor immediately. |
| Side effects that are usually not serious, but should be reported to the doctor if they persist | |
| Slight redness, dryness, or minor inflammation of the skin. | These usually occur early on and then subside. If they persist or are bothersome, talk to your doctor. |
| Changes in skin color (darkening or lightening). | Inform your doctor about this as well. |
Remember, this medicine is for you only. Do not give it to a friend who has acne. Because not everyone's skin is the same, and not everyone's problem is the same. Everyone should be treated according to medical advice.
How to protect the medicine?
- Keep out of reach of children and pets.
- Store at room temperature (between 15-30 degrees Celsius). Do not refrigerate.
- Protect from light. That means don't keep it in direct sunlight.
- This medicine is flammable. Therefore, keep it away from fire, heat, and smoking.
- Discard expired medication without using it.
Take-Home Message
- Tretinoin is a powerful acne medication, so use it only under medical advice .
- Be sure to use sunscreen while taking this medication. It is very important to protect your skin from the sun.
- When you first start using the medicine, you may experience minor skin changes (redness, dryness). This is normal. However, if you experience a severe allergic reaction (swelling, severe itching) , seek medical advice immediately .
- If you are pregnant, trying to become pregnant, or breastfeeding, be sure to tell your doctor before using this medicine.
- Never share your medicine with others.


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