Apply tretinoin at bedtime to minimize sun exposure. Expect initial dryness, redness, and peeling. This usually subsides after a few weeks with continued use. However, if irritation becomes severe, reduce application frequency or temporarily discontinue use.
Managing Common Side Effects
- Dryness and Peeling: Use a gentle, fragrance-free moisturizer daily. Avoid harsh scrubs and exfoliants. Redness and Irritation: Apply a thin layer of tretinoin. Gradually increase frequency as tolerated. A cool compress can soothe irritated skin. Sun Sensitivity: Always use a broad-spectrum sunscreen with an SPF of 30 or higher, even on cloudy days. Reapply every two hours, especially after swimming or sweating.
Avoid simultaneous use with other strong topical medications, such as benzoyl peroxide or AHAs/BHAs, unless directed by your dermatologist. This can increase irritation.
Less Common Side Effects
Burning or stinging sensation. If this is persistent, consult your doctor. Blistering or oozing. Stop tretinoin use and contact your doctor immediately. Hyperpigmentation or hypopigmentation (changes in skin color). Inform your doctor.
Pregnancy and breastfeeding: Avoid tretinoin use during pregnancy and breastfeeding. Consult your doctor about alternative treatments.
Before Starting Tretinoin
- Inform your doctor about all current medications and allergies. Discuss your skin type and concerns to determine if tretinoin is the right treatment for you. Follow your dermatologist’s instructions carefully. They will help you tailor the treatment to your specific needs.
When to See a Doctor
Contact your dermatologist if you experience persistent or worsening side effects, or if you have any concerns about your treatment.