Feedback on Retin-A Side Effects and Usage, page 38

About Retin-a

If you’ve used Retin-A, please help others by adding your feedback. What would you tell your best friend about this product? Please remember that we do not give medical advice. That is for your local health care provider, who is familiar with your medical history.

Subj: Blotchy red cheeks
Date: 2/6/2008
I have been using Retin-A for 13 years. I have noticed lately that my cheeks are blotchy red underneath. Thinking it may be capillaries. Is this a sign to discontinue? For a few months only, I put it on my neck. I have discontinued that because of the same blotches.

Jodi

AskDocWeb: You might call their customer service department and see a dermatologist to find out whether or not these are actually capillaries or something else.

Subj: Stubborn acne scar
Date: 2/10/2008
I want to use Retin-a micro on a stubborn acne scar on my cheek. I have sensitive skin. How often should I apply (.1%) and how long should I expect before seeing results?

Emma

AskDocWeb: Since you have sensitive skin we suggest you consult with a dermatologist as to how best to apply it and how often. They may want you to try the lowest dose possible first and then gradually build up to a higher dose. It is important to remember that Retin-A will make your skin photosensitive, which means it will burn easily when exposed to sunlight, use a sunblock.

Subj: Use of Nightcream/moisturizer
Date: 2/20/2008
I have to ask to be for sure. Can I use an nightcream/moisturizer on my face, 30 min. prior to retin a(0.05%)? And could this effect my treatment of acne?

Anna

AskDocWeb: Yes, applying moisturizer before Retin-A can affect how much is absorbed into your skin. For maximum affect, apply the moisturizer afterwards. The Retin-A needs to be absorbed into the skin and it can’t do that if the moisturizer already saturates the skin.

Subj: Black age spots
Date: 2/20/2008
I have alot of black spot age on my face, how can I get rid of it? Should I use Retin A and what kind of Retin A I should use? Thanks for your help.

Chris

AskDocWeb: First you need to be sure of what it is that you are dealing with, age spots or something else. Visit a dermatologist and find out for sure. Whatever it turns out to be, a dermatologist should be able to advise you as to how best to proceed.

Subj: .05% instead Vs .0025%
Date: 2/24/2008
I just bought Retin-A .05% and haven’t started to use the product yet, however as I read more about the product I’ve just purchased I’m thinking I should have started out with the .025% instead. Is there any problems starting out with .05% instead of .0025%?

Bell

AskDocWeb: There shouldn’t be a problem unless your skin is very sensitive. The .05% may still okay but you may have to build up the dosages gradually over time. For example, it might be used once every three days for a week or two, then every other day, etc. until it can be applied every day. That would give the skin a chance to get used to it.

Subj: Using other products with Retin-A
Date: 2/25/2008
I have been using Retin-A for about 3 weeks and am still waiting to find out what it will do for my 52 year old skin. I also just got the complete line for skin care from Jansen Beckett with Alpha Derma, C serum, peptides, cleanser, etc. Can I use both the Retin-A and the Jansen Beckett products simultaneously? I love the Jansen Beckett stuff because I can see a difference after a few days. Thanks!

Laura

AskDocWeb: Please consult with a dermatologist before using any other products with Retin-A. In general, that is not recommended.

Subj: Moisturizer?
Date: 2/27/2008
I just started using Retin-A Micro .1% about four weeks ago. I’m still breaking out (very mildly) but my main concern is that my face is extremely dry and flaky, especially in the morning. Could you recommend a moisturizer that I could put on during the day that will not interfere with my treatment or make my acne worse?

Tasha

AskDocWeb: Aquaphor, Neutrogena and Almay have been reported to be good moisturizers.

Subj: Soy/ 2% salicylic acid
Date: 2/28/2008
I just started using retin-a micro (gray tube) and was wondering if it was ok to use a soy/ 2% salicylic acid correction treatment made by aveeno during the day to get rid of acne scars. Feedback is appreciated. Thanks,

Jlyn

AskDocWeb: The directions for Retin-A caution against using salicylic acid and Retin-A together.

Subj: Already see results
Date: 2/29/2008
I have only been using Retin-A micro for ten days and I swear I already see results. My chin started peeling right away. I mistakenly used it on my eyelids and directly under my eyes, it made my wrinkles look worse. So, I stopped using it in those areas and I see some diminishment of deep crow’s feet around my eyes. Hey, I am a patient person and I will continue to use it through the burning and initial peeling problems. I like it. I hope I am like that 55 year old woman who wrote above. If it’s peeling and burning it’s got to be working. Is that right?

Patrice

AskDocWeb: Yes, that is right.

Subj: Diabetes
Date: 2/29/2008
I am a 32 year old American living in Brazil pursuing a career as a professional fighter in mixed martial arts. Unfortunately I am a adiabatic type 1. I supplement with extreme care and make sure everything I take is doctor approved and has no harmful effects to diabetics. I measure my microalbuninaria regularly and I take lisinopril as a precautionary measure. My question regards two things. Aside from the vanity aspect (I am egotistical, no shame in that) and I would like to enhance my performance as an athlete and my appearance. First, I would like to know if the following two products you recommended Renova Retin-A are safe and advisable for maintaining wrinkle free skin (I don’t have any but Id like to keep it that way) and which is better? What other brand names are the main ingredient used as? Overall can I use it as something useful to help my skin?

The other question is about GenF20 and other related products (HGH stimulators) I take finasteride. I have a thick head of healthy hair and once again Id like to keep it that way. I am going through your web site product by product to see which shampoos etc. can help. I only had a hair loss scare one time with a temporary thyroid issue (treated) but I believe proper shampoos and supplements plus finsateride can pretty guarantee an individual getting as far as his genetics allow before going for the hair transplant. My concern is if the GenF20 and other products related to it will cause hair loss? Will they cause problems with my diabetes? I am under the impression that they won’t but I’d really like an expert opinion. Please help me as I am training close to 6-7 hours a day and appearance in my industry counts as well as performance. I have good genetics. I look (unanimous consensus) like someone in his early or mid 20’s (I get ID’d at bars) and my genetics seem to suggest good muscle building capacity as I build muscle and look young easily. I have some other questions but these are the big ones. Looking forward to any response. Thanks for your time.

Dave

AskDocWeb: Retin-A is a prescription drug used to treat acne. We do not recommend the use of Retin-A for anything other than acne although many people do use it to keep their skin as young looking as possible. Neither Retin-A nor Renova are known to interact with diabetes medication. Hair loss has not been reported with GenF20, just the opposite. New hair growth has been report as well as a return of natural hair color for some people with gray or white hair. We have found no contraindications for its use by those with diabetes.

Subj: Retin-A from Mexico
Date: 3/3/2008
I have used Retin-A from Mexico, for over 20 years. I have always been a sun worshipper, grew up in San Diego, Ca, never used sun-screen as a kid. I had severe acne, enlarged pores, and by my forties was beginning to see age spots. My Mom, had age spots to where she looked like a pinto pony. One thing I did not do that she did was smoke. I have used the Retin-A since I was 43. I am now 63 and most people on meeting me place me in my mid-forties, and at least 15 years younger. I have even had medical personnel, doctors and nurses, who are surprised when they open the chart and find out my real age. I started with a weaker solution and worked up to a heavier amount and use it nightly.

At first I had some dryness and irritation but my skin adapted and I learned not to concentrate it in drier areas of my skin, to dot it a bit heavier on the brown spots and oily spots. In the winter, when the air inside is drier and one is subject o windburn, I use a lighter dose than in the rest of the year. I also do use a daily misturizer and skin protection of SPF25. Overall, I am delighted with the results and have seen remarkable results. But one has to be patient, learn one’s own skin sensitivity, and realize that it may be a miracle for some, but for others especially those with fair or thin skin, it may not be the answer.

Lora

Subj: Scared about skin
Date: 3/3/2008
Is it safe to use azelex cream in the morning and tazorac cream at night? Can I use a bleaching agent such as Lustra AF WITH THESE products or will the azelex cream cause some kind of adverse affect? Please answer my questions I’m so scared about my skin!

Nina

AskDocWeb: It sounds like you are trying too many products at once. Your safest course of action is to consult with a dermatologist and specify what your problems are and what you want to accomplish. The dermatologist can then advise you as to what products to use in order to accomplish that goal.

Subj: Liver, allergies and dark spot
Date: 3/4/2008
Can Retin A harm my liver (the topical cream?) Could it make my seasonal allergies or environmental allergies to be more sensitive?? What can I use if it’s not lightening a dark spot?

Lynn

AskDocWeb: Retin-A has been reported to cause a change in liver enzymes but not damage, and there is no affect on allergies. If it doesn’t lighten the dark spot, tell your pharmacist about the dark spot and ask them to recommend a fade cream.

Subj: Liver enzymes elevated
Date: 3/4/2008
My sister is 55 years old and has used Retin A for 25 years. She is in great shape, exercises regularly, doesn’t drink or smoke and eats a very healthy diet. She does not take any medications or vitamins with vitamin A. Her liver enzymes have been slightly elevated for the past few years and a recent ultrasound showed that her liver is slightly enlarged. She feels fine and has no symptoms. She has been be given a bloodtest which tested for hepatitis, mono, STD’s and any other disease that can be connected with liver issues and everything was normal. Is it possible that the Retin A could be causing the her enzymes to be elevated?

Deanna

AskDocWeb: Yes, others have reported an elevated level of liver enzymes which also returned to normal upon discontinuing Retin-A.

Subj: Moisturizer
Date: 3/5/2008
Hi there, I have been using retin-a for about 3 days now and have not noticed any signs of discomfort or burning or itching etc. Is this normal? Also I would like to know how long after I apply the retin-a should I apply the moisturizer, Or should it be vise versa, moisturizer first then retin-a? Also can I still use benzoyl peroxide while using retin-a? Thank-you very much for answering my questions. I really appreciate it.

Tu-anh

AskDocWeb: It take awhile for the affects to build up, give it time. Those who have the best results say to wait about half an hour after applying Retin-A to apply the moisturizer. It is important to check with your doctor before combining Retin-A with benzoyl peroxide.

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