Feedback on Retin-A Side Effects and Usage, page 71

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: How to get rid of skin flakes on face?
Date: 9/2/2010
I’ve been using Retiin-A 0.1% for about 4 months now. I do believe its a good product but my skin is really flaky and it seems like it will NOT go away. My derm even recommended me to use Cetaphil(moisturizer) and the flakes DO go away for an hour or so but it comes right back. It seems like its nothing but a cover up and the flakes are STILL there. Even when I wash my face, I get so desperate to the point where I scrub against my face really hard & that seems like the only way for the flakes to go away & thats very painful. Can you please help me? I want to get rid of my acne but I cant keep walking around with a flaky face. Its basically every where except my forehead. Please help, I’ve been dealing with this problem since i started using it and another way it goes away is when I stop using it. I’m Desperate, help!?!

AskDocWeb: Flakes are more likely to occur when the skin is dry so something that prevents the skin from drying out should help. The moisturizer is supposed to do that but you may have to try several to find the one that works best for your skin.

Subj: Looking worse
Date: 9/3/2010
I have been using this product for 2 weeks now. I look worse than a burn victim, my face never looked this bad ( I understand it is going to look worse before it looks better) but my face hurts worse than anything (and I have gotten my teeth knocked out…). I use moisturizer to help it but the pain is unbearable when applied. I have been trying to exfoliate as well, and I can’t stop this dry, burning, awful feeling, is this normal? Or am I having an allergic reaction, its hard to tell what is supposed to happen and what isnt… hopefully my blackheads will go away after this harsh treatment? Any advice?

AskDocWeb: Whenever the pain is unbearable, it’s time to check back with your doctor. You may want to discuss the instructions to make sure you are using it correctly as well as the right amount. Your doctor may have you discontinue use for a time or back off to using it every other day.

Subj: terrific improvement but…
Date: 9/4/2010
Is it safe to use tretinoin cream (0.025%)indefinitely? I have been using it for about a year and it has made a terrific improvement in my skin, but I am concerned that there might be a problem with long term use.

AskDocWeb: There are reports from women who have used this product for over 20 years and are stilled pleased with the results. However, the long-term results of using tretinoin are still being investigated and whenever any new is found we post it here.

Subj: Make my cheeks an even color
Date: 9/4/2010
I have uneven color on my cheeks, its like red, white, and brown blotchy-ness. Im using retin-a Tretinoin and I put it put enough on to cover my cheeks. First off I had a fainting expirience last week and I am wondering if Im using it wrong or am allergic? I went to the doctor about this and my dizziness and he gave me differin. And second if retin a is going to eventually make my cheeks an even color if I keep using it becuase I desperately want my cheeks to just be one even white color.

AskDocWeb: While Retin-A does help with some kinds of skin discoloration it doesn’t help with every kind. For the best possible results you should consult with a dermatologist. They can help you make you cheeks an even color.

Subj: Retina A and Vitamin C
Date: 9/6/2010
Can you use Retina A and a Vitamin C product at the same time? I have been applying 0.025% Retina A gel then Ginsium C lightening cream.

AskDocWeb: Two double-blind studies were carried out in France to investigate the effects of topically applied retinol plus vitamin C combination on human skin. The studies concluded that repeated topical application of a preparation containing both retinol and vitamin C is able to reverse, at least in part, skin changes induced by both chronologic aging and photoaging. (source: Skin Pharmacology and Physiology) However, if you have been on Retin-A for a long time and you have very sensitive skin, adding a Vitamin C serum may not be an option for you.

Subj: No improvement in 4 days
Date: 9/13/2010
I’m using retin a for the last four days, m using because i have a something more than pimples in my face. but i dont see any improvement. should i continue using it?

AskDocWeb: It is unlikely that you would see positive result in the first two weeks. On the contrary, the package insert says that during the early weeks of acne therapy, a worsening of the condition may occur due to the action of Retin-A on deep, previously unseen areas of inflammation. This is not a reason to discontinue therapy, but do notify your doctor if it occurs. You should begin to notice results after 2 to 3 weeks of treatment but more than 6 or 7 weeks of treatment may be needed before consistent beneficial effects appear.

Subj: Never used Retin-a before
Date: 9/13/2010
I have a dr. appointment tomorrow Sept.14 2010 to get Retin A. Never used before. main concern is lines around the lips. I been reading all the comments, I see that people do use it there, is there (a chance of) of being poisoned?

AskDocWeb: It is especially important to pay attention to the instructions for applying Retin-a because using too much does not give results faster but only cause irritation making the skin red, raw, and scaly.

Date: 9/16/2010
I have recently purchased Trentinoin .05%. what areas of the eyes can it be used on? Upper and/or lower lids, under eye, crows feet?

AskDocWeb: Oh my, how about none of the above? Please read the consumer information on the package insert. It says to keep it away from your eyes, mouth, and nose. The closer it is used to mucous membranes the more likely it is to cause problems.

Subj: Vaseline for moisturizing?
Date: 9/17/2010
i have been using retin-a cream for one week and my face started peeling from the second day now. My skin is looking dry and some parts are crusty and some part are red and im not mad because i now that i cant get over this side effect for this product i do apply the retin a cream in the night and in the morning after i wish my face i do apply some petroleum jelly (Vaseline) as a moisturizer to reduce the flaky, dryness and redness looking is that ok to use petroleum jelly to my face? i have oily skin and im not worker women i stay at home all the day so i dont need to apply sunblock and if its not OK to use Vaseline can i use antibiotic cream (Fucidin cream) or Corticosteroids cream (Betnovate cream) cream?

AskDocWeb: Are you really applying Retin-A twice a day? If so then it is no wonder that your skin has become dry and crusty. If that was a misconception caused by a lack of punctuation then sorry. It seems that too many people fail to read the instructions. Petroleum jelly is not really a moisturizer since it just seals in whatever moisture that your skin already has, although it may feel nice the next morning. It may be a great moisturizer for lips and as an under eye moisturizer but we wouldn’t use it on the entire face. Your best choice for a moisturizer would come from your dermatologist because they are familiar with your skin type and condition.

Subj: Retin-A with accutane?
Date: 9/21/2010
Can I take my retian a with accutane?

AskDocWeb: Using these two drugs together is generally avoided because each may additively increase skin irritation.

Subj: Started breaking out again
Date: 9/24/2010
I have used Retin-a for about 2 years, in the beginning my face looked radiant and clear. About a year ago I though it would be a brilliant idea to mix it with cetaphil cream in order to incorporate my moisturizing regimen with the treatment and save time. This slowly stopped the effect of the Retin-a, it seems like the cream created a barrier that didn’t allow the retin-a to sink into the skin and work, so I started breaking out again. I have stopped this, but have not seen any improvement in my scarring (mainly hyperpigmentation) and acne. I am wondering if I have become immune to the product? I’ve read that some women use it for years and years, but why isn’t it working for me anymore?

AskDocWeb: It is highly unlikely that you have become immune to Retin-A. How long ago did you start using it according to the instructions? Depending on how long you were using the diluted mixture, it could take several weeks to see the beneficial effects again.

Subj: How long does it take to see results?
Date: 9/24/2010
I started using retina a 0.05 mg 3 weeks ago. my skin allready pilled. how long do i have to waight to see results. Is it ok if i go and sweem on the pool as long as i have a sun block on?

AskDocWeb: According to the package insert more than 6 or 7 weeks of treatment may be needed before consistent beneficial effects appear. Swimming in a chlorinated pool may slow the healing process but aside from that there are no reports of any problem with swimming.

Subj: Weekend applications?
Date: 9/25/2010
Im wondering if using retin a on the weekends will produce results? I have some damage deep in my skin on my cheeks from where my freckles were and just general uneveness and some acne. And since Im in school I don’t want to use it every night since its really irritating to the skin. So does weekend applications on Sat. and Sunday night work?

AskDocWeb: It might work but if Retin-A is that irritating to your skin why use it two days in a row rather than once during the week and once on the weekend? Many people report using it every other day to allow their skin to get used to the medication.

Subj: Biotique coconut milk cream?
Date: 9/26/2010
Can I use biotique coconut milk cream 30 minutes after applying retin a?

AskDocWeb: We tried to contact their customer service but it seems that the Biotique website is not working right now.

Subj: Milia
Date: 9/27/2010
I have started to use RetinA and I was wondering if it works on milia. I actually have them on my chest and I’ve had them for 7 years and I was prescribed RetinA to treat it. I know it can be very effective on my acne (I’m using it on my face as well) but I would just like to know if it will truly work on milia because I really want to get rid of them!

AskDocWeb: The use of Retin-A may help minimize the formation of milia but in order to get rid of them often they have to be manually extracted. Milia are deep seeded white bumps that form when skin cells and sebaceous matter become trapped rather than exfoliate naturally. Although milia can occur anywhere on the body they are especially prone to occur around eye area and cheeks. As the surface skin is worn away, these tiny white bumps may disappear on their own. More often intervention is required to remove the cyst (white bump) through extractions using a lancet. This approach offers rapid resolution but is best done by a professional.

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