WHAT YOU CAN EXPECT WITH RETIN-A (TRETINOIN) TREATMENT

•  During the first few days of therapy some patients may experience a heightened skin sensitivity, peeling or notice a "blush". If this happens to you, it is only your skin adjusting to Retin-A, and it will probably subside in two to four weeks.

•  After three to six weeks, you may notice the appearance of "new" blemishes. These are not new blemishes, but previously unseen, deep-rooted lesions or microcomedones that have been brought to the skin surface. These uprooted blemishes are part of the healing process and a sign that Retin-A is working. When you have reached this stage, it is very important to continue the therapy.

•  Do not be discouraged if you see no immediate improvement. Gradual improvement should be noticed after six to twelve weeks.

 WHILE YOU ARE ON RETIN-A THERAPY

•  Do not use products with a high concentration of alcohol, spices, lime or any that have a drying effect.

• Use cosmetics that are listed as non-comedogenic (non-acne producing).

• Do not use abrasive soaps or cleansers.

• Do not pick, squeeze or "pop" blemishes.

• Do not go to tanning booths.

• Do not become pregnant while on Retin-A. If this should occur, discontinue Retin-A and contact your dermatologist.

AND REMEMBER THESE SPECIAL CONSIDERATIONS:

• Minimize exposure to the sun and use a sunscreen.

• Avoid excessive exposure to the wind and cold. If exposed, use protective clothing, such as a scarf or high-neck coat collar.

• Do not use other medications with Retin-A unless your doctor recommends them.

• Keep medication from the nose, eyes and mouth.

• For facial dryness, you may use a non-comedogenic facial moisturizer, such as Neutrogena Facial Moisturizer