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At this time, the following side effects: best hypersensitivity itching and burning dryness peeling redness wrinkles may look worse acne may look worse You must strictly adhere to the treatment program. I also think your regular doctor would give you a prescription for. Posted by, hypatia at 2:52 PM on March 29, 2016 4 favorites. Retinoic acid or acid Trans isomer, known as Tretinoin, belongs to a class of first generation retinoid. You see that there is no explanation to question the quality of the treatment you purchase online, it's just the sort of pharmacy you go for that ought to be fretting you. As find a result, normal process of secretion and outflow of sebum, the skin becomes susceptible to the penetration of cosmetics and pharmaceuticals. A form of vitamin A: Retinol a less tretinoin aggressive and weakest. 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