Why am I irritated with Refissa/tretinoin and what can I do?
There are so many Retin A type products out that it’s confusing isn’t it? All these products have the same active ingredient – tretinoin. Tretinoin is prescription and comes in many forms – gels, lotions, and creams – like Refissa (the newest one), Renova, Retin A Micro, Avita, the generics, and then it has cousins like Tazorac. It also comes in many strengths from 0.02% to 1.0%. And, all the bases for these different tretinoins contain many different ingredients themselves.
You’ve given the Refissa a good try and it’s still not working. You are probably sensitive to either the tretinoin itself or something in the base. I would recommend stopping it for 3-4 weeks and letting your skin get back to normal. At that point, you could try one of the other forms cautiously. Renova is the most gentle generally. Dr. I