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Last Updated 28 Feb 2012

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Retin-A 0.01% gel

Retin-A (Ret-in-ay) is a medicine which is used in treating acne. Retin-A contains tretinoin. It is supplied by Janssen-Cilag Ltd.

The information in this Medicine Guide for Retin-a varies according to the condition being treated and the particular preparation used.

There are 2 preparations of Retin-a available. If Retin-A 0.01% gel is not the preparation you are looking for, please select from the drop down list below.

Select your preparation (type) of Retin-a

Retin-A 0.01% gel

Information specific to Retin-A 0.01% gel when used in treating acne

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Your medicine

Retin-A is used in the treatment of acne and is suitable for people who have an oily skin. Retin-A works by increasing the rate at which old skin cells die and new skin cells are produced.

Retin-A can cause your skin to become more sensitive to all forms of UV light. While you are using Retin-A, it is important to protect the skin from the effects of UV light. You should try reducing the time you are exposed to direct sunlight. Areas which have been treated with Retin-A should not be exposed to the sun and should be covered with appropriate clothing or a high protection sun screen. You should also avoid using tanning beds or lamps while you are using Retin-A.

People with sunburn should not use Retin-A until their sunburn heals. Extreme weather conditions such as very cold or windy weather may also irritate the skin.

Other information about Retin-A:

  • you may find that it takes 6-8 weeks for your skin to improve. You may notice that after a few weeks of treatment with Retin-A your skin may look worse than it did before you started to use Retin-A. For more information you should speak to a member of your medical team

Do not share your medicine with other people. It may not be suitable for them and may harm them.

The pharmacy label on your medicine tells you how much medicine you should use. It also tells you how often you should use your medicine. This is the dose that you and your prescriber have agreed you should use. You should not change the dose of your medicine unless you are told to do so by your prescriber.

If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.

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When to take your medicine

Some medicines work best if they are taken at a specific time of day. Getting the most from your medicine can also be affected by the times at which you take other medicines.

Specific information on when to use Retin-A can be found in the Patient Information Leaflet that comes with this medicine. Alternatively, you can request information about when to take your medicine from your doctor or pharmacist.

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How to take your medicine

Some medicines have specific instructions about how to take them. This is because they work better when taken correctly. These instructions can include getting the right dose and special instructions for preparing the medicine.

In the case of Retin-A:

  • detailed advice on how to use Retin-A can be found in the Patient Information Leaflet that comes with this medicine
  • before you apply Retin-A, wash the treatment area well with a mild soap. After washing, dry your skin without rubbing. It is best not to wash the affected areas more than twice a day
  • using a gauze swab, cotton wool or clean fingertips, apply a small amount of Retin-A to the affected lesions. After applying Retin-A, the treated area of skin may become red and look similar to sunburn. You should take care not to apply too much of Retin-A as the skin may become red, irritated or start to peel. You should not apply Retin-A to irritated areas of skin
  • take care not to get Retin-A in or around the eyes, nose, mouth or on any mucous membranes. If Retin-A comes into contact with any of these areas, wash off with water
  • you may use moisturisers or other skin products but do not apply them at the same time as Retin-A
  • it is best to avoid skin peeling agents, products that contain alcohol or products which have a strong drying effect on skin such as astringents, exfoliants, soaps, shampoos, cosmetics, face masks, cleansers or toners. Your skin will need time to recover before you start using Retin-A

If you are having problems taking this form of Retin-A, you should talk to your prescriber or pharmacist. They may be able to give you advice on other ways to take your medicine or other preparations that are easier for you to take.

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Taking too much of your medicine

Taking extra doses of some medicines can be harmful. In some cases even one extra dose can cause you problems. If you take extra doses of your medicine, you must get medical advice immediately. This is because the effects of taking too much medicine are very complex so it is very important that you seek medical advice.

Contact your prescriber, pharmacist, specialist clinic or NHS Direct on 0845 46 47 for advice.

Make sure you take all of your medicine containers with you if you are advised to go to hospital.

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Stopping your medicine

Suddenly stopping your medicine may cause your original condition to return. This is why you must speak to your prescriber if you are having any problems using your medicine.

If you are not having any problems taking this medicine then do not stop using it, even if you feel better, unless advised to do so by your prescriber.

If you are in any doubt, contact your prescriber, pharmacist, specialist clinic or NHS Direct on 0845 46 47.

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Looking after your medicine

The instructions on how you should keep your medicine are on the pharmacy label. You should keep your medicine in the original container. This will help to keep your medicine in the best condition and also allow you to check the instructions. Do not take the medicine if the packaging appears to have been tampered with or if the medicine shows any signs of damage. Make sure that the medicine is out of the sight and reach of children.

In the case of Retin-A:

  • do not store in temperatures above 25°C

You must not take the medicine after the expiry date shown on the packaging. If you have any unused medicine, return it to your pharmacist who will dispose of it safely.

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Whether this medicine is suitable for you

Retin-A is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.

Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

Furthermore the prescriber may only prescribe this medicine with special care or may not prescribe it at all for a child under the age of 10 years.

Over time it is possible that Retin-A can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Retin-A has become unsuitable, it is important that the prescriber is contacted immediately.

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Side-effects

A medicine is only made available to the public if the clinical trials have shown that the benefits of taking the medicine outweigh the risks.

Once a medicine has been licensed, information on the medicine's effects, both intended and unintended, is continuously recorded and updated.

Some side-effects may be serious while others may only be a mild inconvenience.

Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.

The frequency of these side-effects is unknown:

  • allergic reactions
  • application site problems such as redness, feelings of warmth, skin colour changes, burning or stinging sensations, rashes, blistering, crusting, swelling, itching, dry or peeling skin - seek medical advice if any of these skin problems become troublesome
  • eye irritation
  • increased skin sensitivity to UV light - you should protect your skin from the effects of UV light by avoiding or reducing the time you are exposed to sunlight or sunlamps during treatment with Retin-A
  • oedema

If you feel unwell or if you have concerns about a side-effect, you will need to seek advice. If you feel very ill, get medical help straight away. Contact your prescriber, pharmacist, nurse or call NHS Direct on 0845 46 47.

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Taking other medicines

If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.

The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.

Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.

The following types of medicine may interact with Retin-A:

If you are taking Retin-A and one of the above types of medicines, make sure your prescriber knows about it.

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Complementary preparations and vitamins

Medicines can interact with complementary preparations and vitamins. In general, there is not much information available about interactions between medicines and complementary preparations or vitamins.

If you are planning to take or are already taking any complementary preparations and vitamins you should ask your prescriber whether there are any known interactions with Retin-A.

Your prescriber can advise whether it is appropriate for you to take combinations that are known to interact. They can also discuss with you the possible effect that the complementary preparations and vitamins may have on your condition.

If you experience any unusual effects while taking this medicine in combination with complementary preparations and vitamins, you should tell your prescriber.

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Driving and operating machinery

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.

In the case of Retin-A:

  • this medicine is unlikely to affect driving ability or the ability to operate machinery

You should see how this medicine affects you before you judge whether you are safe to drive or operate machinery. If you are in any doubt about whether you should drive or operate machinery, talk to your prescriber.

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Diet

Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.

In the case of Retin-A:

  • there are no specific foods that you must exclude from your diet when using Retin-A
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Alcohol

Alcohol can interact with certain medicines.

In the case of Retin-A:

  • there are no known interactions between alcohol and Retin-A
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Family planning and pregnancy

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.

In the case of Retin-A:

  • do not use this medicine during pregnancy

You should discuss your personal circumstances with your doctor if you are pregnant or want to become pregnant. This is so that together you can make a decision about what treatment you may need during your pregnancy.

You should discuss whether there are any other medicines which you could take during pregnancy which would treat your condition.

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Breast-feeding

Certain medicines can pass into breast milk and may reach your baby through breast-feeding.

In the case of Retin-A:

  • you should only use this medicine while breast-feeding if your doctor thinks you need it

Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. You should only breast-feed your baby while taking this medicine on the advice of your doctor or midwife.

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Ingredients of your medicine

Medicines contain active ingredients. They may also contain other, additional ingredients that help ensure the stability, safety and effectiveness of the medicine. They are also added to improve the medicine's appearance and to make it easier to use. Some may be used to prolong the life of the medicine.

Retin-A contains:

  • butylated hydroxytoluene
  • hydroxypropyl cellulose
  • undenatured ethanol

If you are not able to take any of the ingredients in your medicine, talk to your prescriber or pharmacist to see if they can suggest an alternative medicine. If you have reacted badly to Retin-A before, do not use Retin-A. Talk to your prescriber, pharmacist or nurse as soon as possible.

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Retin-A, Version 8, last updated 28 Feb 2012