Retin-A (Tretinoin) is a topical (applied to the skin) form of Vitamin A that helps the skin renew itself. The Retin-A brand of tretinoin is used to treat acne. The Renova brand of tretinoin is used to reduce the appearance of fine wrinkles and mottled skin discoloration, and to make rough facial skin feel smoother. Tretinoin helps acne by causing the skin’s outer layer to grow more quickly and be replaced with new skin cells, which helps to reduce the formation of blackheads, whiteheads, and other acne lesions. It may take up to 2 to 4 weeks to see improvement in your acne and the full effect of the medication may not be seen until 6 to 12 weeks. We currently have the brand cream from India called Retino-A manufactured by Janssen-Cilag, the brand gel from Canada manufactured by Johnson & Johnson and the generic gel from India called A-Ret. 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There are derivative in cosmetics such as retinal etc but they are not strong enough to be effective I think. What's the reasoning behind bit prescribing it anymore? Trying for a baby at the mo so staying away for the time being but intend to get involved big time once my baby making days are done. You can get A313 on ebay which is similar to Avibon which was v sadly discontinued, you used to be able to buy it over the counter in France. It's a slightly lower concentration than prescription retin a so might be a good place to start United Pharmacies are the online pharmacy. Obagi Nu-Derm uses 0.1% tretinoin (pea sized amount) mixed in the hand at time of application with similar amount of hydroquinone cream. It was found that this combination actually switches on the DNA which produces collagen. (This is what they told me on the Obagi course anyway...). Your prescriptions will be electronically sent to the pharmacy of your choice. 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