40mg Tablets for Acne ( Highest strength) 1 months supply EXP 10/2027

💊 Tretiva (Isotretinoin) Guide

TRETiva is a strong acne medication used for severe or stubborn acne (like nodulocystic acne) when other treatments haven’t worked.

📦 Each box contains 10 tablets
➡️ You will receive 3 boxes = 30 tablets total

🔹 Which strength is best for you?

🔸 10 mg
Best if:
• Mild–moderate acne
• First time using isotretinoin
• Sensitive or dry skin
• Lower body weight
• Prefer fewer side effects
• Long-term low-dose approach

✔ Pros: Less dryness, easier to tolerate
✖ Cons: Slower results, longer course

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🔸 20 mg
Best if:
• Moderate–severe acne
• Oily skin, cysts, frequent breakouts
• Acne causing scars
• You can tolerate dryness

✔ Pros: Faster results, stronger effect
✖ Cons: More dryness, side effects earlier

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🔸 30 mg
Best if:
• Moderate to severe acne not improving on lower doses
• More persistent breakouts
• Need stronger control but not the highest dose

✔ Pros:
• Faster clearing than 20 mg
• Good balance between effectiveness & tolerability

✖ Cons:
• Increased dryness
• Higher chance of side effects

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🔸 40 mg
Best if:
• Severe cystic acne
• Acne with significant scarring
• High oil production
• Need aggressive treatment

✔ Pros:
• Rapid improvement
• Strongest acne control

✖ Cons:
• Significant dryness
• Side effects more noticeable
• Requires closer monitoring

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 📌 What it treats
• Deep acne, cysts, and scarring
• Acne not improving with creams or antibiotics

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 ⚙️ How it works
• Shrinks oil (sebaceous) glands
• Reduces oil production
• Prevents clogged pores & inflammation

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⚠️ Important:
Do NOT use tretinoin creams or gels while on TRETiva

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😬 Common side effects
• Dry lips, skin, eyes
• Nose dryness / nosebleeds

⚠️ Possible serious:
• Sun sensitivity
• Joint/muscle pain
• Mood changes (rare)
• Liver/cholesterol changes (blood tests required)

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### 🚫 Important warning
⚠️ Not safe in pregnancy (can cause severe birth defects)

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💊 How it’s taken
• Usually once daily with food
• Typical course: 4–6 months

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🧴 Simple skincare routine

🌞 Morning
• Gentle cleanser
• Moisturizer (ceramides / hyaluronic acid)
• SPF 30–50 sunscreen

🌙 Night
• Gentle cleanser
• Thick moisturizer

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### 👄 Dryness care
• Lip balm all day (Vaseline, Aquaphor, Laneige)
• Petroleum jelly for dry nose
• Artificial tears for dry eyes

 🚫 Avoid during treatment
❌ Scrubs / exfoliants
❌ AHA / BHA / salicylic acid
❌ Retinol / tretinoin / adapalene
❌ Benzoyl peroxide
❌ Vitamin C (may sting)
❌ Waxing, peels, laser

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💡 Extra tips
• Wash face max 2× daily
• Stay hydrated
• Acne may worsen in the first few weeks — this is normal