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PRECAUTIONSALSO SEE WARNINGSTreatment should be limited to relatively small areas of the body at one time since some patients experience a transient skin reddening and a mild burning sensationwhich does not preclude treatment.

Nursing MothersIt is not known whether topical hydroquinone is absorbed or excreted in human milkCaution is advised when topical hydroquinone is used by a nursing mother.

Use caution in the sunWhen outsideeven on hazy daysareas treated with RETIN-A should be protectedAn effective sunscreen should be used any time you . are outsideconsult your physician for a recommendation of an SPF level which will provide you with the necessary high level of protectionFor extended sun exposureprotective clothinglike a hatshould be wornDo not use artificial sunlamps while you are using RETIN-AIf you do become sunburnedstop your therapy with RETIN-A until your skin has recovered.

Contains sodium metabisulfitea sulfite that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible peopleThe overall prevalence of sulfite sensitivity in the general population is unknown and probably lowSulfite sensitivity is seen more frequently in asthmatic than in nonasthmatic people.

Do not use any other topical medicationsespecially benzoyl peroxidesalicylic acidwart removerand dandruff shampoos containing sulfur or resorcinol unless your doctor directs you to do soIf you have used any of these topical medications recentlyask your doctor if you should wait before using tretinoin.

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gel has less concentration of tretinoinum and it fits better to dry skin, and cream is more for fat skin.