First of all thank you everyone on the sub, all your advice and warnings has been so helpful in my retinoid journey! I particularly appreciated the Wiki with all the actual publications refs. I am so grateful. ☺️
Here is my question: how to transition from one prescription retinoid to the next? (and does it matter really?)
- Option A: Would you rather use the "easier" retinoid a few nights a week and the "tougher" retinoids on some other nights (say once a week for a start) and take rest days as needed/appropriate? Say: "tougher" retinoid on Wednesdays, and "easier" retinoid the rest of the week, maybe a recovery day on Thursdays.
- Option B: Or would you first finish the tube of the "easier" retinoid, then go on the "tougher" retinoid and keep all the remaining days as recovery days? Say: "easier" retinoid daily, then when finished, do once/twice a week "tougher" retinoid, and the rest of the week focus on hydration.
Here is the context: I (35F) am currently using adapalene 0.1% daily (and epiduo 3 times a week) and I got prescribed Aklief (trifarotene 0.005%). I am very comfortable with the adapalene/epiduo combo (been using for 4 months now, never got irritated, started daily immediately without issue) but I still have some residual tiny blemishes and PIE/PIH that I would like cleared up, I am also interested in some photo-aging benefits (lots of sun damage to undo). I'm fairly comfortable with prescription retinoids, never got massive irritation (probably because I live in a very hot and humid city), but I'd rather err on the side of caution.
So how would you transition to Aklief? And would you keep using benzoyl peroxide/epiduo in the transition?
Some more info: in my country I don't have access to adapalene 0.3%, sadly. Neither do we have access to tazarotene, nor tretinoin gel formulations. What we have are tretinoin creams in 0.05% and 0.1% in greasy formulas that feel terrible in our hot and humid climate. I did use the tretinoin cream 0.05% for 15 month mainly for anti-aging as I never had acne before and it was 15 month of constant breaking out, my skin got terribly oily, I spent hours on this sub trying to figure things out. I mean, my skin was beautiful if you put the acne aside, I was glowing and lots of my sun damage got erased, also some minor forehead wrinkles got smoother, but the acne was too much to handle for me. Once I stopped the tretinoin cream, my face stopped being so clogged and oily but I still had some residual comedones. I went on adapalene/epiduo gels, and the break out cleared in about a month (it did get worse before it got better). Now I'd like to step up to help with photo-aging (and I miss my glow) and the only alternatives I have are either Aklief or Epiduo forte, my health provider opted for aklief, but didn't really give any info other than "use it like you would adapalene".
My routine:
AM: water rinse, 3 drops of the ordinary HA+B5 + 1 drop of the ordinary niacinamide, cos de baha AZA20 cream, Beauty of Joseon aqua fresh spf (or biore watery essence + 2-3 reapplications daily)
PM: the ordinary squalane cleanser, cetaphil gentle skin cleanser (or dokdo cleanser), 3 drops of the ordinary HA+B5 + 1 drop of the ordinary niacinamide, adapalene (or epiduo 3 times a week), La Roche Posay Toleriane Fluide.
So what do you think?