Stieva-A® 0.025% (Tretinoin Cream)

What is Stieva-A® 0.025% used for​​​?

Stieva-A® 0.025% contains tretinoin, which is a topical retinoid and a form of vitamin A. Topical tretinoin can be applied to the skin to treat acne. This medication works by reducing inflammation and clearing blocked pores.

Tretinoin also has anti-ageing properties, decreasing the appearance of fine lines and wrinkles. It may also be used for other conditions as determined by your doctor.

Dosage and How to Use​

• Wash the skin with cleanser, then rinse and pat dry.
• Wash your hands before and after applying the medication.
• Apply a thin layer of medication to cover the affected areas according to your doctor’s instructions.
• If you are using this preparation for the first time, start with applying on a small area of affected part and increase gradually to other areas over the following week if there is no skin irritation. Alternatively, start by using every other day for the first 2 weeks, then apply daily.
• Avoid applying the medication on broken skin or too near to your eyes, mouth and nose as it may cause irritation. 
• Flush the area thoroughly with water if the medication accidentally gets into your eyes, mouth, and nose.

What to do if I missed a dose?

If you forget to apply a dose of this medication, apply it as soon as you remember. Skip the dose if it is time for the next dose. Apply your next dose at the usual time. Do not apply two doses to make up for the missed dose.

What are the possible side effects of Stieva-A® 0.025%?​

Initially, you may experience peeling of the skin, with redness and even a mild stinging sensation. If you experience bad irritation, apply it less frequently.

Sometimes, your acne may seem to get worse during the first two to three weeks. This is a normal reaction. If you continue using this medicine, you will notice improvement. The best results may be achieved after four to seven weeks of treatment.

What are some rare but serious side-effects that I need to seek medical advice immediately?

The symptoms of a drug allergy include one or more of the following: 

• Swollen face/eyes/lips/tongue
• Difficulty in breathing
• Itchy skin rashes over your whole body

If you experience any of the following side effects, please consult your doctor immediately:

• Burning
• Blistering
• Crusting
• Itch
• Swelling

What precautions should I take?

Inform your healthcare professional if: 

• You are allergic to this medication or any of the other ingredients of this medication
• You are pregnant, planning to become pregnant, or breastfeeding

Avoid washing your face too often as this may increase the drying-out effect of your medication. Wash your face two to three times a day only.

Unless otherwise directed by your doctor, avoid using other “drying” preparations on the same treated areas to prevent severe irritations. These include harsh soaps and cleansers, alcoholic preparations and medicated cosmetics or soaps. 

Avoid staying directly under sunlight for long durations. Use a broad-spectrum sunscreen product with Sun Protection Factor (SPF) of at least 30 and wear protective clothing when you are exposed to direct sunlight.

Avoid applying heavy make-up and using oily cosmetics. It is recommended to choose make-up products with non-oily formulas.

Handling and storage

• Store in a cool dry place, away from direct sunlight.
• Keep out of sight and reach of children.

The above information answers some common questions about this medicine. It does not contain all the available information. It also does not take the place of talking to your doctor or pharmacist.

References

https://www.healthhub.sg/a-z/medications/382/Topical-Retinoid

https://www.healthline.com/health/tretinoin-for-acne