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Tretinoin gel is applied a thin layer of 20-30 minutes after washing on the dried skin.

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due to the teratogenic effects of isotretinoin, ipledge makes additional requirements of women filling prescriptions for the drug women with child-bearing potential must commit to using two forms of effective contraception simultaneously for the duration of isotretinoin therapy and for a month immediately preceding and a month immediately following therapy.

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and it s well known that tretinoin thickens the dermis, and the only way it could do that is if it actually reached the dermis.

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