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Unless directed by your doctor, avoid using the following in the areas you apply tretinoin: Alpha Hydroxy Acids (AHAs) Benzoyl peroxide Harsh scrubs or exfoliating products Lactic acid Other retinoids, including adapalene or tazarotene Facials with peeling agents Products with lots of alcohol Salicylic acid Who should use tretinoin

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Also, additional environmental factors such as pollutants may also affect its level

doi: 10.4103/jcrt.JCRT_862_16 165 GonzalezACasadoJChuecaESalillasSVelazquez-CampoyAEspinosa AngaricaVet al