
A three-active prescription formula that corrects hyperpigmentation, melasma, and uneven skin tone from three independent points in the pigmentation cascade.
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Yes. Rejuvenate contains tretinoin, a prescription-only teratogenic retinoid. A valid prescription from a licensed provider is required.
Common side effects include nausea, vomiting, diarrhea, constipation, abdominal discomfort, reduced appetite, injection site reactions, fatigue, and headache. These are most frequently reported during dose escalation and typically diminish over time.
Contraindicated in pregnancy and breastfeeding. Not for patients with known retinoid hypersensitivity, documented allergy to tranexamic acid or niacinamide, or active inflamed or eczematous skin. Patients on oral tranexamic acid for systemic indications should disclose this to their provider.
enzoyl peroxide inactivates tretinoin on contact. AHAs and BHAs increase barrier disruption risk when combined with tretinoin, particularly during the adjustment period. Hormonal contraceptives and menopausal HRT are major melasma drivers and should be disclosed, as they require ongoing sun protection and maintenance therapy to manage alongside this formula.
Patients with active eczema or compromised skin barrier should stabilize their skin before starting tretinoin therapy. Patients with a history of severe post-inflammatory hyperpigmentation require gradual introduction. Reliable contraception is required for women of reproductive age throughout treatment.
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