Safety and Suitability FAQs
Answers about pregnancy, trying to conceive, interactions, and how prescribers decide what is suitable. This page covers both skincare and hair loss treatments.
Pregnancy and trying to conceive
Can I use tretinoin if I am pregnant or trying to conceive?
Tretinoin is not recommended during pregnancy. If you are pregnant, trying to conceive, or breastfeeding, disclose this in your consultation so a prescriber can advise on safer alternatives.
Are azelaic acid or tranexamic acid suitable in pregnancy?
Suitability depends on individual circumstances. If you are pregnant, trying to conceive, or breastfeeding, disclose this in your consultation so a prescriber can confirm what is appropriate for you.
Can I use hair loss treatments if I am pregnant or breastfeeding?
Some hair loss treatments are not suitable in pregnancy or breastfeeding. Always disclose pregnancy, breastfeeding, or trying to conceive so a prescriber can assess risk and recommend appropriate options.
Combining actives safely
Can I use tretinoin with other actives?
Many people do, but irritation risk increases when starting multiple actives together. Introduce one change at a time and increase slowly. If irritation occurs, reduce frequency and simplify your routine.
Can I use azelaic acid with tretinoin?
Some people tolerate this combination well, often using one in the morning and one at night. If you have sensitive skin, start with one active first and only add another once stable.
What should I avoid when starting a new active?
Avoid starting several strong actives at once. Over-exfoliating, harsh scrubs, and frequent use of multiple acids can increase irritation. A gentle cleanser, moisturiser, and daily SPF help support tolerance.
How prescribers decide what is suitable
What information does a prescriber use to assess suitability?
Prescribers assess your medical history, allergies, current medications, pregnancy status, prior treatment response, and your specific skin or hair goals. This helps ensure treatments are appropriate and risks are minimised.
Why do you ask about medications and medical conditions?
Some conditions or medications can change what is safe to use, or increase the risk of side effects. Accurate information helps the prescriber make a safe recommendation.
What if I have had side effects before?
Include this in your consultation. Previous side effects can guide product selection, starting strength, and how quickly you increase use.
When to stop and seek advice
When should I stop using a product and seek advice?
Stop and seek advice if you develop severe irritation, blistering, facial swelling, widespread rash, breathing difficulties, or any concerning symptoms. Mild dryness or flaking can be expected with some actives, but severe reactions should be assessed.
What if I have mild irritation?
Reduce frequency, use a moisturiser, and simplify your routine. If symptoms persist or worsen, seek advice through your provider.
What if my symptoms are urgent?
If you think you are having a serious allergic reaction or medical emergency, seek urgent medical care immediately.