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Wednesday, April 14, 2010

Stieva-A cream 0.025%


The following information has been extracted from

How does Stieva-A work? What will it do for me?Tretinoin is used to treat certain types of acne. Tretinoin helps acne by exfoliating the skin's outer layer which helps to reduce the formation of blackheads, whiteheads and other acne lesions.

How should I use Stieva-A?
Tretinoin should be applied once daily at bedtime to lightly cover the areas being treated. The area of application should be thoroughly cleansed with a mild soap and water and patted dry with a soft towel. Wait about 20 minutes before applying the medication so your skin is completely dry. The treated area should be washed no more than twice daily. Apply a small amount (about the size of a pea) on your fingertip and spread it on the skin where acne lesions appear. Use only enough medication to cover the affected areas lightly.

Keep the medication away for the corners of the nose, mouth, eyes and mucous membranes. Avoid applying excess amounts as the medication may run into the eyes and other areas that should be avoided. Avoid areas of the skin where you have other problems such as eczema, severely inflamed skin or open skin lesions. After you wash your skin in the morning, it is recommended that you apply a moisturizer or a moisturizer with sunscreen that will not aggravate your acne.

After 3 to 6 weeks of treatment, you may notice new blemishes. Keep using this medication as you will notice a gradual improvement over 8 to 12 weeks.

Prolonged exposure to sunlight, sunlamps, wind, and cold should be avoided during treatment. If exposure to the sun is unavoidable, use a sunscreen with minimum SPF 15 and wear protective clothing.

What form(s) does Stieva-A come in?
Each g of cream contains tretinoin USP 0.01%, 0.025% or 0.05% in an emollient cream base. Nonmedicinal ingredients: butylated hydroxyanisole, butylated hydroxytoluene, cetyl alcohol, edetate disodium, isopropyl palmitate, methyl paraben, prolyoxyl 40 stearate, propyl paraben, propylene glycol, purified water, stearic acid, stearyl alcohol and white petrolatum.

Forte Cream
Each g of cream contains tretinoin USP 0.1%. Nonmedicinal ingredients: butylated hydroxyanisole, butylated hydroxytoluene, cetyl alcohol, edetate disodium, isopropyl palmitate, methyl paraben, polyoxyl 40 stearate, propyl paraben, propylene glycol, purified water USP, stearic acid, stearyl alcohol, titanium dioxide and white petrolatum.

Each g of gel contains tretinoin USP 0.01%, 0.025% or 0.05% in an alcohol base gel. Nonmedicinal ingredients: anhydrous alcohol, butylated hydroxytoluene and hydroxypropyl cellulose.

Each mL of solution contains tretinoin USP 0.025%. Nonmedicinal ingredients: anhydrous alcohol, butylated hydroxytoluene and hydroxypropyl cellulose.

Who should NOT take Stieva-A?
Tretinoin should not be used by anyone who is allergic to tretinoin or any of the ingredients of the medication.

What side effects are possible with Stieva-A?
Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

  • burning, stinging, warmth, or tingling sensation of the skin lasting for a short time after applying
  • chapping or slight peeling of the skin
  • redness of the skin
  • unusual dryness of the skin
  • temporary darkening or lightening of the skin
  • skin rash
  • Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:

  • excessively red, swollen, blistered or crusted skin
  • pain, burning sensation, tenderness, severe irritation, or itchy skin
  • Some people may experience side effects other than those listed.
Application: Avoid excessive use of tretinoin. Avoid contact with the eyes, eyelids, angles of the nose, mouth, easily irritated areas, or other areas where treatment is not intended. Do not apply tretinoin to severely inflamed skin or to open lesions. Do not over-apply the cream. Doing so will not speed up treatment and will irritate your skin.

Skin care: Cosmetics may be used, but thoroughly cleanse the areas to be treated before applying the medication. Try to avoid products applied to the skin that have high concentrations of alcohol, spices or lime as they cause stinging and burning on treated skin. If possible, avoid simultaneous use of harsh abrasives and other skin treatments, including sun lamps.

Hair removal is permitted as usual (e.g., plucking, electrolysis, depilatories) but avoid these procedures at night before applying tretinoin as they may result in skin irritation.

Permanent wave solutions, waxing preparations, and medicated soaps and shampoos can sometimes even irritate skin that is not being treated with this medication. Use caution so that these products do not come into contact with skin treated with tretinoin.

Skin irritation: Some people may experience temporary skin irritation, especially in early weeks of treatment. Should excessive reactions occur, and the skin becomes extremely red, swollen, and crusted, the medication should be stopped and you should contact your doctor.

An apparent worsening may develop due to the medication's effect on existing deep lesions. This is a normal part of the treatment effect. Treatment should be continued.

Sunlight exposure: Exposure to sunlight, including ultraviolet sunlamps, may cause more irritation. Therefore, avoid or minimize this type of exposure during the use of tretinoin. If you cannot avoid exposure to sunlight, use sunscreen products (minimum SPF 15) and wear protective clothing over treated areas.

My Opinion:
If you've been following my blog, you would know that I've been tortured by adult acnes for quite some time. Although it is not a full blown situation, it's still very irritating, my face has never been clear for over a year and apart from having a new spot every month, my whole face is full of acne marks and I can't even go out without my makeup on. (is actually starting to affect my confidence...)
The most irritating thing is that I have this acne on my chin for over 2 months that is neither growing nor shrinking (DAMN). I've started to use Stieva-A for about a week, and this damn acne is finally starting to shrink, I have my fingers cross and hope that it'll finally disappear.

Update: I've written an update on this product, so if you are interested please check out my post on Stieva-A cream 0.05%


  1. I have used Stieva A,and it really really works.At 36,i still suffer from occasional breakouts,and Stieva A is my solution.It may take a while at first,but it is really worth it.

  2. I've been continuously using this since December last year. My problesm with acnes has been solved, but I'm still using this because I've heard that it works for pores and lines, I haven't seen any improvements yet.

  3. I have large dark patches on my face(on both sides of the cheeks). I have been to a doctor, the latter told me that these were the result of prolonged exposure to sunlight and that I had a dry skin which highly contributed to the darkening of my cheeks. He prescribed stieva 0.025 and eldopaque forte cream. He underlined that I should mix both medicines before application on the affected areas. But to my dismay, my skin has been worsening with these creams. The patches have gone larger and darker. There is an everlasting burning sensation. Furthermore the affected areas are very very sensitive. Even if i touch the affected areas with the tip of my fingers, the affected areas burn like hell.
    N.B: my doctor is on vacation. I'll get to him as soon as he returns.


    1. ok the first thing that you need to do is to stop using this product immediately.
      I never had problems will patches turning larger and darker, but I did burn myself before, and that was due to applying too much product (You should only use a pea size for your whole face).
      You might want to apply some aloe vera gel to calm down your skin and the only skin care product that I've used when I've burned myself was cetaphil (which was recommended by my derm).
      There isn't much you could do now apart from waiting, you have to let your skin heal (it took me about a week or two).
      Make sure you go and see your doctor when he's back, you might actually be allergic to the product, and if you are still interested in using stieva-A, please check out my other post on Stivea-A 0.005% where I've written a detail article on how to use this product properly.

  4. Thanks for your prompt reply.
    I'll be doing just as you said. I'll stop using both of the creams. I forgot to mention that I was told to apply the creams twice daily, morning and night. And for the dry skin he prescribed amilab body milk. I had to apply amilab body milk on my body following which I had to apply stieva-A and eldopaque(20 minutes after application of amilab body milk). May be the amilab body milk and the other creams don't go along very well or I may have an allergic reaction to one the 3 products. Thanks again.

    1. tretinoin twice daily sounds too much to me, I've started by using it once every 2 days, you have to build up your tolerance. Get well soon.

  5. hi, i have just got this cream, and i havent noticed anything really. i have moderate acne and i have lots of hyper pigmentation and scarring. i dont seem to see any imporvements so far but i am only on week 3. i have started getting spottier but im not sure if this is due to the cream or not? im in my summer holiday and hope to go back to school with clearer skin (4 weeks time)i havent been peeling that much and my skin neever got red is it working for me or not? :S is it good for hyper pigmentation? how log will it take to see results? help quick reply please. im 16 and male.

  6. hi josh, it took me six month to see any actual improvements, but I had alot of peeling and purging before that. My derm told me that I was suppose to see improvements after 3 months, but that didn't happen, basically everyone reacts differently.

  7. Hi, i've been using this product for about 6 weeks alr and my skin just got redder, like a lot redder. Is this normal? I don't know whether i should stop using it.

    1. My skin is still red after using this for several years, but whenever it gots really red, I'll just stop using it for a while until it gets back to normal, and I'll start all over again

  8. Hi, I have just started using this product, but I wanted to know if this can be applied on ance found on the neck? Thnks in adv. =)

    1. I apply this all over my skin including the neck, but only a tiny bit of product. Please note that I don't use it for acne, but for anti aging.

  9. May i know is rashes occuring normal as i just started using this product?
    its red rash and peeling around.
    i have just started using few days ago.