1. First read about RENOVA Cream and learn more about its indications, contraindications/precautions and read and agree to the Waiver of Liability.
2. Next, accurately and truthfully complete and submit a medical consultation questionnaire
3. Your medial consultation will be reviewed by one of our Physicians and if approved you will receive a RENOVA   (generic tretinoin 0.05% cream 60 gm tube) prescription with 6 refills.
4. This physician evaluation is RISK-FREE.  If  RENOVA is not appropriate for you there is No charge.  The initial consultation fee for the physician evaluation is only $49.95. 

• RENOVA is contraindicated in anyone  with moderate to heavily pigmented skin. RENOVA is contraindicated in Black  and Brown skin persons and can result in hyperpigmentation.
• RENOVA  is contraindicated in patients with eczema, any other chronic skin condition or pre-existing skin disorders, actinic keratoses , or history of skin cancer!
• Do NOT use RENOVA if you are sunburned, or if you have eczema or other chronic skin conditions.
• RENOVA is contraindicated in anyone who is  inherently sensitive to sunlight.
• Drug Interactions: RENOVA is contraindicated in anyone who is taking drugs known to be photosensitizers such as thiazides (sulfa-containing diuretics commonly used to treat high blood pressure),diurectics, amiodarone,  tetracyclines or quinolone antibiotics, fluoroquinolones, phenothiazines ( used to treat serious emotionnal problems), sulfonamides, sulfa-drugs of any kind  and minoxidil. (If unsure, before submitting a medical consultation,  check with your pharmacist and/or personal physician about the medications you are taking)
• Do NOT use RENOVA if us are using minoxidil and any skin medication, soaps, cleansers, cosmetics, any facial products that may be drying or irritating to the skin.  Benzoyl peroxide should not be applied at the same time as this medication. 
• RENOVA is contraindicated in anyone being treated with Accutane, Retin-A, Retin-A Micro, Tretinoin, isotretinoin preparation or other Vitamin A product.
• RENOVA is contraindicated in anyone who is pregnant, or is attempting to become pregnant or at a high risk of getting pregnant, and in anyone breast feeding.  Oral tretinoin in extremely high doses in animal studies has been shown to be teratogenic (having an adverse effect on an unborn fetus). The teratogenicity of topical tretinoin has not been established.
• A history of hypersensitivity to any of  the components or ingredients of RENOVA cream contraindicates usage: to tretinoin or Vitamin-A  or any  of the inactive ingredients: RENOVA  cream contains   0.05% tretinoin  w/w in a water in oil emulsion formulation consisting of light mineral oil, NF; sorbitol solution, USSP; hydroxyoctacosanyl hydroxystearate;  methoxy PEG-22/dodecyl glycol copolymer: PEG-24/dodecyl glycol copolymer; stearoxytrimethylsilane and steary alcohol; dimethicone 50 cs; methylparaben, NF; edate disodium, USP; quateernium-15; butylated hydroxytoluene, NF; citric acid monohydrate, USP; fragrance; and purified water, USP.
• Absolutely no one under the age of 18 should use RENOVA cream.

IMPORTANT WARNINGS

PRECAUTIONS

• RENOVA  should only be used as part of a comprehensive skin care and sun avoidance program that includes the use of effective sunscreens.  WHEN USING RENOVA ONE MUST USE A SUNBLOCK EVERY SINGLE DAY REGARDLESS OF THE WEATHER.
• RENOVA  makes the skin more sensitive to sun and one is more susceptible to get a sun burn. While using RENOVA  one needs to avoid or minimize sunlight exposure.  Do NOT use a sun lamp.  Patients must use sunblock with a minimum of SPF of 15 and protective clothing while using RENOVA. 
• RENOVA cream is for TOPICAL use only!  RENOVA must be kept out of eyes, mouth, angles of the nose and mucous membranes.
• Patients with Sunburn must not use RENOVA until the sunburn has completely cleared. Do NOT apply RENOVA on sunburn or eczema or another other serious skin condition.
• When using RENOVA weather extremes such as wind or cold may be more irritating.
• Do NOT use larger amounts of medication than recommended.  Doing so will NOT lead to more rapid or better results and may cause marked redness, peeling or discomfort and to the same side effects as those associated with excessive oral intake of Vitamin A.
• Use mild cleansers and do NOT use astringents and toners or other skin or cosmetic products with high concentrations of alcohol.  Alcohol has a drying effect on the skin and can increasing the drying and irritation effects of tretinoin.
• If you have acne, using RENOVA may initially seem to make your acne worse because Tretinoin unplugs acne follicles and brings acne pimples to the surface.  The stronger form of Retin-A is an acne treatment.

• While using RENOVA do NOT use topical medications, medicated or abrasive soaps, shampoos, cleansers, cosmetics with a strong drying effect, or products with high concentrations of alcohol.  Astringents, spices or lime, permanent wave solutions, electrolysis, hair depilatories or waxes and products that may irritate the skin should be use with CAUTION in patients being treated with RENOVA because they may increase irritation.
• While using RENOVA the simultaneous  use of any facial product that may be drying especially alcohol containing astringents and toners is contraindicated.
• Alcohol containing facial products and Benzoyl Peroxide must NOT be used at the same time as RENOVA.
• Precaution: Discontinue use of RENOVA for  3 -4 weeks before irritating procedures such as electrolysis or waxing.
• Do NOT sunbathe or using tanning beds or sun lamps while using Renova!

• Local reactions at the site of application, such as peeling, dry skin, burning, stinging, redness and itching,  occur in almost all subjects during therapy with RENOVA.  These signs and symptoms are usually of mild to moderate severity and generally occurred early in therapy.   If the degree of local irritation warrants, patients should use less medication, decrease the frequency of application, discontinue use temporarily or discontinue use altogether. 
• If drug sensitivity, chemical irritation or a systemic adverse reaction develops, use of  RENOVA should be discontinued and you should check with your regular physician.

IMPORTANT PATIENT INFORMATION

1. RENOVA should be applied to the face and  only used as directed by a physician.  It is for external/topical use only and is very safe when use as directed. 
2. It is crucial that you inform your physician and any treating physician that you are using RENOVA especially if you are considering any micropeels, chemical peels, laser peels, skin resurfacing or any facial.
3. RENOVA should be applied to the face once a day before bedtime using only a pea-sized amount. Do NOT use more frequently or in larger amounts. Using larger amounts than recommended will NOT lead to better or quicker results and will only result in severe local skin irritation.
4. In the evening, first wash your face with a mild non-soap cleanser  and  pat skin dry  waiting about  10 - 15  minutes  before applying a pea-sized amount of  RENOVA cream.  Lightly cover your entire face with this amount avoiding contact with the eyes, mouth, mucous membranes and the angles of the nose.  One may feel a transitory feeling of warmth or slight stinging.  Wash hands after use.
5. Afterwards apply a moisturizer or an alpha-hydroxy acid preparation to help counteract any dryness.
6. In the morning you should follow a complete skin care regimen and at a minimum apply a moisturizer and SUNBLOCK!  One must use SUNBLOCK daily!
7. When first beginning treatment with RENOVA apply every other night or even every third night depending on whether you skin becomes too red or dry.
8. Skin improvement in texture and pigmentation and a mitigation of fine wrinkles occurs gradually over the course of therapy. In some individuals up to six months of therapy may be required before the effects are seen.