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Retinoic acid is primarily used for the treatment of acne and certain skin conditions. It is also used in dermatology to reduce the appearance of fine wrinkles, improve skin texture, and treat sun-damaged skin. Additionally, retinoic acid plays a role in the treatment of acute promyelocytic leukemia (APL) as part of chemotherapy regimens.

Retinoic acid and retinol are related but not the same. Retinol is a form of vitamin A, while retinoic acid is an active metabolite of retinol. Retinol is converted into retinoic acid in the body, which is the form that exerts effects on the skin and other tissues. Retinoic acid is often used in topical treatments for skin conditions, whereas retinol is commonly found in over-the-counter skincare products.

Retinoic acid is not available over the counter. It typically requires a prescription from a healthcare provider. Over-the-counter options include retinol, which is a less potent form of vitamin A.

The closest over-the-counter alternative to tretinoin is retinol. Retinol is a less potent form of vitamin A that is commonly found in various skincare products. While it is not as strong as tretinoin, it can still help with skin cell turnover and improve the appearance of fine lines and wrinkles over time.

Retinoic acid is typically used by individuals seeking treatment for acne, certain skin conditions, or signs of aging. It is often prescribed by dermatologists for those with moderate to severe acne or for individuals looking to improve skin texture and reduce fine lines. However, it should be used under medical supervision, as it can cause irritation and other side effects. Pregnant women or those planning to become pregnant should avoid using retinoic acid due to potential risks to the fetus.