Hi, thanks for posting your query
is effective in cystic and comedonal acne
. So it is increasingly used in acne, though it is associated with severe side effects but they occur rarely .Dryness is most common which can be taken care of with moisturizers . So you may start using it and if side effects occur it may be stopped.
If you are too much concerned you may start only azithromycin
and creams and if improvement is seen in 2-3 months ,you may continue with these and you may not need tretinoin .
Hope this solves your query .