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    Retin-A (Tretinoin) is a topical (applied to the skin) form of Vitamin A that helps the skin renew itself. The Retin-A brand of tretinoin is used to treat acne. The Renova brand of tretinoin is used to reduce the appearance of fine wrinkles and mottled skin discoloration, and to make rough facial skin feel smoother. Tretinoin helps acne by causing the skin’s outer layer to grow more quickly and be replaced with new skin cells, which helps to reduce the formation of blackheads, whiteheads, and other acne lesions. It may take up to 2 to 4 weeks to see improvement in your acne and the full effect of the medication may not be seen until 6 to 12 weeks. We currently have the brand cream from India called Retino-A manufactured by Janssen-Cilag, the brand gel from Canada manufactured by Johnson & Johnson and the generic gel from India called A-Ret. Retin A comes in three different strengths and forms: a micro gel (0.1 %/20 gm, 0.04 %/20 gm, 0.04 %/45 gm), and a cream (0.025 %/20 gm/0.05 %/20 gm). Generic equivalents may also be supplied by alternate manufacturers. You can buy Retin A through Canadian Pharmacy at the lowest possible price. We offer RX and OTC medications online from Canada and other countries around the world with a valid prescription from your doctor. The brand Retin A gel and cream comes from India also called Retino-A manufactured by Johnson & Johnson and from Canada manufactured by Valeant. The generic Retin A cream and also called Tretin Cream comes from India. The generic A-Ret gel comes from India and manufactured by Shalak. The generic Tretinoin cream also called Acnelyse Cream comes from Turkey and is manufactured by Abdi Ibrahim Pharmaceuticals.

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    By Lisa Wu, MD Hypotension is a frequently encountered problem in patients with poisoning or drug overdose. Toxicological causes of hypotension are usually due to a drug’s or toxin’s ability to induce one or more of the following: decrease cardiac contractility; decrease peripheral vasculature resistance; decrease intravascular volume; or depress the central nervous system. Yet, determining the specific cause of hypotension is often complex as its medical differential is vast. While medications are commonly implicated as a direct cause of hypotension, a fall in blood pressure may be associated with other coexisting medical conditions. An understanding of the pharmacologic effects of drugs and knowledge of the patient’s underlying medical conditions are crucial for the effective management of hypotension. Hypotension is frequently seen in the overdose population. During 2004, hypotension was present in over 20% of all cases reported to poison centers across California. Girl's death stirs debate over psychiatric meds - Health - Children's. Clonidine suicide - New Doctor Insights Trends and Toxic Effects From Pediatric Clonidine Exposures.
     
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