POSTED: 12 Jun 2023

Where to Get Tretinoin Cream or Gel Online in the UK

In the UK, tretinoin is available by prescription only because it is a powerful topical retinoid that needs to be used under medical supervision. This means you cannot buy it over the counter. The only legal way to get it is with a prescription from a doctor or other qualified prescriber. The good news is that you can now get tretinoin online in the UK. A small number of regulated clinics and subscription services offer it for acne, hyperpigmentation and skin ageing. In this post we review the best online clinics for tretinoin cream and gel treatments in the UK. We also compare them with the in-person alternatives.

Can You Buy Tretinoin Over the Counter in the UK?

You cannot buy tretinoin over the counter in the UK. It is a prescription-only medicine. This means you will not find it on the shelves at Boots, Superdrug or any other pharmacy without a prescription. High street shops and beauty retailers can only sell cosmetic retinoids like retinol, which are much weaker than tretinoin. You may come across overseas websites offering to sell tretinoin directly but buying from these is unsafe and not legal in the UK. The only safe and legal way to get tretinoin is with a prescription. This can come from a doctor or other qualified prescriber who deems it appropriate for you, either in person or through an online medical clinic.

Best Online Tretinoin Clinics in the UK

There are a number of telemedicine companies that offer virtual consultations with a doctor, specialist nurse or pharmacist. As with in-person clinics, these medical practitioners can prescribe tretinoin if they believe it is the right treatment for you. They treat common conditions like acne, hyperpigmentation, melasma, rosacea and skin ageing. These companies either provide compounded formulations of topical tretinoin in lotion, cream or gel form, or offer licensed generic or branded products. They then deliver the product to your home. Many people want tretinoin online in the UK alongside personalised advice on how to use it safely. For them, a virtual consultation can be a convenient option. Here are 11 of the most popular telemedicine clinics in the UK that offer virtual consultations and can send tretinoin to you.

#1 City Skin Clinic

City Skin Clinic provides personalised skin and hair loss treatments using active ingredients like tretinoin, hydroquinone, azelaic acid, finasteride, spironolactone and dutasteride where appropriate. You have the option of either a video consultation or completing an online form consultation with a doctor. They will assess your skin type, concerns and goals, then design a bespoke treatment plan. This may include tretinoin gel or cream, either alone or compounded with other actives. The same doctor will then monitor your progress throughout your treatment journey, and you can reach out to them at any time by email. We deliver treatments directly to patients. All face treatments usually last 3 months, and your doctor will work with you to adjust the composition of your next formula based on your progress. This is not a subscription service, so patients request refills when they are ready.

Start Your Online Consultation

Personalised prescription-strength skincare

#2 Skin+Me

Skin+Me is a popular subscription service that offers virtual skin assessments using an online form. This is then reviewed by one of their doctors, nurses or pharmacists. They provide their own brand of personalised skincare formulations that may include tretinoin and other prescription ingredients. After completing an online assessment, customers receive a customised treatment plan designed for their skin concerns. The products are then delivered to their door.

#3 Dermatica

Dermatica is another popular subscription skincare service that offers online form skin assessments reviewed by their practitioners. This may be one of their doctors, nurses or pharmacists. If they find it suitable for you, they will provide their own formulation of prescription skincare that may include tretinoin. You complete a virtual assessment on their website and their clinical team reviews your case and recommends a personalised treatment. They then deliver the products directly to your door.

#4 Zava

Zava is a telemedicine platform that offers virtual skin assessments using an online form which their doctors then review. They provide a range of prescription skincare products for acne and rosacea. This includes generic tretinoin formulated with antibiotics (Treclin) that you can order through their website. They will then deliver the products directly to your home.

#5 MedExpress

MedExpress is an online pharmacy that provides prescription acne treatments including topical tretinoin formulated with clindamycin (e.g. Treclin gel). They offer online form skin assessments which their prescribers (doctors or pharmacists) then review. If your assessment is approved, you can order their recommended treatments through their website. The products are delivered to your designated address.

#6 Chemist4U (Formerly Doctor4U)

Chemist4U is another reputable online pharmacy offering prescription acne skincare. They provide tretinoin formulated with clindamycin. To access their service, you complete an online questionnaire which their healthcare providers (mainly pharmacists) will then review. If approved, you can order the recommended products through their website and they will deliver them to you.

#7 Push Doctor

Push Doctor is a well-established telemedicine platform that offers video consultations with GPs through their app. They treat a variety of conditions including acne. If they feel tretinoin is appropriate for you, they will issue a prescription which you can pay for and collect from a pharmacy. For more complex cases, they may refer you to a specialist.

#8 The Online Clinic

The Online Clinic is a telehealth platform that offers virtual assessment questionnaires which their doctors then review. They treat a number of skin conditions including melasma and acne. Based on the online consultation, they may provide prescription skincare like tretinoin (alone or formulated with clindamycin) and pigmanorm. This is for a fee that includes the consultation, prescription and medication. They then deliver the products to you from their pharmacy.

#9-11 The New Comers

Since we first wrote this post, a number of new skincare platforms offering compounded formulations of tretinoin have come up. We have grouped these here as they offer a very similar subscription service to Skin+Me and Dermatica but with a slight twist. These companies include And Begin (now rebranded as Renew + Me), which is owned by Skin+Me and aims to target “middle-life” women. Klira is another service that targets the luxury skincare market. Last but not least, Uncouth is a custom skincare service aimed at a younger demographic. As these target different markets, they generally have slightly different subscription costs and frequencies.

ProviderService ModelConsultationTreatment TypeBest For
City Skin ClinicOnline clinicOnline form or video with doctorCustom cream or gel with tretinoin ± other activesHigh personalisation and long-term optimisation
Skin+MeSubscription skincareOnline form reviewed by clinicianCustom cream with tretinoin ± activesEasy access with ongoing platform support
DermaticaSubscription skincareOnline form reviewed by clinicianCustom cream with tretinoin ± activesSimple subscription-based treatment
ZavaOnline clinicOnline form reviewed by doctorsStandard tretinoin + antibiotic (e.g. Treclin)Straightforward acne or rosacea treatment
MedExpress / Chemist4UOnline pharmaciesOnline form reviewed by pharmacistsTretinoin + antibiotic (Treclin)Fast access to standard treatments
Push DoctorGP video serviceVideo consultation with GPPrescription issued if appropriateMore complex cases needing GP input
Newer services (e.g. Renew + Me, Klira, Uncouth)Subscription skincareOnline form reviewed by clinicianCustom creams with tretinoin ± activesNiche focused users

When it comes to where to get tretinoin online in the UK, most services fall into three categories. These are subscription skincare platforms, virtual pharmacies and online doctor-led skin clinics. Subscription platforms tend to be easier and relatively cheaper to access, though the extent of personalisation can be limited depending on the provider. Virtual pharmacies usually prescribe standard tretinoin-antibiotic combinations only, so they have fewer treatment options. Online doctor-led clinics tend to offer great personalisation and consultation options but may be less accessible. The best option depends on your priorities in terms of convenience, cost or customisation.

How to Get Tretinoin in Person in the UK

Unlike isotretinoin (Roaccutane) or adapalene, tretinoin is generally not available through the NHS. As such, most people would need to see a private dermatologist, aesthetic doctor or GP. The doctor then provides you with a prescription which you can take to the pharmacy to buy generic or branded tretinoin. This may or may not contain other ingredients such as antibiotics. There are also pharmacies with walk-in clinics where you can access a consultation with an on-site doctor and obtain a prescription for tretinoin. Again, this is usually for generic tretinoin creams. Some aesthetic clinics also provide tretinoin cream or gel for mild acne, hyperpigmentation and photo-ageing. This is usually using brand names like Obagi. You would normally have a consultation in the clinic, then either return to pick up your tretinoin or arrange delivery for an extra fee.

Why Isn’t Tretinoin Available Over the Counter in the UK?

Tretinoin is a potent retinoid that needs medical supervision to use safely. That is why the MHRA classes it as a prescription-only medicine. It can cause irritation, peeling and increased sun sensitivity, and it is not safe in pregnancy or breastfeeding. For these reasons it is not licensed for sale as a cosmetic, unlike weaker over-the-counter retinols. Tretinoin is also not as widely available here as it is in countries like the United States. There it is still prescription only, though more commonly prescribed. On top of this, the NHS rarely prescribes tretinoin for off-label concerns like hyperpigmentation or photo-ageing. As a result, most people in the UK access it privately through a clinic or an online service.

What Strength of Tretinoin Cream Should You Use?

Standard, off-the-shelf tretinoin comes in a few fixed strengths. Creams are usually 0.025%, 0.05% or 0.1%, whilst the main standard gel comes as 0.05%. These are the set strengths you get with generic or branded products like Tretinoina, Retirides or Obagi. Compounded formulas offer greater flexibility as the prescriber can tailor the exact strength and base to each patient. In compounded formulas, tretinoin can be formulated from 0.001% to 0.1%. These formulas can contain tretinoin by itself or combine it with other actives in a single cream or gel.

The right strength depends on your skin type, your concern and how well your skin tolerates treatment. Most people start on tretinoin 0.025% or lower to let the skin adjust and permit regular use. It is then possible to build up strength gradually if needed. This is something your prescriber will decide with you, rather than a one-size-fits-all choice. The base matters too. Tretinoin gels tend to suit oilier or acne-prone skin, whereas creams work better for drier or more sensitive skin.

When choosing which service to use, first consider the type of medical consultation you are comfortable with as this will form the foundation of your treatment journey. Then look at factors like type of treatments offered, price, customer service quality and aftercare.

At City Skin Clinic, we believe that skincare is personal and should always centre around your needs. Our doctors offer safe and effective custom treatments for acne, hyperpigmentation, melasma and skin ageing using ingredients like tretinoin in cream or gel formulas where appropriate. To start your personalised skincare plan, book a video consultation with one of our doctors or use our online consultation form. The journey towards great skin starts here.

This article is intended for general informational purposes only and is not a substitute for medical advice, diagnosis or treatment. Always consult a qualified medical provider for any health concerns or questions you might have.

Frequently asked questions

Tretinoin (all-trans retinoic acid) is a vitamin A derivative that was first approved by the FDA in 1971 for the treatment of acne vulgaris. It also stimulates skin cells to make collagen and increases cell turnover, which is why it has off-label uses in photo-ageing.

You can only get tretinoin in the UK through a medical provider. This is because it can cause side effects like irritation. It is also not safe in situations like severe eczema, pregnancy or breastfeeding.

No. Boots and other high street pharmacies cannot sell tretinoin over the counter because it is a prescription-only medicine. They can only sell weaker cosmetic retinoids like retinol.

Tretinoin is generally not available on the NHS for cosmetic concerns. It may be prescribed in some cases of acne, though most people in the UK access it privately or through a regulated online clinic.

Tretinoin is a prescription-only medicine in the UK and must be prescribed following a medical assessment. You can get it online through UK-regulated telemedicine clinics, subscription dermatology services or online pharmacies, after review by a clinician if they deem it safe and appropriate.

This depends on your skin concern and overall health. Online dermatology services can be as safe and effective as in-person clinics if they have registered clinicians who conduct a thorough medical assessment. This is the only way to diagnose your skin and determine the correct treatment.

Yes. Although most online pharmacies primarily prescribe tretinoin containing antibiotics, most doctor-led clinics and subscription services offer more options.

Tretinoin usually takes 12 weeks or more to show clear results, although some people notice changes sooner. Skin can also look worse before it improves, so consistency and patience are important.

Authored by:

Dr Amel Ibrahim
Aesthetic Doctor & Medical Director
BSC (HONS) MBBS MRCS PHD
Founder City Skin Clinic
Member of the Royal College of Surgeons of England
Associate Member of British Association of Body Sculpting GMC Registered - 7049611

Connect with us

  • Facebook Logo
  • Twitter Logo
  • Instagram Logo
  • Pinterest Logo
  • YouTube Logo
  • LinkedIn Logo

Start Your Online Consultation

The journey to great skin starts here. Start your online consultation for personalised prescription-strength skincare.

Start Consultation