Free shipping on all treatments. See treatments

How much does it cost, can I pair it with Topical Spironolactone, and how do I start?

Tretinoin is $59/month with free shipping. Monthly plans ship a 20g bottle; quarterly plans ship a 60g bottle at the same per-product pricing. There's no separate consultation or intake fee — you're only charged after a licensed provider approves your treatment.

It also pairs well with Topical Spironolactone. Tretinoin clears pores and normalizes turnover, while Topical Spironolactone calms androgen-driven oil production — so together they cover two different drivers of hormonal acne. Oana offers a Topical Spironolactone and Tretinoin Pack that bundles both in one checkout and saves 20% automatically; a common approach is Tretinoin at night and Topical Spironolactone as directed.

One important note: Tretinoin is generally avoided during pregnancy. If you are pregnant, planning pregnancy, or breastfeeding, talk with your provider about safer alternatives before starting. To get started, add it to your cart and complete a brief medical questionnaire, or take the assessment first if you'd like a recommendation. A licensed Oana provider reviews your responses within 24 hours and, if Tretinoin is appropriate, personalizes the strength and formula for your skin.