Purchasing tretinoin in the EU

If you have acne, visible skin aging, or hyperpigmentation, you may benefit from tretinoin. In most EU countries, purchasing tretinoin from a pharmacy requires a prescription from a dermatologist. Online dermatology services now offer a convenient and often more affordable alternative to in-person visits. For example, dermanostic is a German online dermatology service that operates in many EU countries, supported by the ePrescription and eDispensation initiative. This system allows prescriptions to be used across borders, so a German prescription can be filled at a Belgian pharmacy.

Using the dermanostic app, you can create a case describing your concerns, such as acne or rosacea. The app guides you step by step, asking about the onset of your symptoms, any current treatments, and other relevant details. The process typically takes less than 15 minutes.

At the comments section, you can add extra information to support your case. For example, mention if you have previously used tretinoin and are familiar with its side effects, or if you need a repeat prescription. If you were unable to fully describe your concerns earlier, such as skin aging or hyperpigmentation, you can clarify them here to help the dermatologist understand your needs.

After submitting your case, you will be prompted to choose a package. The basic package, costing €28, is sufficient for obtaining a prescription. Payment options include Apple Pay, Google Pay, Klarna, and others. Your case is usually reviewed within 1–2 business days. If medication is prescribed, you can choose to have it sent to your address, and you should be able to use the prescription at your local pharmacy.

Keep in mind that you will need to pay for the medication at the pharmacy. For example, a 50g tube of tretinoin (such as CORDES VAS) typically costs less than €20 and can last up to six months with daily use. Altogether, the combined cost of the dermatology service and the medication should not exceed €48 for six months of treatment.