You'll likely stay at this dose for the first four weeks before determining if you'll increase to a 0.5 mg weekly dose
Loren Pickart at the University of California, San Francisco
50 Mietlicki-BaaseE
Keep the final call tied to your own labs, history, medications, and clinician guidance
Look for active ingredients like salicylic acid (BHA) or benzoyl peroxide, she says, recommending a gel-based wash to minimize heavy occlusion. To avoid irritation, she advises keeping exfoliation to two to three times per week if using acids, and cautions to avoid heavy, highly fragranced washes. For eczema-prone or sensitive skin, she emphasizes restraint above all else, advising people to prioritize fragrance-free and dye-free formulas, seek out colloidal oatmeal, ceramides, and mild surfactants, and avoid exfoliating acids unless specifically advised by a dermatologist. She adds that short ingredient lists reduce the chance of irritation, making them especially important for compromised or reactive skin