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Topical acne cream that works. Request your prescription treatment today.

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of Canadians aged 20-40 experience adult acne.

If your expensive, over-the-counter skin creams aren’t doing it for you, have you considered looking into a topical prescription?

Though it can normally take weeks, even months, to see a dermatologist, the Felix team can connect you to a doctor to review your symptoms and prescribe a treatment within 24 hours—faster than you can say “folliculitis.”

Did you know?  

Aside from treating acne, some prescription creams also known to help reduce the formation and appearance of wrinkles. Not bad.

1 Start Your Online Visit

Share your medical history and symptoms with a doctor.

2 Get a Treatment Plan

Receive a diagnosis and prescription within 24 hours.

3 Enjoy 2-Day Delivery

Get your meds shipped discreetly to your door within the week.

The Acne Lowdown

Clarity is a beautiful thing. Get ‘learnt’ before you get treated.

What Is Adult Acne?

Acne is a skin condition that occurs when hair follicles are clogged with dead skin cells and oil from the skin (sebum). It is characterized by blackheads, whiteheads, pimples, oily skin, and possible scarring. The resulting appearance can lead to anxiety, reduced self-esteem, and in some cases, depression.

Acne commonly occurs in adolescence and affects an estimated 80-90% of teenagers in the Western world. Although it becomes less common in adulthood, acne persists in nearly half of affected people into their twenties and thirties and a smaller group continue to have difficulties into their forties and beyond.


Typical features of acne include increased secretion of oily sebum by the skin, comedones (blackheads and whiteheads), pustules, papules, nodules, and often result in scarring. Mild acne is classically defined by the presence of clogged skin follicles (i.e., comedones) limited to the face, with occasional inflammatory lesions (pustules, papules, and nodules). Moderate acne is said to occur when a higher number of papules and pustules occur on the face and are found on the body. Severe acne is said to occur when nodules (the painful bumps lying under the skin) are the characteristic facial lesions and involvement of the body is extensive.


While genetics is thought to be the primary cause of acne, hormones called androgens also appear to play a part, and hormonal activity such as occurs during menstrual cycles and puberty may contribute to the formation of acne. Another frequent factor is excessive growth of the bacterium Propionibacterium acnes normally present on the skin.

The roles of stress, diet, and cigarette smoking remain unclear, and neither washing nor exposure to sunlight appear to play a part. Some studies have found a lower-glycemic-load diet to be effective in reducing acne.

More information about adult acne here

Important safety information

Our patient care process for Acne treatment is overseen by our medical director Dr. Kelly Anderson. Learn more about our growing medical leadership team here.


What is Tretinoin and how does it work?

Tretinoin, also known as all-trans retinoic acid (ATRA), is a medicated form of vitamin A, or retinoid, used to treat acne. It is also used off-label to reduce the appearance of aging and fine wrinkles, stretch marks, and rough skin.

Not to be confused with isotretinoin, tretinoin is applied to the skin as a topical cream, ointment, or gel, and works by affecting the development of skin cells to decrease the number and severity of acne pimples and promote quick healing of pimples that do develop. Although the way tretinoin works isn’t fully understood, retinoids such as tretinoin are important regulators of cell reproduction, proliferation, and differentiation. 

Topical tretinoin is one of the most effective and widely used acne treatments on the market today.

Do not use when pregnant.

What about side effects?

Tretinoin is a generally safe and effective medication. However, some users experience side effects.

The most common side effect of Tretinoin is a warm, stinging sensation on the skin directly after the medication is applied. This is often accompanied by dry and itchy skin, redness, mild peeling/scaling, and sun sensitivity. 

Tretinoin can also potentially make your acne get worse before it gets better. In most cases, this side effect is temporary and goes away after two to four weeks of use.

Many of these minor side effects resolve on their own, while others are easily fixed by using a moisturizer or other skincare product to counter the dryness produced by tretinoin. Consult our safety information sheet to learn more.

Can I be accurately assessed remotely?

Absolutely., The acne assessment you will complete via Felix requires you to upload photos of your skin for the doctor or nurse practitioner to review. These photos, along with the other medical information you provide, will be sufficient for the doctor or nurse practitioner to determine whether or not you are eligible for a prescription as well as craft an appropriate treatment plan. Though unlikely, the doctor or nurse practitioner may follow up with some questions via secure chat (we’ll ping you via email if there are any messages in your inbox).

How much does the prescription skin cream cost?

Unlike less effective over-the-counter retinol products, which can cost hundreds of dollars, a 25g tube of topical Tretinoin costs around $25.

Am I covered by my insurance?

Currently, telemedicine-style appointments are not covered in Ontario, so you will be charged a one-time $40 medical consultation fee for your assessment by a healthcare practitioner. Fortunately, the resulting prescription is good for 12 months, and the cost of your actual medication and fill fee are covered in accordance with your private insurance plan.

Have more questions? Check out our full FAQ or get in touch at