From fine lines and wrinkles to acne—address your concerns on your terms. If prescribed, get dermatologist-selected ingredients in a personalized treatment.
Bailey regained her confidence with Custom Rx Treatment.
After years of relentless acne breakouts, dark spots, dermatologist appointments, and prescriptions that didn’t work, Bailey found clearer skin with Ro Derm.
BailyAcneDark Spots
“I’ve been receiving compliments on how great my skin looks...My skin hasn’t been this clear or looked this great in years. This is the longest I’ve gone without one breakout, too! I feel so much better and I’ve had a major confidence boost.”
Ro Derm memberVerified
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Your Custom Rx Treatment formula may be different from Bailey's. Your healthcare provider will choose an appropriate formula for your skin and skin concerns. Bailey submitted her testimonial for Rory Nightly Defense, which is the previous name of Ro Derm Custom Rx Treatment—the formula did not change when the product was renamed. She received her treatment at no cost for offering her photos and testimonial.
WHY RO DERM FOR SKINCARE
Meet Custom Rx Treatment.
Prescription skincare customized for your skin type and skin goals.
Ingredients matter when it comes to taking care of your skin. That’s why every treatment blend is personalized to help you achieve your skin goals. If prescribed, your Custom Rx Treatment may contain:
Tretinoin
Targets:
Fine lines and wrinklesDark spotsUneven skin tone and textureAcneClogged poresDull skin
Considered the gold standard treatment for fine lines and wrinkles, as well as the mainstay of acne treatment. It stimulates skin cell renewal, increases collagen production, and evens out skin tone to promote glowing skin. Do not use tretinoin if you are pregnant, trying to conceive, or are breastfeeding. Click here for more safety information.
“My skin has drastically changed. It's more clear, no new breakouts, visibly less scarring...my skin feels fresh!”
Ro Derm memberVerified
“Incredible. I have my skin back, along with my confidence!”
Ro Derm memberVerified
“I'm 49 and people say my skin looks 28.”
Ro Derm memberVerified
“I know tretinoin and niacinamide can take several months to notice results, but in the 3 months I’ve been using it I’ve noticed results. My pores are smaller and look less clogged. My skin texture is smoother.”
Ro Derm memberVerified
“I was amazed at how quickly I received my order and how helpful my doctor has been.”
Ro Derm memberVerified
“My skin has improved so much since using this product.”
Ro Derm memberVerified
“Trustworthy, convenient, personalized care!”
Ro Derm memberVerified
These testimonials were submitted by verified members for Rory Nightly Defense, which is the previous name of Ro Derm Custom Rx Treatment—the formulas did not change when the product was renamed. The members received their treatment at no cost for offering their photos and/or testimonials.
Ongoing care with unlimited follow‑ups
From acne to fine lines and wrinkles, get personalized, prescription Custom Rx Treatment. Then, add on our cleanser and moisturizer to round out your skincare routine.
Start with a free 10-minute online visit, designed by dermatologists, to share your specific skin concerns and goals. If appropriate, a US-licensed healthcare professional will then prescribe your personalized Custom Rx Treatment.
Free 2-day shipping
Because we know how excited you are to begin your treatment (and we’re excited for you, too).
Free and unlimited check-ins
You’re not on your skincare journey alone. Your provider will follow up on your progress, help you manage any side effects, and, as your skin evolves, adjust your treatment as needed to optimize results.
Questions? Let us help.
What is Custom Rx Treatment?
Custom Rx Treatment is a customized skincare treatment that is intended to be used on the face. It is a compounded drug product, which means it is a mixture of different ingredients that are each selected based on your specific needs. While compounded medications are not FDA-approved, they serve an important patient need—especially when FDA-approved medication is not available for treatment.
Our team of experts, including dermatologists and our very own Chief Medical Officer, created the Custom Rx Treatment formulations and selected a cleanser and SPF lotion to complement them.
If prescribed, there are several different ingredients that may end up in your formulation of Custom Rx Treatment. Through Ro Derm, you’ll be connected with a US-licensed healthcare professional who will select the most appropriate combination of ingredients, tailoring the formulation to your specific skin concerns and goals. You will receive information about the ingredients in your formulation in your treatment plan."
What’s in the Custom Rx Treatment?
Custom Rx Treatment is made with a blend of ingredients that were hand-selected by a dermatologist and customized to fit your needs. Depending on your specific skin type, concerns, and goals, the ingredients in your Custom Rx Treatment may include:
If prescribed, you will receive a detailed treatment plan that describes which ingredients are included in your custom formulation.
Can I use Custom Rx Treatment with my other skincare products?
In many cases, yes. Depending on your specific treatment, your provider may recommend avoiding skincare products that have ingredients such as salicylic acid, glycolic acid, or benzoyl peroxide—at least during the beginning weeks of treatment. If you have any questions about specific products, you can message your provider for guidance. If you are using other topical prescription medications, make sure to tell your provider.
Prescription skincare can make your skin more prone to irritation and sensitive to the sun, so Ro Derm offers its own dermatologist-selected skincare products to complement your treatment: its refreshing Hydrating Cleanser and its UVA/UVB broad-spectrum sunscreen, Protecting SPF Lotion. For those engaging in extended outdoor activity, a stronger broad-spectrum sunscreen with an SPF of at least 30 is recommended.
When will I start to see improvement with my skin?
When using Custom Rx Treatment, the timing of the effects of your treatment will be dependent on many factors, including your specific skincare goals (e.g., reducing the appearance of fine lines and wrinkles, reducing redness, etc.), how severe your symptoms are, how well you tolerate the treatment, and others. It is also important to understand that—for certain treatments—your skin may appear worse before it gets better. Depending on the treatment you are prescribed, you will receive detailed information on the formulation, what to expect and when, as well as tips on how to mitigate any side effects such as redness, peeling, and flaking that may occur as your skin acclimates to the treatment.
Have another question? You might find the answer on our FAQ page. If not, give us a call at (424) 347-6299 or email us at care@ro.co.
Important Safety Information for Azelaic Acid
What is the FDA-approved use of azelaic acid?
Azelaic acid is used on the skin to treat the inflammatory papules (raised red spots) and pustules (small pus-filled bumps) of mild to moderate rosacea and acne.
Who should not use azelaic acid?
Do not use azelaic acid if:
You have had an allergic reaction to azelaic acid in the past.
How should I use azelaic acid?
Unless directed otherwise by your provider, use the formula at nighttime before bed.
Wash your face using a gentle cleanser and pat dry. Let the skin dry completely before applying the medication. Apply a thin layer to the entire face. Avoid direct contact with your eyes and eyelids (under the eyes is ok). Wash your hands after applying.
If you have a cold sore (oral herpes), avoid applying the cream to the area of the cold sore. Exacerbations of cold sores have been reported.
Avoid contact with the mouth, eyes, and other mucous membranes. If exposure to the eye occurs, wash with large amounts of water and contact your doctor or nurse practitioner if irritation persists.
What should I tell my Ro Derm-affiliated provider before using azelaic acid?
It’s important to tell your Ro Derm-affiliated provider all of the medications you are currently taking, including prescription, over-the-counter medications, vitamins, and herbal and dietary supplements.
It’s important to share your entire medical history with your provider. In particular, tell your provider if you have a past history of asthma.
Tell your provider if you are pregnant, planning to become pregnant, or breastfeeding.
Withholding or providing inaccurate information about your health and medical history in order to obtain treatment may result in harm, including, in some cases, death.
What are the most serious side effects that I should monitor for when using azelaic acid?
If you are experiencing a medical emergency, call 911 or seek immediate medical attention.
These serious side effects are rare, but can occur with azelaic acid.
Hypopigmentation: There have been isolated reports of hypopigmentation (skin lightening) with use of azelaic acid.
Eye and mucous membrane irritation: Avoid contact with the eyes and mucous membranes.
Worsening of asthma: If you have asthma and experience any signs of an asthma attack (i.e., shortness of breath, wheezing), stop using the medication and tell your doctor or nurse practitioner.
What are the most common side effects of azelaic acid?
There may be some discomfort or dryness during the early days of treatment while your skin is adjusting to azelaic acid. If side effects don’t subside within 2 to 4 weeks, or you are not seeing improvement, reach out to your Ro-affiliated provider for guidance.
Burning, stinging, tingling
Itching
Dry, flaky, or cracked skin
Redness and irritation
You are encouraged to report negative side effects of prescription products to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
This information is not comprehensive. Please see the full Prescribing Information for complete safety information.
Important Safety Information for Tretinoin
What is the FDA-approved use of tretinoin?
Tretinoin is a topical medication that is used to treat acne and to reduce the appearance of fine lines and wrinkles and other signs of photoaging on the face.
Who should not use tretinoin?
Do not use tretinoin if:
You are allergic to tretinoin.
You are pregnant or breastfeeding, you are trying to get pregnant, or you are unsure whether you are pregnant. When prescribed as an oral medication, tretinoin was associated with miscarriage and birth defects. While there is inconclusive evidence that tretinoin applied topically can cause miscarriage or birth defects, it is best to be cautious. Tretinoin should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
How should I use tretinoin?
Unless directed otherwise by your provider, use the formula at nighttime before bed (UV light in sun degrades tretinoin). Wash your face using a gentle cleanser and pat dry. Let the skin dry completely before applying the medication. Apply a thin layer to the entire face. Avoid direct contact with your eyes and eyelids (under the eyes is ok). Wash your hands after applying.
Repeat 2–3 times a week as tolerated to begin with, then gradually increase to nightly use, or as directed by your provider.
Avoid exposure to the eyes, including eyelids, mouth, angles of the nose, and mucous membranes. If contact with the eyes occurs, rinse thoroughly with large amounts of water.
People using tretinoin should have an aggressive sun protection regimen including sunscreen (at least SPF 15 for daily wear and at least SPF 30 when spending time in direct sunlight), protective clothing, and sun avoidance whenever possible.
What should I tell my Ro Derm-affiliated provider before using tretinoin?
It’s important to tell your Ro Derm-affiliated provider all of the topical as well as oral medications you are currently using, including prescription, over-the-counter medications, vitamins, and herbal and dietary supplements, even if you think they are unrelated to the skin condition being treated.
Tretinoin can make your skin more sensitive to the sun and can cause drying and peeling.
Using tretinoin with other topical drying agents can increase the drying effects of tretinoin. Some topical medications to watch out for include salicylic acid, sulfur, and resorcinol
Some common oral medications that can make your skin more sensitive to the sun, including certain antibiotics and blood pressure medications, might exacerbate any sun sensitivity resulting from tretinoin use.
It’s important to share your entire medical history with your provider. In particular, tell your provider if you have a history of:
Eczema
Sensitivity to the sun or are easily sunburned
Conditions that may increase sensitivity to sunlight. These include systemic lupus erythematosus, cutaneous lupus erythematosus, albinism, and porphyria
Tell your provider if you are pregnant, planning to become pregnant, or breastfeeding.
Withholding or providing inaccurate information about your health and medical history in order to obtain treatment may result in harm, including, in some cases, death.
What are the most serious side effects that I should monitor for when using tretinoin?
If you are experiencing a medical emergency, call 911 or seek immediate medical attention.
These serious side effects are rare, but may occur with tretinoin.
Skin discoloration
Inflammatory reaction with blistering
What are the most common side effects of tretinoin?
There may be some discomfort or peeling during the early days of treatment while your skin is adjusting to tretinoin. If side effects don’t subside within 2 to 4 weeks, or you are not seeing improvement, reach out to your Ro Derm-affiliated provider for guidance.
Dryness
Itching
Burning
Redness
Peeling
You are encouraged to report negative side effects of prescription products to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
This information is not comprehensive. Please see the full Prescribing Information for complete safety information.
