<s>[INST] hello doc, i am using a gel named retino ac*(tretinoin 0.025% w/w and clindamycin 1% w/w gel). i am obsevring a peeling kind of thing on my skin.., it has become ruff just the way skin becomes in winter, it is also causing a bit of burning sensation and i feel the pimple marks on my skin have increased. could u plz tel me whts wrong,i am very much worried. [/INST] Hi You are using retinoid and clindamycin ,this is a combination which is very effective in acne and is very frequently prescribed by dermatologists... But the problem is that proper application of this topical medication is very important. It has to be applied only at niftier little amount has to be applied,and it should not be rubbed onto the skin,,,The cream should only be touched over the affected area. Now in your case, you have developed irritant dermatitis. Firstly, you should stop using it for the time being. Use a mild topical steroid like HY Chat Doctor. And use an oil free moisturizer regularly over your face to decrease the  </s>