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PM Protocol
Prescription · Treatment

PM Protocol.

Rx night compound

The hardest-working step in your routine. A compounded nightly treatment combining four prescription and clinical-grade actives, designed to accelerate cellular renewal while you sleep.

Accelerates skin turnover
Tretinoin cuts the keratinocyte cycle from ~28 to ~14 days.
Evens tone + pigmentation
Azelaic acid inhibits melanin production in dark spots.
Supports barrier repair
Niacinamide reduces irritation and strengthens the skin barrier.
Stimulates collagen overnight
GHK-Cu peptide accelerates tissue renewal during sleep.
Active ingredients
Active
Tretinoin 0.05%
Gold-standard Rx retinoid
Active
Niacinamide 4%
Barrier support
Active
Azelaic acid 10%
Tone + clarity
Active
GHK-Cu peptide
Tissue renewal
PM Protocol only
$49 /month
30 ml · ~60-night supply
Best value
Full protocol · $99/mo
AM + SPF + PM together
Prescribed by US-licensed clinicians
Compounded at a 503A licensed pharmacy
$0 if your clinician doesn't approve

What it does,
biologically.

PM Protocol works on four mechanisms simultaneously — that's why it outperforms any single-active OTC serum.

01

Accelerates cell turnover

Tretinoin reduces the keratinocyte cycle from ~28 to ~14 days. New skin reaches the surface faster.

02

Evens pigmentation

Azelaic acid inhibits tyrosinase, the enzyme producing melanin in dark spots and post-acne marks.

03

Protects the barrier

Niacinamide reduces transepidermal water loss and softens tretinoin's irritation, keeping the Rx tolerable.

04

Supports overnight repair

GHK-Cu, a copper peptide, supports collagen synthesis and the wound-healing cascade overnight.

How to use

Nightly. One step.

PM Protocol replaces your serum, treatment, and retinol — all in a single nightly application. Do not layer other actives.

Critical

Always apply to fully dry skin — damp skin causes 3–5x more irritation. Wait 10 minutes after cleansing before applying.

1
Cleanse

Gentle, non-exfoliating cleanser. Pat dry, don't rub.

2
Wait 10 minutes

Skin must be fully dry. Damp = irritation.

3
Apply pea-sized amount

Forehead, cheeks, chin. Avoid eye area, nostrils, lips.

4
Do nothing else

No layering. The Rx needs the night. Moisturizer in the morning, not after PM.

What to expect

The 12-week arc.

Weeks 1–2

Adjustment

Mild dryness and flaking are normal. Your skin is adjusting to accelerated turnover.

Weeks 3–6

Purging (some)

Pre-existing microcomedones surface and clear. Breakouts temporary. Stay consistent.

Weeks 6–12

Visible change

Smoother texture, even tone, brighter complexion. First "compliments at the office" window.

Months 3+

Compounding

Fine lines, deep pigmentation, and firmness all improve with continued use. Benefits stack.

Questions

Answered.

Is this a real prescription? +

Yes. After intake, a US-licensed clinician reviews your profile and writes a prescription where clinically appropriate. Your compound is dispensed by a 503A licensed pharmacy.

Can I use PM Protocol with retinol, AHAs, or other actives? +

No. PM Protocol is a complete Rx treatment. Layering other actives creates over-exfoliation and barrier damage. If you currently use actives, stop them before starting.

What if I miss a night? +

Normal. Miss up to 2 nights without impact — just resume at normal strength. More than 7 nights off and you'll want to restart at a slightly lower frequency to avoid irritation.

Can I use PM Protocol during pregnancy or breastfeeding? +

No. Tretinoin is contraindicated in pregnancy and breastfeeding. Intake screens for this and your clinician will not prescribe if applicable.

Do I need the AM and SPF protocols too? +

SPF: yes, non-negotiable — tretinoin makes skin sun-sensitive and unprotected use will reverse results. AM Protocol: highly recommended but optional. It softens Rx irritation and supports collagen.

Side effects? +

Most common: dryness, flaking, redness, initial breakouts (first 2–6 weeks). Rare: severe irritation, contact dermatitis. Message your clinician anytime if anything feels off — strength can be adjusted.

Ready to toggle on?
Start your intake.

Two minutes. Clinician reviews in 24 hours. You pay nothing until approved.

Peer-reviewed evidence

The clinical data.

PM Protocol combines four of the most-studied compounds in dermatology. Here's the science.

1.Landmark 24-week double-blind trial establishing tretinoin 0.05% as the gold standard for photoaging reversal.
J Am Acad Dermatol, 1988 →
2.Tretinoin reduces fine wrinkles, mottled hyperpigmentation, and roughness in 82% of subjects by week 16.
Arch Dermatol, 1991 →
3.5% niacinamide reduces wrinkles, hyperpigmentation, and improves skin elasticity in 50 subjects over 12 weeks.
Dermatol Surg, 2005 →
4.GHK-Cu peptide stimulates collagen, elastin, and tissue repair at micromolar concentrations (full mechanistic review).
Biomed Res Int, 2015 →
5.Azelaic acid 15%-20% shown superior to tretinoin in treating postinflammatory hyperpigmentation in men.
Cutis, 2011 →
6.Compound formulations reduce irritation vs. single-ingredient Rx while maintaining efficacy.
J Cosmet Dermatol, 2019 →

Selected peer-reviewed references. Full bibliography available in your patient portal.