adapalene vs ketoconazole

PlainMeds reviewed this comparison against our methodology in August 2026. It places FDA and CMS record fields side by side, without recommending either medication.

Side-by-side comparison of adapalene and ketoconazole. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

Drug Class
adapalene Retinoid (Topical)
ketoconazole Azole Antifungal
Type
adapalene Over-the-Counter
ketoconazole Over-the-Counter
Summary
adapalene

No summary available.

ketoconazole

Ketoconazole shampoo is an antifungal medicine. It treats a fungal infection on your skin.

What It Treats
adapalene

Information not available.

ketoconazole

This shampoo treats tinea versicolor, a fungal infection. This infection can cause patches on your skin that are lighter or darker than the surrounding skin. These patches may appear on your trunk, neck, arms, and upper thighs.

How It Works
adapalene

Information not available.

ketoconazole

Ketoconazole is an antifungal medicine. It works by stopping the growth of the fungus. This helps to clear up the infection.

Common Side Effects
adapalene
  • Dry skin
  • Contact dermatitis (skin rash)
  • Burning feeling on the skin where you put the medicine
  • Skin irritation
ketoconazole

No common side effects listed.

FAERS Reports
adapalene
  • Dry Skin 44,990
  • Skin Burning Sensation 41,633
  • Acne 39,264
  • Erythema 38,379
  • Skin Irritation 26,225
ketoconazole
  • Fatigue 929
  • Pruritus 902
  • Nausea 834
  • Rash 802
  • Diarrhoea 760
Serious Warnings
adapalene

No specific warnings noted.

ketoconazole

You should not use this shampoo if you are allergic to ketoconazole or any of the other ingredients.

Pregnancy
adapalene

No pregnancy information available.

ketoconazole

It is not known if ketoconazole shampoo can harm an unborn baby. Talk to your doctor if you are pregnant or breastfeeding before using this medicine.

Also Compare, Nearby Drugs

How to Read This adapalene vs ketoconazole Comparison

adapalene is classified in the Retinoid (Topical) drug class, while ketoconazole sits within the Azole Antifungal class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are available over the counter.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, adapalene has 190,491 submissions while ketoconazole has 4,227. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. No direct interaction between these two drugs is listed in our FDA-derived dataset, though co-prescription still warrants pharmacist review. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for adapalene or ketoconazole.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.