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adapalene vs tacrolimus topical

Side-by-side comparison of adapalene and tacrolimus topical 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)
tacrolimus topical Calcineurin Inhibitor (Topical)
Type
adapalene Over-the-Counter
tacrolimus topical Prescription
Summary
adapalene

Adapalene and benzoyl peroxide gel is a medicine used on the skin to treat acne. It contains two medicines: adapalene (a retinoid) and benzoyl peroxide.

tacrolimus topical

Tacrolimus extended-release capsules help prevent organ rejection in kidney transplant patients. It works by suppressing your immune system.

What It Treats
adapalene

This medicine treats acne, a skin condition with pimples and bumps. You can use this medicine if you are 9 years or older. Apply the gel to the affected areas of your face and/or trunk.

tacrolimus topical

This medicine is used to prevent your body from rejecting a new kidney after a transplant. It is for adult patients who can swallow capsules whole. You will take it with other medicines that also suppress your immune system.

How It Works
adapalene

Adapalene is a retinoid that helps to unclog pores and reduce inflammation. Benzoyl peroxide is an antibacterial medicine that kills acne-causing bacteria. Together, they help to clear up acne.

tacrolimus topical

Tacrolimus belongs to a class of drugs called calcineurin inhibitors. It lowers the activity of your immune system. This helps prevent your body from attacking your new kidney.

Common Side Effects
adapalene
  • Dry skin
  • Contact dermatitis (skin rash)
  • Burning feeling on the skin where you put the medicine
  • Skin irritation
tacrolimus topical
  • Diarrhea
  • Constipation
  • Nausea
  • Swelling in your arms and legs
  • Tremors
FAERS Reports
adapalene
  • The medicine did not work 51,276
  • Dry skin 44,990
  • Burning feeling on the skin 41,633
  • Acne 39,264
  • Redness 38,379
tacrolimus topical

No adverse event reports.

Serious Warnings
adapalene

When using this medicine, avoid sunlight and sunlamps. If you can't avoid the sun, wear sunscreen. This medicine may cause skin irritation, redness, scaling, dryness, stinging, or burning. If this happens, use a moisturizer or apply the medicine less often. If irritation is severe, stop using the medicine.

tacrolimus topical

This medicine can increase your risk of serious infections and certain cancers. These problems could lead to hospitalization or even death. This drug is not approved for liver transplants and may increase the risk of death in female liver transplant patients.

Pregnancy
adapalene

If you are pregnant, only use this medicine if the benefit outweighs the risk to the baby. It is not known if this medicine passes into breast milk, so talk to your doctor before using it if you are breastfeeding.

tacrolimus topical

Tacrolimus can harm your unborn baby. Tell your doctor right away if you are pregnant or plan to become pregnant. There is a pregnancy registry to track outcomes in women who take tacrolimus during pregnancy.

Also Compare — Nearby Drugs

How to Read This adapalene vs tacrolimus topical Comparison

adapalene is classified in the Retinoid (Topical) drug class, while tacrolimus topical sits within the Calcineurin Inhibitor (Topical) class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are split between OTC and prescription status, which affects access and supervision.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, adapalene has 215,542 submissions while tacrolimus topical has 0. 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 substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between adapalene and tacrolimus topical — always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.