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Two medicines, side by side

Benzoyl peroxide vs tretinoin

Benzoyl peroxide and tretinoin are both labeled for acne. Drugs@FDA records approvals of benzoyl peroxide since 2022 and of tretinoin since 1971. Pharmacies paid $0.0469 per gram (Benzoyl peroxide 10% wash) and $0.506 per gram (Tretinoin 0.025% cream) (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the benzoyl peroxide FDA label on DailyMed (effective July 31, 2026); the tretinoin FDA label on DailyMed (effective May 17, 2024).

Highlights of the benzoyl peroxide record

Benzoyl peroxide (Epsolay) · label of July 31, 2026

Used for

From the label: indications

for the treatment of acne

On the market

Earliest approval on file
April 22, 2022
Generic labelers
none listed
Pharmacy cost
$0.0469 per gram

Supply and safety

Shortage
No current entry
Recalls
0

Highlights of the tretinoin record

Tretinoin (Retin-A) · label of May 17, 2024

Used for

From the label: indications

RETIN-A is indicated for topical application in the treatment of acne vulgaris. The safety and efficacy of the long-term use of this product in the treatment of other disorders have not been established.

On the market

Earliest approval on file
October 20, 1971
Generic labelers
23 labelers
Pharmacy cost
$0.506 per gram

Supply and safety

Shortage
No current entry
Recalls
2

Source: FDA drug labels via openFDA (Benzoyl peroxide label of July 31, 2026, Tretinoin label of May 17, 2024); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do benzoyl peroxide and tretinoin differ on the record?

Generics: benzoyl peroxide none approved; tretinoin since 1998 (Drugs@FDA).

Benzoyl peroxideTretinoin
Labeled forAcneAcne
Pharmacologic classn/aRetinoid
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)April 22, 2022October 20, 1971
First generic approvednoneJune 19, 1998
Generic labelers (NDC)none listed23 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0469 per gram (Benzoyl peroxide 10% wash)$0.506 per gram (Tretinoin 0.025% cream)
12-month price change+5%-49%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded02
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)6,7098,069
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

Do their labels mention each other?

Tretinoin label, warnings and precautions

Advise patients that concomitant use of topical over the counter (OTC) acne products containing benzoyl peroxide, sulfur, resorcinol, or salicylic acid with RETIN-A MICRO may increase the risk for local skin irritation including dryness, erythema, and peeling.

What both labels say about taking them together

Source: FDA drug labels via openFDA

What next?

Alternatives to benzoyl peroxide
every medicine labeled for the same conditions