tazarotene vs tretinoin

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 tazarotene and tretinoin. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

Drug Class
tazarotene Retinoid (Topical)
tretinoin Retinoid (Topical)
Type
tazarotene Prescription
tretinoin Prescription
Summary
tazarotene

Tazorac Cream contains tazarotene, a retinoid medicine. It is used on the skin to treat plaque psoriasis and acne.

tretinoin

Tretinoin capsules help put acute promyelocytic leukemia (APL) into remission. You can use this medicine if other treatments have not worked or cannot be used.

What It Treats
tazarotene

Tazorac Cream is used to treat plaque psoriasis. Psoriasis causes thick, red, and scaly skin patches. Tazorac Cream 0.1% is also used to treat acne. It helps to clear up pimples and blackheads.

tretinoin

Tretinoin capsules treat acute promyelocytic leukemia (APL) in adults and children at least 1 year old. APL is a type of cancer where there is a problem with certain blood cells. This medicine is for people whose APL has not responded to other treatments or for whom other treatments are not an option.

How It Works
tazarotene

Tazarotene is a retinoid, which is similar to vitamin A. It helps skin cells grow normally. This reduces skin inflammation and clears up acne.

tretinoin

Tretinoin is a retinoid, which is similar to vitamin A. It helps the leukemia cells mature properly. This can reduce the number of abnormal cells in your body.

Common Side Effects
tazarotene
  • Itching
  • Skin redness
  • Burning
  • Skin peeling
  • Dry skin
tretinoin
  • Headache
  • Fever
  • Dry skin or mouth
  • Bone pain
  • Feeling unwell
FAERS Reports
tazarotene
  • Erythema 82
  • Skin Exfoliation 74
  • Pain 64
  • Pruritus 62
  • Rash 62
tretinoin
  • Pain 536
  • Vomiting 463
  • Nausea 423
  • Rash 387
  • Headache 377
Serious Warnings
tazarotene

Tazorac Cream can cause birth defects. If you are pregnant or may become pregnant, you should not use Tazorac Cream. You should have a negative pregnancy test within 2 weeks before starting this medicine. Use effective birth control while using this medicine. Avoid sunlight and wear sunscreen, as Tazorac Cream can make you more sensitive to the sun.

tretinoin

Tretinoin capsules can cause serious harm to an unborn baby, including birth defects and miscarriage. If you are a woman who can get pregnant, you must have a negative pregnancy test before starting this medicine and use two forms of birth control during treatment and for 1 month after your last dose. This medicine can also cause Differentiation Syndrome, a serious condition that can be life-threatening. Tell your doctor right away if you have fever, trouble breathing, weight gain, or swelling.

Pregnancy
tazarotene

Do not use Tazorac Cream if you are pregnant or plan to become pregnant. It can harm your unborn baby. It is not known if Tazorac Cream passes into breast milk. Talk to your doctor if you are breastfeeding.

tretinoin

Tretinoin capsules can cause birth defects or miscarriage. If you are pregnant or may become pregnant, do not take this medicine. Do not breastfeed while taking tretinoin capsules and for 1 week after the last dose.

Also Compare, Nearby Drugs

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How to Read This tazarotene vs tretinoin Comparison

tazarotene is classified in the Retinoid (Topical) drug class, while tretinoin sits within the Retinoid (Topical) class. Because both drugs share the same classification, they are often considered interchangeable in theory, but clinical outcomes rarely track that cleanly. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, tazarotene has 344 submissions while tretinoin has 2,186. 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 tazarotene or tretinoin.

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