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adapalene

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Brand names: Differin

Retinoid (Topical) OTC

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.

Drug Pricing (NADAC)

Generic Price

$2.45/unit

Generic Available

Yes (18 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

This medicine treats acne, a skin condition with pimples and bumps.

Common side effects

Dry skin, Contact dermatitis (skin rash), Burning feeling on the skin where you put the medicine

Key warnings

When using this medicine, avoid sunlight and sunlamps.

How It Works

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.

How to Take It

This medicine is only for use on your skin. Do not put it in your mouth, eyes, or vagina. Wash the affected skin and then put a thin layer of the gel on the acne areas once a day. Use a pea-sized amount for each part of your face (forehead, chin, each cheek).

Pregnancy & Breastfeeding

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.

Missed Dose

If you miss a dose, apply it as soon as you remember. Then, continue with your regular schedule.

Storage

Store the medicine at room temperature, between 68° to 77°F.

Side Effects (from patient reports)

Based on 307,934 FDA adverse event reports.

The medicine did not work
51,276
Dry skin
44,990
Burning feeling on the skin
41,633
Acne
39,264
Redness
38,379
Skin irritation
26,225
Skin peeling
21,251
Using the product at the wrong time
16,186
Skin rash
15,520
Using too much medicine
13,210

FDA Adverse Event Report Analysis

Detailed analysis of 178,147 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

178,147

Death-Related Reports

32

Hospitalization Reports

358

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 122,669 (78%)
Male 34,451 (22%)

Age Distribution

0–17 36,553
18–44 43,798
45–64 5,092
65–74 970
75+ 408

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DRUG INEFFECTIVE 51,276
2 DRY SKIN 44,990
3 SKIN BURNING SENSATION 41,633
4 ACNE 39,264
5 ERYTHEMA 38,379
6 SKIN IRRITATION 26,225
7 SKIN EXFOLIATION 21,251
8 INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION 16,186
9 RASH 15,520
10 OVERDOSE 13,210
11 PAIN OF SKIN 12,283
12 PRURITUS 11,826
13 HYPERSENSITIVITY 8,305
14 UNDERDOSE 4,949
15 CONDITION AGGRAVATED 4,946

Reactions in Death Reports

DEATH 12
DRUG INEFFECTIVE 6
PAIN 5
DYSPNOEA 4
EMOTIONAL DISTRESS 4
WEIGHT DECREASED 4
ANXIETY 3
ASTHMA 3
BONE DENSITY DECREASED 3
COMPLETED SUICIDE 3

Reactions in Hospitalization Reports

DYSPNOEA 41
PAIN 41
ANXIETY 39
HYPERSENSITIVITY 32
PULMONARY EMBOLISM 29
FATIGUE 27
DEPRESSION 26
NAUSEA 24
INJURY 23
DIZZINESS 22

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

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.

Known Drug Interactions

No formal drug-drug interaction studies were conducted with adapalene and benzoyl peroxide gel 0.1% / 2.5%.

Mechanism: There are no known studies showing that these two skin treatments interfere with each other.

What to do: You can use these two products together safely as part of your skin care routine.

Common Questions

Can I use this medicine if I am under 9 years old?
No, the safety and effectiveness of this medicine have not been studied in children under 9 years old.
Can I use other acne treatments while using this medicine?
Use caution when using other acne treatments with this medicine. They may cause more skin irritation.
What should I do if my skin gets too dry or irritated?
Use a moisturizer, apply the medicine less often, or stop using the medicine.
Can I wax while using this medicine?
No, avoid waxing on skin treated with this medicine.
Can I use this on cuts or sunburned skin?
No, do not apply this product to cuts, scrapes, or sunburned skin.
What if I accidentally get this gel in my eye?
Rinse your eye thoroughly with water.
How long will it take to see results?
It may take several weeks to see improvement in your acne.
Can I use this all over my body?
No, only use it on areas affected by acne.
What should I do if I use too much gel?
Using more gel than prescribed will not clear up your acne faster and may cause increased skin irritation.
Can I go out in the sun while using this medicine?
Minimize sun exposure while using this medicine. Wear sunscreen and protective clothing if you must be in the sun.
What are the common side effects of adapalene?
The most commonly reported side effects of adapalene include Dry skin, Contact dermatitis (skin rash), Burning feeling on the skin where you put the medicine, Skin irritation. Based on 307,934 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does adapalene interact with other medications?
Yes, adapalene has 1 known drug interactions. Notable interactions include benzoyl peroxide. Always inform your doctor about all medications you are taking.
What drug class is adapalene?
adapalene belongs to the Retinoid (Topical) drug class. It is available over the counter (OTC). This medicine treats acne, a skin condition with pimples and bumps.
Is adapalene safe during pregnancy?
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. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

Related Medications in Retinoid (Topical)

Other drugs grouped near adapalene — same-class peers and common alternatives.

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Medication Guides

Related Health & Safety Data

What the FDA Data Shows for adapalene

The FDA label for adapalene (sold under brand names such as Differin) classifies it as an over-the-counter product in the Retinoid (Topical) class. This medicine treats acne, a skin condition with pimples and bumps. Official labeling lists 4 commonly reported side effects, including Dry skin, Contact dermatitis (skin rash), Burning feeling on the skin where you put the medicine.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 307,934 voluntary reports. The database also lists 1 documented drug interaction derived from FDA labeling, with the top-flagged interaction rated minor severity. NADAC pricing from CMS shows a generic unit cost of $2.45.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: January 8, 2025

All federal data sources used on this page