Medically reviewed by Sophia Yen, MD, MPH

If you’re dealing with acne, you may have heard of tretinoin and adapalene. Both are topical retinoids that can be used to treat acne, but they have some differences in how they work and the types of acne they are best suited for. In this article, we’ll discuss tretinoin vs adapalene and help you determine which acne treatment might be right for you.

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What’s the Difference Between Adapalene and Tretinoin?

While both adapalene and tretinoin work similarly to improve acne by increasing cell turnover and preventing the formation of new acne, there are some differences between them.

Adapalene is a newer retinoid that is considered more gentle and less irritating to the skin than tretinoin. It is also available over the counter at lower strengths, while stronger formulations require a prescription.

Tretinoin, on the other hand, has been used for acne treatment for several decades and is considered more potent/strong. It is available in various strengths and formulations, including creams, gels, and microspheres but all of them require a prescription.

Side effects of tretinoin and adapalene

Tretinoin is a powerful medication that can be effective in treating acne, but it can also cause some side effects. The most common side effects of tretinoin include dryness, redness, peeling, and skin irritation. These side effects can be mild or severe, depending on the person and the strength of the medication.

In some cases, tretinoin can cause more serious side effects such as blistering, crusting, and severe itching. It can also cause sun sensitivity, so it is important to use sun protection when using tretinoin. Additionally, tretinoin should not be used during pregnancy as it can cause harm to the developing fetus.

If you experience any side effects while using tretinoin, it is important to talk to your healthcare provider. They may be able to adjust the dose or recommend a different medication. It is also important to follow the instructions for use carefully and to use tretinoin as directed.

Side effects of adapalene

The most common side effects of adapalene include skin dryness, redness, itching, and scaling. These side effects are usually mild and temporary and can be managed with proper skincare. In rare cases, adapalene can cause severe allergic reactions, which can cause swelling, itching, and difficulty breathing. If you experience any of these symptoms, you should seek medical attention immediately.

Adapalene can also make your skin more sensitive to sunlight, so it is important to use sunscreen and avoid excessive sun exposure while using this medication. Additionally, it is not recommended to use any other topical acne treatments, abrasive soaps or cleansers, or products that contain alcohol or astringents while using adapalene. This is because they can further irritate the skin and increase the risk of side effects.

Get a Prescription for Tretinoin Online

In the U.S., you can only obtain tretinoin with a prescription from a doctor. Our expert doctors at Pandia Health can prescribe tretinoin if you're a good candidate based on your skin type and acne concerns. You can get your prescription from the comfort of your home, delivered right to your mailbox. Get started today!

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Why Both Adapalene and Tretinoin Are Leading Acne Treatments

Despite the tretinoin vs. adapalene debate, both medications are leading acne treatments because they help clear existing acne and prevent new acne from developing. There’s a time and a place for both, depending on your skin sensitivity and the degree/severity and type of acne you’re treating.

Both adapalene and tretinoin are effective treatments for comedonal acne, which is acne that’s closer to your skin’s surface — think blackheads and whiteheads. These medications work by speeding up cell turnover and preventing the formation of new comedones.

However, if you’re suffering from inflammatory acne, tretinoin is your best bet. Because tretinoin has a stronger anti-inflammatory effect, it can help to clear up existing acne and prevent new inflammatory acne from forming.

If you’re struggling with acne, it’s important to consult with an expert doctor who can help you determine the best treatment plan for your specific skin acne concerns.

Acne treatment benefits

Tretinoin and adapalene are both very effective in treating acne. One study found that over 70% of patients improved their acne after using adapalene or tretinoin, but the main difference between the two was that the tretinoin patients showed increased skin sensitivity.

Both adapalene and tretinoin work by increasing the turnover of your skin cells. When cells turn over faster, pores are unclogged. This prevents new acne from forming. They also help to reduce inflammation, which can help to reduce the size and redness of existing acne.

Anti-aging benefits

Both adapalene and tretinoin are known for their anti-aging benefits in addition to their acne-fighting properties. Adapalene can help reduce the appearance of fine lines and wrinkles by increasing collagen production in the skin.

Tretinoin also stimulates collagen production and can improve skin texture, tone, and reduce the appearance of sun damage. However, it’s important to note that consistent use is key when it comes to seeing the anti-aging benefits of these treatments.

Get Expert Advice from Pandia Health

If you’ve been debating tretinoin vs. adapalene and are considering adapalene as a treatment for your acne, it’s important to consult with a qualified doctor so you’re starting with the right strength for your unique case of acne. Consult one of our expert doctors at Pandia Health and learn the best option for you!

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Can I Use Adapalene and Retinol Together?

It’s not recommended to use adapalene and retinol, tretinoin together. They are the same family/mechanism, using two of them is like using twice as much and they can cause irritation and dryness.

When it comes to using any retinoid, less is more. Keep it simple and stay consistent, and you’ll normally start to see results in about eight-twelve weeks.

Always consult your doctor before you combine retinoids with other retinoids or strong ingredients like acids. Acids can inactivate retinoids. Check your toners, too — some exfoliating toners contain strong ingredients that may worsen the dryness and redness you may experience when using retinoids.

Get the Best Treatment Option with Pandia Health

It can be overwhelming to navigate the world of acne products and treatments. That’s where the expert doctors at Pandia Health come in. Our team of board-certified doctors can help you determine the best treatment option for your unique skin concerns, whether it be adapalene, tretinoin, or something else. After a consultation with one of our doctors, you’ll get your prescription acne treatment delivered straight to your door every month, with free shipping and goody included! Get started with Pandia Health today!

Pandia Health is dedicated to providing accurate, reliable women’s health knowledge. Check us out on Instagram, TikTok, YouTube, and our other social channels for expert insights about acne treatments, women’s health, and lifestyle habits.

Disclaimer: This article is for general informational purposes and is NOT a substitute for professional medical advice. Always seek the advice of your healthcare provider before starting or changing acne treatment.