Topical Retinoid / Topical Antibacterial
Reviews
3.7
579 Reviews
Topical Retinoid / Topical Antibacterial
Efficacy
67%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Topical Retinoid / Topical Antibacterial
Side Effects
Low-Medium
Topical Retinoid / Topical Antibacterial
Acne.org’s Real World Take
A way of using benzoyl peroxide in combination with the topical retinoid, adapalene, that studies show works a bit better than benzoyl peroxide alone. Comes with side effects for the first weeks and can bleach fabric. Note: When used correctly, benzoyl peroxide on its own can completely clear the skin.
Topical Retinoid / Topical Antibacterial
How to Get It
Have a dermatologist? Make an appointment to get this medication. Don't have a dermatologist? See The American Academy of Dermatology Physician Database to find one.
Read All About Adapalene / Benzoyl Peroxide (Epiduo®)
Compare To Other Treatments
5
38.2%
4
27.3%
3
11.1%
2
8.6%
1
14.9%

Used Adapalene / Benzoyl Peroxide (Epiduo®)? Rate It:

Choose from 1 to 5 stars
February 9, 2018
Wasn't for me
First, you skin definitely needs time to get used to this. I strongly suggest only using Epiduo every three nights for the first month. *tip* My dermatologist told me to mix a pea size amount in with my CeraVe face moisturizer because of my sensitive skin, I barely had any irritation. Still, this will definitely dry out your skin. After about four months, I really started seeing results. I was so excited. Then, after about six months, my acne came back worse then ever before. I'm not sure if something happened internally to make my acne aggravated, but Epiduo completely stopped working for me.
March 15, 2018
December 16, 2017
Pleased (so far...)
I am in my mid 30s and suffering from oily skin & moderate hormonal adult acne I thought acne will be behind me when I was in my 20s but nope still there. I tried going to the derma, getting facials and peels, buying OTC products with salicylic to glycolic acids, using prescribed tretinoin different strengths, etc. some are effective but I want to keep my acne at bay and prevent them from popping by out doing simple regimen and I don't want to burn money anymore so still looking for a product that I can buy OTC that works. So far for me epiduo is effective though progress is slow compare to tretinoin but definitely milder than tretinoin in terms of side effects I experienced sensitivity in my skin from the exfoliation effect but I did not see noticable obvious peeling, purging (few pimples but not worse), subtle burn & itchiness during the 1st week of using but only for a little while then gone after few days. Now on 3rd week of using epiduo and I am noticing some improvement in my skin's texture, acne marks seem to lighten a bit, acne is less especially on my forehead and chin, skin is still oily though. I plan to use this for another month and see if the improvement continues (hopefully). I am trying my best not to pick my face but tempting sometimes. How I use epiduo: At night wash face with cetaphil gentle cleanser then apply cetaphil moisturizer to wet face then wait to dry then apply pea sized amount on whole face. At daytime wash face with cetaphil gentle cleanser then apply neutrogena moisturizer SPF15 but I do alternate sometimes with my snail gel or a stronger SPF lotion if I know I might have longer exposure outside. I am asian and don't have sensitive skin nor allergies.
December 3, 2017
Hopeful
I'm on my week two of epiduo and my acne was like worse than ever. Bumps keep coming up my face even on spots I don't normally get them. (So saaadd) but, but, I heard that this is the initial purging stage and yes! I could feel my bumps drying up and flattening. Yay! As for my skin, i have sensitive and oily type but srsly, it never dried up my face. I'm still oily. Hoping for better skin sooner!
December 29, 2017
How is your acne now with this Epiduo?
December 30, 2017
Hi @Hopeful74 I am now 1 month and 10 days using this Epiduo and most of my bumps had flatten. I still have active ones on the hairline (side of my face) that I think, is the latest part to experience purging. But I'm not giving up hope. Lot of people have been here and tells me to wait patiently (says the reviews I read lol) I have a few more weeks to be patient of. Have a good day! Haha.
August 16, 2017
Product used: Epiduo (Forte Gel)
Doesn't do much at all
I was put on this after regular Epiduo did nothing for me. This was the same thing all over again. Works somewhat well the first week or so then does nothing. Applying a little amount - a large amount made no difference. I found it did nothing except occasionally dry out my face.
August 16, 2017
Does nothing for severe acne
I was prescribed this for moderate acne, and the first week or so it DID work, a little bit. It dried my face out which is expected but after about a week it was like applying water on my face and letting it sit there overnight. It did nothing. It seems to only work for those who have a pimple here and there.
November 8, 2017
Epiduo increases the skins turnover rate so takes a good 3 months to see results
July 31, 2017
8 Weeks in
8 Weeks in and still no progress, help?! I apply a pea size amount every evening, but am still getting new white pustules every day
May 24, 2018
you may still be in the purging stage.
January 19, 2017
I thought it was a miracle cream... Until I suffered sensitivity and extreme breakout
My initial experience with my epi-duo cream was awesome - I felt like I'd finally found something that actively prevented any new active formations on my face, and my skin-tone evened out quite noticeably, making my skin appear to have a healthy glow. My application was consistent, being every second night. I would cleanse skin, wait until it dried and then apply a thin film of the cream over the majority of my face, however I would focus the application on my problem areas (outer cheeks and chin) and spread any leftover to the rest of my face. Within the first week, I FELT LIKE I saw results. While my skin did appear to purge slightly, the cystic acne I had was quickly dried out - intensely - and would flake off within a day or two. This meant the scar underneath was also noticeable muted when compared to the scars of my previously active acne. Of course I was overjoyed... A few weeks into using this cream, I began noticing no increase in improvement. If anything, my skin began worsening. Frustrated, I maintained consistency with application. It was one night almost immediately after applying that my skin began burning severely - nothing was different to my routine so I was troubled. I had to wash the cream off after 20 minutes of the same intensity of burning. Afterwards, in a desperate attempt to quench my skin, I applied an all-natural moisturiser, spf free, but this only burnt my skin more, so I had to wash it off immediately. I haven't used the product since - in my eyes, anything that burns the sheeeet out of your face isn't going to be good for you, holistically. My skin showed no noticable change, but now, 3 weeks after ceasing to use Epiduo, my skin has worsened - the acne has now spread to my jawline, and cystic-like bumps are appearing more frequently. I am frustrated - but I don't want to turn to this product again. While it provided immediate results, they were short-lived and seemed to come at quite some cost.
May 25, 2018
the same happened to me. epiduo is known to dry your skin out-when this happened to me i stopped epiduo for 3 days and applied coconut oil instead for intense moisture. I suggest that you also use a moisturiser in your night routine after your cleanser and before epiduo, to act as a barrier.
May 25, 2018
the same happened to me. epiduo is known to dry your skin out-when this happened to me i stopped epiduo for 3 days and applied coconut oil instead for intense moisture. I suggest that you also use a moisturiser in your night routine after your cleanser and before epiduo, to act as a barrier.
January 7, 2017
Helpful
I started using Epiduo about 4 years ago. It helped quite a bit at first, but dried out my skin so much. It's effects have decreased a lot and my skin is at a stable level, still getting breakouts. In between these four years, i have been on three different types of antibiotics, birth control, topical antibiotics, neither of which helped more than Epiduo did. However, everyone is different.
December 31, 2016
Product used: Epiduo (Forte Gel)
Hasn't helped yet
In the past I've been on clindamycin and epiduo + deoxycyclin. Each was effective for about a year before my skin got bad again. Currently I'm on three different prescriptions, aczone in the morning, epiduo forte at night and erythromycin twice a day. As well as going completely dairy free.I hoped there wouldn't be a "binge" period like there was with my old epiduo but there was. I'm in my third week and I've seen zero improvement. I have cysts all along my hair line, on my chin, and on my forehead. I hope I'll see improvements soon.
September 12, 2016
Didn't work for me
I got prescribed epiduo gel by my doctor after being taken off a particular pill because of concerns about blood clots etc. I was really excited about it because i have heard so many fabulous reviews. I am now on my second round of it, and although it hasn't made my skin any worse, it also hasn't made a significant difference. I used it religiously every night as I was told to do, and after about 6 months of using it, all that happened was that it has completely dried out my skin, particularly around my cheeks and eyes. I have very sensitive skin, so this could be a huge factor in it, but I began getting rashes on my cheeks, and every time my eyes watered (or i cried), the skin around my eyes would flare up and I would have big red rashes. I know this was only because of the gel because once i stopped using it it never happened anymore. I have recently decided to go dairy free, so perhaps that will be my miracle cure instead :)

Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
  4. Listen to what your gut feeling tells you once you see a dermatologist in person. If you are not completely comfortable, try a different dermatologist.

Finding a Doctor

Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

  • Look at before and after photos, the more the better, especially patients with similar scarring to your own.
  • Be realistic about results. Look for improvement, not a cure.

Questions to ask a potential scar revision specialist:

  • Are you board certified? Be certain that they are board certified.
  • How long have you been performing these procedures? Normally, the more experience the better, however, some younger surgeons may be more on top of the latest procedures.
  • Can I speak to some of your other patients? Ask for references for several patients who had similar scarring and speak to them about the process and their satisfaction with results.

Red flags:

  • Their story changes: As you discuss different treatment options, if they tend to change their mind easily, or agree with whatever you say, consider this a red flag. A confident, experienced surgeon will possess strong, unwavering opinions.
  • Your gut tells you "no": Trust your gut. If you just don't feel that the doctor is the right fit, trust that and move on. On the other hand, if you feel they are the perfect specialist for you, trust that feeling.