Topical Retinoid
Reviews
3.2
1910 Reviews
Topical Retinoid
Efficacy
54%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Note: Prescription and over-the-counter adapalene share the same efficacy percentage due to non-specific research, but prescription strength likely performs better.
Topical Retinoid
Side Effects
Low
Topical Retinoid
Acne.org’s Real World Take
This topical retinoid medication provides partial relief at higher prescription dosages, but don’t look for complete clearing, especially at over-the-counter strength. Relatively affordable and comes with less side effects than tretinoin, the other affordable topical retinoid. As a bonus, it improves the look of skin and reduces fine lines and wrinkles a bit too.
Topical Retinoid
How to Get It
This is an over-the-counter treatment. Here are some places you can find it online.
Read All About Adapalene (Non-prescription)
Compare To Other Treatments
5
17.5%
4
30.4%
3
22.6%
2
17.1%
1
12.4%

Used Adapalene (Non-prescription)? Rate It:

Choose from 1 to 5 stars
April 6, 2011

Cons:

UNPREDICTABLE

MADE MY MODERATE TEEN ACNE TURN TO SEVERE -VERY ,VERY BAD .I STAYED ON IT FOR 8 MONTHS WAITING FOR IT TO GO IN TO REVERSE BUT NEVER DID .MADE THINGS SO BAD THAT NOW I NEED TO SEE A DERMATOLOGIST AND MY FACE IS BADLY SCARED !
October 12, 2010

Pros:

NONE!!!!!

For those of you who used it and HATED it as I did. Those of you who had the worst break outs of your lives and stopped it, how long did it take to recover??? Because right now my skin is TERRIBLE and I stopped it about 5 days ago.
June 13, 2010

Pros:

not much that can go in here

Cons:

-adds oil
-clogs pores
-stays on the skin and doesnt soak in
-feels like an oil mask

This product didn't change my acne at all. I applied it at night but i felt like i was adding tons of oil ont my skin with no result on my oncoming acne. Maybe if you have light acne adapalene would help, but people with more sereve acne should try a product that is less oily and more powerful. Give it a try if you want, but I found it a waste of money. I felt like i was just adding fuel to the fire (ie... more oil to acne)
April 21, 2010

Pros:

-Spots that were not already broken out were really soft
-Samples from the doctor last a long time... I didn't need to fill the prescription!

Cons:

-Created eczema-like spots on my cheeks, chest, and jawline.
-My face and chest broke out in rashes after a week of application (3x per week).

I don't think this is good for sensitive skin. 0.1% Differin Lotion 2-3x per week produced eczema-like spots on cheeks and jawline after 2 weeks. I stopped that treatment and it was thought that the gel would be better for my skin. My next round included 0.3% gel for 30minutes (washed off after 30 minutes) followed by moisturizer every other night. After only one week this caused me to break out in rashes all over my face... red, spotty, bumpy, skin that would become very flakey. It was really embarassing! I am due back to the dermatologist in a week after these rashes clear up to find something else.
October 11, 2009

Pros:

it wasn't good at all. When i used it, it didn't make a difference to my face and if i remember right, i think it made my skin a bit worse. But not scary worse.

Cons:

didn't see a difference, made acne worse.

Wasn't for me, probly not for you.
September 22, 2009

Pros:

Wored well

Cons:

Not strong enough-

It worked. Then my mom took me to the derm. and all hell broke out. I was on differin and minocycline. My skin was looking great. They've put me on dozens of different things since and now if I went back, it wouldn't be strong enough.
June 1, 2009

Pros:

Been using it a week, and just got the comment "hey you used to have bumps under your skin, they are disappearing" so far so good.

Cons:

don't know the side effects of the the chemicals in my blood stream.
Skin around my ears are peeling like crazy and itchy

I think the tube will last me a good three to four months so will write back after that, but so far so good.
October 27, 2008

Pros:

It works, and my skin looks better than ever.

Cons:

Skin became worse than ever for two weeks, caused a really bad rash around my chin.

This stuff made my skin worse than ever, plus gave my face a bad rash. After I asked my doctor what was up, he said you really need to use sunscreen during the day, even if you apply this stuff at night and wash it off next morning. After all this (about three and half weeks) my skin literally vanished of acne, it's been a month since, and I've been applying it every night and my skin looks VERY healthy. P.S. I used Cetaphil for all skin types in the morning and evening and applied the Differen once a day at night and have continued the same routine.
September 21, 2008

Pros:

Works pretty well, little irritation, no smell, fast drying.

Cons:

A little drying, [nothing moisturizer can't take care of], very irritating the area that surrounds eyes.

My acne is pretty bad, I wouldn't say severe but it's definately up there. I break out mostly on my chin/mouth and forehead. My derm prescribed me this and cephalexin a few weeks ago and so far my skin is clear-er. Not quite there, but hopefully within time it will get better. On the other hand my best friend is also prescribed this and hates it.
June 10, 2008

Pros:

Very inexpensive with insurance

Cons:

Very ineffective

I was impressed with how mild Differin was, it did not irritate my sensitive skin at all. In fact, it did nothing for my skin. I might as well have been smearing water on my face. After 2 weeks I noticed NO improvements whatsoever. I expected more, other treatments have worked significantly better.

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.