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Adapalene

Published: July 26, 2026Updated: July 26, 2026

Adapalene is a topical retinoid medication used to treat acne vulgaris. It works by normalizing skin cell differentiation and reducing inflammation to prevent clogged pores. This medication is typically prescribed for mild to moderate acne and is available in gel, cream, and solution formulations.

Quick summary

Adapalene is a topical retinoid used to treat acne by modulating skin cell turnover and reducing inflammation.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
D10AD03
RxNorm
60223
Generic
Adapalene
Class
atc-d10
Brands
Differin, Cabtreo, Differin Epiduo, Epiduo
Availability
rx
Pregnancy
C
Lactation
caution
Routes
topical
Forms
gel, cream, solution
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)topical gel/cream
Usual dose
Apply thin layer once daily
Maximum
consult physician
Frequency
once daily (evening)
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (adolescents 12 years and older)topical gel/cream
Usual dose
Apply thin layer once daily
Maximum
consult physician
Frequency
once daily (evening)
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)topical gel/cream
Usual dose
Apply thin layer once daily
Maximum
consult physician
Frequency
once daily (evening)
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity if ingested orally
Chronic overdose: Prolonged excessive topical application leading to severe skin irritation and systemic retinoid effects
Immediate actions
Gastric lavage if ingested orally, discontinue topical application, supportive care
Antidote
No specific antidote available(Supportive care and symptom management are primary treatments)
Poison Control: 1-800-222-1222

Special Populations

9 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits significantly outweigh risks. Topical application limits systemic exposure but risk cannot be ruled out.

Monitor

regular prenatal care

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

continue avoidance unless clearly needed for severe acne

Monitor

standard prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

discontinue use near term or as directed by physician

Monitor

standard prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

lactation

breastfeeding
caution
FDA Category
C
Dose Adjustment

avoid on breast area

Key Recommendations

do not apply to breast or nipple area. If treatment needed, use on non-breast areas and ensure thorough washing before breastfeeding.

Monitor

monitor infant for skin irritation

Use with caution and monitor for adverse effects.

⚠

pediatric_age

under 12 years
caution
FDA Category
C
Dose Adjustment

not recommended

Key Recommendations

safety and efficacy not established in children under 12 years. Consult pediatric dermatologist.

Monitor

close pediatric supervision

Use with caution and monitor for adverse effects.

✓

pediatric_age

12 years and older
safe
FDA Category
C
Dose Adjustment

no adjustment needed

Key Recommendations

approved for use in patients 12 years and older for acne vulgaris. Follow standard dosing instructions.

Monitor

standard dermatological follow-up

✓

geriatric

elderly
safe
FDA Category
C
Dose Adjustment

no adjustment needed

Key Recommendations

no specific dosage adjustment required for elderly patients. Use standard dosing. May have increased skin dryness or sensitivity.

Monitor

monitor for skin irritation and dryness

✓

renal_impairment

mild to moderate
safe
FDA Category
C
Dose Adjustment

no adjustment needed

Key Recommendations

no dosage adjustment required. Topical application results in minimal systemic absorption.

Monitor

standard monitoring

✓

hepatic_impairment

mild to moderate
safe
FDA Category
C
Dose Adjustment

no adjustment needed

Key Recommendations

no dosage adjustment required due to minimal systemic absorption after topical use.

Monitor

standard monitoring

Statistics and clinical data

prescribingFDA
2023

First FDA approval

Value:1996

FDA approval year for Adapalene

drug_classFDA
2023

Drug class

Value:Topical retinoid

Therapeutic classification of Adapalene

usageMedical guidelines
2023

Common uses

Value:Acne vulgaris treatment

Primary therapeutic indication

formulationFDA
2023

Available formulations

Value:Gel, Cream, Solution

Dosage forms available

Treatment of acne vulgaris (mild to moderate), including comedonal acne (blackheads and whiteheads) and inflammatory acne lesions.

Adapalene is a third-generation retinoid that binds to specific retinoic acid nuclear receptors. It modulates cellular differentiation, normalizes keratinization, and exhibits anti-inflammatory properties to prevent pore clogging and reduce acne lesions.

Apply once daily (usually at night) to clean, dry skin. May cause initial dryness, irritation, and increased sun sensitivity. Results typically appear after 8-12 weeks of consistent use. Avoid contact with eyes, mouth, and mucous membranes. Pregnant women should consult their physician before use.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy