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Retinoid • Prescription (Rx)

Adapalene

Brand Names: Differin, Panoxyl, Effaclar

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2024-06-03 • RxNorm RxCUI 722111 • 10 Linked .gov / PubMed Citations • Governance: Dr. Priya Nair, MD, FAAD (NPI #1295730425)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Adapalene Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

90%
Patient “Worth It” (16)
$16.57
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Adapalene

3 of 3 Free Questions Remaining
Dr. Vance (AI Pharmacology & Interaction Agent)

Adapalene Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 722111 • NDC 62332-549

Adapalene gel, 0.3% is indicated for the topical treatment of acne vulgaris in patients 12 years of age and older. Adapalene gel, 0.3%, is a retinoid, indicated for the topical treatment of acne vulgaris in patients 12 years of age and older. ( 1 )

12.1 Mechanism of Action Adapalene binds to specific retinoic acid nuclear receptors but does not bind to cytosolic receptor protein. Biochemical and pharmacological profile studies have demonstrated that adapalene is a modulator of cellular differentiation, keratinization, and inflammatory processes. However, the significance of these findings with regard to the mechanism of action of adapalene for the treatment of acne is unknown. 12.2 Pharmacodynamics Clinical pharmacodynamic studies have not been conducted for adapalene gel.

Clinical clearance of Adapalene (Retinoid) relies on local esterase/enzymatic cleavage of adapalene with minimal hepatic cytochrome burden with a Trace plasma half-life; Adapalene acts primarily within superficial target tissue half-life; patients absorbing at < 5% transdermal or mucosal systemic uptake from Adapalene bioavailability typically observe target onset around initial local symptom modulation in 30–90 minutes; full tissue response over 1–3 weeks (adapalene).

FDA clinical labeling for Adapalene restricts administration in adapalene gel is contraindicated in patients who have known hypersensitivity to adapalene or any excipient of adapalene gel .; contraindicated in patients who have known hypersensitivity to adapalene or any excipient of adapalene gel. across 1 mg/g Gel, 1 mg/mL Swab, 1 mg/g Cream, 3 mg/g Gel, .1 g/100g Gel, with self-reported patient tracking dominated by nausea (8.5% of reports), headache (8.2% of reports), dizziness (5.6% of reports).

Key Monitored Interactions:
Duplicate Retinoid Agents Moderate

Avoid overlapping retinoid prescriptions alongside Adapalene to prevent cumulative receptor toxicity.

Ethanol & Dietary Bioavailability Modifiers Minor

Alcohol or high-fat meal timing can shift absorption rate and orthostatic tolerance during Adapalene dosing.

Half-Life
Trace plasma half-life; Adapalene acts primarily within superficial target tissue
Bioavailability
< 5% transdermal or mucosal systemic uptake from Adapalene
Metabolism & Clearance
Local esterase/enzymatic cleavage of Adapalene with minimal hepatic cytochrome burden
Clinical Onset
Initial local symptom modulation in 30–90 minutes; full tissue response over 1–3 weeks (Adapalene)

Standard Adult Titration & Dosages

1 mg/g Gel 1 mg/mL Swab 1 mg/g Cream 3 mg/g Gel .1 g/100g Gel

Absolute & Relative Contraindications

  • Adapalene gel is contraindicated in patients who have known hypersensitivity to adapalene or any excipient of adapalene gel .
  • Contraindicated in patients who have known hypersensitivity to adapalene or any excipient of adapalene gel.

Logged Side-Effect Incidence (16 Reports)

Nausea 8.5%
Headache 8.2%
Dizziness 5.6%
Application-site irritation 5.3%
Fatigue 4.6%
Diarrhea 3.9%
Elena Rostova (AI Biostatistician & openFDA Quant)

Adapalene Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (16)
Nausea FAERS: 8.5% • Logs: 8.5%
Fatigue FAERS: 4.6% • Logs: 4.6%
Diarrhea FAERS: 3.9% • Logs: 3.9%
Headache FAERS: 8.2% • Logs: 8.2%
Dizziness FAERS: 5.6% • Logs: 5.6%
Application-site irritation FAERS: 5.3% • Logs: 5.3%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Adapalene)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Skin-applied tazarotene in the treatment of mild to moderate: What a 468-Participant Study Found

In general, 'using the cream formulation rather than the gel formulation optimized tolerability.

Cutis • 2004-10-15 • Meta-Analysis
N = 468 97/100 PMID 15543714 ↗
New Insights on Early and Sustained Acne Lesion Reductions With Fixed-Dose Clindamycin Phosphate: What a 741-Participant Study Found

Lesion count reductions were significantly greater with CAB versus its dyads and vehicle gel as early as week 4, with substantial reductions observed after 12 weeks of treatment.

Journal of drugs in dermatology : JDD • 2024-03-01 • Phase III Randomized Trial
N = 741 93/100 PMID 38443130 ↗
Can This Approach Help? Inside the Latest Research on Benefits and safety of fixed-dose clindamycin phosphate 1.2%/adapalene

This study provides support for acne treatment with CAB in ethnically diverse populations.

The Journal of dermatological treatment • 2025-12-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 40122140 ↗
Can This Approach Help? Inside the Latest Research on Triple-Combination Clindamycin Phosphate 1.2%/Adapalene 0.15%/Benzoyl Peroxide

At week 12, treatment success rates for both children and adult participants were significantly greater with CAB (52.7%; 45.9%) than with vehicle (24.0%; 23.5%; P&lt;0.01, both).

Journal of drugs in dermatology : JDD • 2024-06-01 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 38834226 ↗
Can This Approach Help? Inside the Latest Research on A comparative trial of two retinoids commonly used in the treatment of acne

Both drugs have similar efficacy in the resolution of acne lesions but tretinoin gel microsphere may result in a faster onset of action in the reduction of comedones compared to adapalene.

The Journal of dermatological treatment • 2001-09-15 • Randomized Controlled Trial
Multi-cohort 88/100 PMID 12243706 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Adapalene Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 722111
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.4880/unit (~$14.64/30u) Wholesale baseline
Mark Cuban Cost Plus Drugs (Mail-Order Generic) Public Wholesale Price List (NADAC + 15% + pharmacy fee) $16.57 / mo Formulary listing ↗
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $40.60 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 16 Anonymous DotMD Community Micro-Logs $19.06 / mo View logs ↓
Hims & Hers Direct Cash Pharmacy (Licensed Telehealth Cash Program) State-licensed clinician review • ~2d mail fulfillment $49.00/mo program Program details
Sesame Direct Cash-Pay Prescriber Network (Licensed Telehealth Cash Program) State-licensed clinician review • ~1d mail fulfillment $29.00 consult Program details

Adapalene Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Adapalene RxNorm Concept ID 722111 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.4880 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $40.60 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $16.57 / mo (Cost Plus Drugs) Mark Cuban Cost Plus Public API
Real-World Patient Consensus 90.00% Worth It (16 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Adapalene Patient Community, Cohort Filters & Dosage Logs

Federal clinical ledger for Adapalene integrating DailyMed SPL (2024-06-03), CMS NADAC ($0.4880/unit), and 16 Zero-PHI patient logs.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

Filter Adapalene community threads and patient logs by age, biological sex, dosage, and treatment duration.

No threads match this cohort filter yet. Click + Start Anonymous Discussion to ask the community about Adapalene.

Recent Verified Anonymous Patient Micro-Logs (0)