Adapalene
Brand Names: Differin, Panoxyl, Effaclar
Methodology & AI Transparency ⓘ
Adapalene Key Takeaways
Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level
- 1 What it does: Adapalene gel, 0.3% is indicated for the topical treatment of acne vulgaris in patients 12 years of age and older.
- 2 Real-world patient consensus: 90% patient "Worth It" rating across 16 anonymous logs for Adapalene (RxNorm 722111).
- 3 Typical cash cost range: 30-day cash pricing ranges from $16.57 on Cost Plus Drugs to $40.60 walk-in retail (NADAC $0.4880/unit).
- 4 Top reported side effects / signs: Leading openFDA/SPL adverse events for Adapalene: application-site irritation (5.3%), nausea (8.5%), headache (8.2%).
Ask our AI Specialists anything about Adapalene
Adapalene Mechanism, CYP450 Pathways & DailyMed Monograph
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).
Avoid overlapping retinoid prescriptions alongside Adapalene to prevent cumulative receptor toxicity.
Alcohol or high-fat meal timing can shift absorption rate and orthostatic tolerance during Adapalene dosing.
Standard Adult Titration & Dosages
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)
Adapalene Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs
Peer-Reviewed Human Clinical Trials & Meta-Analyses (Adapalene)
| 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<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 ↗ |
Adapalene Public Price Transparency Ledger
| 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 |
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.
Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.
Filter Adapalene community threads and patient logs by age, biological sex, dosage, and treatment duration.