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A man with acne, contemplating whether he should choose differin vs tretinoin for acne treatment

Adapalene (Differin) vs Tretinoin: Which is Best for Acne?

Acne is a frustrating and confidence-shaking experience for many people. Luckily, there are effective treatments available to help manage breakouts and improve skin health. Among the most popular options are retinoids, specifically adapalene and tretinoin. These ingredients have proven effective in treating acne, but they work in slightly different ways and may suit different skin types.

Adapalene vs Tretinoin: At a Glance

FeatureAdapaleneTretinoin
Brand namesDifferinRetin-A, Aknemycin Plus (with erythromycin)
Formulations Gel and CreamCream, Gel and Liquid 
TreatsMild to moderate acne, sensitive skinModerate to severe acne, ageing skin
Side effectsRednessBurningIrritationDry skinMore pronounced irritation, dryness, peeling
StrengthGenerally 0.1 %Various strengths (0.025%, 0.05%, 0.1%)
Skin irritationLess likely to cause irritationMore likely to cause irritation
Who is it suitable forAdults and adolescents 12 years and olderAdults and adolescents 12 years and older
StabilityMore stable, can be used with benzoyl peroxideLess stable, breaks down with light and air exposure
Effectiveness for acneHighly effectiveHighly effective
Anti-ageing benefitsLimited evidenceStrong evidence for anti-ageing effects
Application Frequency Once dailyOnce daily
AvailabilityPrescription-only in the UKPrescription-only in the UK

What are retinoids?

Retinoids are compounds made from vitamin A and are used to treat various skin concerns, especially acne vulgaris. These powerful ingredients speed up how quickly your skin generates new cells, helping to unclog pores and reduce inflammation.

There are different types of retinoids, ranging from mild over-the-counter options to stronger prescription-only formulations. They all work in similar ways, but their strength and potential side effects can vary.

Retinoids not only help with acne but can also improve skin texture, reduce fine lines and wrinkles, and even out skin tone and hyperpigmentation. This is why they’re often found in anti-ageing treatments. 

What is adapalene?

Adapalene is best known under the brand name Differin, but is also available in other formulations. It works by improving skin cell turnover and reducing inflammation, which helps prevent pores from getting clogged with oil and dead skin cells. It’s particularly effective for blackheads, whiteheads, and small pimples.

One of the big pluses of adapalene is its relatively gentle nature. Compared to some other retinoids, it’s less likely to leave your skin feeling like it’s on fire. This means that side effects like irritation, redness, or peeling are less intense, especially when you’re just starting to use it.

You’ll typically find adapalene in gel or cream form, and it is usually applied once a day, preferably in the evening. Like all retinoids, it’s important to use sunscreen during the day, as it will increase your skin’s sensitivity to the sun.

What is tretinoin?

Tretinoin, also known as all-trans retinoic acid, is a prescription-strength retinoid widely used for treating acne and other skin conditions.

Tretinoin works by promoting rapid skin cell turnover, helping to prevent clogged pores and reduce the formation of acne lesions. It also has anti-inflammatory properties, which can help calm existing breakouts and improve overall skin texture.

This retinoid is effective for various skin conditions, including inflammatory acne like pustules and cysts. In addition to its acne-fighting abilities, tretinoin is often used in anti-ageing treatments because it can stimulate collagen production and reduce the appearance of fine lines and wrinkles.

Tretinoin vs Adapalene: What’s the difference?

While Tretinoin and Adapalene are both retinoids, there are some slight differences:

  • Potency: Tretinoin is generally considered more powerful, especially at higher concentrations. However, lower doses of tretinoin (0.025%) are similar to adapalene in terms of effectiveness for reduction in acne lesions.
  • Skin Irritation: Tretinoin, particularly at higher strengths, is more likely to cause initial skin irritation, including redness, dryness, and peeling. Lower doses of tretinoin may be gentler. Adapalene tends to be better tolerated overall, with fewer reported side effects.
  • Versatility: Tretinoin has a broader range of uses, including treating fine lines, wrinkles, and hyperpigmentation. Adapalene is primarily used for the treatment of acne vulgaris and may be less effective for signs of ageing.
  • Stability: Adapalene has a more stable chemical structure, meaning it doesn’t break down as easily when exposed to light or air. This means it can keep working for longer and be used alongside other treatments like benzoyl peroxide. Tretinoin is less stable and must be applied at night to avoid this. 

Differin (Adapalene) vs Aknemycin (Tretinoin): Which is more effective?

For Acne Treatment

A meta-analysis of five comparative studies involving 900 patients found that adapalene 0.1 gel and tretinoin 0.025 gel demonstrated the same ability to reduce the number of spots and lesions. Interestingly, adapalene worked faster compared to tretinoin, with a significant difference in the reduction of inflammation and total lesions at week.

Another study comparing adapalene 0.1% gel to tretinoin 0.025% gel in Chinese patients with acne vulgaris found that both treatments greatly reduced total, inflammatory, and non-inflammatory acne spots by 69-74% on average over 8 weeks.

However, when comparing higher concentrations, tretinoin may have a slight edge. A review found that tretinoin 0.05% gel “exhibits a greater anti-acne efficacy” than adapalene 0.1% gel.

Tolerability

Adapalene consistently shows better tolerability across lots of different studies. Tretinoin is more potent but has “higher skin irritation potential”. Topical adapalene tends to cause less skin irritation, making it a better option for those with sensitive skin or those new to retinoids.

Ultimately, the choice between adapalene (Differin) and tretinoin (Aknemycin) should be based on your skin needs, tolerance levels, and treatment goals. Some people may respond better to one treatment over the other. Consulting with a doctor or pharmacist can help determine which option best suits your skin type and acne severity.

Acne Treatment at Click2Pharmacy

Are you tired of dealing with acne? At Click2Pharmacy, we understand how frustrating it can be and are here to help you find the solution you’re looking for.

Our online acne clinic stocks lots of different treatments, including Differin gel or cream (adapalene) and Aknemycin Plus Solution, which contains Tretinoin.

With our straightforward process, you can access these treatments without the hassle of in-person appointments. Simply fill out a quick assessment form and upload images of your skin. Our experienced pharmacists will review your information and, if appropriate, approve your prescription. Once approved, we’ll dispatch your treatment directly to your door. 

Don’t let acne hold you back any longer. Explore your options with Click2Pharmacy today and take the first step towards clearer, healthier skin!

Tretinoin and Adapalene FAQs

Can I switch from differin to tretinoin?

Yes, you can switch from Differin (adapalene) to tretinoin, but it’s best to check with your prescriber first. We recommend a gradual transition to minimise potential irritation. When switching, start with a product that contains a lower-strength tretinoin, like Aknemycin, and slowly increase as your skin adjusts. 

Can you use adapalene and tretinoin together?

Using tretinoin and adapalene together is generally not recommended. Both retinoids work similarly to promote cell turnover and prevent acne, so combining them can lead to increased irritation, redness, and dryness.

If you are new to retinoids, start with one product at a time. This will allow your skin time to adjust and help you identify how your skin reacts to each treatment.

Are Differin and tretinoin the same?

Differin (adapalene) and tretinoin are not the same, though they’re both retinoids. Adapalene is a third-generation retinoid, while tretinoin is first-generation. They work similarly but have some differences in strength, tolerability, and specific uses.

Is adapalene or tretinoin better for acne scars?

Both can help with acne scars, but tretinoin is generally considered more effective. Tretinoin has been shown to stimulate collagen production more effectively, which can help improve the appearance of acne scars over time.

How do I get a prescription for tretinoin or Differin?

At Click2Pharmacy, getting a prescription for Differin adapalene gel or cream or something containing tretinoin like Aknemycin is easy. Simply complete our online consultation form, and our qualified pharmacists will review your information to determine if the treatment is suitable for you.

Are differin or tretinoin available over the counter (OTC)?

In the UK, both Differin and tretinoin-based products need a prescription. However, our online consultation process makes getting the prescription you need convenient, without an in-person doctor’s visit.

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