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Aklief Cream

  • Prescription acne treatment containing trifarotene
  • Reduces whiteheads, blackheads and inflammatory spots
  • Suitable for face and back acne
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Fast & Free Delivery Options

Variety of delivery options including next day & free delivery.

100% UK-based Pharmacy

Pharmacy, clinic and prescribers based in Greater Manchester.

Free Online Consultations

Start your treatment with a quick and free online consultation.

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Aklief Cream for Acne Treatment

Medication Name Aklief Cream
Active Ingredient Trifarotene 0.005% (50 micrograms/g)
Medication Form Topical cream
Used to Treat Acne vulgaris
Available Strengths 0.005%
Other names this medication is known by Trifarotene cream, Selgamis
Common Side Effects Application site irritation, redness, peeling, dryness, stinging/burning
Do you need a prescription for it? Yes
How should it be applied? Once daily in the evening to clean, dry skin
Patient Information Leaflet Aklief Cream Patient Information Leaflet

How does Aklief work?

Aklief contains trifarotene, a topical retinoid that works by affecting how your skin cells develop and shed. Retinoids, derived from vitamin A, are well-known for their effectiveness as an acne treatment.

When you apply Aklief to your skin, trifarotene helps prevent your pores from becoming blocked. It does this by encouraging your skin cells to turn over more quickly and preventing dead skin cells from building up inside your pores. This process helps stop whiteheads and blackheads from forming in the first place.

Trifarotene also has anti-inflammatory properties, which means it helps reduce the redness and swelling that come with inflammatory acne spots. By tackling both the blockages and the inflammation, Aklief addresses multiple causes of acne at once.

The cream works gradually over time, so you’ll need to use it consistently for several weeks before seeing the full benefits. Most people start to see improvement within the first few months of treatment.

What is Aklief cream used for?

Aklief cream is specifically used for the treatment of acne vulgaris on the face and trunk (chest, shoulders, and back) in people 12 years of age and older. It’s particularly effective when you have moderate acne or severe acne with numerous acne lesions, including:

  • Whiteheads (closed comedones)
  • Blackheads (open comedones)
  • Papules (small red bumps)
  • Pustules (inflammatory pimple with pus)

Aklief is designed for cases where you have many comedones and inflammatory spots that need treatment. It works on both non-inflammatory acne (whiteheads and blackheads) and inflammatory acne (red, swollen spots).

The medication is suitable for treating acne on multiple areas of your body at once, so if you have acne on both your face and your back or chest, you can use Aklief cream on all affected areas.

Who Can Use Aklief?

Aklief is suitable for people aged 12 years and older who have acne vulgaris on their face and/or trunk. It can be used by teenagers and adults who need treatment to manage their acne symptoms.

However, Aklief may not be suitable for everyone. You should not use Aklief if you:

  • Are pregnant, planning to become pregnant, or think you might be pregnant
  • Are allergic to trifarotene or any other ingredients in the cream
  • Have cuts, scrapes, broken skin, or eczema in the areas you want to treat
  • Have sunburned skin

Before starting treatment with Aklief, always inform your doctor or pharmacist if you:

  • Are breastfeeding or planning to breastfeed
  • Are using other acne treatments or skincare products
  • Have sensitive skin
  • Are taking any other medications

If you’re breastfeeding, you and your doctor will need to decide whether to stop breastfeeding or avoid using Aklief, considering the benefits of both. If you do use Aklief while breastfeeding, don’t apply it to your chest or breast area to avoid the baby coming into contact with the cream.

How to Apply Aklief Cream

Aklief should be applied once daily in the evening to clean, dry skin:

  1. Prime the pump by pressing down several times until a small amount of cream comes out (this may take up to 10 presses). The pump is now ready to use.
  2. Wash the affected areas with a mild cleanser and pat your skin completely dry before applying Aklief.
  3. Apply a thin layer of Aklief cream on the affected areas:
    • For the face: One pump for the face is usually enough to cover your forehead, cheeks, nose, and chin
    • For the upper trunk: Two pump actuations should cover your upper back, shoulders, and chest
    • For the middle and lower back: One additional pump actuation if you have acne in these areas
    • Don’t use more than four pumps in total per day
  4. Avoid contact with your eyes, eyelids, lips, inside your nose, mouth, and other mucous membranes. Be careful when applying to sensitive areas like your neck or armpits.
  5. Always wash your hands immediately after applying the cream.
  6. Apply a moisturiser as frequently as needed from the start of treatment. You can apply it before or after Aklief, just make sure your skin is completely dry between applications.

If cream accidentally gets in your eyes or mouth, rinse the area immediately and thoroughly with lukewarm water.

Continue using Aklief as prescribed by your doctor. Your doctor will assess your progress after three months of treatment to see if you need to continue.

Side Effects of Aklief Cream

Like all medications, Aklief can cause side effects, although not everyone experiences them. The most common side effects affect the areas where you’ve applied the cream.

Common Side Effects

The following side effects may affect up to 1 in 10 people:

  • Application site irritation
  • Redness
  • Peeling
  • Dryness
  • Stinging or burning sensation
  • Itching (pruritus)
  • Sunburn

These side effects are often experienced when you first start using Aklief and typically improve as your skin adjusts to the treatment. Using a moisturiser from the start of treatment can help prevent or reduce dryness and irritation.

Uncommon Side Effects

The following side effects may affect up to 1 in 100 people:

  • Skin pain
  • Dry skin
  • Loss of skin pigmentation (discolouration)
  • Skin loss (erosion)
  • Rash
  • Swelling
  • Skin irritation
  • Acne
  • Allergic dermatitis (skin allergy)

Rare Side Effects

The following side effects may affect up to 1 in 1,000 people:

  • Hives (urticaria)
  • Blisters (vesicles)
  • Dry skin with scales and cracks (asteatotic eczema)
  • Seborrheic dermatitis (red, scaly, and itchy skin)
  • Burning sensation on the skin
  • Skin fissures
  • Darkening of skin pigmentation (hyperpigmentation)
  • Peeling or swelling of the eyelid skin
  • Chapped lips
  • Flushing (red face)

If you experience redness, peeling, dryness, or stinging/burning, contact your doctor. They may recommend using a moisturiser (if you haven’t already started one), applying the cream less often, or taking a short break from treatment. If symptoms persist despite these measures, you may need to stop using the cream.

If you experience a severe allergic reaction or any side effects become severe or persistent, stop using Aklief and contact your doctor or pharmacist immediately.

You can report side effects to the MHRA (Medicines and Healthcare products Regulatory Agency) to help monitor the medication’s safety.

Aklief Ingredients

Active ingredient: Trifarotene 50 micrograms per gram (0.005%)

Inactive ingredients: Allantoin, Simulgel 600 PHA (copolymer of acrylamide and sodium acryloyldimethyltaurate, isohexadecane, polysorbate 80, sorbitan oleate), cyclomethicone, ethanol, phenoxyethanol, propylene glycol (E1520), medium-chain triglycerides, and purified water.

Aklief Warnings

  • Do not use Aklief if you are pregnant, planning to become pregnant, or think you might be pregnant. If you discover you’re pregnant during treatment, stop using the cream immediately and consult your doctor.
  • Avoid excessive sun exposure, including sunbeds and sunlamps, while using Aklief. Always use sunscreen with SPF 30 or higher and wear protective clothing (like a hat and shirt) over treated areas when exposure to sunlight can’t be avoided. If your skin becomes sunburned, stop using Aklief on the affected area until your skin has healed.
  • Don’t apply Aklief to broken, scraped, or eczematous skin. The cream should only be used on intact skin.
  • Use caution when applying other acne medications, cosmetics, or skincare products with peeling, irritating, or drying effects alongside Aklief, as they may cause additional irritation. If your skin becomes irritated, contact your doctor.
  • Don’t use wax as a hair removal method on skin you’re treating with Aklief.
  • If you experience any signs of sensitivity or allergic reaction to Aklief, stop using it and consult your doctor.
  • This medicine contains 50mg of alcohol (ethanol) per gram, which may cause a burning sensation on damaged skin.
  • This medicine contains propylene glycol, which may cause skin irritation in some people.
  • Keep Aklief out of the sight and reach of children. Discard the tube or pump 6 months after first opening. Don’t use after the expiry date shown on the packaging.

Aklief Cream Reviews

Aklief FAQs


Aklief contains trifarotene, which is a fourth-generation retinoid. It’s designed to be effective while targeting specific receptors in the skin, which may help reduce some of the irritation associated with older retinoids. Like all retinoids, it can cause skin irritation, especially when you first start using it, but using a moisturiser from the beginning can help manage this.

No, Aklief and Tretinoin are different medications, though both are retinoids used to treat acne. Aklief contains trifarotene, while Tretinoin is a different retinoid compound. They work in similar ways by affecting skin cell turnover, but trifarotene is a newer, fourth-generation retinoid that targets specific receptors in the skin.

Aklief is primarily designed to treat active acne by preventing pores from becoming blocked and reducing inflammation. While retinoids can help improve skin texture and may have some effect on the appearance of acne scarring over time by promoting skin cell turnover, Aklief is not specifically licensed or marketed as a treatment for acne scars.

When you start to use Aklief, you might experience ‘purging’, where your skin appears to get worse before it gets better. This happens because the retinoid speeds up skin cell turnover, bringing underlying blocked pores to the surface more quickly. This is a normal part of the treatment process and typically improves as you continue using the medication.

Aklief is licensed specifically for treating acne vulgaris, not for anti-ageing or wrinkle reduction. While some retinoids are used for anti-ageing purposes, Aklief has been studied and approved only for acne treatment.

Yes, skin irritation and redness are common side effects of Aklief, especially when you first start using it. Many people experience redness, peeling, dryness, and stinging or burning at the application site. These side effects typically improve as your skin adjusts to the treatment.

While retinoids can help with skin cell turnover, which may have some effect on post-inflammatory hyperpigmentation (dark spots left after acne), Aklief is not specifically licensed for treating dark spots or pigmentation issues.

Aklief works gradually over time. Most people start to see improvements within the first few months of treatment, but you need to use it consistently for several weeks before seeing noticeable results.

No, Aklief is a prescription-only medication in the UK. You can purchase Aklief online from Click2Pharmacy after completing an online consultation, which our licensed pharmacists will review before issuing your prescription.

Our Experienced UK-based Pharmacy Team

Clinical Consultant
MUDr, MRCEM, EBCEM, FRCEM
GMC no. 7176414

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Page content authored by Amjad Khan, last reviewed by Mr Muhammad on 30th December 2025.

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