Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Aczone (dapsone) and Differin (adapalene) are both topical treatments for acne, but they work in different ways and belong to different drug classes. Aczone is a sulfone antibiotic that likely reduces acne by killing bacteria and reducing inflammation, while Differin is a retinoid that helps by replacing old skin cells with new ones and unclogging pores. Aczone is available in two strengths and can be applied once or twice a day, whereas Differin is typically applied once daily at bedtime. Differin can be found over-the-counter in its lower strength, while Aczone requires a prescription. Common side effects of Aczone include redness and dryness at the application site, whereas Differin often causes skin irritation, burning, and increased sensitivity to sunlight. Both medications can take several weeks to show full effects, up to 12 weeks.
Dapsone (Aczone)
Differin (adapalene)
Dapsone (Aczone)
Differin (adapalene)
Summary of Aczone vs. Differin
Summary for Sulfone antibiotic
Prescription only
Dapsone (Aczone) is a topical gel that's used for acne. This medication belongs to the drug class known as sulfones. It's available in two strengths: dapsone 7.5% (for people 9 years and older) and dapsone 5% (for people 12 years and older). Dapsone (Aczone) is applied onto the skin once or twice a day, depending on which strength you're using. The most common side effects include redness and dryness where you apply it. Dapsone (Aczone) is available as a generic and brand-name medication.
Summary for Retinoid
Differin (adapalene) works well for treating mild-to-moderate acne. Differin (adapalene) can cause skin irritation, burning, and itching right after using it, so make sure you have moisturizer with you to help with this side effect. This acne treatment has different strengths and formulations (e.g., cream, gel, lotion). But only the lower strength gel is available over the counter.