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Aczone vs. Differin

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)

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Differin

(adapalene)

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Summary for Aczone

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.

Indications for Aczone

Pros and Cons for Aczone

Pros

  • Applied directly to the area of skin with acne
  • Works well with minimal side effects
  • Once- or twice-daily dosing (depending on the strength you have)
  • Available as a lower-cost generic

Cons

Common Side Effects for Aczone

Dapsone 5% gel (Aczone):

  • Application site reaction (18%)
  • Dryness at the application site (16%)
  • Redness at the application site (13%)
  • Oily or peeling skin (up to 13%)
  • Nose and throat inflammation (5%)

Dapsone 7.5% gel (Aczone):

  • Dryness at the application site (1%)
  • Itching at the application site (1%)

Warnings for Aczone

  • Blood problem called methemoglobinemia
  • Low red blood cell counts in people with G6PD deficiency

Summary for Differin

Prescription or over-the-counter

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.

Indications for Differin

  • Acne

Pros and Cons for Differin

Pros

  • A first-choice option for treating acne
  • Only need to apply once a day
  • Safe to use for acne in children 12 and older
  • The 0.1% gel is available without a prescription.

Cons

  • Can get sunburns more easily
  • Can make skin dry, itchy, and flaky
  • Can take up to 12 weeks to see full effects
  • Skin might look worse before it starts looking better

Common Side Effects for Differin

  • Dry skin (up to 45%)
  • Scaling or peeling (up to 44%)
  • Stinging or burning (up to 29%)
  • Skin redness (up to 26%)

Warnings for Differin

  • Allergic reactions
  • Sunburn
  • Skin irritation

Prices with our coupons for Aczone vs. Differin

Price Card Drug Icon
Dapsone1 tube / 60g of 5%
$55.41$526.99
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Price Card Drug Icon
Adapalene1 tube / 45g of 0.3%
$37.35$270.27
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