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Differin vs. Tretinoin

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Differin (adapalene) and tretinoin (Retin-A) are both retinoids used for acne, but there are some differences. Differin (adapalene) is a topical medication used to treat mild-to-moderate acne, while tretinoin (Retin-A) is an topical medication used to treat acne in adults and children 12 years and older. Differin (adapalene) is available both over-the-counter and by prescription, and it comes in various forms like creams, gels, and lotions. Tretinoin (Retin-A), on the other hand, is only available by prescription and is available as a cream or a gel. Differin (adapalene) can cause skin irritation, dryness, and sun sensitivity, while tretinoin (Retin-A) can cause skin irritation, redness, and peeling. You should avoid using Differin (adapalene) with other skin products that can cause irritation, and tretinoin (Retin-A) may cause your acne to get worse at the beginning of treatment, but it should get better as you continue using the medication. Differin (adapalene) and tretinoin (Retin-A) are sometimes used off-label for wrinkles, but there is another formulation of tretinoin (Renova) that is FDA approved for this purpose.

Differin

(adapalene)

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Retin-A

(tretinoin)

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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

Summary for Tretinoin

Prescription only

Retin-A (tretinoin) is a retinoid medication that's used to treat acne in adults and children 12 years and older. It's available as a cream or a gel that's applied onto the skin once a day. Side effects include skin irritation, redness, and peeling. Your acne might get worse at the beginning of treatment, but it should get better as you continue using the medication. You must have a prescription for Retin-A (tretinoin) from your primary care provider or dermatologist; this medication isn't available over the counter.

Indications for Tretinoin

  • Acne

Pros and Cons for Tretinoin

Pros

  • Easy to apply onto your skin
  • Only need to apply once nightly
  • Available in a lower-cost generic form

Cons

  • Makes your skin more sensitive to sunlight, which can lead to sunburns
  • Can cause your skin color to temporarily become lighter or darker
  • Might worsen your acne during the first few weeks of treatment

Common Side Effects for Tretinoin

  • Skin peeling or discomfort
  • Warm feeling or stinging after applying
  • Skin redness
  • Sensitivity to sunlight (sunburns)
  • Worsening of acne in the first few weeks of treatment

Warnings for Tretinoin

  • Sunburns
  • Skin irritation in extreme weather
  • Skin reactions

Prices with our coupons for Differin vs. Tretinoin

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Adapalene1 tube / 45g of 0.3%
$37.35$270.27
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Price Card Drug Icon
Tretinoin1 tube / 45g of 0.025%
$38.37$287.44
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