Can you use adapalene with benzoyl peroxide?
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If you’re searching this pair, chances are you already have the combined gel, or you’re choosing a strength. Below: the three versions sold in the US, how their labels say to apply them, and what the first 12 weeks usually look like.
What each one does
What adapalene does
A retinoid sold without a prescription for acne (Differin 0.1%). Used once a day; dryness and redness are common at first.
Usual over-the-counter strength: 0.1%
What benzoyl peroxide does
An acne ingredient that works by oxidizing. It dries skin and can bleach hair, towels and pillowcases.
Usual over-the-counter strength: 2.5–10%
Myth: benzoyl peroxide cancels out adapalene
Lab tests found adapalene stays stable with it; tretinoin is the retinoid that breaks down.
0.1%/2.5%, 0.3%/2.5%, or the version with clindamycin?
- Adapalene 0.1% / benzoyl peroxide 2.5%: sold without a prescription, for ages 12 and up, once a day.
- Adapalene 0.3% / benzoyl peroxide 2.5%: a prescription medicine for ages 12 and up, approved for the face and/or trunk. In its 12-week trial, 33.7% of users reached clear or almost clear skin, compared with 11.0% on the plain gel and 27.3% on the 0.1% version. The label says the trial wasn’t built to compare the two strengths, so that last gap isn’t proof.
- Clindamycin 1.2% / adapalene 0.15% / benzoyl peroxide 3.1%: a prescription gel that adds an antibiotic. In two 12-week trials, about half of users (49.6% and 50.5%) reached clear or almost clear skin, versus 24.9% and 20.5% on the plain gel. It is not for anyone with a history of Crohn’s disease, ulcerative colitis or colitis linked to antibiotics, and the label says to stop it if diarrhea starts.
The benzoyl peroxide is 2.5% in both two-ingredient gels; what changes is the adapalene.
SourcesFDA label (DailyMed): adapalene 0.1% / benzoyl peroxide 2.5% gel, over the counter (updated May 2026)FDA label: adapalene 0.3% / benzoyl peroxide 2.5% gel, prescribing information (2022)FDA label (DailyMed): clindamycin phosphate 1.2% / adapalene 0.15% / benzoyl peroxide 3.1% gel (2025)
How to apply the gel, step by step
- Wash gently with a mild cleanser and pat dry.
- Once a day, spread a thin film across the whole area that breaks out, not just the spots you can see. The over-the-counter label’s example: acne on your face means gel on your entire face.
- For a measure, the prescription label says a pea-sized amount for each area of the face: forehead, chin, each cheek.
- Keep it off your eyes, lips and mouth. If it gets in, flush with water. Wash your hands afterward.
- Skip cuts, scrapes, eczema and sunburned skin, and don’t wax hair where you’ve applied it.
- Heading outside? Put sunscreen on after the gel.
Using more won’t speed things up: the label says extra gel brings no faster or better results, only more irritation.
SourcesFDA label (DailyMed): adapalene 0.1% / benzoyl peroxide 2.5% gel, over the counter (updated May 2026)FDA label: adapalene 0.3% / benzoyl peroxide 2.5% gel, prescribing information (2022)
Before and after: what weeks 1 to 12 look like
Weeks 1 to 4. Your acne can seem to get worse at first; the over-the-counter label calls that normal. This is also the stretch when redness, itching, dryness, burning or peeling is most likely. The prescription leaflet adds that this irritation usually lessens with continued use.
If it bothers you, the label offers three fixes: apply it less often, add a moisturizer, or use only one acne product at a time.
Weeks 6 to 12. Per the AAD, fewer breakouts usually take 6 to 8 weeks or more to show, and the label allows up to 3 months of once-daily use. The trials above measured results at week 12.
Week 12 and no change, or irritation that keeps getting worse: the label says to stop and ask a doctor.
SourcesFDA label (DailyMed): adapalene 0.1% / benzoyl peroxide 2.5% gel, over the counter (updated May 2026)FDA label: adapalene 0.3% / benzoyl peroxide 2.5% gel, prescribing information (2022)American Academy of Dermatology: Acne diagnosis and treatment (updated June 2024)
A separate adapalene gel and benzoyl peroxide wash?
Some people use two products instead of the combined gel. It’s the same pair, but the combined gel is the version tested as a pair, and its label says to ask a doctor or pharmacist before use if you use any other acne medicine.
- Split by time of day: Mayo Clinic suggests one product in the morning and another at night to help prevent irritation. Since dermatologists often advise applying a retinoid in the evening, one way to split them is a benzoyl peroxide wash in the morning and adapalene at night.
- Start at 2.5%: Mayo Clinic suggests a lower-strength, water-based benzoyl peroxide to lower the risk of side effects.
- Washing with it: the NHS says to wash with a small amount of gel for 1 to 2 minutes.
- Ask first: the NHS adds that benzoyl peroxide should only be combined with other acne treatments if your doctor or pharmacist says so.
SourcesFDA label (DailyMed): adapalene 0.1% / benzoyl peroxide 2.5% gel, over the counter (updated May 2026)American Academy of Dermatology: Acne diagnosis and treatment (updated June 2024)Mayo Clinic: Nonprescription acne treatment (2024)NHS: How and when to use benzoyl peroxide (reviewed Sept. 2026)
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Questions people ask
Can I wax my face while using it?
Not where you've applied it. The over-the-counter label says not to wax to remove hair in areas where the gel has been used. It also says not to put the gel on cuts, eczema or sunburn.
Can I use it while pregnant?
Most likely not. The AAD's pregnancy guide lists over-the-counter adapalene among ingredients that should not be used during pregnancy, and the label says to ask a doctor before use if you're pregnant or breastfeeding, and to stop and ask if you become pregnant or plan to. Benzoyl peroxide on its own is a separate question, covered in our pregnancy-safe check.
SourcesFDA label (DailyMed): adapalene 0.1% / benzoyl peroxide 2.5% gel, over the counter (updated May 2026)American Academy of Dermatology: Dermatologist-approved pregnancy skin care (updated June 2025)
Can a 12-year-old use it?
Yes, by the labels. The over-the-counter gel is for adults and children 12 and older, and says children under 12 should not use it. Both prescription versions are approved from age 12 as well.
SourcesFDA label (DailyMed): adapalene 0.1% / benzoyl peroxide 2.5% gel, over the counter (updated May 2026)FDA label: adapalene 0.3% / benzoyl peroxide 2.5% gel, prescribing information (2022)FDA label (DailyMed): clindamycin phosphate 1.2% / adapalene 0.15% / benzoyl peroxide 3.1% gel (2025)
Why not just use benzoyl peroxide alone?
You can, but the AAD says benzoyl peroxide is most effective when paired with a second acne treatment that works on acne’s other causes. A retinoid such as adapalene, which clears pores, is one of those partners.
SourceAmerican Academy of Dermatology: Acne diagnosis and treatment (updated June 2024)
DailyMed, US National Library of Medicinedailymed.nlm.nih.gov
- FDA label (DailyMed): Differin Epiduo, adapalene 0.1% / benzoyl peroxide 2.5% (2026)
OTC gel combining both, used once daily. Ages 12 and up, once daily; clean gently and pat dry; thin layer over the entire affected area (e.g., entire face); more gives no faster results; avoid eyes, lips, mouth; not on damaged skin; no waxing; sunscreen after; acne may worsen early (normal); irritation more likely in the first 4 weeks or with more than one acne medicine; less often, moisturizer or one product to reduce it; ask a doctor if using other acne medicines or pregnant; stop if no improvement after 3 months.
- FDA label (DailyMed): Differin Gel, adapalene 0.1%
- FDA label (DailyMed): clindamycin phosphate 1.2% / adapalene 0.15% / benzoyl peroxide 3.1% gel (2025)
Prescription gel for acne, ages 12 and up, once daily; not for people with regional enteritis, ulcerative colitis or antibiotic-associated colitis; stop if diarrhea occurs; 12-week trials: 49.6% and 50.5% success vs 24.9% and 20.5% on vehicle.
American Academy of Dermatologyaad.org
- Acne diagnosis and treatment (updated June 2024)
At least 6 to 8 weeks to see fewer breakouts; retinoids clear pores and are often applied in the evening; benzoyl peroxide is most effective with another acne treatment.
- Dermatologist-approved pregnancy skin care (updated June 2025)
Over-the-counter skin care containing a retinoid like adapalene should not be used during pregnancy.
DermNetdermnetnz.org
Electronic Code of Federal Regulationsecfr.gov
US Food and Drug Administrationfda.gov
- FDA label: adapalene 0.3% / benzoyl peroxide 2.5% gel, prescribing information (2022)
Prescription medicine for acne, ages 12 and up; thin layer to the face and/or trunk once daily after washing; pea-sized amount for each area of the face; irritation most likely in the first 4 weeks, usually lessens; 12-week trial: 33.7% success vs 11.0% vehicle and 27.3% for the 0.1%/2.5% gel, not powered to compare strengths.
Mayo Clinicmayoclinic.org
- Nonprescription acne treatment (2024)
Apply one product in the morning and a different one at night to help prevent irritation; consider starting with a lower-strength (2.5%) water-based benzoyl peroxide.
NHSnhs.uk
- How and when to use benzoyl peroxide (reviewed Sept. 2026)
Wash with a small amount of gel for 1 to 2 minutes; only use it with other acne treatments if a doctor or pharmacist says you can.
Studies and other sources
- Martin et al., Br J Dermatol, 1998pubmed.ncbi.nlm.nih.gov
Adapalene stayed stable with benzoyl peroxide; tretinoin degraded.