Can you use salicylic acid with benzoyl peroxide?
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Both are over-the-counter acne drugs covered by the same FDA rule, so their labels share the same warnings. That rule also limits what a single wash with both can be.
What each one does
What salicylic acid does
A beta hydroxy acid (BHA) sold over the counter for acne. It can dry skin, so labels say to start once a day.
Usual over-the-counter strength: 0.5–2%
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%
A face wash with salicylic acid and benzoyl peroxide?
The FDA’s over-the-counter acne rule lists which acne actives may be combined in one product. It allows only two combinations, both of sulfur with a form of resorcinol. Benzoyl peroxide with salicylic acid is not on the list.
So if a wash or cream seems to offer both, read the Drug Facts box:
- The Active ingredient line shows which one the product treats as the acne drug, and at what percent. The allowed ranges are 2.5 to 10% for benzoyl peroxide and 0.5 to 2% for salicylic acid.
- Active ingredients are always listed first, before the other ingredients.
A wash stays on skin only briefly; see the body-wash tips below for how long the AAD suggests leaving one on.
SourcesFDA rule: 21 CFR 333.310, 333.320 and 333.350 (OTC acne drugs)US FDA: Cosmetics labeling guide
Body wash for back and chest acne
For back and chest acne, the AAD’s routine is built around a benzoyl peroxide wash:
- Use a foaming benzoyl peroxide wash every day and leave it on for two to five minutes. That helps it work on the thicker skin of the back; rinsing keeps it from bleaching sheets and towels.
- 5.3% is less likely to dry or peel skin; 10% is the strongest you can buy without a prescription.
- No loofahs, back brushes or hard scrubbing, and shower or change soon after sweating.
- Expect results in six to eight weeks and clearing in three to four months. If nothing has changed after six to eight weeks, see a dermatologist.
If you also use a salicylic acid body product, give it its own slot, morning or evening, apart from the benzoyl peroxide, as you would on the face.
SourcesMayo Clinic: Nonprescription acne treatment (2024)American Academy of Dermatology: Back acne: How to see clearer skin
Which one to start with
The plan above starts with benzoyl peroxide alone and adds salicylic acid in week 3. What each brings, so you can judge whether you need both:
- Benzoyl peroxide lowers acne bacteria and, per the AAD, does most when paired with a treatment aimed at acne’s other causes. Mayo Clinic suggests starting with a 2.5% water-based product: lower strengths work as well as higher ones, with less risk of side effects.
- Salicylic acid unblocks pores and exfoliates; Mayo Clinic notes it is sold at 0.5 to 2% as both leave-on and wash-off products.
Give the plan time. The AAD’s yardstick is six to eight weeks or more before breakouts drop, and extra product won’t hurry it. Not sure which kind of pimple you have? Try the pimple type identifier.
SourcesMayo Clinic: Nonprescription acne treatment (2024)American Academy of Dermatology: Acne diagnosis and treatment (updated June 2024)
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Questions people ask
Can I add adapalene as a third product?
Adapalene goes well with benzoyl peroxide: the AAD’s back-acne routine uses the two together. A third acne medicine adds irritation, though. The adapalene label links extra irritation to using several acne medications at once, and suggests holding off on it until any irritation from your current products has settled.
SourcesAmerican Academy of Dermatology: Back acne: How to see clearer skinFDA label (DailyMed): adapalene gel 0.1%, OTC Drug Facts and leaflet (Dec. 2022)
Does an acne face wash count as a second acne medicine?
Yes, if its Drug Facts box lists salicylic acid or benzoyl peroxide as the active ingredient. The FDA acne rule covers washes and masks as well as leave-on products, and the warning about pairing it with another topical acne product is a required part of these labels.
SourceFDA rule: 21 CFR 333.310, 333.320 and 333.350 (OTC acne drugs)
What if my skin gets dry and flaky?
With leave-on products, the FDA labeling rule tells you to drop to a single daily application, or every other day, once dryness or peeling gets annoying. Severe irritation is a reason to stop benzoyl peroxide and check with a doctor, per its label.
SourceFDA rule: 21 CFR 333.310, 333.320 and 333.350 (OTC acne drugs)
Who shouldn’t use benzoyl peroxide?
Its required label says not to use it if you have very sensitive skin or are sensitive to benzoyl peroxide. It should also stay clear of the eyes, lips and mouth, and away from hair and dyed fabrics, which it can bleach.
SourceFDA rule: 21 CFR 333.310, 333.320 and 333.350 (OTC acne drugs)
US Food and Drug Administrationfda.gov
- Beta Hydroxy Acids
- Cosmetics labeling guide
Products that are drugs declare the active drug ingredients first, under “Active Ingredients”, before the other ingredients.
American Academy of Dermatologyaad.org
- Back acne: How to see clearer skin
Use a foaming benzoyl peroxide wash daily and leave it on about two to five minutes before rinsing; 5.3% is less likely to irritate, 10% is the strongest without a prescription; adapalene 0.1% gel used with benzoyl peroxide improves results; no loofahs, back brushes or scrubbing; shower and change after sweating; results in 6–8 weeks, clearing in 3–4 months; see a dermatologist if no difference after 6–8 weeks.
- Acne diagnosis and treatment (updated June 2024)
Benzoyl peroxide reduces acne bacteria and is most effective with another treatment; salicylic acid opens clogged pores and exfoliates; at least 6 to 8 weeks to see fewer breakouts; applying more will not clear acne faster.
Electronic Code of Federal Regulationsecfr.gov
- FDA rule: 21 CFR 333.310 and 333.350 (OTC acne monograph)
Both are OTC acne actives; irritation more likely when combined. Benzoyl peroxide 2.5–10% and salicylic acid 0.5–2% are OTC acne actives; the only permitted combinations of actives are sulfur with resorcinol or resorcinol monoacetate; labels warn irritation and dryness are more likely with another topical acne medication; benzoyl peroxide: do not use with very sensitive skin or sensitivity to it, avoid eyes, lips, mouth, hair and dyed fabrics, stop and ask a doctor if irritation becomes severe; leave-on products: reduce to once a day or every other day if dryness or peeling bothers you; rinse-off products such as soaps and masks are covered too.
Mayo Clinicmayoclinic.org
- Nonprescription acne treatment (2024)
One product in the morning, another at night, to prevent irritation. Apply one product in the morning and another at night to help prevent irritation; start benzoyl peroxide at a 2.5% water-based strength; lower strengths are as effective as higher ones; salicylic acid comes in 0.5–2% leave-on and wash-off products.
DermNetdermnetnz.org
DailyMed, US National Library of Medicinedailymed.nlm.nih.gov
- FDA label (DailyMed): adapalene gel 0.1%, OTC Drug Facts and leaflet (Dec. 2022)
Irritation is more likely when using more than one topical acne medication; you may want to delay starting adapalene until irritation from other products has gone away.