Quick Comparison

AdapaleneSalicylic Acid
Typical ConcentrationOTC: 0.1% gel, apply pea-sized amount once nightly to clean, dry skin. Prescription: 0.3% gel for more resistant acne. Can be applied to slightly damp skin with less irritation than tretinoin. Results visible at 8-12 weeks.Concentrations: 0.5-2% for daily use products (cleansers, toners, serums). Up to 30% for professional peels. Start with 0.5-1% every other day and increase. Leave-on products are more effective than wash-off. For body acne (back, chest): 2% is standard.
ApplicationTopical (gel, cream, lotion). More stable than tretinoin — can tolerate some benzoyl peroxide layering (Epiduo combines both).Topical (cleanser, toner, serum, spot treatment, body wash, peel). Leave-on products provide better efficacy than wash-off.
Research Papers8 papers10 papers
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Mechanism of Action

Adapalene

Adapalene selectively binds RAR-beta and RAR-gamma (minimal RAR-alpha affinity), reducing inflammatory signaling compared to pan-RAR agonists. It normalizes follicular epithelial differentiation and reduces corneocyte cohesion in the pilosebaceous unit, preventing microcomedo formation. Adapalene inhibits AP-1 transcription factor (c-Fos/c-Jun dimerization), suppressing IL-6, TNF-alpha, and neutrophil chemotaxis. It promotes comedolysis by accelerating desquamation of existing comedones. For anti-aging, it stimulates fibroblast collagen I and III via RAR-beta/gamma, with comparable efficacy to tretinoin. Its lipophilic naphthoic acid structure confers superior follicular penetration and light stability.

Salicylic Acid

Salicylic acid (ortho-hydroxybenzoic acid) is a lipophilic beta-hydroxy acid—the ortho hydroxyl enables sebum and follicular lipid solubility, unlike water-soluble AHAs. It penetrates the pilosebaceous unit and induces desmolysis: disruption of desmosomal attachments and corneodesmosomes, accelerating desquamation of pore-clogging debris. Inside the follicle, it dissolves sebum and keratin plugs (comedolysis). Salicylic acid inhibits COX-1 and COX-2, reducing prostaglandin synthesis—the same anti-inflammatory mechanism as aspirin—decreasing erythema and swelling. Bacteriostatic against Cutibacterium acnes through membrane disruption and pH reduction. May reduce sebum production. Small size (138 Da) and lipophilicity enable follicular penetration to depths AHAs cannot reach.

Risks & Safety

Adapalene

Common

Dryness, peeling, redness — generally less than tretinoin. Initial purging for 4-6 weeks.

Serious

Avoid in pregnancy (retinoid class).

Rare

Allergic contact dermatitis, severe peeling.

Salicylic Acid

Common

Dryness, peeling, mild stinging. Over-use can compromise the skin barrier.

Serious

Salicylate sensitivity (rare) — avoid if allergic to aspirin. Not recommended in pregnancy at high concentrations.

Rare

Severe peeling from over-application.

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