Quick Comparison
| Adapalene | Sulfur | |
|---|---|---|
| Typical Concentration | OTC: 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: 2-10% in OTC products. Leave-on treatments: 3-8%. Wash-off: 5-10%. Can be used daily for mild acne. Sulfur masks (De La Cruz sulfur ointment) applied for 10-20 minutes are popular. Drying — follow with moisturizer. |
| Application | Topical (gel, cream, lotion). More stable than tretinoin — can tolerate some benzoyl peroxide layering (Epiduo combines both). | Topical (ointment, mask, cleanser, spot treatment). Leave-on or wash-off. Apply to clean skin. |
| Research Papers | 8 papers | 10 papers |
| Categories |
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.
Sulfur
Elemental sulfur (S8) reacts with cysteine residues in stratum corneum proteins to form hydrogen sulfide (H2S) and thiol derivatives, reducing disulfide bonds in keratin K1/K10 and cornified envelope — loosening corneocyte cohesion and promoting desquamation. Breaks hyperkeratotic plug in follicular ostia, unclogging pores. Bacteriostatic against Cutibacterium acnes through metabolism and membrane disruption. Reduces sebum production, possibly via anti-androgenic effects on sebaceous glands. Antifungal against Malassezia furfur (seborrheic dermatitis, pityrosporum folliculitis) via ergosterol synthesis inhibition. Anti-inflammatory effects may involve H2S signaling — endogenous H2S has vasodilatory properties. Mild comedolytic. Well-tolerated: works primarily on stratum corneum without deep penetration.
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.
Sulfur
Common
Drying, distinctive rotten-egg smell, may bleach fabrics.
Serious
None at cosmetic concentrations.
Rare
Allergic reaction (sulfur allergy is distinct from sulfonamide or sulfite allergy).
Full Profiles
Adapalene →
A third-generation synthetic retinoid originally developed for acne that has significant anti-aging benefits. Adapalene is more stable than tretinoin (resistant to light and oxygen degradation) and better tolerated because it selectively binds to RAR-beta and RAR-gamma receptors rather than all three subtypes. The 0.1% concentration became available OTC in 2016 (Differin), making it the most accessible prescription-strength retinoid.
Sulfur →
One of the oldest acne treatments, used for centuries. Sulfur has keratolytic (exfoliating), antimicrobial, and anti-inflammatory properties that make it effective for acne, seborrheic dermatitis, and rosacea. It has a distinctive smell but is gentler than benzoyl peroxide and works well for people who cannot tolerate BP or salicylic acid. Often found in traditional 'sulfur soap' and spot treatments.