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Adapalene (Differin) Gel 0.1% Acne Treatment Trial

Innocent Forever

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Staff Alumni
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#41
Is the stinging occurring on the entire face, or is it just around the eyes? Same with the rash?

Do what you have to do to mitigate symptoms. As long as the end result is consistent use and effective acne control, it’ll be worth it. The frequency isn’t important.

However, I don’t think I’ve heard of stinging occurring with retinoids and benzoyl peroxide. Dryness, redness, and peeling, I’m aware of. Did you mention the rash to your GP? Being excessively irritated, desiccated, or troubled, by the medication, I think, is a reason to reach out to your provider. Patient compliance is their priority.
The stinging was around my eyes, just need to keep still more distance, the rash on my neck, I'm not actually sure if it's from this but I think so, so just won't apply there...
 
#42
Well, I’m not sure as to who is still following along with this haphazard thread other than one or two people, but for the sake of consistency, but more so because I’m fucking lonely, I’ll provide an update.

Starting tomorrow, I’ll be using adapalene daily. I’ve neither experienced dryness, irritation, nor peeling, in the four weeks that I’ve introduced it. To that effect, I haven’t experienced a worsening of breakouts either. As it happens, the breakouts I did experience were less severe—so much so that I don’t recall having any impulse to pick at them, and they healed rather expeditiously. The only breakout, albeit superficial, that currently has my attention is one that is very localized, which quite possibly occurred because I somehow scratched the shit out of my face unwittingly.

Anyway, I’m considering the 6 week mark to be the end of the adjustment/retinization period. I’m still going to be using a salicylic acid (SA) wash by day for the simple fact that it comes with less risk of dryness and irritation compared to benzoyl peroxide (BPO), which is especially important when I’m shaving. Additionally, the risk of bleaching fabrics is out of mind with SA, even though it’s unlikely to occur with a BPO wash as long as I rinse it off completely. Most of all, I’m trying to find any excuse to continue using SA so as to not hurt his feelings.

Finally, I hope to reintroduce BPO into my nightly routine whether it be in a wash or leave-on product after the 6 weeks. By way of the latter option, I’d essentially be using an Epiduo (adapalene and benzoyl peroxide, 0.1%/2.5%) dupe. However, I’d be layering the actives separately rather than using them in a combination product. I’ve been using 2.5% BPO in a lotion formula, OXY Total Care Clarifying Moisturizer, on alternate nights with the adapalene. The marketing doesn’t lie: the product contains both clarifying/degreasing (presumably BPO) and moisturizing ingredients, and it comes in a rather generous amount (3.4 fl oz / 100 mL). Great for spot treating obnoxious inflammatory lesions on the back without the need for moisturizing them first. It’s available in the US at least.

Alright, back to desolation in degrees.
 

Innocent Forever

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Staff Alumni
SF Supporter
#43
Well, I’m not sure as to who is still following along with this haphazard thread other than one or two people, but for the sake of consistency, but more so because I’m fucking lonely, I’ll provide an update.

Starting tomorrow, I’ll be using adapalene daily. I’ve neither experienced dryness, irritation, nor peeling, in the four weeks that I’ve introduced it. To that effect, I haven’t experienced a worsening of breakouts either. As it happens, the breakouts I did experience were less severe—so much so that I don’t recall having any impulse to pick at them, and they healed rather expeditiously. The only breakout, albeit superficial, that currently has my attention is one that is very localized, which quite possibly occurred because I somehow scratched the shit out of my face unwittingly.

Anyway, I’m considering the 6 week mark to be the end of the adjustment/retinization period. I’m still going to be using a salicylic acid (SA) wash by day for the simple fact that it comes with less risk of dryness and irritation compared to benzoyl peroxide (BPO), which is especially important when I’m shaving. Additionally, the risk of bleaching fabrics is out of mind with SA, even though it’s unlikely to occur with a BPO wash as long as I rinse it off completely. Most of all, I’m trying to find any excuse to continue using SA so as to not hurt his feelings.

Finally, I hope to reintroduce BPO into my nightly routine whether it be in a wash or leave-on product after the 6 weeks. By way of the latter option, I’d essentially be using an Epiduo (adapalene and benzoyl peroxide, 0.1%/2.5%) dupe. However, I’d be layering the actives separately rather than using them in a combination product. I’ve been using 2.5% BPO in a lotion formula, OXY Total Care Clarifying Moisturizer, on alternate nights with the adapalene. The marketing doesn’t lie: the product contains both clarifying/degreasing (presumably BPO) and moisturizing ingredients, and it comes in a rather generous amount (3.4 fl oz / 100 mL). Great for spot treating obnoxious inflammatory lesions on the back without the need for moisturizing them first. It’s available in the US at least.

Alright, back to desolation in degrees.
If you have a po box or something I can send to message me...
 
#44
If you have a po box or something I can send to message me...
No, but thank you for your kind offer.

Some lady from some social media platform, we’ll call her Karen, was ranting about the La Roche-Posay Adapalene being much more expensive than Differin, and that simply being a high-end brand doesn’t justify the cost. I’d be inclined to agree if she wasn’t comparing the $29.99, 1.6 oz LRP adapalene to the $15.49, 0.5 oz Differin, which she made no mention of. The aforementioned prices are from CVS. Furthermore, the 1.6 oz Differin is more expensive at CVS at $31.49. While it’s less expensive than LRP at Walgreens, LRP is perpetually on sale (hyperbole) at least online.

If that doesn’t make your ass itch, get a load of the people agreeing with her uncritically. No questions asked. Not one dissenting opinion, counterargument, or fact-check, but that’s none of my business. I don’t think any eczema cream is going to relieve the timeless itch of herd conformity.
 

Innocent Forever

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Staff Alumni
SF Supporter
#45
No, but thank you for your kind offer.

Some lady from some social media platform, we’ll call her Karen, was ranting about the La Roche-Posay Adapalene being much more expensive than Differin, and that simply being a high-end brand doesn’t justify the cost. I’d be inclined to agree if she wasn’t comparing the $29.99, 1.6 oz LRP adapalene to the $15.49, 0.5 oz Differin, which she made no mention of. The aforementioned prices are from CVS. Furthermore, the 1.6 oz Differin is more expensive at CVS at $31.49. While it’s less expensive than LRP at Walgreens, LRP is perpetually on sale (hyperbole) at least online.

If that doesn’t make your ass itch, get a load of the people agreeing with her uncritically. No questions asked. Not one dissenting opinion, counterargument, or fact-check, but that’s none of my business. I don’t think any eczema cream is going to relieve the timeless itch of herd conformity.
Nope. It won't... it's kinda laughable....
I'm still using every other day. Can't say if I can see a difference or not.
 
#46
Nope. It won't... it's kinda laughable....
I'm still using every other day. Can't say if I can see a difference or not.
I’m assuming you started Epiduo on the 27th. (You mentioned starting it earlier in this thread.) It can take up to three months to start seeing results according to the packaging of my adapalene. It may not be Epiduo, but I’m still using the same retinoid, which does the heavy-lifting. I think you’re still in the midst of acclimating to the treatment, so you’ve no need to be discouraged. As long as you’re not excessively irritated, you’re on the right track. If you’re tolerating it well over the span of a few weeks, that’s even better; in that case, consider upping the frequency.
 

Witty_Sarcasm

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SF Supporter
#47
Maybe I should try something like this. I had chickenpox when I was 12, and funny enough, that's when I started to get acne and it still flares up. I usually use the salicylic acid cleanser and benzoyl peroxide cream combo, but I haven't had access to the cream for a while. So I've noticed I've been breaking out a bit more. It's not widespread, but I'll get it in weird places, like now I have one under my eye and around my mouth. Hopefully I can find something that works.
 
#48
Maybe I should try something like this. I had chickenpox when I was 12, and funny enough, that's when I started to get acne and it still flares up. I usually use the salicylic acid cleanser and benzoyl peroxide cream combo, but I haven't had access to the cream for a while. So I've noticed I've been breaking out a bit more. It's not widespread, but I'll get it in weird places, like now I have one under my eye and around my mouth. Hopefully I can find something that works.
What specific products do you normally use? Sucks that you haven’t had access to them, and I can assume why. I find that I get spots around the eyes (or even within the eyelashes) sometimes if I’ve rubbed them.

Edit: Do you use both ingredients in the same routine or at separate times?
 

Witty_Sarcasm

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#49
What specific products do you normally use? Sucks that you haven’t had access to them, and I can assume why. I find that I get spots around the eyes (or even within the eyelashes) sometimes if I’ve rubbed them.

Edit: Do you use both ingredients in the same routine or at separate times?
It varies, but I usually get the cheaper brands. I could probably invest a bit more money if it would actually work. I use them in the same nightly routine.
 
#50
It varies, but I usually get the cheaper brands. I could probably invest a bit more money if it would actually work. I use them in the same nightly routine.
Same here, though I do take to certain brands because I know that I tolerate them well. I’m more concerned about what’s not in the product than whatever is being touted on the front label; the active ingredient is what’s important, not the brand. I do wonder what percentage of benzoyl peroxide you use in the gels/creams because “maximum strength” (10%) makes me miserable, whereas the lower percentages are much more tolerable yet have similar efficacy.

I had tried to introduce both salicylic acid and benzoyl peroxide in the same routine a number of times, but the cumulative tightness I’d experience days later makes me regret it every time.
 

Witty_Sarcasm

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SF Supporter
#51
Same here, though I do take to certain brands because I know that I tolerate them well. I’m more concerned about what’s not in the product than whatever is being touted on the front label; the active ingredient is what’s important, not the brand. I do wonder what percentage of benzoyl peroxide you use in the gels/creams because “maximum strength” (10%) makes me miserable, whereas the lower percentages are much more tolerable yet have similar efficacy.

I had tried to introduce both salicylic acid and benzoyl peroxide in the same routine a number of times, but the cumulative tightness I’d experience days later makes me regret it every time.
I think it is probably at the highest strength. I might need to try something less strong and see if that works better.
 
#52
I think it is probably at the highest strength. I might need to try something less strong and see if that works better.
There are a few 2.5% gels OTC under the brands Rapid Clear Stubborn Acne and On-the-Spot by Neutrogena. Would be nice if lower percentages were widely available, but thanks to brands pandering to the “higher is better” fallacy, “maximum strength” pervades the market.
 

Witty_Sarcasm

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SF Supporter
#53
There are a few 2.5% gels OTC under the brands Rapid Clear Stubborn Acne and On-the-Spot by Neutrogena. Would be nice if lower percentages were widely available, but thanks to brands pandering to the “higher is better” fallacy, “maximum strength” pervades the market.
I should probably use a lower concentrate because it tends to dry out and irritate my skin. I will see if I can find those products or similar types in the store.
 

Acy

Mama Bear - TLC, Common Sense
Admin
SF Supporter
#54
@Inanimate - I’m so glad you’re doing this thread! It’s been good reading!

I use a BPO wash and BPO/clindamycin cream, and I’m on oral tetracycline. I have spot cover goo that has SA in it. My BPO wash is STRONG (10%). It took several weeks before it didn’t burn on contact - eek. I have to wear sunscreen with high protection factor if I plan to be in the sun - because every product/medication I use increases sun damage risk. Generally, I avoid being in the sun because sunscreens make me break out. (I’ve tried a lot of them - including very very expensive ones that are supposed to be anti-acne - but it doesn’t matter. I react to something basic in all sunscreen products - perhaps I’m allergic?)

Overall, I’ve had fairly good progress with the BPO, clindamycin, and tetracycline. Definitely has reduced breakouts and the spots are now rarely really inflamed. Very few of them are cyst-like now; they tend to be more superficial. :)

I hope everyone who needs this thread has success! :)
 
#55
It took several weeks before it didn’t burn on contact - eek.
Oh, my. Good thing it was a wash-off product in the first place. Luckily, I’ve always kicked off my benzoyl peroxide usage at a moderate percentage (whether it was unplanned or systematic), so it never unreservedly assaulted my face.
I react to something basic in all sunscreen products - perhaps I’m allergic?)
That’s curious. As far as irritants and pore clogging ingredients go, I avoid (off the top of my head):
  • fragrance
    • fragrant compounds (i.e., limonene, linalool, citronellol)
    • essential oils
    • citrus extracts and other fragrant plant extracts
  • dyes
  • menthol (or anything with a cooling effect as they tend to be a nuisance to me anyway)
  • coconut oil
Have you tried mineral sunscreens: sunscreens containing just zinc oxide and/or titanium dioxide? I wonder, among other possibilities, whether or not chemical UV filters could be irritating you and consequently worsening acne, since some people with very sensitive skin and rosacea tend to react to them. They certainly have burned around my eyes and lips, whereas mineral sunscreens don’t burn or sting me at all.
 

Innocent Forever

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Staff Alumni
SF Supporter
#56
@Inanimate - I’m so glad you’re doing this thread! It’s been good reading!

I use a BPO wash and BPO/clindamycin cream, and I’m on oral tetracycline. I have spot cover goo that has SA in it. My BPO wash is STRONG (10%). It took several weeks before it didn’t burn on contact - eek. I have to wear sunscreen with high protection factor if I plan to be in the sun - because every product/medication I use increases sun damage risk. Generally, I avoid being in the sun because sunscreens make me break out. (I’ve tried a lot of them - including very very expensive ones that are supposed to be anti-acne - but it doesn’t matter. I react to something basic in all sunscreen products - perhaps I’m allergic?)

Overall, I’ve had fairly good progress with the BPO, clindamycin, and tetracycline. Definitely has reduced breakouts and the spots are now rarely really inflamed. Very few of them are cyst-like now; they tend to be more superficial. :)

I hope everyone who needs this thread has success! :)
When you said tetracycline I thought you meant a different one that my GP didn't want me to take. Thanks Sir Google :). I'm using lymecycline at the moment (it comes under that class) but haven't yet seen a difference. I have used it in the past and it completely cleared the acne, but then I stopped taking it. So here we go again.
 

Acy

Mama Bear - TLC, Common Sense
Admin
SF Supporter
#57
Have you tried mineral sunscreens: sunscreens containing just zinc oxide and/or titanium dioxide? I wonder, among other possibilities, whether or not chemical UV filters could be irritating you and consequently worsening acne, since some people with very sensitive skin and rosacea tend to react to them. They certainly have burned around my eyes and lips, whereas mineral sunscreens don’t burn or sting me at all.
I have tried top-of-the-line sunscreens that are free of scents, dyes, oils. I figure it is one of the chemical UV filters since I react to them all to some degree. I have not tried the mineral blocks - I truly just avoid being in direct sunlight for long periods of time. If I must be out, then I use the screens and live with the break out. *dunno2 The best of limited choices. :)

* Acy slaps her hands away from her face - DO NOT TOUCH! * :D
 
#58
I have tried top-of-the-line sunscreens that are free of scents, dyes, oils. I figure it is one of the chemical UV filters since I react to them all to some degree. I have not tried the mineral blocks - I truly just avoid being in direct sunlight for long periods of time. If I must be out, then I use the screens and live with the break out. *dunno2 The best of limited choices. :)

* Acy slaps her hands away from her face - DO NOT TOUCH! * :D
Well, I encourage you to keep looking, if anything, for the sake of preventing skin cancer, UV induced hyperpigmentation (especially in acne), and premature wrinkling and sagging of the skin. High-end sunscreens may be more cosmetically elegant, but they aren’t necessarily more safe and efficacious than what you’ll find at the drug store. One thing you can do, risk-free, is wear sun-protective clothing: broad-brimmed hat, sunglasses, long-sleeve shirts and pants with UPF, etc. That, and continuing sun avoidance, would be a first-line of defense. Coolibar is a brand that I’m looking into, but there are others.

Give the mineral sunscreens (without the fragrance, dyes, and other offenders) a try as well. I’m not well-versed in mineral sunscreen products, but I trust that Neutrogena and La Roche-Posay has some good ones.
 

Acy

Mama Bear - TLC, Common Sense
Admin
SF Supporter
#59
@Inanimate - I use La Roche-Posay - the lightweight, non-greasy one on my face. The greasier one on arms, etc. I still break out a bit, but La Roche-Posay is the best I’ve tried! (It’s very very expensive here.) As I said, I just really don’t go out and play in the sun all that often. :) Thanks again for the tips!
 
#60
@Inanimate - I use La Roche-Posay - the lightweight, non-greasy one on my face. The greasier one on arms, etc. I still break out a bit, but La Roche-Posay is the best I’ve tried! (It’s very very expensive here.) As I said, I just really don’t go out and play in the sun all that often. :) Thanks again for the tips!
It’s very expensive here as well, yet we don’t even have the best or a broad range of UVA filters: just avobenzone. LRP stabilizes it at least. I only encourage routine use because windows don’t protect you from UVA, which has cumulative effects that are more difficult to reverse than, say, a sunburn. Either way, I’m glad to help (even if you didn’t ask).
 

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