What is epiduo?
Epiduo is a prescription gel for the topical treatment of acne vulgaris. It combines two proven active ingredients: the retinoid adapalen and the antibacterial benzoyl peroxide.
This combination combats acne on several levels – it opens clogged pores, reduces inflammation and kills acne bacteria. Epiduo is particularly suitable for medium-heavy acne and can be used both in young people and adults.
There are also Epiduo Forte with higher concentration (adapals 0.3%, benzoyl peroxide 2.5%) for more persistent cases.
Active Ingredients & Mechanism of Action
Active ingredient: Adapalen 0,1%, Benzoylperoxid 2,5%
The active ingredients in Epiduo complement each other optimally:
Adapals (0.1%):
- belongs to the retinoids (vitamin A derivatives)
- Normalizes the cornification of the skin
- Prevents the formation of new comedons (center)
- Has anti-inflammatory properties
- Promotes cell renewal
Benzoyl peroxide (2.5%):
- Works strongly antibacterially against Propionibacterium acnes
- Release oxygen, which kills anaerobic bacteria
- No resistance development possible
- Lightly keratolytic (fooling)
Advantages of the combination: The simultaneous action on comedons, inflammation and bacteria makes Epiduo one of the most effective topical treatments for medium-heavy acne.
Who is it suitable for?
Epiduo is suitable for:
- Patients from 9 years old with moderate acne vulgaris
- In the case of predominantly flammable acne (papers, powders)
- In mixed acne with comedons and inflammation
- If individual active substances do not act sufficiently
Especially suitable for:
- persistent acne that does not respond to milder treatments
- Combination of mitess and inflamed pimples
- young people with public acne
More suitable for:
- Very sensitive, dry or irritated skin
- Pregnancy and breastfeeding
- Known incompatibility against retinoides or benzoyl peroxide
Available Dosages
Concentration of active substance:
- Adapalen: 1 mg/g (0.1%)
- Benzoyl peroxide: 25 mg/g (2.5%)
Varians:
- Epiduo Gel: Adapalen 0.1% + benzoyl peroxide 2.5%
- Epiduo Forte: Adapalen 0.3% + benzoyl peroxide 2.5%
Pack sizes:
- 15 g tube
- 30 g tube
- 45 g tube (cont'd)
- 60 g tube
How to Take
Application: 1. skin with mild, non-seifiable cleaner wash Two. Let dry (important!) 3. Apply a thin layer once a day in the evening 4. Apply to the entire area Five. Wash hands thoroughly after application
Time: Apply once a day. Adapals can make light-sensitive, so evening use is important.
Reconciliation phase: In the first 2-4 weeks, increased dryness, redness and dandruff can occur. This is normal and usually leaves. In case of severe irritation, apply every second day.
Important notes:
- Sun protection per day is mandatory (LSF 30+)
- Avoid contact with eyes, lips and mucous membranes
- Use benzoyl peroxide bleached textiles – white towels and pillowcases
- No wax dehairing in the treated area
Contraindications
**Epiduo may not be used at:* *
- hypersensitivity to adapals, benzoyl peroxide or auxiliary substances
- Pregnancy (retinoids can damage the unborn child)
- eczema, sunburn or irritated skin
- Rosacea or perioral dermatitis
Preview at:
- Still time (only after consultation, do not apply in the breast area)
- Very sensitive skin
- Simultaneous application of other irritating skin products
Important: Females with a birthable age must use safe prevention during treatment.
Possible Side Effects
Very common (>10%):
- dry skin
- dandruff
- Skin redness (erythem)
- Burn or steal
Acid (1-10%):
- Itching
- Contact dermatitis
- Skin irritation
- Aggravation of acne at the beginning
Occasionally:
- Sunburn-like reactions
- Allergic reactions
- Swelling
Measurement: In the first weeks, the acne can get worse for a short time before a recovery occurs. This is normal.
Tips for side effects:
- Use non-comedogenic moisturizer
- In case of severe irritation apply only every 2nd day
- Use mild cleaning products
Interactions
Do not apply at the same time:
- Other retinoides (topic or systemic)
- Strong drying or irritating products
- Products with high alcohol content
- Sulfur-containing acne products
Preview at:
- AHA/BHA-Peeelings – enhanced irritation
- Physical Peelings (Scrubs)
- Other topical acnetics
Recommendation: If necessary, additionally use a mild moisturizer. Other active products with the doctor.
Frequently Asked Questions
Similar Medications
Is epiduo right for you?
A licensed doctor will review your information and issue a prescription if suitable. Discreet and secure.
Important Notice
This information does not replace medical advice. If you have questions about your health or the suitability of this medication, please consult a doctor or pharmacist.
Important Safety Information
This service operates under German pharmaceutical law (HWG). For risks and side effects, read the package leaflet and consult your doctor or pharmacist. All medications are dispensed from a licensed pharmacy in Germany.





