Epiduo

Epiduo is a prescription medication used to treat acne in people over 12 years old. This topical gel contains two drugs. Adapalene belongs to a group of drugs called retinoid-like compounds, which prevent inflammation. Benzoyl peroxide belongs to a group of drugs called nitrogen binding agents, which kill acne-causing bacteria and remove dead skin cells.

This medication comes in gel form and is applied to the affected skin once a day.

Common side effects include redness and dryness. Epiduo will increase your sensitivity to the sun.

Epiduo is a prescription medicine used to treat acne in people 12 years of age and older. 

This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

• Galderma Laboratories, L.P.

Serious side effects have been reported with Epiduo. See the "Epiduo Precautions" section. 

Common side effects include skin reactions where this medication is applied such as:

• redness
• dryness
• swelling
• scaling
• stinging or burning

Tell your doctor right away if these side effects continue for longer than 4 weeks or get worse, you may have to stop using Epiduo.

These are not all the possible side effects of Epiduo. For more information, ask your doctor or pharmacist.

Tell your doctor if you have any side effect that bothers you or that does not go away. 

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you use other potentially irritating skin products (medicated or abrasive soaps and cleansers, soaps and cosmetics that have strong skin-drying effect and products with high concentrations of alcohol, alcohol, astringents, spices, or limes). 

This is not a complete list of Epiduo drug interactions. Ask your doctor or pharmacist for more information. 

Serious side effects have been reported with Epiduo including the following:

• Increased sensitivity to sunlight. Exposure to sunlight, including sunlamps, should be minimized. Use sunscreen products and protective apparel, (e.g., hat) when sun exposure cannot be avoided. Weather extremes, such as wind or cold, may also be irritating. 
• Skin reactions such as redness (erythema), scaling, dryness, and stinging/burning. These are most likely to occur during the first four weeks of treatment, are mostly mild to moderate in intensity, and usually lessen with continued use of the medication. An irritant and allergic skin rash (contact dermatitis) may occur. 

Do not use Epiduo if you are allergic to Epiduo or any of its ingredients. 

Medications can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of Epiduo, there are no specific foods that you must exclude from your diet when receiving this medication. 

Before using Epiduo, tell your doctor about all of your medical conditions. Especially tell your doctor if you:

• are allergic to Epiduo or to any of its ingredients
• have other skin problems, including cuts or sunburn
• have any other medical conditions
• are pregnant or planning to become pregnant. It is not known if Epiduo can harm your unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant.
• are breastfeeding or plan to breastfeed. It is not known if Epiduo passes into your breast milk and if it can harm your baby. Talk to your doctor about the best way to feed your baby if you use Epiduo.

Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. 

Tell your doctor if you are pregnant or plan to become pregnant.

The FDA categorizes medications based on safety for use during pregnancy. Five categories - A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.

Epiduo falls into category C. No studies have been done in animals, and no well-controlled studies have been done in pregnant women. Epiduo should be given to a pregnant woman only if clearly needed. 

Tell your doctor if you are breastfeeding or plan to breastfeed. 

It is not known if Epiduo crosses into human milk. Because many medications can cross into human milk and because of the possibility for serious adverse reactions in nursing infants with use of this medication, caution should be taken when Epiduo is administered in a nursing woman. Talk to your doctor about the best way to feed your baby if you use Epiduo.

Use Epiduo exactly as your doctor tells you to use it. Epiduo is for skin use only. Do not use Epiduo in or on your mouth, eyes, or vagina.

• Apply Epiduo gel one time a day.
• Do not use more Epiduo gel than you need to cover the treatment area. Using too much Epiduo gel or using it more than one time a day may increase your chance of skin irritation.
• Do not use more than the recommended amount and do not apply more than once daily (this will not produce faster results, but may increase irritation).

• Avoid spending time in sunlight or artificial sunlight, such as tanning beds or sunlamps. Epiduo gel can make your skin sensitive to sun and the light from tanning beds and sunlamps. Wear sunscreen and wear a hat and clothes that cover the areas treated with Epiduo  gel if you have to be in sunlight.
• Avoid weather extremes such as wind and cold as this may cause irritation to your skin.
• Avoid applying Epiduo gel to cuts, abrasions and sunburned skin.
• Avoid skin products that may dry or irritate your skin such as harsh soaps, astringents, cosmetics that have strong skin- drying effects and products containing high levels of alcohol, alcohol, astringents, spices, or limes.
• Avoid the use of “waxing” as a hair removal method on skin treated with Epiduo.
• Epiduo gel may bleach your clothes or hair. Allow Epiduo gel to dry completely before dressing to prevent bleaching of your clothes.

Applying Epiduo:

• Wash the area where the gel will be applied with a mild or soapless cleanser and pat dry.
• Epiduo gel comes in a tube and a pump. If you have been prescribed the:
  • Tube: Squeeze a small amount (about the size of a pea) of Epiduo gel onto your fingertips and spread a thin layer over the affected area.
  • Pump: Depress the pump to dispense a small amount (about the size of a pea) of Epiduo gel and spread a thin layer over the affected area.
• Wash your hands after applying medication. 

Use this medication exactly as prescribed by your doctor. Follow the directions on your prescription label carefully. 

The dose your doctor recommends may be based on the following:

• how you respond to the medication
• the size of the affected area

The recommended use of Epiduo for the treatment of acne is applying a thin film of gel to affected areas of the face and/or trunk once daily after washing. Use a pea-sized amount for each area of the face (e.g., forehead, chin, each cheek). Avoid the eyes, lips and mucous membranes.

If you use too much Epiduo, call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away. 

• Store Epiduo at room temperature, 68° to 77° F (20° to 25° C).
• Keep Epiduo inside its container and out of light and away from heat.
• Keep this and all medicines out of the reach of children.