Adapalene 0.1%
High RiskAdapalene is a topical retinoid used for acne that acts via retinoid receptors to normalise keratinisation and reduce inflammation. Retinoids are proven teratogens when systemic exposure occurs; for topical adapalene, UKTIS states an increased risk of malformation is unlikely when used as directed, but use in pregnancy cannot be recommended because pregnancy data are inadequate and class teratogenicity is well established. Regulators (EMA/MHRA) also advise topical retinoids should not be used during pregnancy as a precaution.
Sources: EMA: Updated measures for pregnancy prevention during retinoid use https://www.ema.europa.eu/en/news/updated-measures-pregnancy-prevention-during-retinoid-use



