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← ACTIVESRECORD A-16FAMILY ORGANIC PEROXIDE — OXIDISING ANTIMICROBIAL

Benzoyl Peroxide

Benzoyl peroxide

An acne treatment and antibiotic-regimen partner that also appears in a distinct approved rosacea formulation. Concentration alone cannot make different vehicles and indications interchangeable.

A REFERENCE STRENGTH IN THE RANGE RECORDED2.5% ——— 10%
5%

The marker is a representative concentration from the cited records. The bar includes approved and compounded preparations recorded here. It is not a recommended dose, a minimum effective strength or a claim that other concentrations are untested. Evidence depends on the vehicle, indication and trial population.

IDENTITY & RATINGSA
INCIBenzoyl peroxide
FAMILYOrganic peroxide — oxidising antimicrobial
MOL. WEIGHT242.23 g/mol
REFERENCE CONC.5%
RANGE SEEN2.5 – 10%
STATUSNON-PRESCRIPTION
ACTS ATEPIDERMIS
ONSET4–12 WK
STABILITYOXIDISER — AIRLESS PUMP; BLEACHES FABRIC
TRIALS ON FILE1
IRRITATION INDEX2 / 10
STRATUM CORNEUM▸ EPIDERMISDERMIS

The shaded band is the depth this molecule is understood to reach. Anything below it is out of scope, whatever the label says.

01

Mechanism

EVIDENCE GRADE A

An oxidising agent with bactericidal and keratolytic effects. It does not select for bacterial resistance, which is why it is conventionally paired with topical antibiotics. The label of the approved rosacea product states that the precise mechanism in rosacea is unknown.

HOUSE NOTES

  • An approved acne combination and an encapsulated rosacea product have different indications and evidence records.
  • AAD acne guidance recommends benzoyl peroxide alongside topical or oral antibiotics to reduce resistance.
  • TWYNEO is a defined tretinoin/benzoyl-peroxide cream; its compatibility is not permission to mix arbitrary products.
  • Ask about ingredient duplication before adding another acne wash or leave-on treatment to a fixed combination.

MEASURED ENDPOINTS

IGA treatment success, rosacea+26.7%
12 WKREF-27

SUPPORTING RECORDS

  • Multicentre randomised, vehicle-controlled; treatment difference 26.7% (95% CI 16.7–36.8); mean subject age 51

    N=361 · 12 WK · DOUBLE-BLIND

02

Layering

CONFLICTS & PAIRINGS
DO NOT LAYER
  • Fabric — bleaching can occur
  • Separate tretinoin products — ask about formulation and timing
  • Prior serious benzoyl-peroxide allergy
PAIRS WITH
  • Topical antibiotics, to limit resistance
  • Retinoids, at a different time of day
03

Reviewed in

3 REVIEWS
04

Comparing prescriptions

RESEARCH CHECKED · 13 SEP 2026

Look at the entire antibiotic regimen

If a compounded acne prescription includes clindamycin, ask the clinician how benzoyl peroxide and the antibiotic's duration are handled. The absence of benzoyl peroxide from one bottle does not establish that it is absent from the treatment plan. Its inclusion also does not remove the need for reassessment.

The finish and indication remain specific

CABTREO and TWYNEO offer defined acne combinations. The existing EPSOLAY review concerns rosacea. Do not compare their trial success rates as though all participants had the same condition, or replace one vehicle with another solely because the active name matches.

A finished combination is not a mixing instruction

Ask about the actual prescribed products and whether a separate cleanser or active duplicates a component. The clinical plan should identify the application area, timing and response to irritation. Our product reviews assess public documentation, without personal tolerance testing.

Sources

  1. S-01AAD — updated acne treatment guidelines

    Guideline summary recommends combining mechanisms and using benzoyl peroxide with topical or oral antibiotics to reduce resistance. Checked 13 September 2026.

  2. S-02DailyMed — CABTREO prescribing information

    Label revised March 2025: exact strengths, acne indication, two vehicle-controlled trials, contraindications and ten-week dispensing expiration. Checked 13 September 2026.

  3. S-03TWYNEO — current manufacturer prescribing information

    February 2025 label names Mayne Pharma and a 30 g pump. Trial 1 success and difference figures in Table 4 conflict; that row is not charted here. Storage limits are product-specific. Checked 13 September 2026.

EVERY FIGURE HERE RESOLVES TO A RECORD IN THE EVIDENCE REGISTER. NOT MEDICAL ADVICE.
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VALUE
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One reader gets a 12 months CoreAge Rx derm subscription — compounded, physician-reviewed, delivered. See the product records in our review register.

VALUE$780
TERM12 MONTHS$64.99/MO × 12

VALUE IS THE PUBLISHED $64.99/MONTH SUBSCRIPTION PRICE OVER TWELVE MONTHS, AS RECORDED IN R-10. NO PURCHASE NECESSARY. WE REVIEW COREAGE RX — WE DO NOT SELL IT.