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Home / Acne / Medications / AKLIEF TRIFAROTENE

Aklief® cream: price, coupons and side effects

Discover Aklief cream, a cutting-edge fourth-generation retinoid, offering numerous skin benefits, gentle effectiveness, and minimal side effects.

Dermatologist  Dr. Alpana Mohta
Medically reviewed by:
Dr. Alpana Mohta
Dermatologist

Table of Content:
What is Aklief? | How does it work? | Benefits | Side-effects | How to get it? | Price | Coupons | How to use it?


Thinking about using Aklief for acne—but not sure if it’s worth it, how it compares to other treatments, or how to actually get a prescription?

You’re not alone. Aklief (trifarotene) is one of the newest prescription retinoids, designed specifically to target acne more precisely than older treatments. It’s gaining attention for its effectiveness on both the face and body—but because it’s relatively new, many people don’t fully understand how it works or how to access it.

Here’s the challenge: Aklief isn’t available over the counter, and most telehealth providers don’t offer it at all—which makes getting started more difficult than it should be.

That’s where a personalized approach makes a difference.

With the right guidance, Aklief can help reduce breakouts, improve skin texture, and support long-term skin clarity—without the trial-and-error that often comes with acne treatments.

With Miiskin, you can get a prescription for Aklief online—issued by a licensed dermatologist.

Request an Aklief prescription and get answer in 1-2 days

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What is Aklief cream and what is it used for?

Trifarotene, the active ingredient in Aklief is a fourth-generation retinoid approved by the FDA for the treatment of acne vulgaris in patients aged nine years and older.1

Retinoids (such as tretinoin, adapalene, tazarotene and trifarotene) are topical skin medications widely utilized in the management of skin diseases, and over time, they have evolved into a fourth-generation, leading to an increase in therapeutic potency.

The trifarotene cream (commercially known as Aklief cream) is relatively new prescription-strength topical medication for the treatment of acne in the face, shoulders, chest, and back.2

How does the Aklief cream work?

The trifarotene cream targets the gamma receptors of retinoic acid because these receptors are primarily expressed in the skin. By selectively targeting these specific receptors, trifarotene exerts its therapeutic effects on the skin, such as reducing inflammation and preventing the formation of acne lesions. 3

This high specificity of trifarotene for targeting the gamma receptors of retinoic acid reduces its potential for systemic absorption and side effects, which basically means that trifarotene cream is better tolerated and has less side effects than most of the other retinoids. 4 

Preclinical studies show that the Aklief cream is more effective at lower concentrations compared to other retinoids, such as tazarotene and tretinoin, and has better anti pigmenting effects than adapalene. 5

Benefits of trifarotene cream

The advantages of the Aklief cream are many, since it is a new medication on the market especially developed to be more effective and have less side effects than other retinoids. 

  • It is FDA-approved for acne in patients as young as 9 years old (besides Altreno, topical retinoids can only be used by children 12 years of age and older)
  • Results can be noticed as early as 2 weeks
  • It can be used in face, chest, shoulders and back
  • It also works well against inflammatory acne
  • It can also be used to combat pigmentation
  • Less irritating than other retinoids  6
  • It improves skin texture
  • It is FDA-approved for the treatment of ichthyosis 7

Aklief cream side effects

The most common adverse effects of Aklief cream are:

  • Skin irritation
  • Itching
  • Sunburn
  • Redness 
  • Scaling
  • Dryness
  • stinging/burning  8

To minimize these side effects, you can apply a moisturizer a few minutes before applying the trifarotene cream. If irritation continues, reduce the frequency of application or suspend treatment temporarily. 9

To avoid further irritation, the Aklief cream should not be applied to cuts, abrasions, eczematous, or sunburned skin and waxing should also be avoided. Minimize exposure to sunlight and use sunscreen when exposure cannot be avoided. 10

As a rule of thumb, topical retinoids should only be applied during late evenings or at night.

How can I get a prescription for Aklief or acne treatment?

If you are interested in getting a prescription for Aklief, you can have a consultation with a board-certified dermatologist via Miiskin for $59.

Need an Aklief? Consultation takes 5 minutes!

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acne articles what is the difference

Tretinoin: What’s the difference?

  • Trifarotene vs tretinoin
  • Winlevi and tretinoin
  • Altreno vs tretinoin (Retin A)
  • Tretinoin gel vs cream

How to get Aklief cream?

Is Aklief cream available over the counter (OTC)?

The Aklief/trifarotene cream is not available over the counter. To get it you need a prescription from your doctor. 

What is the price of the Aklief/trifarotene cream?

The average price of Aklief cream without any coupons is around $700. However, this price can be considerably reduced with a manufacturer coupon. 

Best Aklief coupons

The manufacturer of Aklief offers coupons for patients who purchase Aklief cream without a commercial insurance. With a patient savings coupon, patients can buy Aklief cream for $60.

Does Aklief have a generic brand?

Since Trifarotene (Aklief) is a newer medication there isn’t a generic version available yet. However, through an online compounding pharmacy you can get an affordable customized for your skin that is as effective as Aklief.

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All About Tretinoin

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How to use the trifarotene cream?

You should always follow the indications given by your dermatology provider, however these are some general guidelines to follow when using the trifarotene cream.

  • Wash your face and skin with a non-comedogenic cleanser, pat dry and let it fully air dry
  • Apply a thin layer of cream during the night to the affected areas 
  • Avoid contact with the eyes, lips, and nose 
  • Always use sunscreen when applying a retinoid as they increase your skin’s sensitivity to the sun
  • Do not use if you are pregnant, trying to get pregnant or breastfeeding

Who is the Aklief cream for?

Patients over 9 years of age who suffer from comedogenic or inflammatory acne in the face and body.

Who cannot use the trifarotene cream?

Since the Aklief cream is a retinoid, it should not be used by women who want to become pregnant, are pregnant or nursing since it may harm the fetus. It also should not be used by children under the age of 9 years. 

Does Aklief cream help with dark spots?

In clinical trials, the trifarotene cream has shown to have anti pigmenting properties, which means that it may help reduce the appearance of dark spots and flat acne scars on the skin. 11

However, the Aklief cream will not resurface depressed acne scars. It just fades post inflammatory hyperpigmentation (flat acne scars). 11

However, it is important to note that the trifarotene cream is primarily indicated for the treatment of acne and while it may have a positive effect on hyperpigmentation, it may not be as effective as other treatments specifically designed for dark spots.

It is always best to consult with a dermatologist for a personalized treatment plan for hyperpigmentation or other skin concerns.

Learn more about customized prescription skincare!

Compare formulas, ingredients, and prices before deciding.

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Hormonal Acne Treatment

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  • Winlevi and tretinoin, a powerful combination for acne
  • Altreno (new tretinoin) for acne and anti-aging
  • Azelaic acid and tretinoin

Article References:

https://pubmed.ncbi.nlm.nih.gov/25876146
https://www.aad.org/media/stats-numbers
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9166940/
https://www.aklief.com/why-aklief-cream
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8324978/
https://ijdvl.com/trifarotene-the-latest-retinoid-2/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996910/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8750127/

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Miiskin is an online dermatology consultations platform that connects patients with independent dermatologists.

All consultations are provided by independent online dermatologists on a cash-pay-only basis. Miiskin does not practice medicine or pharmacy. Prescriptions, if medically appropriate, are sent to third-party pharmacies, which are paid directly for any medication. Medication images on the website are for illustrative purposes only and images of people are not actual patients. Medical information on miiskin.com is for informational purposes and not medical advice. Consult a healthcare provider for any concerns.

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