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What the science says about Salicylic Acid

Peer-reviewed research on Salicylic Acid, summarised in plain language. Every study links to its record on PubMed so you can read it yourself.

Salicylic Acid for acne

Strong evidence for acne
  • It usually helped clear acne, though results were sometimes mixed and a few studies only showed it matched other treatments
  • 30 studies back this, including large reviews
  • It often worked about as well as tretinoin, adapalene, benzoyl peroxide, mandelic acid, Jessner's solution, and some light treatments
  • Some studies found it worked better when used with other treatments than when those treatments were used alone
  • Side effects were usually milder than with some comparison treatments, with less dryness and fewer side effects overall

32 studies

  1. A systematic review and network meta-analysis of topical pharmacological, oral pharmacological, physical and combined treatments for acne vulgaris.

    The British journal of dermatology2022Meta-analysis35,000 participantsPositive

    In a large review of many clinical trials, chemical peels such as salicylic acid seemed to clear acne better in mild-to-moderate acne, but the evidence was very uncertain.

    PubMed 35789996DOI

  2. Topical azelaic acid, salicylic acid, nicotinamide, sulphur, zinc and fruit acid (alpha-hydroxy acid) for acne.

    The Cochrane database of systematic reviews2020Meta-analysis46 participantsNeutral

    In a study of 46 people with acne, salicylic acid cleared acne about as well as tretinoin.

    PubMed 32356369DOI

  3. A comprehensive systematic review on the efficacy, safety, tolerability, and relapse rates of modern procedural therapies for inflammatory and non-inflammatory acne vulgaris.

    Lasers in medical science2025Systematic review8,121 participants30%Positive

    In a large review of 8121 people with acne, 30% salicylic acid peels showed the strongest acne clearing among the chemical peels discussed.

    PubMed 40993442DOI

  4. Guidelines of care for the management of acne vulgaris.

    Journal of the American Academy of Dermatology2024Systematic reviewPositive

    Expert guidelines recommend salicylic acid for acne, but this abstract does not give study results for how well it cleared acne.

    PubMed 38300170DOI

  5. Evidence-based topical treatments (azelaic acid, salicylic acid, nicotinamide, sulfur, zinc, and fruit acid) for acne: an abridged version of a Cochrane systematic review.

    Journal of evidence-based medicine2020Systematic review3,880 participantsNeutral

    In a large review of 3880 people with acne, salicylic acid worked about as well as tretinoin for clearing acne, but the evidence was low quality.

    PubMed 33034949DOI

  6. Clinical evidence for washing and cleansers in acne vulgaris: a systematic review.

    The Journal of dermatological treatment2018Systematic review671 participantsNeutral

    In a review of 671 people with acne, salicylic acid cleansers were included, but the paper did not report a clear result for salicylic acid itself.

    PubMed 29460655DOI

  7. Chemical peels for acne vulgaris: a systematic review of randomised controlled trials.

    BMJ open2018Systematic review387 participantsMixed

    In a review of 387 people with acne, salicylic acid peels worked about as well as several other peels, but results were mixed across comparisons.

    PubMed 29705755DOI

  8. Randomized Controlled Study of Bacteriophages in Acne Reveals Efficacy and Novel Mechanism for Promoting Long-Term Skin Health.

    Journal of drugs in dermatology : JDD2026RCT90 participantsPositive

    In an 8-week study of 90 people with mild to moderate acne, salicylic acid used with bacteriophages improved acne from the start of the study.

    PubMed 42235049DOI

Research context, not treatment advice. Studies are about the ingredient, not any one product.

Products with Salicylic Acid

Products we have confirmed contain Salicylic Acid, from their ingredient lists.

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