Adapalene + Clindamycin Topical
Indications
Adapalene + Clindamycin Topical is used for:
Acne vulgaris, Indicated for topical application in the treatment of mild to moderate inflammatory acne vulgaris as well as non-inflammatory Acne, either alone or in combination with other anti-acne products and for the cutaneous treatment of acne vulgaris where comedones, papules and pustules predominate.
Adult Dose
Apply a thin film of Gel to the affected area of the skin once daily in the evening before going to bed.
Child Dose
Safety and effectiveness of this gel in children under the age of 12 have not been established.
Renal Dose
Administration
Clean the skin with a mild soap or soap-free cleanser, rinse with water then apply a small amount with clean fingers and rub gently into the skin. Use enough to cover the entire affected area lightly.
Contra Indications
Contraindicated in individuals with a history of hypersensitivity to clindamycin or lincomycin or adapalene, a history of regional enteritis or ulcerative colitis, or a history of antibiotic-associated colitis.
Precautions
Use of the topical formulation of clindamycin results in absorption of the antibiotic from the skin surface. Diarrhea, bloody diarrhea, and colitis (including pseudomembranous colitis) have been reported with the use of topical and systemic clindamycin.
Diarrhea, colitis, and pseudomembranous colitis have been observed to begin up to several weeks following cessation of oral and parenteral therapy with clindamycin.
Adapalene should not be used on areas which have cuts or scrapes or on sunburnt skin or in eczema. Contact with the eyes, mouth or angles of the nose and other very sensitive areas of the body should be avoided. If accidental contact does occur, immediately wash with warm water.
Avoid exposure to strong sunlight and artificial UV light. Use of sunscreen products and protective clothing over the treated area is recommended.
Lactation: Excretion in milk unknown; use with caution.
Pregnancy-Lactation
Interactions
Clindamycin has been shown to have neuromuscular blocking properties that may enhance the action of other neuromuscular blocking agents. Therefore, it should be used with caution in patients receiving such agents.
There are no known interactions with other medications which might be used cutaneously and concurrently with Adapalene, however, other retinoids or drugs with a similar mode of action should not be used concurrently with adapalene.
Side Effects
Side effects of Adapalene + Clindamycin Topical :
Local effects: Burning, itching, dryness, erythema and peeling.
Systemic effects: Cases of diarrhea, bloody diarrhea and colitis [including pseudomembranous colitis] have been reported as adverse reactions in patients treated with oral and parenteral formulations of clindamycin and rarely with topical clindamycin. Abdominal pain and gastrointestinal disturbances as well as gram-negative folliculitis have also been reported in association with the use of topical formulations of clindamycin.
Adapalene may cause the following side effects at the site of application.
Common: may affect up to 1 in 10 people Dry skin, irritation of the skin, burning sensation of the skin, redness of the skin (erythema).
Uncommon: may affect up to 1 in 100 people
Local skin reaction (contact dermatitis), skin discomfort, sunburn, itching of the skin (pruritus), peeling skin (exfoliation), flare up of acne.
Mode of Action
Clindamycin inhibits protein synthesis by reversibly binding to the 50S subunit of the ribosomal thus blocking the transpeptidation or translocation reactions of susceptible organisms resulting to stunted cell growth.
Adapalene binds to specific retinoic acid nuclear receptors which normalises the differentiation of follicular epithelial cells resulting in decreased microcomedone formation.