Clindamycin + Tretinoin

Indications
This is indicated for the topical treatment of Acne vulgaris.

Therapeutic Class
Topical antibiotic & retinoid preparations

Pharmacology
This is a combination of lincosamide antibiotic Clindamycin phosphate and retinoid Tretinoin. Clindamycin binds with the 50s ribosomal subunit of susceptible bacteria and prevents elongation of peptide chain by interfering with the peptidyl transfer, thereby suppressing bacterial protein synthesis. Clindamycin inhibits the activity of Propionibacterium acne as reduces the occurrence of acne. Tretinoin decreases the cohesiveness of follicular epithelial cells and increases the turn over thereby brings the comedones out.

Dosage & Administration
Before sleep:
Wash the face gently with a mild soap and water, then pat the skin dry.
Apply the Gel with finger tips through the face gently.
In the morning:
Apply a sunscreen after the application of Gel.
Do not wash your face more than 2 or 3 times a day. Apply the sunscreen cream as needed.

Interaction
Clindamycin & Tretinoin should be used with caution in patients receiving neuromuscular agents, erythromycin, tetracyclines, quinolone and other topical products (eg. Alcohol, drying agent).

Contraindications
Contraindicated in patients with hype

Side Effects
Side effects are usually rare. Possible side-effects may includes skin rash, itching, oily skin, dryness, erythema, burning, change in skin color, diarrhea, colitis, GI disturbance etc.

Pregnancy & Lactation
Use in pregnancy: There are no well-controlled trials in pregnant women treated with Clindamycin and Tretinoin gel. It should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
Lactating mother: It is not known whether Clindamycin and/or Tretinoin are excreted in human milk. Caution should be exercised when Clindamycin and Tretinoin gel is administered to a nursing woman.

Precautions & Warnings
Clindamycin and Tretinoin should not be applied to eyes, nose, ear, lips, cut, burn and other infections. After the application of the Gel, keep away from sunlight.

Use in Special Populations
Pediatric Uses: Safety and effectiveness in children below 12 years of age have not been established.

Storage Conditions
Store in a cool (below 25° C) and dry place away from light. Do not freeze.