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Clindamycin + Isotretinoin

Uses of Clindamycin + Isotretinoin

  • The primary use of Clindamycin + Isotretinoin is for managing severe recalcitrant nodular acne. This combination belongs to the group of antibiotic and retinoid medicines.

  • As a secondary application, based on a doctor's discretion, it may sometimes be used for managing other skin conditions due to its potential antibacterial and anti-inflammatory properties.

Side effects of Clindamycin + Isotretinoin

  • Dry skin

  • Chapped lips

  • Dry eyes

  • Temporary hair thinning

  • Eye irritation and vision changes

  • Headache

How Clindamycin + Isotretinoin works

  • Clindamycin + Isotretinoin is a combination medicine for managing severe acne.

  • Clindamycin is part of the lincosamide antibiotics group. It works by sticking to the bacterial ribosomes, which are the protein factories of bacteria. This interrupts protein creation and ultimately halts the reproduction and expansion of bacteria causing acne.

  • Isotretinoin belongs to a group of compounds known as retinoids, which are related to vitamin A. It reduces the size and activity of oil glands in the skin, which helps lessen oiliness and prevents pores from getting clogged. Furthermore, it encourages skin cells to shed more readily, again helping unclog pores. Importantly, it also has effects that calm down inflammation.

Certified content

Written By

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Dr Nikita LoboMedical Editor & Reviewer| 7 years

BDS, MDS

Reviewed By

Dr. Osama Ahmed
Dr. Osama Ahmed Dental/Medical Writer, Editor, Reviewer| 2 years

Bachelor of Dental Surgery

Expert Advice

Dosage Forms Available

  • Clindamycin + Isotretinoin is available as a topical gel or lotion that is applied directly to the skin.

  • It can also be taken orally in the form of capsules.

Age and Dose Restrictions

  • Clindamycin + Isotretinoin is meant for use in adults and adolescents who are at least 12 years old.

Contraindications

  • This medication is contraindicated in patients with a history of intestinal disorders like colitis.

  • It should not be used by individuals with a known hypersensitivity to Clindamycin, Isotretinoin, lincomycin, or any of the excipients present in the formulation.

Other Medications to Avoid

  • Clindamycin + Isotretinoin may interact with corticosteroids (such as prednisone and dexamethasone), phenytoin (used for seizure control), tetracycline antibiotics (like doxycycline and minocycline), vitamin A supplements (due to additive toxicity risk), and St. John’s wort (which may reduce the effectiveness of isotretinoin).

  • Progestin-only birth control pills (such as levonorgestrel) may also be less effective when taken with isotretinoin.

Overdose and Missed Dose

  • In case of an overdose, symptoms might include severe headache, dizziness, vomiting, or an increase in some of the topical side effects like dryness or peeling of the skin. If these symptoms occur, seek immediate medical attention.

  • If you miss a dose of the topical gel or lotion, apply it as soon as you remember unless it is nearly time for your next scheduled application. Do not double the dose to catch up. If you miss a capsule dose, take it as soon as possible but skip the missed dose if your next dose is due soon.

Management of Side Effects

  • Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

  • To manage dryness caused by Clindamycin + Isotretinoin, apply fragrance-free moisturizers regularly throughout treatment, but not immediately after applying the medicine.

  • For joint or muscle pain, taking breaks during prolonged periods of activity could help alleviate discomfort.

Use in Driving and Operating Machinery

  • Clindamycin + Isotretinoin may cause dizziness or visual disturbances. These side effects can impair your ability to drive or operate machinery. Avoid engaging in these activities if you experience such symptoms.

Use in Pregnancy and Lactation

  • Clindamycin + Isotretinoin should not be used during pregnancy or breastfeeding. Women of childbearing potential should also use effective contraception during treatment and for at least one month after cessation. Please consult your doctor.

Caution in Other Conditions

  • Individuals with liver problems should use Clindamycin + Isotretinoin with caution due to Isotretinoin’s potential to cause liver abnormalities.

  • Patients with known mental health problems such as depression should be closely monitored due to the risk of exacerbating these conditions when using Isotretinoin.

Special Dietary and Lifestyle Recommendations

  • Maintain adequate hydration by drinking at least eight glasses of water daily to help manage some common side effects like dry skin and lips.

  • Incorporate a balanced diet rich in fruits, vegetables, and omega-3 fatty acids which can help support skin health.

  • Avoid excessive sun exposure by wearing protective clothing and applying broad-spectrum sunscreen when outdoors to protect against photosensitivity reactions associated with isotretinoin.

  • Regular skin care routines including gentle cleansing and non-comedogenic moisturizers can help manage acne-prone skin effectively alongside medication use.

Frequently asked questions

Yes, apart from managing severe nodular acne, Clindamycin + Isotretinoin may sometimes be used to manage other skin conditions as determined by your doctor due to its potential to inhibit bacterial growth and reduce inflammation.

It is always recommended to use Clindamycin + Isotretinoin for the duration as per your doctor’s prescription. Your doctor will assess your condition and prescribe the medicine accordingly.

While Clindamycin + Isotretinoin primarily works on decreasing oil production and combating bacterial growth, it does not directly affect hormonal balance. However, if you have any concerns about hormonal changes or imbalances while using this medication, you should consult your doctor.

Yes, temporary hair thinning is one of the common side effects associated with the use of Clindamycin + Isotretinoin.

Yes, in rare cases, Clindamycin + Isotretinoin may cause changes in mood or behaviour, feelings of depression, psychosis, and even suicidal thoughts. If you experience any mental health issues while using this medication, immediately consult your doctor.

There are some natural remedies such as tea tree oil and green tea that can aid in acne management. However, these are not substitutes for medicines like Clindamycin + Isotretinoin which are specifically designed to manage severe nodular acne. Always consult your doctor before trying any alternative remedies.

No, Clindamycin + Isotretinoin is not known to cause addiction. However, it should always be used as prescribed by your doctor.

Terms & Conditions


Available medicines for CLINDAMYCIN + ISOTRETINOIN
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Acsolve C 0.025/1 % Cream 15 GM
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Acne It 10/0.5 MG Gel 10 GM
Acne It 10/0.5 MG Gel 10 GM
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₹102.15
MRP ₹124.57
18.00% OFF

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