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Clindoxyl® Gel (Clindamycin phosphate and benzoyl peroxide) |
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CLINICAL EXPERIENCE
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Clinical experience confirms what has been shown in clinical trials, that Clindoxyl Gel is effective and well tolerated
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Once daily application of topical that combines two active anti-acne agents may well increase patient compliance
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Clindoxyl Gel can be used once in the evening and a topical retinoid at an alternate time of day, if necessary
Mechanisms of action
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Benzoyl peroxide - produces free-radical oxygen that oxidizes bacterial proteins and has a mild keratolytic effect on comedones
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Clindamycin - inhibits bacterial protein synthesis by binding to 50S ribosomal units. It is bacteriostatic at low concentrations and bactericidal at higher concentrations.
Bacterial resistance
- Antibiotic resistance to the follicular bacteria P. acnes has been increasing over the years of antibiotic use
- Antibiotic resistant P. acnes increased from 34% in 1991 to 60% in 1996 in an acne outpatient clinic in Leeds in England
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Resistance was most commonly seen to erythromycin. This suggests that erythromycin might be less suited for long term use.
- Adding benzoyl peroxide to a topical antibiotic appears to reduce the ability of the bacteria to become resistant.
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Indications
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