Clindamycin is available in foams, gels and solutions. You can use any of them based on your preference and tolerability. This article discusses the effectiveness of clindamycin, how to use it to treat acne, and potential side effects. Keep reading! Research has also evaluated the effects of topical clindamycin hydrochloride and clindamycin phosphate (2% concentration for both) in treating acne. They were compared with two non-prescription, anti-acne hydroalcoholic products (3). After eight weeks, the clindamycin formulations proved to be better for patients with moderate to severe acne. However, the study highlights the possibility of a placebo effect in this regard. Topical clindamycin reduces the count of bacteria, like propionibacterium acnes, in sebaceous follicles by disrupting their growth. Pairing a topical antibiotic, like clindamycin, with benzoyl peroxide reduces resistance in the bacteria. These antimicrobials suppress the growth of propionibacterium acnes that is known to cause acne (1). Clindamycin is thought to show better results when used in combination with other drugs. We have discussed them below.
Combination Therapies Using Clindamycin
Clindamycin can be used differently depending on the severity of acne. However, it cannot effectively treat acne by itself. Using it with another antimicrobial treatment may bring desired results. Variations of topical clindamycin paired with benzoyl peroxide have shown promising results in treating acne. This combination treats inflammatory and anti-inflammatory acne. A study showed that using an aqueous gel made with 1.2% of clindamycin phosphate and 3.75% of benzoyl peroxide proved effective in treating moderate to severe acne (3). The topical application of 1 to 4% of clindamycin and erythromycin, in combination, with or without zinc, could effectively treat inflammatory acne (4). Clindamycin phosphate (1.2%), paired with 0.025% of tretinoin and applied as an aqueous gel, had also shown to be effective (5). The combination may also reduce acne lesions more effectively than clindamycin monotherapy (6). Clindamycin is clearly beneficial in acne treatment. But how exactly do you use it once prescribed by your doctor?
How To Use Clindamycin For Acne
Be aware that some formulations like topical foams may contain alcohol that might sting or burn when applied to the skin. Wash your face and apply the foam with clean hands on all acne spots and blemishes. As mentioned above, there are many combination therapies that a doctor might recommend for treating acne (such as pairing clindamycin with benzoyl peroxide or with a topical retinoid). The doctor may prescribe any of the combinations depending on the severity of acne breakouts. Do not discontinue using clindamycin even if the acne starts to improve. Complete the full course as prescribed by the doctor. Once the course is completed, the doctor might ask you to stop using topical clindamycin and continue other medications. As with any treatment, the possibility of side effects after using clindamycin cannot be ruled out. We discuss the potential adverse effects of clindamycin in the next section.
Side Effects
Clindamycin is considered safe. However, in some cases it may cause side effects like (4).
Erythema Peeling Itching Dryness Burning Pseudomembranous colitis (inflammation of the bowel’s inner lining)
While the safety of chronic use of clindamycin during pregnancy still needs to be determined, its short-term use is considered safe. Research shows that it can be used in combination with other medications for treating acne in pregnant or lactating women (7). Pregnant women can use topical clindamycin and benzoyl peroxide to treat mild to moderate acne. However, clindamycin gels, lotions, solutions, foams, and swabs are not recommended for use as monotherapy. A combination of 1% clindamycin and benzoyl peroxide gel (of either 1%, 5%, 1.2%, or 2.5% concentration) may be used in patients with gastrointestinal diseases after consulting the doctor. Clindamycin may cause clostridium difficile diarrhea (colon inflammation) in such individuals. Clindamycin may rarely cause side effects in some individuals. Hence, the doctor may prescribe alternatives like antibiotics and retinoid creams. Keep reading.
Alternatives To Clindamycin
Antibiotics are normally prescribed for treating mild to moderate acne. Topical retinoid creams may be used for blackheads and whiteheads. Combination therapies of antibiotics and retinoid creams may be suggested for treating moderate to severe acne breakouts. Many home remedies are often suggested on various blogs. But they may not be as effective as medication. Certain home remedies might not work on particular skin types, and may instead cause further breakouts. While a few over-the-counter medications can also be used, make sure to consult a doctor first.
When To See A Doctor?
Consult a dermatologist, if the existing treatment is not working or causing breakouts. Consult a doctor before using any creams or oral supplements to treat acne. Inform your doctor about your regular skincare routine and the frequency of your breakouts. They will accordingly suggest a plan of action. You might notice an improvement in your skin condition once you start using the medication. Use the medication as prescribed. Do not discontinue it beforehand. How long does it take clindamycin to work for acne? It may take 8 to 12 weeks for clindamycin to work for acne. However, you will start seeing improvement in your skin within 4 weeks. How often should you use clindamycin for acne? It is recommended to use topical clindamycin two times a day. You may also consult your doctor for the correct dosage. Can I put moisturizer over clindamycin? No, for better results, it is recommended to apply clindamycin over moisturizer. Can I use clindamycin every day? Yes, you must use clindamycin every day to treat acne issues.
