Clindamycin/benzoyl peroxide is a combination topical gel used to treat acne in people ages 12 years and older. It contains a lincosamide antibiotic (clindamycin) and an antiseptic (benzoyl peroxide) that kills acne-causing bacteria and easing skin inflammation. Clindamycin/benzoyl peroxide is applied to the face once or twice per day, depending on the strength. Side effects include skin redness and itching. This medication is available as both brand name (e.g., Neuac, Acanya) and generic versions.
Treatment of inflammatory acne on the face in people ages 12 years and older
Clindamycin/benzoyl peroxide is a combination of two medications that work together to treat acne.
Clindamycin is a lincosamide antibiotic. It works by stopping bacteria from making their own proteins. This prevents the bacteria that cause acne from growing and spreading.
Benzoyl peroxide is an antiseptic. It works by killing the bacteria on the skin that cause acne. It also helps improve the skin texture by shedding damaged or flaking skin and reducing inflammation.
Source:Â DailyMed
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
More common
Less common
Burning, itching, redness, skin rash, swelling, or soreness at the application site
flushing or redness of the skin
peeling
sunburn
unusually warm skin
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
Applied to the skin
Available in different strengths, depending on your needs
Causes fewer side effects compared to oral acne medications
Can bleach your hair and clothes
Can take up to 3 months to see full effects
Makes your skin more sensitive to light
Use a mild cleanser to clean the affected area(s) where you'll be applying clindamycin/benzoyl peroxide. Make sure your skin is completely dry before using clindamycin/benzoyl peroxide.
Apply a thin layer of clindamycin/benzoyl peroxide on the affected area(s) of the skin on the face once or twice a day, depending on the instructions from your prescriber. Make sure to apply enough to cover the skin with a thin layer of medication.
Avoid applying clindamycin/benzoyl peroxide to the eyes, mouth, lips, mouth, vagina, or areas of skin that are broken.
Start using a mild moisturizer as often as needed to help prevent your skin from becoming too dry or irritated. Also, use sunscreen and wear protective clothing (e.g., hats) when going outside because clindamycin/benzoyl peroxide can make your skin more sensitive to light.
Let your care team know if you're using other acne medications, such as Benzamycin (erythromycin / benzoyl peroxide) or dapsone (Aczone). You might need to stop using these before starting clindamycin/benzoyl peroxide.
Store clindamycin/benzoyl peroxide at room temperature (up to 77 degrees F). Keep the container tightly closed and out of reach from children.
Neuac is good for 60 days, Acanya is good for 10 weeks, and clindamycin 1% /benzoyl peroxide 5% is good for 3 months after opening. Write the expiration date on your product, if not already there, and throw it away after this date.
Clindamycin/benzoyl peroxide can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Risk factors: Applying clindamycin/benzoyl peroxide to mouth, eyes, or broken skin | Using clindamycin/benzoyl peroxide for a long time | Taking opioids or Lomotil (diphenoxylate / atropine) with clindamycin/benzoyl peroxide
Although rare, there have been reports of clindamycin getting absorbed from the skin and into the body, and causing a potentially life-threatening condition called colitis. Colitis is inflammation of your large intestine (the colon). People who take opioid pain medications (e.g., Norco (hydrocodone / acetaminophen), oxycodone, etc.) or Lomotil (diphenoxylate / atropine) might be at risk for prolonged or worsening colitis.
If you experience diarrhea that doesn't go away, especially if it's bloody and causes severe stomach cramps, stop using clindamycin/benzoyl peroxide and seek medical help. In some people, these symptoms might not happen until a few weeks after stopping the medication.
Your skin can become more sensitive to ultraviolet (UV) light while using clindamycin/benzoyl peroxide. Too much exposure to UV light can even cause severe sunburn. Minimize your exposure to sunlight, sun lamps, and tanning beds during and immediately following treatment with clindamycin/benzoyl peroxide. If possible, limit your time out in the sun or seek shade when you're outside. If you plan on spending time in the sun, ask your dermatologist about using sunscreen and wearing protective clothing (e.g., hats, long-sleeved shirts).
Using other topical acne medications along with clindamycin/benzoyl peroxide can cause skin irritation, such as peeling and flakey skin. If this happens, your dermatologist might ask you to temporarily stop treatment or use the medications less often until the skin irritation gets better. But if you experience severe skin irritation, your dermatologist will likely ask you to stop treatment and consider other options.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Allergy lincomycin
History of certain inflammatory gut problems (e.g., ulcerative colitis, antibiotic-associated colitis, or regional enteritis)
Treatment of inflammatory acne on the face in people ages 12 years and older
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Al-Niaimi, F., et al. (2017). Topical vitamin C and the skin: Mechanisms of action and clinical applications. The Journal of Clinical and Aesthetic Dermatology.
Bausch Health US, LLC. (2020). Acanya- clindamycin phosphate and benzoyl peroxide gel [package insert]. DailyMed.
Glenmark Pharmaceuticals. (2021). Clindamycin and benzoyl peroxide gel [package insert]. DailyMed.
Kaewsanit, T., et al. (2021). Clinical comparison of topical 2.5% benzoyl peroxide plus 5% niacinamide to 2.5% benzoyl peroxide alone in the treatment of mild to moderate facial acne vulgaris. The Journal of Clinical and Aesthetic Dermatology.
Matin, T., et al. (2024). Benzoyl peroxide. StatPearls.
Medimetriks Pharmaceuticals. (2023). Neuac- clindamycin phosphate and benzoyl peroxide gel [package insert]. DailyMed.
MedlinePlus. (2023). Colitis.
Wohlrab, J., et al. (2014). Niacinamide - mechanisms of action and its topical use in dermatology. Skin Pharmacology and Physiology.
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