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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Alternative For Faceclin-a Gel?

hey
dis is pallavi verma, i have developed many small pimples all over my face and this is due to excessive heat produced inside my body and sun,doctor prescribed me to use faceclin-a gel,but instead of healing it is causing much more irritation.skin pealing has occured which is unbearable.please suggest me an alternative solution.
thank you
Thu, 13 Nov 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

The cream you have been using contains Clindamycin+Adapalene combination, which is an effective antiacne preparation.
However, adapalene which is a topical retinoid has inherent irritant potential and can cause skin peeling and redness, specially early into therapy and in those who have a sensitive skin. This is called "retinoid dermatitis".
I would suggest that you discontunue it temporarily and let the irritation subside. You may use a non-comedogenic moisturizer if there is excessive skin peeling.
Once the dermatitis resolves, you may restart it and initially use it for just 2 hours every night till tolerance develops Or use it every alternate night for a few days till the skin gets used to it.

Moreover topical treatment alone is sometimes not effective on its own to take complete control of acne activity.
In such cases, Oral antibiotics are usually also combined with topical anti-acne treatment. Commonly prescribed oral antibiotics in acne are either Doxycycline, Azithromycin Or Minocycline.

I would suggest that you seek another appointment with your dermatologist. Your dermatologist would definitely contemplate starting an oral treatment along with topical clindamycin+adapalene combination and might add another topical (e.g topical nadifloxacin gel or clindamycin gel) too for day time use for faster improvement

Regards
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What Is The Alternative For Faceclin-a Gel?

Hello. Thanks for writing to us at healthcaremagic The cream you have been using contains Clindamycin+Adapalene combination, which is an effective antiacne preparation. However, adapalene which is a topical retinoid has inherent irritant potential and can cause skin peeling and redness, specially early into therapy and in those who have a sensitive skin. This is called retinoid dermatitis . I would suggest that you discontunue it temporarily and let the irritation subside. You may use a non-comedogenic moisturizer if there is excessive skin peeling. Once the dermatitis resolves, you may restart it and initially use it for just 2 hours every night till tolerance develops Or use it every alternate night for a few days till the skin gets used to it. Moreover topical treatment alone is sometimes not effective on its own to take complete control of acne activity. In such cases, Oral antibiotics are usually also combined with topical anti-acne treatment. Commonly prescribed oral antibiotics in acne are either Doxycycline, Azithromycin Or Minocycline. I would suggest that you seek another appointment with your dermatologist. Your dermatologist would definitely contemplate starting an oral treatment along with topical clindamycin+adapalene combination and might add another topical (e.g topical nadifloxacin gel or clindamycin gel) too for day time use for faster improvement Regards