Generic
Adapalene + Clindamycin Phosphate
2 brands available in the market
At a glance
Adapalene + Clindamycin Phosphate is a topical gel used for the treatment of acne vulgaris. Adapalene is a retinoid that normalizes skin cell turnover and unclogs pores, while Clindamycin is an antibiotic that destroys acne-causing bacteria. This dual action reduces inflammation and prevents new breakouts. It is usually applied once daily at night to clean, dry skin. In Bangladesh, it is available under brand names like Deriva CMS, Clin Bold Gel, etc.
Description
Adapalene + Clindamycin Phosphate Gel is a prescription-strength topical treatment designed to effectively manage acne. This dual-action formula targets both inflammatory and non-inflammatory acne, helping to unclog pores, reduce redness, and prevent future breakouts. Adapalene (0.1%) in microsphere technology ensures controlled release for better tolerability. Clindamycin Phosphate (1%) reduces the growth of acne-causing bacteria. It is dermatologist-recommended and effective for stubborn acne
Indications
Used for the treatment of acne vulgaris
Therapeutic class
Topical Retinoid + Topical Antibiotic (Combination)
Pharmacology
Adapalene is a retinoid that normalizes skin cell turnover and prevents comedone formation. Clindamycin Phosphate is an antibiotic that kills acne-causing bacteria (Propionibacterium acnes) by inhibiting bacterial protein synthesis .
Mechanism of action
Adapalene helps remove dead skin cells and keep pores open, preventing new acne formation. Clindamycin Phosphate stops bacterial growth and reduces inflammation. Together, they target multiple causes of acne .
Dosage
Adults and children over 12 years: Apply a thin layer to clean, dry skin once daily at night . During the first week of treatment, acne may worsen (initial exacerbation), which is normal. Therapeutic effect is observed 8-12 weeks after starting treatment
Administration
Apply a thin layer of gel to affected areas after cleansing and drying the skin. Avoid contact with eyes, mouth, nose, and mucous membranes. Wash hands thoroughly after application
Missed dose
If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule
Side effects
Common Side Effects: • Redness (Erythema) • Peeling • Dryness • Itching (Pruritus) • Burning or stinging sensation • Application site irritation Serious Side Effects (Rare – Consult Doctor): • Allergic reactions (Anaphylaxis, Angioedema, Urticaria) • Diarrhea • Bloody diarrhea • Colitis (including pseudomembranous colitis) • Severe skin irritation or contact dermatitis
Precautions & warnings
Avoid contact with eyes, lips, areas of the nose, and mucous membranes . Do not apply to eczematous skin lesions, sunburns, cuts, or other skin lesions . Avoid excessive sunlight and UV light (tanning beds, sun lamps) during treatment due to increased skin sensitivity . Contraindicated in patients with a history of regional enteritis, ulcerative colitis, or antibiotic-associated colitis . Discontinue use if significant diarrhea occurs . Consult your doctor during pregnancy and breastfeeding.
Contraindications
Hypersensitivity to adapalene, clindamycin, or other components . History of regional enteritis, ulcerative colitis, or antibiotic-associated colitis .
Drug interactions
Concomitant use of other potentially irritating topical products (peeling, desquamating, abrasive agents, high alcohol products) may cause excessive irritation . Use with concomitant topical acne therapy has not been evaluated .
Use in pregnancy
Available data with this combination in pregnant women are insufficient. Clindamycin has not been associated with major birth defects. Adapalene animal studies at high oral doses showed fetal malformations . Use during pregnancy only if clearly needed and with medical advice.
Use in lactation
It is not known whether topical clindamycin or adapalene is excreted in human milk. Clindamycin is excreted following oral and parenteral administration. Use with caution .
Pediatric use
Can be used in children above 12 years . Safety and efficacy have not been established in children under 12 years.
Geriatric use
No specific information is available for geriatric use. Adult dosage applies. Caution regarding sun sensitivity and skin irritation.
Overdose effects
Possible redness and peeling of the skin when excessive amounts of gel are applied. Therapy is symptomati
Storage conditions
Store below 30°C, protected from light. Keep out of reach of children. Do not use after the expiry date.