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Benzaclin clindamycin benzoyl peroxide gel review |
Benzaclin clindamycin benzoyl peroxide gel review. Benzaclin Topical Gel
Under some plans, including plans that use an open or closed formulary, adapalene, Atralin, Aavita, Differin gel/cream/lotion 0.1%, Differin gel 0.3%, Epiduo, Fabior, Retin-A, Retin-A Micro gel, tretinoin, tretinoin microsphere gel, Tretin-X, Veltin gel, and Ziana are subject to precertification for members greater than 35 years of age. If precertification requirements apply Aetna considers these drugs to be medically necessary for those members who meet any of the following precertification criteria:
For Atralin, Avita, Retin-A, Retin-A Micro gel, tretinoin, tretinoin microsphere gel, and Tretin-X
- A documented diagnosis of any one of the following:
- Acne vulgaris (includes comedonal, cystic, nodular & papular acne)
- Actinic keratoses AND
- Lesions are on the face OR
- Lesions are not on the face and therapy includes the use of 5-fluorouracil in conjunction with tretinoin
- Hypertrophic scars or keloids AND
- Intralesional injection of corticosteroids is ineffective or not tolerated
- Keratosis follicularis (Darier's disease, Darier-White disease)
- Facial flat warts
- Multiple flat warts (includes common warts and plantar warts)
For adapalene, Differin gel/cream/lotion 0.1%, Differein gel 0.3%, Epiduo, Fabior, Veltin gel, and Ziana
- A documented diagnosis of acne vulgaris
Note: Topical tretinoin is not covered for treatment of basal cell carcinoma, benzac ac kopen planus, or dysplastic nevi because its use in these conditions is not supported by the peer-reviewed medical literature
According to the manufacturer, Fabior should be dosed once daily in the evening. A quantity of Fabior will be considered medically necessary as indicated in the table below:
| Fabior | 50 gm, 100 gm | Up to one canister in 30 days |
Under some plans, including plans that use an open or closed formulary, Acanya, Atralin, BenzeFoam Ultra, Benzaclin, Benzamycin, Differin gel/cream/lotion 0.1%, Duac, Fabior, Retin-A, Riax Aer, Veltin gel, and Tretin-X are subject to step-therapy. Aetna considers these drugs to be medically necessary for those members who meet the following step-therapy criterion:
For Atralin, Fabior, Retin-A, Veltin gel, and Tretin-X
- A documented trial of one month each of two preferred alternatives indicated for the member’s condition, one of which is tretinoin.
For BenzeFoam Ultra and Riax Aer
- A documented trial of one month of the preferred generic alternative, benzoyl peroxide foam
For Acanya, Benzaclin, Benzamycin, and Duac
- A documented trial of one month of the preferred generic alternative, benzoyl peroxide/clindamycin phosphate gel OR benzoyl peroxide/erythromycin gel
For Differin gel, cream, lotion 0.1%
- A documented trial of one month of the preferred generic equivalent alternative, adapalene cream or gel 0.1%
If it is medically necessary for a member to be treated initially with a medication subject to step-therapy, the member’s treating physician may contact the Aetna Pharmacy Management Precertification Unit to request coverage as a medical exception at 1-800-414-2386. (See criteria under section III below).
Acanya, Atralin, Benzaclin, BenzEFoam Ultra, Benzamycin, Differin gel, cream, lotion 0.1%, Duac, Fabior, Retin-A, Riax Aer, Veltin gel, and Tretin-X are currently listed benzac ac peeling the Aetna Formulary Exclusions and Step-Therapy lists.* Therefore, they are excluded from coverage for members enrolled in prescription drug benefit plans that use a closed formulary or that require step-therapy criteria, unless a medical exception is granted. Aetna considers these drugs to be medically necessary for those members who meet the criteria specified below
Aczone, Avar, Avar-E LS, Avar LS Liq Cleanser, Avar E Green, Avar E Emollient, Akne-mycin, Azelex, BenzEFoam, Benziq, Brevoxyl, Clarifoam, Cleanse/Treat Pad, Clinac BPO, Evoclin, Klaron, Lavoclen, Neobenz, Nuox, Pacnex MX Liq, Pacnex NP pad, Plexion emul/cream/susp/pad, Rosula, Sodium Sulfa liq 10% wash, SSS 10-4 aer, Sumadan Wash Liq, Sumaxin pad, Sumaxin TS, Sumaxin Wash Liq, Triaz, and Zoderm currently are listed on the Aetna Formulary Exclusions List.* Therefore, they are excluded from coverage for members enrolled in prescription drug benefits plans that use a closed formulary, unless a medical exception is granted. Aetna considers these drugs to be medically necessary for those members who meet any of the following criteria:
For Acanya, Benzaclin, Benzamycin, and Duac
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month of the preferred generic alternative, benzoyl peroxide/ clindamycin phosphate gel or benzoyl peroxide/ erythromycin gel
For Akne-Mycin
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month each of two preferred alternatives indicated for the para que sirve benzac 2.5 condition, one of which is erythromycin
For BenzEFoam and Evoclin
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month of the preferred generic equivalent alternative
For BenzEfoam Ultra and Riax Aer
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month of the preferred generic alternative, benzoyl peroxide foam
For Aczone, Avar, Avar-E LS, Avar LS Liq Cleanser, Avar E Green, Avar E Emollient, Azelex, Benziq, Brevoxyl, Clarifoam EF Aer, Cleanse/Treat Pad, Clinac BPO, Klaron, Lavoclen, Neobenz, Nuox, Pacnex MX Liq, Pacnex NP pad, Plexion emul/ cream/susp/pad, Rosula, Sodium Sulfa liq 10% wash, SSS 10-4 aer, Sumadan Wash Liq, Sumaxin pad, Sumaxin TS, Sumaxin Wash Liq,Triaz, and Zoderm
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month each of two preferred alternatives indicated for the member's condition
For Atralin, Retin-A, and Tretin-X
Member is 36 years of age or older
A documented diagnosis of any one of the following:
- Acne vulgaris (includes comedonal, cystic, nodular & papular acne)
- Actinic keratoses AND
- Lesions are on the face OR
- Lesions are not on the face and therapy includes the use of 5-fluorouracil in conjunction with tretinoin
- Hypertrophic scars or keloids AND
- Intralesional injection of corticosteroids is ineffective or not tolerated
- Keratosis follicularis (Darier's disease, Darier-White disease)
- Facial flat warts
- Multiple flat warts (includes common warts and plantar warts)
AND
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month each of two preferred alternatives indicated for the member’s condition, one of which is tretinoin
Member is less than 36 years of age
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month each of two preferred alternatives indicated for the member’s condition, one of which is tretinoin
For Fabior and Veltin gel
Member is 36 years of age or older
- A documented diagnosis of acne vulgaris, AND
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month each of two preferred alternatives indicated for the member’s condition, one of which is tretinoin
Member is less than 36 years of age
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month each of two preferred alternatives indicated for the member’s condition, one of which is tretinoin
For Differin gel, cream, lotion 0.1%
Member is 36 years of age or older
- A documented diagnosis of acne vulgaris, AND
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month of the preferred generic equivalent alternative, adapalene cream or gel 0.1%
Member is less than 36 years of age
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month of the preferred generic equivalent alternative, adapalene cream or gel 0.1%
1. AHFS Drug Information® with AHFSfirstReleases®. ( www.statref.com), American Society Of Health-System Pharmacists®, Bethesda, MD. Updated periodically.
2. DRUGDEX® System [Internet database]. Greenwood Village, Colo: Thomson Micromedex. Updated periodically.
3. Drug Facts and Comparisons on-line. (www.drugfacts.com), Wolters Kluwer Health, St. Louis, MO. Updated periodically.
4. PDR® Electronic Library™ [Internet database]. Greenwood Village, Colo: Thomson Micromedex. Updated periodically.
5. Clinical Pharmacology [Internet database]. Gold Standard Inc. Tampa, FL. Updated periodically.
6. Leyden JJ. Meta-analysis of topical tazarotene in the treatment of mild to moderate acne. Cutis. 2004 Oct;74(4 Suppl):9-15.
7. Haider A, Shaw JC. Treatment of acne vulgaris. JAMA. 2004;292(6):726-35.
8. Zaenglein AL, Thiboutot DM. Expert Committee Recommendations for Acne Management. Pediatrics. 2006;118(3):1188-1199.
9. Strauss, JS, Krowchuk DP, Leyden JJ, et al. Guidelines of care for acne vulgaris management. J Am Acad Dermatol. 2007;56:651-63.
10. Pariser D, Colon LE, Johnson LA, Gottschalk RW. Adapalene 0.2% gel compared to tazarotene 0.2% cream in the treatment of acne vulgaris. Drugs Dermatol. benzac ac composition 11. Schlessinger J. Clinical safety and efficacy studies of a novel formulation combining 1.2% clindamycin phosphate and 0.025% tretinoin for the treatment of acne vulgaris. J Drugs Dermatol 2007;6(6):607-15.
12. McKeage K. Clindamycin/benzoyl peroxide gel (BenzaClin): a review of its use in the management of acne. Am J Clin Dermatol 2008;9(3):193-204.
13. Piette WW, Taylor S, Pariser D, et al. Hematologic safety of dapsone gel 5% for topical treatment of acne vulgaris. Arch Dermatol 2008;144(12):1564-70.
14. Raimer S, Maloney JM, Bourcier M, et al. Efficacy and safety of dapsone gel 5% for the treatment of acne vulgaris in adolescents. Cutis 2008;81(2):171-8.
15. Tanghetti E, Popp KF. A current review of topical benzoyl peroxide: New perspectives on formulation and utilization. Dermatol Clin 2009;27:17-24.
16. Seidler EM, Kimball AB. Meta-analysis comparing efficacy of benzoyl peroxide, clindamycin, benzoyl peroxide with salicylic acid, and combination benzoyl peroxide/clindamycin in acne. J Am Acad Dermatol. 2010;63(1):52-62.
Copyright Aetna Inc. All rights reserved. Pharmacy Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. This Clinical Policy Bulletin contains only a partial, general description of plan or program benefits and does not constitute a contract. Aetna does not provide health care services and, therefore, cannot guarantee any results or outcomes. Participating providers are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates. Treating providers are solely responsible for medical advice and treatment of members. This Clinical Policy Bulletin may be updated and therefore is subject to change.October 25, 2013
Benzaclin clindamycin benzoyl peroxide gel review -
How does this medication work? What will it do for me?
This combination product contains two medications: clindamycin and benzoyl peroxide. Clindamycin belongs to the family of medications known as antibiotics. Benzoyl peroxide is a medication that has antibacterial effects and is a peeling agent. This combination product is used to treat certain types of acne. It works by killing bacteria that cause acne and by peeling off skin cells. It may take several weeks to months for your acne to improve.
This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.
Your doctor may have suggested this medication for conditions benzac ac dubai than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are being given this medication, speak to your doctor. Do not stop using this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to use this medication if their doctor has not prescribed it.
What form(s) does this medication come in?
Each 1 g of gel contains 10 mg of clindamycin and 50 mg of benzoyl peroxide. Nonmedicinal ingredients: carbomer, dioctyl sodium, sulfosuccinate, purified water, and sodium hydroxide.
How should I use this medication?
Clindamycin - benzoyl peroxide should be applied to the affected skin areas twice daily, in the morning and before bedtime. Wash your skin, rinse with warm water, gently pat dry, and then apply the medication. Avoid contact with eyes, nostrils, mouth, and sensitive skin. If contact does occur, rinse with plenty of cool tap water. Wash your hands before and after using this medication.
It is important to use this medication exactly as prescribed by your doctor.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.
Store this medication at room temperature, keep the jar tightly closed and keep out of the reach of children. Discard any unused gel after 90 days.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
Who should NOT take this medication?
Do not take this medication if you:
- are allergic to clindamycin, lincomycin, benzoyl peroxide, or to any of the ingredients of this medication
- have a history of colitis associated with antibiotic use
- have a history of Crohn's disease, ulcerative colitis, or inflammation of the small intestine
What side effects are possible with this medication?
Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.
- skin peeling, redness, dryness, burning, or itching at the application site
- sensitivity to sunlight
Although most of these side effects listed below don't happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
- abdominal pain or cramps, severe pain or bloating
- nausea and vomiting
- severe watery diarrhea that may be bloody
Stop taking the medication and seek immediate medical attention if any of the following occur:
- signs of an allergic reaction (e.g., rash, hives, swelling of the lips or face, difficulty breathing)
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.
Are there any other precautions or warnings for this medication?
Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Colitis: When applied to the skin, clindamycin is absorbed into the bloodstream and can cause colitis (inflammation of the colon). Contact your doctor immediately if you experience abdominal pain, cramps or bloating, severe watery diarrhea that may be bloody, or nausea and vomiting.
Contact: Avoid contact with eyes, mucous membranes (easily irritated areas around the nostrils and mouth), and sensitive skin. If contact does occur, wash with plenty of cool tap water. Avoid contact with hair, fabrics, carpeting, or other materials, as benzoyl peroxide may cause bleaching.
Other acne medications: Other acne medications and skin preparations should not be used at the same time as clindamycin - benzoyl peroxide as it may cause increased skin irritation. If severe irritation occurs, stop using this medication and contact your doctor.
Skin irritation: Some people may experience temporary skin irritation, especially in early weeks of treatment. Your skin may also become more sensitive to the sun. If you experience severe reactions and your skin becomes extremely red, swollen, and crusted, stop using the medication and contact your doctor.
Sun sensitivity: This medication can increase the sensitivity of your skin to the sun. Avoid prolonged exposure to sunlight, and do not use sunlamps or tanning beds while you are using this medication. When you are exposed to the sun, be sure to use an adequate sunscreen and wear protective clothing (e.g., a hat).
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while you are on this medication or if you are planning to become pregnant, contact your doctor.
Breast-feeding: It is not known if clindamycin - benzoyl peroxide gel passes into breast milk. If you are a breast-feeding mother and are using this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of this medication have not been established for children under 12 years of age.
What other drugs could interact with this medication?
There may be an interaction between clindamycin - benzoyl peroxide and any of the following:
- erythromycin
- neuromuscular blocking agents (e.g., cisatracurium, pancuronium)
- other acne medications (e.g., dapsone)
- sulphonamides (topical)
- tazarotene
- tretinoin
If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:
- stop taking one of the medications,
- change one of the medications to another,
- change how you are taking one or both of the medications, or
- leave everything as is.
An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.
Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.
All material copyright MediResource Inc. 1996 – 2022. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/drug/getdrug/Benzaclin-Topical-Gel
Under some plans, including plans that use an open or closed formulary, adapalene, Atralin, Aavita, Differin gel/cream/lotion 0.1%, Differin gel 0.3%, Epiduo, Fabior, Retin-A, Retin-A Micro gel, tretinoin, tretinoin microsphere gel, Tretin-X, Veltin gel, and Ziana are subject to precertification for members greater than 35 years of age. If precertification requirements apply Aetna considers these drugs to be medically necessary for those members who meet any of the following precertification criteria:
For Atralin, Avita, Retin-A, Retin-A Micro gel, tretinoin, tretinoin microsphere gel, and Tretin-X
- A documented diagnosis of any one of the following:
- Acne vulgaris (includes comedonal, cystic, nodular & papular acne)
- Actinic keratoses AND
- Lesions are on the face OR
- Lesions are not on the face and therapy includes the use of 5-fluorouracil in conjunction with tretinoin
- Hypertrophic scars or keloids AND
- Intralesional injection of corticosteroids is ineffective or not tolerated
- Keratosis follicularis (Darier's disease, Darier-White disease)
- Facial flat warts
- Multiple flat warts (includes common warts and plantar warts)
For adapalene, Differin gel/cream/lotion 0.1%, Differein gel 0.3%, Epiduo, Fabior, Veltin gel, and Ziana
- A documented diagnosis of acne vulgaris
Note: Topical tretinoin is not covered for treatment of basal cell carcinoma, lichen planus, or dysplastic nevi because its use in these conditions is not supported by the peer-reviewed medical literature
According to the manufacturer, Fabior should be dosed once daily in the evening. A quantity of Fabior will be considered medically necessary as indicated in the table below:
| Fabior | 50 gm, 100 gm | Up to one canister in 30 days |
Under some plans, including plans that use an open or closed formulary, Acanya, Atralin, BenzeFoam Ultra, Benzaclin, Benzamycin, Differin gel/cream/lotion 0.1%, Duac, Fabior, Retin-A, Riax Aer, Veltin gel, and Tretin-X are subject to step-therapy. Aetna considers these drugs to be medically necessary for those members who meet the following step-therapy criterion:
For Atralin, Fabior, Retin-A, Veltin gel, and Tretin-X
- A documented trial of one month each of two preferred alternatives indicated for the member’s condition, one of which is tretinoin.
For BenzeFoam Ultra and Riax Aer
- A documented trial of one month of the preferred generic alternative, benzoyl peroxide foam
For Acanya, Benzaclin, Benzamycin, and Duac
- A documented trial of one month of the preferred generic alternative, benzoyl peroxide/clindamycin phosphate gel OR benzoyl peroxide/erythromycin gel
For Differin gel, cream, lotion 0.1%
- A documented trial of one month of the preferred generic equivalent alternative, adapalene cream or gel 0.1%
If it is medically necessary for a member to be treated initially with a medication subject to step-therapy, the member’s treating physician may contact the Aetna Pharmacy Management Precertification Unit to request coverage as a medical exception at 1-800-414-2386. (See criteria under section III below).
Acanya, Atralin, Benzaclin, BenzEFoam Ultra, Benzamycin, Differin gel, cream, lotion 0.1%, Duac, Fabior, Retin-A, Riax Aer, Veltin gel, and Tretin-X are currently listed on the Aetna Formulary Exclusions and Step-Therapy lists.* Therefore, they are excluded from coverage for members enrolled in prescription drug benefit plans that use a closed formulary or that require step-therapy criteria, unless a medical exception is granted. Aetna considers these drugs to be medically necessary for those members who meet the criteria specified below
Aczone, Avar, Avar-E LS, Avar LS Liq Cleanser, Avar E Green, Avar E Emollient, Akne-mycin, Azelex, BenzEFoam, Benziq, Brevoxyl, Clarifoam, Cleanse/Treat Pad, Clinac BPO, Evoclin, Klaron, Lavoclen, Neobenz, Nuox, Pacnex MX Liq, Pacnex NP pad, Plexion emul/cream/susp/pad, Rosula, Sodium Sulfa liq 10% wash, SSS 10-4 aer, Sumadan Wash Liq, Sumaxin pad, Sumaxin TS, Sumaxin Wash Liq, Triaz, and Zoderm currently are listed on the Aetna Formulary Exclusions List.* Therefore, they are excluded from coverage for members enrolled in prescription drug benefits plans that use a closed formulary, unless a medical exception is granted. Aetna considers these drugs to be medically necessary for those members who meet any of the following criteria:
For Acanya, Benzaclin, Benzamycin, and Duac
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month of the preferred generic alternative, benzoyl peroxide/ clindamycin phosphate gel or benzoyl peroxide/ erythromycin gel
For Akne-Mycin
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month each of two preferred alternatives indicated for the member's condition, one of which is erythromycin
For BenzEFoam and Evoclin
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month of the preferred generic equivalent alternative
For BenzEfoam Ultra and Riax Aer
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month of the preferred generic alternative, benzoyl peroxide foam
For Aczone, Avar, Avar-E LS, Avar LS Liq Cleanser, Avar E Green, Avar E Emollient, Azelex, Benziq, Brevoxyl, Clarifoam EF Aer, Cleanse/Treat Pad, Clinac BPO, Klaron, Lavoclen, Neobenz, Nuox, Pacnex MX Liq, Pacnex NP pad, Plexion emul/ cream/susp/pad, Rosula, Sodium Sulfa liq 10% wash, SSS 10-4 aer, Sumadan Wash Liq, Sumaxin pad, Sumaxin TS, Sumaxin Wash Liq,Triaz, and Zoderm
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month each of two preferred alternatives indicated for the member's condition
For Atralin, Retin-A, and Tretin-X
Member is 36 years of age or older
A documented diagnosis of any one of the following:
- Acne vulgaris (includes comedonal, cystic, nodular & papular acne)
- Actinic keratoses AND
- Lesions are on the face OR
- Lesions are not on the face and therapy includes the use of 5-fluorouracil in conjunction with tretinoin
- Hypertrophic scars or keloids AND
- Intralesional injection of corticosteroids is ineffective or not tolerated
- Keratosis follicularis (Darier's disease, Darier-White disease)
- Facial flat warts
- Multiple flat warts (includes common warts and plantar warts)
AND
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month each of two preferred alternatives indicated for the member’s condition, one of which is tretinoin
Member is less than 36 years of age
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month each of two preferred alternatives indicated for the member’s condition, one of which is tretinoin
For Fabior and Veltin gel
Member is 36 years of age or older
- A documented diagnosis of acne vulgaris, AND
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month each of two preferred alternatives indicated for the member’s condition, one of which is tretinoin
Member is less than 36 years of age
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month each of two preferred alternatives indicated for the member’s condition, one of which is tretinoin
For Differin gel, cream, lotion 0.1%
Member benzac para el acne precio 36 years of age or older
- A documented diagnosis of acne vulgaris, AND
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month of the preferred generic equivalent alternative, adapalene cream or gel 0.1%
Member is less than 36 years of age
- A documented contraindication or intolerance or allergy or failure of an adequate trial of one month of the preferred generic equivalent alternative, adapalene cream or gel 0.1%
1. AHFS Drug Information® with AHFSfirstReleases®. ( www.statref.com), American Society Of Health-System Pharmacists®, Bethesda, MD. Updated periodically.
2. DRUGDEX® System [Internet database]. Greenwood Village, Colo: Thomson Micromedex. Updated periodically.
3. Drug Facts and Comparisons on-line. (www.drugfacts.com), Wolters Kluwer Health, St. Louis, MO. Updated periodically.
4. PDR® Electronic Library™ [Internet database]. Greenwood Village, Colo: Thomson Micromedex. Updated periodically.
5. Clinical Pharmacology [Internet database]. Gold Standard Inc. Tampa, FL. Updated periodically.
6. Leyden JJ. Meta-analysis of topical tazarotene in the treatment of mild to moderate acne. Cutis. 2004 Oct;74(4 Suppl):9-15.
7. Haider A, Shaw JC. Treatment of acne vulgaris. JAMA. 2004;292(6):726-35.
8. Zaenglein AL, Thiboutot DM. Expert Committee Recommendations for Acne Management. Pediatrics. 2006;118(3):1188-1199.
9. Strauss, JS, Krowchuk DP, Leyden JJ, et al. Guidelines of care for acne vulgaris management. J Am Acad Dermatol. 2007;56:651-63.
10. Pariser D, Colon LE, Johnson LA, Gottschalk RW. Adapalene 0.2% gel compared to tazarotene 0.2% cream in the treatment of acne vulgaris. Drugs Dermatol. 2008;7(6):s18-23.
11. Schlessinger J. Clinical safety and efficacy studies of a novel formulation combining 1.2% clindamycin phosphate and 0.025% tretinoin for the treatment of acne vulgaris. J Drugs Dermatol 2007;6(6):607-15.
12. McKeage K. Clindamycin/benzoyl peroxide gel (BenzaClin): a review of its use in the management of acne. Am J Clin Dermatol 2008;9(3):193-204.
13. Piette WW, Taylor S, Pariser D, et al. Hematologic safety of dapsone gel 5% for topical treatment of acne vulgaris. Arch Dermatol 2008;144(12):1564-70.
14. Raimer S, Maloney JM, Bourcier M, et al. Efficacy and safety of dapsone gel 5% for the treatment of acne vulgaris in adolescents. Cutis 2008;81(2):171-8.
15. Tanghetti E, Popp KF. A current review of topical benzoyl peroxide: New perspectives uso benzac formulation and utilization. Dermatol Clin 2009;27:17-24.
16. Seidler EM, Kimball AB. Meta-analysis comparing efficacy of benzoyl peroxide, clindamycin, benzoyl peroxide with salicylic acid, and combination benzoyl peroxide/clindamycin in acne. J Am Acad Dermatol. 2010;63(1):52-62.
Copyright Aetna Inc. All rights reserved. Pharmacy Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. This Clinical Policy Bulletin contains only a partial, general description of plan or program benefits and does not constitute a contract. Aetna does not provide health care services and, therefore, cannot guarantee any results or outcomes. Participating providers are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates. Treating providers are solely responsible for medical advice and treatment of members. This Clinical Policy Bulletin may be updated and therefore is subject to change.October 25, 2013
Benzaclin clindamycin benzoyl peroxide gel review.
How does this medication work? What will it do for me?
This combination product contains two medications: clindamycin and benzoyl peroxide. Clindamycin belongs to the family of medications known as antibiotics. Benzoyl peroxide is a medication that has antibacterial effects and is a peeling agent. This combination product is used to treat certain types of acne. It works by killing bacteria that cause acne and by peeling off skin cells. It may take several weeks to months for your acne to improve.
This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are being given this medication, speak to your doctor. Do not stop using this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to use this medication if their doctor has not prescribed it.
What form(s) does this medication come in?
Each 1 g of gel contains 10 mg of clindamycin and 50 mg of benzoyl peroxide. Nonmedicinal ingredients: carbomer, dioctyl sodium, sulfosuccinate, purified water, and sodium hydroxide.
How should I use this medication?
Clindamycin - benzoyl peroxide should be applied to the affected skin areas twice daily, in the morning and before bedtime. Wash your skin, rinse with warm water, gently pat dry, and then apply the medication. Avoid contact with eyes, nostrils, mouth, and sensitive skin. If contact does occur, rinse with plenty of cool tap water. Wash your hands before and after using this medication.
It is important to use this medication exactly as prescribed by your doctor.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.
Store this medication at room temperature, keep the jar tightly closed and keep out of the reach of children. Discard any unused gel after 90 days.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
Who should NOT take this medication?
Do not take this medication if you:
- are allergic to clindamycin, lincomycin, benzoyl peroxide, or to any of the ingredients of this medication
- have a history of colitis associated with antibiotic use
- have a history of Crohn's disease, ulcerative colitis, or inflammation of the small intestine
What side effects are possible with this medication?
Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.
- skin peeling, redness, dryness, burning, or itching at the application site
- sensitivity to sunlight
Although most of these side effects listed below don't happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
- abdominal pain or cramps, severe pain or bloating
- nausea and vomiting
- severe watery diarrhea that may be bloody
Stop taking the medication and seek immediate medical attention if any of the following occur:
- signs of an allergic reaction (e.g., rash, hives, swelling of the lips or face, difficulty breathing)
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.
Are there any other precautions or warnings for this medication?
Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Colitis: When applied to the skin, clindamycin is absorbed into the bloodstream and can cause colitis (inflammation of the colon). Contact your doctor immediately if you experience abdominal pain, cramps or bloating, severe watery diarrhea that may be bloody, or nausea and vomiting.
Contact: Avoid contact with eyes, mucous membranes (easily irritated areas around the nostrils and mouth), and sensitive skin. If contact does occur, wash with plenty of cool tap water. Avoid contact with hair, fabrics, carpeting, or other materials, as benzoyl peroxide may cause bleaching.
Other acne medications: Other acne medications and skin preparations should not be used at the same time as clindamycin - benzoyl peroxide as it may cause increased skin irritation. If severe irritation occurs, stop using this medication and contact your doctor.
Skin irritation: Some people may experience temporary skin irritation, especially in early weeks of treatment. Your skin may also become more sensitive to the sun. If you experience severe reactions and your skin becomes extremely red, swollen, and crusted, stop using the medication and contact your doctor.
Sun sensitivity: This medication can increase the sensitivity of your skin to the sun. Avoid prolonged exposure to sunlight, and do not use sunlamps or tanning beds while you are using this medication. When you are exposed to the sun, be sure to use an adequate sunscreen and wear protective clothing (e.g., a hat).
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while you are on this medication or if you are planning to become pregnant, contact your doctor.
Breast-feeding: It is not known if clindamycin - benzoyl peroxide gel passes into breast milk. If you are a breast-feeding mother and are using this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of this medication have not been established for children under 12 years of age.
What other drugs could interact with this medication?
There may be an interaction between clindamycin - benzoyl peroxide and any of the following:
- erythromycin
- neuromuscular blocking agents (e.g., cisatracurium, pancuronium)
- other acne medications (e.g., dapsone)
- sulphonamides (topical)
- tazarotene
- tretinoin
If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:
- stop taking one of the medications,
- change one of the medications to another,
- change how you are taking one or both of the medications, or
- leave everything as is.
An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.
Medications other than those listed above may interact with this medication. Tell your doctor or benzac ac 5 gel and wash about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.
All material copyright MediResource Inc. 1996 – 2022. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/drug/getdrug/Benzaclin-Topical-Gel
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