What is clindamycin and tretinoin topical?
Clindamycin and tretinoin is a combination medicine used to treat severe nodular acne in adults and children who are at least 12 years old.
Clindamycin and tretinoin topical may also be used for purposes other than those listed in this medication guide.
You should not use this medication if you have ulcerative colitis, Crohn's disease, inflammation of your intestines (also called enteritis), or if you have ever had severe diarrhea caused by antibiotic medicine.
Before taking this medicine
Although this medicine is applied to the skin, your body may absorb enough clindamycin to affect certain medical conditions you may have.
You should not use this medication if you are allergic to clindamycin or tretinoin, or if you have:
inflammation of your intestines (also called enteritis);
Crohn's disease, ulcerative colitis; or
if you have ever had severe diarrhea caused by antibiotic medicine.
You should not use clindamycin and tretinoin topical if you are also taking another antibiotic called erythromycin, or using other skin medications that contain erythromycin.
To make sure clindamycin and tretinoin topical is safe for you, tell your doctor if you have:
any allergies; or
a history of stomach or intestinal disorders.
FDA pregnancy category C. It is not known whether clindamycin and tretinoin topical will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.
It is not known whether clindamycin and tretinoin topical passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine.
This medicine should not be used on a child younger than 12 years old.
How should I use clindamycin and tretinoin topical?
Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects.
Wash your hands before and after applying this medication.
Wash your face with a mild soap or cleanser and pat the skin dry with a clean towel.
Use only a pea-sized amount of clindamycin and tretinoin topical. Apply to your entire face every night at bedtime.
Do not wash your face more than 3 times daily while using this medication. Washing more often or scrubbing your face when you wash it can make your acne worse.
Avoid getting this medication in your eyes, mouth, or nose (or in the creases of your nose), or on your lips. If it does get into any of these areas, wash with water. Do not apply this medicine to sunburned, windburned, dry, chapped, irritated, or broken skin.
Use this medication for the full prescribed length of time, even if you think it is not working. Call your doctor if skin irritation becomes severe or if your acne does not improve after several weeks of using this medicine.
If you need surgery, tell the surgeon ahead of time that you are using clindamycin and tretinoin topical.
Store at room temperature away from moisture, heat, and light. Do not freeze.
What happens if I miss a dose?
Use the medication as soon as you remember the missed dose. If it is almost time for your next dose, skip the missed dose and use the medicine at your next regularly scheduled time. Do not use extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What should I avoid while using clindamycin and tretinoin topical?
Avoid washing treated skin or applying other skin products for at least 1 hour after applying this medicine.
Avoid using other medications on the areas you treat with clindamycin and tretinoin topical unless your doctor tells you to. Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, or skin cleansers, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime.
Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, stop using this medicine and call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.
Your skin may be more sensitive to weather extremes such as cold and wind. Protect your skin with clothing and use a moisturizing cream or lotion as needed.
Clindamycin and tretinoin topical side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Stop using this medicine and call your doctor at once if you have:
severe redness, burning, stinging, or scaling of treated skin areas; or
diarrhea that is watery or bloody.
Common side effects may include:
mild skin irritation, dryness or peeling;
mild skin redness; or
itching of treated skin.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)
What other drugs will affect clindamycin and tretinoin topical?
It is not likely that other drugs you take orally or inject will have an effect on topically applied clindamycin and tretinoin. But many drugs can interact with each other. Tell each of your health care providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.
More about Ziana (clindamycin / tretinoin topical)
- Side Effects
- During Pregnancy
- Dosage Information
- Drug Interactions
- Support Group
- Pricing & Coupons
- En Español
- 68 Reviews – Add your own review/rating
- Generic Availability
- Drug class: topical acne agents
Other brands: Veltin
Related treatment guides
Where can I get more information?
- Your pharmacist has information about clindamycin and tretinoin topical written for health professionals that you may read.
- Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
- Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2012 Cerner Multum, Inc. Version: 2.01.
Date modified: January 03, 2018
Last reviewed: July 10, 2013