Clinical Effectiveness of Benzoyl Peroxide and Clindamycin Combination Therapy in the Treatment of Papulopustular Acne

Combination Therapy for Papulopustular Acne

Authors

  • Saira Niazi Department of Dermatology, Niazi Welfare Foundation Teaching Hospital, Sargodha, Pakistan
  • Aneela Gillani Department of Dermatology, Niazi Welfare Foundation Teaching Hospital, Sargodha, Pakistan
  • Majid Ali Hingoro Department of Pharmacology, Mohi-ud-Din Islamic Medical College, Mirpur, Pakistan
  • Sadia Majeed Department of Pharmacology, Continental Medical College, Lahore, Pakistan
  • Sommiya Anum Department of Dermatology, District Headquarter Hospital, Nankana Sahib, Pakistan
  • Zahida Perveen Department of Dermatology, Pak Red Crescent Medical and Dental College, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i06.1790

Keywords:

Benzoyl Peroxide, Clindamycin, Quality of Life, Papulopustular Acne, Scale of Acne Severity

Abstract

Acne is a prevalent inflammatory skin condition affecting 9% of the global population. Its impact on quality of life and self-esteem leads to depression and anxiety. Combination regimen may be effective in treating acne. Objective: To assess the clinical effectiveness of a fixed-dose combination of 1% clindamycin and 5% benzoyl peroxide in the treatment of mild to moderate papulopustular acne. Methods: An observational prospective study was conducted from June 2023 to December 2023 in the dermatology department of Niazi Welfare Foundation Teaching Hospital, Sargodha. 72 patients with mild to moderate papulopustular acne were monitored. A gel containing a combination of 1% clindamycin and 5% benzoyl peroxide was applied once daily for 12 weeks. Descriptive statistics was used for demographic variables. Chi-square test was used to evaluate the treatment effects at a significance level, p-value<0.05. Adverse effects related to therapy were shown as bar chart. Results: Findings of the study showed that during therapy in the period between the 3rd and 6th weeks, the proportion of patients who achieved excellent improvement increased by 25% from 40/72 (55.5%) to 57/72 (79.1%) respectively p < 0.05. Conclusions: The study concluded that the combination of 1% clindamycin and 5% benzoyl peroxide was effective in treating mild to moderate papulopustular acne.

References

Eichenfield DZ, Sprague J, Eichenfield LF. Management of acne vulgaris: a review. Journal of the American Medical Association. 2021 Nov; 326(20): 2055-67. doi: 10.1001/jama.2021.17633. DOI: https://doi.org/10.1001/jama.2021.17633

Thoreson N, Park JA, Grasso C, Potter J, King DS, Marc LG et al. Incidence and factors associated with acne among transgender patients receiving masculinizing hormone therapy. Journal of the American Medical Association Dermatology. 2021 Mar; 157(3): 290-5. doi: 10.1001/jamadermatol.2020.5347. DOI: https://doi.org/10.1001/jamadermatol.2020.5347

Harper JC. Acne vulgaris: What's new in our 40th year? Journal of the American Academy of Dermatology. 2020 Feb; 82(2): 526-7. doi: 10.1016/j.jaad.2019.01.092. DOI: https://doi.org/10.1016/j.jaad.2019.01.092

Hazarika N. Acne vulgaris: new evidence in pathogenesis and future modalities of treatment. Journal of Dermatological Treatment. 2021 Apr; 32(3): 277-85. doi: 10.1080/09546634.2019.1654075. DOI: https://doi.org/10.1080/09546634.2019.1654075

Kurokawa I, Layton AM, Ogawa R. Updated treatment for acne: targeted therapy based on pathogenesis. Dermatology and Therapy. 2021 Aug; 11(4): 1129-39. doi: 10.1007/s13555-021-00552-6. DOI: https://doi.org/10.1007/s13555-021-00552-6

Dréno B, Pécastaings S, Corvec S, Veraldi S, Khammari A, Roques C. Cutibacterium acnes (Propionibacterium acnes) and acne vulgaris: a brief look at the latest updates. Journal of the European Academy of Dermatology and Venereology. 2018 Jun; 32: 5-14. doi: 10.1111/jdv.15043. DOI: https://doi.org/10.1111/jdv.15043

Firlej E, Kowalska W, Szymaszek K, Roliński J, Bartosińska J. The role of skin immune system in acne. Journal of Clinical Medicine. 2022 Mar; 11(6): 1579. doi: 10.3390/jcm11061579. DOI: https://doi.org/10.3390/jcm11061579

Mayslich C, Grange PA, Dupin N. Cutibacterium acnes as an opportunistic pathogen: an update of its virulence-associated factors. Microorganisms. 2021 Feb; 9(2): 303. doi: 10.3390/microorganisms9020303. DOI: https://doi.org/10.3390/microorganisms9020303

Mias C, Mengeaud V, Bessou‐Touya S, Duplan H. Recent advances in understanding inflammatory acne: Deciphering the relationship between Cutibacterium acnes and Th17 inflammatory pathway. Journal of the European Academy of Dermatology and Venereology. 2023 Mar; 37: 3-11. doi: 10.1111/jdv.18794. DOI: https://doi.org/10.1111/jdv.18794

Bocquet‐Trémoureux S, Corvec S, Khammari A, Dagnelie MA, Boisrobert A, Dreno B. Acne fulminans and Cutibacterium acnes phylotypes. Journal of the European Academy of Dermatology and Venereology. 2020 Apr; 34(4): 827-33. doi: 10.1111/jdv.16064. DOI: https://doi.org/10.1111/jdv.16064

Alkhawaja E, Hammadi S, Abdelmalek M, Mahasneh N, Alkhawaja B, Abdelmalek SM. Antibiotic resistant Cutibacterium acnes among acne patients in Jordan: a cross sectional study. BioMed Central Dermatology. 2020 Dec; 20: 1-9. doi: 10.1186/s12895-020-00108-9. DOI: https://doi.org/10.1186/s12895-020-00108-9

Heng AH and Chew FT. Systematic review of the epidemiology of acne vulgaris. Scientific reports. 2020 Apr; 10(1): 5754. doi: 10.1038/s41598-020-62715-3. DOI: https://doi.org/10.1038/s41598-020-62715-3

Barbieri JS. A new class of topical acne treatment addressing the hormonal pathogenesis of acne. Journal of the American Medical Association Dermatology. 2020 Jun; 156(6): 619-20. doi: 10.1001/jamadermatol.2020.0464. DOI: https://doi.org/10.1001/jamadermatol.2020.0464

Habeshian KA and Cohen BA. Current issues in the treatment of acne vulgaris. Pediatrics. 2020 May; 145(2): S225-30. doi: 10.1542/peds.2019-2056L. DOI: https://doi.org/10.1542/peds.2019-2056L

Armengol Alvarez L, Van de Sijpe G, Desmet S, Metsemakers WJ, Spriet I, Allegaert K et al. Ways to improve insights into clindamycin pharmacology and pharmacokinetics tailored to practice. Antibiotics. 2022 May; 11(5): 701. doi: 10.3390/antibiotics11050701. DOI: https://doi.org/10.3390/antibiotics11050701

Brammann C and Müller-Goymann CC. An update on formulation strategies of benzoyl peroxide in efficient acne therapy with special focus on minimizing undesired effects. International journal of pharmaceutics. 2020 Mar; 578: 119074. doi: 10.1016/j.ijpharm.2020.119074. DOI: https://doi.org/10.1016/j.ijpharm.2020.119074

Babar O and Mobeen A. Prevalence and psychological impact of acne vulgaris in female undergraduate medical students of Rawalpindi and Islamabad, Pakistan. Cureus. 2019 Sep; 11(9). doi: 10.7759/cureus.5722. DOI: https://doi.org/10.7759/cureus.5722

Witkowski JA and Parish LC. The assessment of acne: an evaluation of grading and lesion counting in the measurement of acne. Clinics in Dermatology. 2004 Sep; 22(5): 394-7. doi: 10.1016/j.clindermatol.2004.03.008. DOI: https://doi.org/10.1016/j.clindermatol.2004.03.008

Kabir I, Rashid MM, Khondker L. Efficacy of benzoyl peroxide and clindamycin combination therapy with benzoyl peroxide alone in the treatment of acne vulgaris. Journal of Pakistan Association of Dermatologists. 2018 Oct-Dec; 28(4): 495-501.

Tanizaki H, Hayashi N, Abe M. Evaluation of the efficacy of maintenance therapy for acne vulgaris using adapalene 0.1%/benzoyl peroxide 2.5% gel and benzoyl peroxide 2.5% gel for 24 weeks and assessment of atrophic acne scars using three‐dimensional image analysis. The Journal of Dermatology. 2023 Dec; 50(12): 1513-22. doi: 10.1111/1346-8138.16942. DOI: https://doi.org/10.1111/1346-8138.16942

Mohsin N, Hernandez LE, Martin MR, Does AV, Nouri K. Acne treatment review and future perspectives. Dermatologic Therapy. 2022 Sep; 35(9): e15719. doi: 10.1111/dth.15719. DOI: https://doi.org/10.1111/dth.15719

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Published

2024-06-30
CITATION
DOI: 10.54393/pjhs.v5i06.1790
Published: 2024-06-30

How to Cite

Niazi, S., Gillani, A., Hingoro, M. A., Majeed, S., Anum, S., & Perveen, Z. (2024). Clinical Effectiveness of Benzoyl Peroxide and Clindamycin Combination Therapy in the Treatment of Papulopustular Acne: Combination Therapy for Papulopustular Acne. Pakistan Journal of Health Sciences, 5(06), 84–88. https://doi.org/10.54393/pjhs.v5i06.1790

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