Del Rosso James Q
Department of Dermatology, University of Nevada School of Medicine, Las Vegas, USA.
Cutis. 2006 Aug;78(2 Suppl 1):5-12.
Many medications are available for the management of acne. The armamentarium includes topical retinoids (ie, adapalene, tazarotene, tretinoin), antimicrobial and antibacterial agents (ie, benzoyl peroxide, clindamycin, erythromycin, sulfacetamide with or without sulfur), oral antibiotics (ie, doxycycline, minocycline, tetracycline), hormonal agents (ie, oral contraceptives, spironolactone), and systemic retinoids (ie, isotretinoin). Acne usually is treated with combination therapy to address its multifactorial pathophysiology. The combination of clindamycin 1%-benzoyl peroxide 5% gel, available as a stable formulation in a single tube, is efficacious and well-tolerated. The product's excipients, glycerin and dimethicone, minimize treatment-related irritation, thereby increasing patient compliance. Clindamycin-benzoyl peroxide may be well-tolerated when applied with topical retinoids, creating a more targeted and complete treatment strategy.
有许多药物可用于治疗痤疮。治疗手段包括外用维甲酸类药物(如阿达帕林、他扎罗汀、维甲酸)、抗菌和抗生素类药物(如过氧化苯甲酰、克林霉素、红霉素、含或不含硫磺的磺胺醋酰)、口服抗生素(如多西环素、米诺环素、四环素)、激素类药物(如口服避孕药、螺内酯)以及系统性维甲酸类药物(如异维甲酸)。痤疮通常采用联合治疗,以应对其多因素的病理生理学。1%克林霉素 - 5%过氧化苯甲酰凝胶以单管稳定制剂形式提供,疗效显著且耐受性良好。该产品的辅料甘油和二甲硅油可将治疗相关的刺激降至最低,从而提高患者的依从性。克林霉素 - 过氧化苯甲酰与外用维甲酸类药物联合使用时耐受性可能良好,可形成更具针对性和完整性的治疗策略。