Country: Malaysia
Language: English
Source: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
CLINDAMYCIN PHOSPHATE
SCHMIDT BIOMEDTECH SDN BHD
CLINDAMYCIN PHOSPHATE
28ml mL
DOUGLAS MANUFACTURING LTD
TOPICIL ™ CLINDAMYCIN PHOSPHATE 1% TOPICAL SOLUTION USP EQUIVALENT TO 1%W/V CLINDAMYCIN PRESENTATION A clear 1% alcoholic solution of clindamycin in a 28 mL clear glass bottle with a dab-o-matic top. TOPICIL™ solution contains 39.25%w/v isopropyl alcohol. THERAPEUTIC PROPERTIES Clindamycin phosphate is inactive in-vitro, however, rapid in-vivo hydrolysis releases the active clindamycin. Clindamycin has in-vivo activity against all isolates of Propionibacterium acnes and activity has been demonstrated in comedones from acne patients. It appears that topical administration of clindamycin can also reduce free fatty acid levels on the skin. PHARMACOKINETICS Clindamycin is absorbed through the skin after multiple applications with serum concentrations being in the range 0-3 ng/mL. This represents only 0.2% of the peak concentration achieved after oral administration of a 150 mg capsule. It has also been shown that there is no accumulation after multiple oral doses. Absorbed clindamycin is widely distributed, however, it does not appear in the CSF even in the presence of inflamed meninges. The biological half-life is approximately 2.5 hours although this may be increased in the presence of severely reduced renal function. Clindamycin is eliminated by metabolism to inactive metabolites. Less than 0.25% of a dose is recovered in the urine as clindamycin. INDICATIONS Treatment of moderate to severe acne unresponsive to non-antibiotic therapy. ADVERSE EFFECTS Adverse effects have been reported rarely with topical clindamycin but include: dry skin, oily skin, skin irritation, contact dermatitis, eye stinging, gram negative folliculitis and GI disturbances or abdominal pain occasionally associated with diarrhoea, bloody diarrhoea and colitis (including pseudomembranous colitis). Since clindamycin may be absorbed after topical administration, the following effects should also be noted since they have occurred after oral or parenteral administration: hypersensitivity reactions such as maculopapular rash and urticaria or er Read the complete document