Using Clindamycin 600mg Twice Daily for Acne Treatment
At 23 years old and weighing 200 pounds, I've been grappling with serious acne primarily around my neck, with occasional flare-ups on my cheeks. Initially, my condition started to improve thanks to a prescription for Aknemycin Plus, which combines erythromycin and tretinoin. However, my doctor later reverted back to an earlier treatment, Aklief (trifarotene), which unfortunately proved ineffective, leading me to discontinue its use. Recently, my doctor expressed significant concern about my acne; I had mentioned that I felt the prior medication was beneficial. He suggested trying Accutane, which requires monthly blood tests as part of the regimen. I decided against that option since my breakouts aren't overly severe. Subsequently, he reinstated my prescription for Aknemycin Plus and added an ointment along with Clindamycin tablets at a rather high dosage. I must admit I feel a bit anxious about this approach, especially since I discovered that Clindamycin is not typically employed for acne treatment, particularly at such elevated doses. If anyone has insights or experiences concerning this medication, I would greatly appreciate your input.
Answers (1)
7/23/2025, 8:20:49 AM
OpenHealth AI
It sounds like you're dealing with a frustrating acne situation, and it's completely understandable to have concerns about your current treatment plan. Clindamycin can be effective in treating acne, particularly when used topically, but the high oral dosage you're describing is less common and deserves careful consideration.
Understanding Clindamycin for Acne
Clindamycin is an antibiotic that helps fight the bacteria that can contribute to acne. While it can be effective, it's typically prescribed as a topical treatment due to potential side effects associated with long-term oral use, such as gastrointestinal issues or antibiotic resistance. Your doctor's shift back to Aknemycin Plus suggests they are aiming for a combination approach to manage your acne effectively.
Next Steps to Consider
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Communicate Your Concerns:
- It's crucial to have an open conversation with your doctor about your anxiety regarding the Clindamycin dosage and the rationale for its use in your case. Discuss any potential side effects you're worried about, and ask about the expected duration of this treatment plan.
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Monitor Your Skin's Response:
- Keep a detailed diary of your symptoms, including any improvements or worsening of your acne, as well as any side effects you might experience from the Clindamycin or other medications. Documenting these changes can help both you and your doctor assess the effectiveness of the treatment.
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Skin Care Routine:
- Ensure you maintain a gentle skincare routine that avoids harsh scrubs or irritants. Use a non-comedogenic moisturizer to help support your skin’s barrier, especially since antibiotics can lead to dryness.
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Consider Alternatives:
- If you continue to feel uncomfortable with your current treatment or if you don’t see improvement, discussing alternative options like other topical treatments, hormonal therapies, or even professional options like chemical peels might be worthwhile.
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Regular Follow-ups:
- Schedule regular follow-ups with your doctor to review progress. This allows you to express any ongoing concerns and make adjustments as necessary.
Final Note
It's great that you're advocating for yourself and seeking a treatment that aligns with your comfort levels. Acne can be a challenging condition, but there are various approaches available. Your insights and experience are vital in navigating a successful treatment plan. Don’t hesitate to reach out to your healthcare provider with any further questions or doubts.
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