Cited by 83Acne and Rosacea Treatments and EffectsDermatology and Skin DiseasesDermatologic Treatments and Research

Topical 4% nicotinamide vs. 1% clindamycin in moderate inflammatory acne vulgaris

Khodaeiani, Effat, Fouladi, Rohollah Fadaei, Amirnia, Mehdi, Saeidi, Majid, Karimi, Elham Razagh·2013·International Journal of Dermatology

Abstract

Nicotinamide and clindamycin gels are two popular topical medications for acne vulgaris. This study aimed to compare efficacy of the topical 4% nicotinamide and 1% clindamycin gels in these patients. In this randomized, double‐blind clinical trial, patients with moderate inflammatory facial acne vulgaris were randomly allocated to receive either topical 4% nicotinamide (n = 40) or 1% clindamycin gels (n = 40) twice daily. In each group, they were further categorized in two subgroups with oily and non‐oily types of facial skin. The Cook's acne grade was determined at baseline and at weeks 4 and 8 post treatment. Acne grade decreased from an average of 5.93 ± 0.83 at baseline to 4.03 ± 1.33 at week 4 and 2.08 ± 1.59 at week 8 in nicotinamide receivers, and from an average of 5.70 ± 0.94 at baseline to 3.85 ± 1.66 at week 4 and 2.03 ± 1.53 at week 8 in the clindamycin group (within‐group P < 0.001, between‐group P > 0.05). Comparing with each other, nicotinamide and clindamycin gels were significantly more efficacious in oily and non‐oily skin types, respectively. No major side effect was encountered by any patient. Skin type is a significant factor in choosing between topical nicotinamide and clindamycin in patients with acne vulgaris.

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Registry

Crossref · 10.1111/ijd.12002

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33 of 33 references verified0 citation errors · 0 not checkable

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  • Among the randomized controlled trials on global acne severity, three showed that dermocosmetics were significantly superior to comparators or placebo in improving acne.

    “three showed that dermocosmetics were significantly superior in improving acne versus comparators or placebo”
  • Among the randomized controlled trials on global acne severity, two showed that dermocosmetic products had an effect on acne severity comparable to benzoyl peroxide 2.5% or 5% and retinoic acid 0.025%.

    “two showed that dermocosmetic products had an effect on acne severity comparable to BPO 2.5% or 5% and retinoic acid 0.025%.”

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Authors
Khodaeiani, E., Fouladi, R. F., Amirnia, M., Saeidi, M., & Karimi, E. R.
Affiliations
  • Department of Dermatology Sina Hospital Tabriz Iran
  • Tabriz University of Medical Sciences (IR)
  • Faculty of Pharmacy Sari University of Medical Sciences Sari Iran
Corresponding author
Fouladi, Rohollah Fadaei
Venue
International Journal of Dermatology
Publisher
Wiley
Published
2013-06-20
Volume
52
Issue
8
Pages
999-1004
ISSN
  • 0011-9059 (ISSN-L)
  • 1365-4632
OpenAlex
W2158204858
Cited by
83
References
33
Citations by year
2026: 5 · 2025: 9 · 2024: 7 · 2022: 6 · 2021: 7 · 2020: 7 · 2019: 11 · 2018: 4 · 2017: 5 · 2016: 5 · 2015: 1 · 2014: 13 · 2013: 3
FWCI
8.57
Type
journal article
Language
en
Open access
closed
Locations
  • International Journal of Dermatology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Dermatology › Acne and Rosacea Treatments and Effects
  • Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
  • Health Sciences › Medicine › Dermatology › Dermatologic Treatments and Research
Keywords
acne, nicotinamide, clindamycin, topical gel, inflammatory acne, oily skin, skin type, treatment efficacy, facial acne
MeSH terms
Acne Vulgaris, Administration, Topical, Adolescent, Adult, Anti-Bacterial Agents, Clindamycin, Double-Blind Method, Female, Humans, Male, Niacinamide, Severity of Illness Index, Vitamin B Complex, Treatment Outcome, Young Adult

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