Topical 4% nicotinamide vs. 1% clindamycin in moderate inflammatory acne vulgaris
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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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”
From International expert consensus recommendations for the use of dermocosmetics in acne. (2025) · cites this paper as [19]
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%.”
From International expert consensus recommendations for the use of dermocosmetics in acne. (2025) · cites this paper as [19]
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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
- ORCID
- Amirnia, Mehdi
- 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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