I have been saying for years that if benzoyl peroxide is so good at killing bacteria on its own, then why do we need topical antibiotics like clindamycin, which do not work nearly as well as benzoyl peroxide in clearing acne, and have contributed to creating massive amounts of resistant bacteria across the world? It is a simple question and I have yet to meet anyone who can give me a compelling reason why a doctor would prescribe topical antibiotics for acne.
Perhaps the medical community is finally seeing what I am seeing. In a recent article in The Journal of Drugs in Dermatolgy, Dr. Kircik from Mount Sinai Medical Center in New York shows that ears and eyes are perking up to the massive over-prescription of topical antibiotics, especially when a better and safer alternative exists: “…we have recently noticed BP’s benefits as monotherapy in the treatment of acne. Benzoyl peroxide works rapidly on P. acnes (bacteria) without causing antibiotic resistance. Hence, we may have to reconsider the role of topical antibiotics such as clindamycin in the treatment paradigm of acne vulgaris.”
- Kircik LH. “The role of benzoyl peroxide in the new treatment paradigm for acne.” The Journal of Drugs in Dermatology. 2013; 12(6): s73-4.