Adult Dosing

Acne vulgaris

• Apply gel/wash/cream/pads to the affected areas qd- bid
• Alt: Wash skin qd-bid with cleanser
• Improvement may be seen after 3 wks but may take as long as 8 wks
• Note: Wash affected skin, rinse thoroughly and pat dry before aplication; may bleach hair, fabric

Pediatric Dosing

Acne vulgaris

• Apply gel/wash/cream/pads to the affected areas qd- bid
• Alt: Wash skin qd-bid with cleanser
• Improvement may be seen after 3 wks but may take as long as 8 wks

Adolescents

• Brevoxyl: Apply gel/lotion/wash qd-bid
• Desquam-E/Desquam-X: Apply gel qd-bid
• Note: Wash affected skin, rinse thoroughly and pat dry before application; may bleach hair, fabric

[Outline]

• Adult Dosing
• Pediatric Dosing

• Mild to moderate acne vulgaris
• As an adjunct to other antibiotics for treating severe cases of acne

• History of hypersensitivity to any of the ingredients of the product

• N/A

Renal Dose Adjustment

• Renal impairment: Dose adjustments not defined

Hepatic Dose Adjustment

• Hepatic impairment: Dose adjustments not defined

See Supplemental Patient Information

• Avoid contact with eyes, mouth, mucous membranes
• Avoid sun exposure
• May cause mild burning, reddening and peeling of skin. Sudden increase in peeling which may occur within first few weeks of therapy is not harmful and usually subsides in 1-2 days of treatment discontinuation
• Discontinue if sensitivity or severe irritation develops
• Contact with any colored material (including hair and fabric) may result in bleaching or discoloration

Cautions: Use cautiously in

• Skin irritant use
• Photosensitivity

Supplemental Patient Information

• Avoid sunlight exposure

Pregnancy Category:C

Breastfeeding: Safety unknown. However, due to minimal systemic absorption, it would not be expected to cause any adverse effects in the breastfed infant. Ensure that the infant's skin does not come into direct contact with the areas treated with this drug. Use of water-miscible cream products on the breast is recommended. This information is based upon LactMed database (available at http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT last accessed 8 November 2010). According to manufacturer, benzoyl peroxide should be used by a pregnant woman only if clearly needed

• DERM: Allergic contact dermatitis, skin dryness, erythema, peeling

• Exact mechanism of action is not totally understood; has antibacterial activity against Propionibacterium acnes; has keratolytic and sebostatic activity, counteracts the hyperkeratinisation and excessive sebum production associated with acne
• Minimal systemic availability (<2%) after topical application
• Metabolized in skin; CYP450: unknown
• Excreted in urine
• Half-Life: Unknown

US Trade Name(s)

• Benzac AC
• Benzac W
• Brevoxyl
• Desquam-E (Discontinued)
• Desquam-X
• Triaz
• ZoDerm

US Availability

benzoyl peroxide topical (generic)

• CRE: 5%, 6.5%, 8.5%, 10%
• GEL: 2.5%, 4.5%, 5%, 6.5%, 8.5%, 10%
• LOTN: 5%, 10%
• PADS: 4.5%, 6.5%
• WASH: 2.5%, 4%, 4.5%, 5%, 6.5%, 8%, 8.5%, 10%

Benzac AC

• GEL: 2%, 5%, 10%
• WASH: 2%, 5%, 10%

Benzac W

• WASH: 5%, 10%

Brevoxyl

• GEL: 4%, 8%
• LOTN: 4%, 8%
• WASH: 4%, 8%

Desquam-E, Desquam-X

• GEL: 5%, 10%

Triaz

• PADS: 3%, 6%, 9%
• WASH: 3%, 6%, 9%

ZoDerm

• CRE: 4.5%, 6.5%, 8.5%
• GEL: 4.5%, 6.5%, 8.5%
• PADS: 4.5%, 6.5%, 8.5%
• WASH: 4.5%, 6.5%, 8.5%

Canadian Trade Name(s)

• Acetoxyl
• Benzac AC gel
• Benzac W
• Panoxyl
• Oxyderm
• Solugel

Canadian Availability

Acetoxyl

• GEL: 2.5%

Benzac AC gel

• GEL: 5%, 10%

Benzac W

• Cleanser: 5%, 10%

Panoxyl

• GEL: 5%, 10%, 20%
• AQUAGEL: 2.5%, 5%
• WASH: 4%
• LOTION: 5%
• BAR: 5%, 10%

Oxyderm

• LOTN: 5%, 10%, 20%

Solugel

• GEL: 4%, 8%

UK Trade Name(s)

• Acnecide Gel
• Acnecide Wash
• Brevoxyl
• Panoxyl
• Panoxyl Cream
• Panoxyl Acnegel
• Panoxyl Aquagel

UK Availability

Acnecide Gel

• GEL: 5%

Acnecide Wash

• WASH: 5%

Brevoxyl

• CRE: 4%

Panoxyl

• WASH: 10%

Panoxyl Cream

• CRE: 5%

Panoxyl Acnegel

• GEL: 5%, 10%

Panoxyl Aquagel

• AQUAGEL: 2.5%, 5%, 10%

Australian Trade Name(s)

• Benzac AC gel
• Benzac AC Wash
• Brevoxyl
• Clean and Clear Continuous Control Acne Cleanser

Australian Availability

Benzac AC gel

• GEL: 2.5%, 5%, 10%

Benzac AC Wash

• GEL: 5%

Brevoxyl

• CRE: 4%

Clean and Clear Continuous Control Acne Cleanser

• CRE CLEANSER: 5%

[Outline]

Dermatologic

Dermatologic Topical Agents

Anti-Acne Agents

Pricing data from www.DrugStore.com in U.S.A.

• Zoderm 6.5-10 % PADS [Box] (PHARMADERM)
  30 % = $172.99
  90 % = $492.96
• Zoderm 4.5-10 % CREA [Tube] (PHARMADERM)
  125 % = $231.99
  375 % = $665.95
• Benzoyl Peroxide 10 % GEL [Tube] (RUGBY)
  42.5 % = $13.98
  127.5 % = $19.98
• Zoderm 4.5-10 % PADS [Box] (PHARMADERM)
  30 % = $169.98
  90 % = $495.95
• Benzoyl Peroxide 5 % GEL [Tube] (PERRIGO PHARMACEUTICALS)
  60 % = $24.99
  180 % = $55.97
• Benzoyl Peroxide 5 % GEL [Tube] (PERRIGO PHARMACEUTICALS)
  90 % = $26.99
  270 % = $62.97
• Benzac AC 10 % GEL [Tube] (GALDERMA)
  60 % = $111.07
  180 % = $314.53
• Benzoyl Peroxide 5 % GEL [Tube] (RUGBY)
  42.5 % = $13.99
  85 % = $18.97
• Benzoyl Peroxide 10 % GEL [Tube] (PERRIGO PHARMACEUTICALS)
  90 % = $29.99
  270 % = $69.98
• Benzoyl Peroxide 5.5 % CREA [Tube] (KYLEMORE PHARMACEUTICALS)
  45 % = $110
  135 % = $315.95
• Benzoyl Peroxide Wash 2.5 % LIQD [Bottle] (PERRIGO PHARMACEUTICALS)
  227 % = $29.99
  681 % = $75.97
• Benzoyl Peroxide 3 % PADS [Box] (ACTAVIS MID ATLANTIC)
  30 % = $139.99
  90 % = $375.96
• Benzoyl Peroxide 10 % GEL [Tube] (PERRIGO PHARMACEUTICALS)
  60 % = $25.99
  180 % = $59.97
• Desquam-E 10 % GEL [Tube] (B-M SQUIBB U.S. (PRIMARY CARE))
  42.5 % = $21.99
  127.5 % = $44.97
• Zoderm 4.5-10 % GEL [Tube] (PHARMADERM)
  125 % = $231.98
  375 % = $685.96

Warning: This pricing information is subject to change at the sole discretion of DS Pharmacy. For the most current and up-to-date pricing information, please visit drugstore.com.