clindamycin

I have very sensitive skin with adult onset acne.  My doctor has had me on Clindamycin and  a seperate Retin A creme which has worked wonderfully.  My last visit he would not let me renew my clindamycin prescription because he says they can't due to the MRSA Virus becoming so prevalent. He however could prescribe a benzoyl peroxide clindamiycin mix creme.  I am allergic to benzoyl peroxide and cannot use this medicine.  His only recommendation was to now go to his attatched spa to the dermatologist office to get chemical peels. This is not covered by insurance and I am not rich enough to get a peel every 1 to 3 months. Is this true that they are stopping prescribing clindamycin or is he trying to get me into his spa for more money?  Please help!

[loiloi]

Long term use of antibiotics can build up a resistance to them. However, i have never heard of a doctor not prescribing topical antibiotics for acne because of MRSA. Clindamycin (Dalacin) is available in 2 formulas- a lotion and a solution so can be used by people with sensitive skin. The mix of clindamycin and benzoyl peroxide (Duac gel) is better for strong oily skin and less desirable for patients with sensitive skin. If your skin is very sensitive, chemical peels may not be suitable for you either. I would find a more sympathetic doctor. There are lots of diferent oral and topical preparations for acne. You may be able to take oral antibiotics such as oxytetracycline or use a different topical medication (Differin is very effective and is a retinoid not an antibiotic). If you are female you may warrant treatment with an anti-androgen contraceptive pill. Loiloi x