Provided by Bailey Health

Terms & Conditions

Acne & Aging

This treatment plan contains information regarding the medication that was prescribed to you including but not limited to: ingredient information, interactions, side effects, how to use the medication, how to store the medication and other important information you should know prior to starting treatment.

What are some things I need to know about this drug?

These are not mass-produced, off the shelf medications. This is a custom formula recommended by your doctor. These drugs have been specially compounded and individualized for you.

This regimen should be used under medical supervision as an adjunct to a comprehensive skin care and sunlight avoidance program that includes the use of effective sunscreens (minimum SPF of 15) and protective clothing.

Do not use in combination with other topical medications without notifying your provider or pharmacist. Do not apply to eyes or swallow medication. Do not use in open wounds. Do not use if skin condition worsens with constant use.

What is this drug used for?

Active ingredients

Your medication may contain one or more of the

following ingredients:

• Tretinoin

• Clindamycin

• Niacinamide

Tretinoin is a retinoid (a derivative of vitamin a), used topically to treat acne. Tretinoin increases the speed of cell turnover, meaning new skin will make its way to the surface faster. It may take up to 8 weeks for Tretinoin to clear signs of acne.

Clindamycin is an antibiotic, used topically to treat the bacteria that contributes to acne.

Niacinamide is a form of vitamin b3, when used topically increases the amount keratin that is formed by the skin. This may improve the surface structure of the skin. It is possible that niacinamide demonstrates anti-inflammatory effects from acne and other irritating conditions.

How is this drug best taken?

These topical medications were designed to be used on all areas of the face and not just for spot treatment. To get the most of your acne medication, apply a thin layer and rub in completely to the entire area of the face as directed by your medical provider. Wash hands thoroughly after applying.

What do I need to tell my doctor before I take this drug?

• If you are allergic to it or to vitamin a-related drugs (other retinoids such as Tretinoin)

• If you have any other allergies (this product may contain inactive ingredients, which can cause allergic reactions or other problems)

• If you are pregnant, trying for a baby, or breastfeeding.

What do I need to tell my doctor before taking this drug (acne kit only)?

• If you are allergic to clindamycin, lincomycin (Lincocin), or any other medications.

• If you have or have ever had asthma, eczema (sensitive skin that often becomes itchy or irritated) or allergies.

• If you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using topical clindamycin, call your doctor.

• If you are having surgery, including dental surgery, tell the doctor or dentist that you are using topical clindamycin.

• You should know that abrasive or medicated soaps and skin products that contain alcohol may make the side effects of topical clindamycin worse. Talk to your doctor about the skin care products you plan to use during your treatment with topical clindamycin.

Alternative Treatment

We have based our recommendation on your specific case and medical guidelines, but there may be alternative treatments or strategies that may be helpful to you. Some may be more or less effective than what we provide. Some treatments may require an in-person exam or procedure which we can't provide. Message us or talk to your doctor in-person to discuss alternative treatments.

How do I store this drug?

Store in a cool dry place away from light. The bottle should be tightly closed. The appropriate storage temperature is between 68 to 77 degrees F. Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.

General drug facts

Product may change color slightly over time. This discoloration does not effect the safety or usability of the medication.


This medication may cause an allergic reaction if you are allergic to similar medicines or components. If you are allergic to any of the following please stop the medicine, reach out to us and see a doctor.

• Tretinoin

• Clindamycin

• Niacinamide

What are other side effects of this drug?

You may experience side effects with these medications. These side effects are common and may go away with time and daily use. Itching, redness, scaling and dryness can be managed with frequent use of an everyday moisturizer.

• Itching

• Redness

• Scaling

• Dryness

• Peeling

• Burning

• Stinging

• Increased sensitivity to the sun

You should also avoid other products known to cause skin irritation on the area of treatment such as: medicated or abrasive (rough) soaps, chemical hair removers or waxes, electrolysis, products with alcohol or astringents, and cosmetics with a strong drying effect.

Let your aesthetician and any medical providers know you are using this compounded medication prior to receiving any treatments or therapy.

Call your doctor for medical advice about side effects.

You may report side effects to FDA at: 1-800-FDA-1088

What are other side effects of clindamycin (in the acne kit only)?

• Skin burning or itching

• Dry skin

• Redness

• Oily skin

• Skin peeling


Treating skin conditions if often difficult. Sometimes the

medication needs 4 weeks or more to work. If after 12 weeks,

the skin condition has not improved, please consult a medical

doctor to evaluate your skin for other treatment options.


This compounded medication has not been evaluated for use with pregnancy. If you are pregnant or planning to become pregnant use only at the discretion of your medical provider.

Accurate information

We have evaluated the specific health information you provided and are making our recommendations based on it. If you forgot to provide or incorrectly provided the information we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. If you need to clarify or update any information about your health you can message or call us anytime.

Treatment failure

This treatment is not 100% effective. It may not work or may only partially resolve the condition for which you are seeking treatment. If the treatment is not working, or if you are experiencing new or worsening symptoms, give us a call or message us anytime. If it is an emergency, call 911 or seek immediate medical help in-person. You may need to seek alternative treatment.

Misdiagnosis or delayed diagnosis

There is also a risk that we will misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. This risk exists with a doctor in-person as well but they may have additional signs and symptoms to aid their evaluation. We use the evidence based practice and guidelines as well as clinical decision support to try to minimize these risks.

Here are some other diagnoses that we attempt to rule out

other skin manifestations:

• Eczema

• Peri-oral dermatitis

• Various other examples

Accepting or declining your provider's recommendation

We are recommending this treatment for you because the potential benefits outweigh the risks in our estimation. You should evaluate this information and any input from your in-person healthcare team, and any other relevant information to decide if this treatment plan is appropriate for you. You are free to not follow our recommendations; although, there may also be risks associated with no treatment or self-treatment without medical provider supervision.

Share with your in-person healthcare team

You can access your records anytime. We strongly recommend that you update your in-person doctor, pharmacist, and the rest of your healthcare team to let them know about any new medicines you are taking or other changes in your health. You can also ask us questions anytime and we are happy to help you share any information about your health with your in-person healthcare team.

Do not use medication past the use by dating provided on the label.