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Ziana 1.2-0.025% Gel 60gm

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60gm Tube
Chemical Name: CLINDAMYCIN (klin-da-MYE-sin) and TRETINOIN (TRET-i-noyn)

Common uses
Ziana is a lincosamide antibiotic and retinoid combination used to treat acne.

Before using
Some medicines or medical conditions may interact with Ziana. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT USE ZIANA if you are also using a product that contains erythromycin. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including eczema, or high white blood cell counts; an open wound, sunburn, or damaged skin at the application site; a history of stomach or bowel problems, allergies, pregnancy, or breast-feeding. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have a history of stomach or bowel inflammation (such as Crohn disease, ulcerative colitis, enteritis), or severe diarrhea or other bowel problems caused by antibiotic use. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. AN ADDITIONAL PATIENT INFORMATION LEAFLET is available with this medicine. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. THIS MEDICINE IS FOR TOPICAL USE ON THE SKIN ONLY. Do NOT get it in the eyes, mouth, or vagina; on the lips; or in the angles of the nose. If you get it in your eyes, rinse at once with cool tap water. Do NOT apply this medicine to an open wound. APPLY THIS MEDICINE AT BEDTIME, unless your doctor tells you otherwise. Wash your face gently with mild soap and water. Pat the skin dry. Apply a pea-size amount of this medicine to the tip of your finger. Dot onto the chin, cheeks, nose, and forehead. Gently smooth this medicine over the entire face until it is completely rubbed in. WASH YOUR HANDS immediately after using this medicine. TO GET THE MOST BENEFIT from this medicine, use it on a regular schedule. Continue to use it even if your skin appears to improve. Do not miss any doses. STORE THIS MEDICINE at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Keep the tube tightly closed. Protect from freezing. IF YOU MISS A DOSE OF THIS MEDICINE, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Cautions
DO NOT USE THIS MEDICINE if you have had an allergic reaction to it or are allergic to any ingredient in this product. IT MAY TAKE SEVERAL WEEKS for this medicine to work. If your symptoms do not get better or they get worse, check with your doctor. DO NOT EXCEED THE RECOMMENDED DOSE or use this medicine more often than prescribed without checking with your doctor. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor or dentist that you are using this medicine. THIS MEDICINE MAY CAUSE YOU TO BECOME SUNBURNED more easily. AVOID THE SUN, SUNLAMPS, OR TANNING BOOTHS while you are using this medicine. Wear protective clothing (eg, hat) if you must be outside in the sun. USE A SUNSCREEN EACH DAY, even on cloudy days. Reapply the sunscreen throughout the day as needed. DO NOT APPLY THIS MEDICINE TO SKIN THAT IS SUNBURNED. Wait until the burn is fully healed before using this medicine. WINDY OR COLD WEATHER may increase the risk of skin irritation while you are using this medicine. DO NOT USE ANY OTHER MEDICINES OR SPECIAL CLEANSERS on your skin unless your doctor instructs you otherwise. Some topical medicines and other products have strong drying effects and may increase the risk of skin irritation. Some examples are medicated or abrasive soaps; certain cosmetics; or products with large amounts of alcohol, spices, lime, or astringents. IF MODERATE TO SEVERE DIARRHEA OCCURS during or after treatment with this medicine, check with your doctor or pharmacist. Do not treat it with non-prescription (over-the-counter) medicines. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. IT IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast milk. DO NOT BREAST-FEED while taking this medicine.

Possible side effects
SIDE EFFECTS that may occur while using this medicine include dryness, itching, redness, burning, peeling, scaling, or stinging of the skin; or temporary change in skin color. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience blistered, crusted, or swollen skin. CONTACT YOUR DOCTOR IMMEDIATELY if you experience blood or mucus in the stool; bloody, severe, or persistent diarrhea; or stomach cramps or pain. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

If you take too much
IF YOU SUSPECT YOU HAVE USED TOO MUCH of this medicine, contact your doctor or seek medical advice right away. This medicine may be harmful if swallowed.

Additional information
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

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