dermosav plus cream - Ciprofloxacin (1% w/w) + Metronidazole (1% w/w) medicine

Clobest-cm Cream: Comprehensive Guide To Uses, Side Effects, And Safety

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🏭 Bennet Mypher Pharmaceuticals LLP 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 26, 2026
🤰 Pregnancy Category Not established from the available information. Consult your doctor before use if pregnant or planning pregnancy. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for approved indications.
Reviewed by
SaathiMed Expert Panel | Oct 26, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction with swelling of face, lips, or throat
  • Difficulty breathing or swallowing
  • Severe skin rash with blistering or peeling
  • Signs of infection spreading (increased redness, swelling, pain, fever)
  • No improvement after 7 days of use
  • New or worsening symptoms

If experiencing severe symptoms, call emergency services immediately.

What is dermosav plus cream used for?

This medicine is a topical cream containing ciprofloxacin and metronidazole, used to treat bacterial skin infections. Apply a thin layer to the affected area 2-3 times daily as prescribed.

  • Generic Name: Ciprofloxacin + Metronidazole
  • Manufacturer: Bennet Mypher Pharmaceuticals LLP
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 dermosav plus cream के बारे में (Hindi Summary)

उपयोग: यह दवा एक टॉपिकल क्रीम है जिसमें सिप्रोफ्लोक्सासिन और मेट्रोनिडाजोल होते हैं। इसका उपयोग त्वचा के बैक्टीरियल संक्रमण, घावों और अल्सर के इलाज के लिए किया जाता है। यह संक्रमण पैदा करने वाले बैक्टीरिया को मारती है और सूजन व दर्द को कम करती है। इसे डॉक्टर के निर्देशानुसार प्रभावित हिस्से पर लगाएं।

साइड इफेक्ट्स: आम दुष्प्रभावों में लगाने की जगह पर जलन, खुजली, लालिमा या सूखापन शामिल हो सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको गंभीर एलर्जी, सूजन या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस क्रीम को केवल बाहरी उपयोग के लिए ही लगाएं। आंखों, नाक, मुंह और श्लेष्मा झिल्ली के संपर्क में न आने दें। लगाने से पहले और बाद में हाथ धोएं। डॉक्टर के बताए अनुसार ही इस्तेमाल करें। यदि कुछ दिनों में सुधार न हो तो डॉक्टर से मिलें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 dermosav plus cream Uses & Benefits

[{"condition":"Infected skin wounds","description":"Used to treat bacterial infections in cuts, scrapes, and minor wounds.","evidence":"Well-established"},{"condition":"Infected ulcers","description":"Applied to infected pressure ulcers or diabetic foot ulcers to reduce bacterial load.","evidence":"Well-established"},{"condition":"Bacterial skin infections","description":"Effective against certain gram-positive and gram-negative bacteria causing skin infections.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Rosacea","description":"Sometimes prescribed off-label for rosacea due to anti-inflammatory and antimicrobial effects.","evidence":"Limited"},{"condition":"Perioral dermatitis","description":"Occasionally used off-label for perioral dermatitis.","evidence":"Limited"}]

Primary treatment for: Bacterial skin infections

Also treats: Infected wounds, Infected ulcers

📋 Drug Information

Generic Name(s)Ciprofloxacin + Metronidazole
Brand NameClobest-CM Cream
ManufacturerBennet Mypher Pharmaceuticals LLP
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassDERMA
Action ClassAntibiotic + Antiprotozoal
Route of AdministrationTopical
StorageStore at room temperature (15-30°C) in a dry place. Protect from direct sunlight and moisture. Keep the tube tightly closed when not in use.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Apply the cream exactly as prescribed by your doctor; do not use more or less than directed.
2
Wash your hands before and after applying the cream to prevent spreading infection.
3
Avoid applying the cream to large areas of broken skin without medical supervision.
4
If you develop a rash or severe irritation, stop using the cream and consult your doctor.
5
Complete the full course of treatment even if symptoms improve, to prevent recurrence.
6
Do not share this cream with others, as it may not be suitable for their condition.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Redness and swelling of skin
This medicine is commonly prescribed for bacterial skin infections.
Likely Use
✅
Pus or discharge from wound
It helps treat infected wounds.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionNot established from the available information for topical application. Systemic absorption is generally low when applied to intact skin, but may occur if applied to large areas or broken skin.
DistributionNot established from the available information for topical application.
Protein BindingCiprofloxacin: approximately 20-40% bound to plasma proteins. Metronidazole: less than 20% bound to plasma proteins. However, systemic exposure after topical application is minimal.
MetabolismCiprofloxacin is partially metabolized in the liver. Metronidazole is metabolized in the liver by cytochrome P450 enzymes. Systemic metabolism is not significant after topical application.
Half-LifeCiprofloxacin: approximately 4 hours (systemic). Metronidazole: approximately 8 hours (systemic). Not applicable for topical use due to minimal systemic absorption.
ExcretionCiprofloxacin is excreted primarily unchanged in urine. Metronidazole and its metabolites are excreted in urine. After topical application, systemic excretion is negligible.
BioavailabilityNot established from the available information for topical application. Systemic bioavailability is expected to be very low.
Onset of ActionNot established from the available information. Clinical improvement may be seen within a few days of starting treatment.
Peak Plasma TimeNot established from the available information for topical application.
Duration of ActionNot established from the available information. The effect lasts as long as the cream remains on the skin and is applied regularly.

How It Works

This medicine combines two antimicrobial agents with distinct mechanisms. Ciprofloxacin inhibits bacterial DNA gyrase and topoisomerase IV, enzymes required for DNA replication, recombination, and repair, leading to bacterial cell death. Metronidazole enters bacterial cells and is reduced by anaerobic organisms to reactive intermediates that bind to DNA, causing strand breakage and inhibiting nucleic acid synthesis. The combination provides broad-spectrum activity against many aerobic and anaerobic bacteria.

Mechanism Steps

1
Ciprofloxacin inhibits DNA gyrase: Ciprofloxacin binds to bacterial DNA gyrase and topoisomerase IV, preventing DNA replication and transcription.
2
Metronidazole disrupts DNA: Metronidazole is reduced intracellularly to reactive radicals that cause DNA strand breaks and inhibit nucleic acid synthesis.
3
Bacterial cell death: The combined actions lead to inhibition of bacterial growth and eventual cell death.

💡 How to Take dermosav plus cream

Strength: Cream containing ciprofloxacin 1% w/w and metronidazole 1% w/w.

1Wash your hands thoroughly before and after applying the cream.
2Clean and dry the affected area gently.
3Apply a thin layer of the cream to the affected area.
4Gently rub it in until it is evenly spread.
5Do not cover with airtight dressings unless instructed.
6Wash hands after application unless hands are the treated area.

Dosage Information

Adult DosageApply a thin layer to the affected area 2-3 times daily or as directed by your physician. The duration of treatment depends on the type and severity of the infection. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended frequency or duration without medical advice.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageNo specific dose adjustments are required for elderly patients when used topically. However, elderly patients may be more susceptible to skin irritation. Use with caution and monitor for adverse effects.
Renal ImpairmentNo dose adjustment is required for topical use in patients with renal impairment, as systemic absorption is minimal.
Hepatic ImpairmentNo dose adjustment is required for topical use in patients with hepatic impairment, as systemic absorption is minimal.
Maximum Daily DoseNot established from the available information. Use only as prescribed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Apply the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not apply a double dose to catch up.

⚠️ Side Effects of dermosav plus cream

✅ Common Side Effects

Application site burning (Common (1-10%))
Usually resolves on its own. If persistent or severe, consult your doctor.
Application site itching (Common (1-10%))
Avoid scratching. Consult doctor if it worsens.
Redness or rash (Common (1-10%))
Discontinue if severe and consult doctor.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of face, lips, throat, or difficulty breathing.
Severe skin reactions (e.g., Stevens-Johnson syndrome) (Rare (<0.1%))
Stop use and seek immediate medical care if you develop a severe rash with blistering or peeling skin.

⚠️ Rare Side Effects

Photosensitivity
Avoid excessive sun exposure and use sunscreen.
Superinfection with resistant organisms
Consult doctor if new infection signs appear.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Other topical antibiotics Major
Topical corticosteroids Moderate
Moisturizers Minor

🚨 Major Interactions

  • Other topical antibiotics

⚡ Moderate Interactions

  • Corticosteroids (topical)

🍷 Alcohol Interaction

No known interaction with alcohol when used topically. However, alcohol consumption may affect overall health and wound healing.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to ciprofloxacin, metronidazole, or any component of the cream.","Not for use in the eyes, ears, or mucous membranes.","Do not use on large areas of broken skin without medical advice."]

⚠️ Warnings & Precautions

["For external use only.","Avoid contact with eyes and mucous membranes.","Do not use on deep puncture wounds, animal bites, or serious burns without medical advice.","Prolonged use may lead to bacterial resistance.","Discontinue if severe irritation or allergic reaction occurs.","Keep out of reach of children."]

🤱 Lactation Safety

Not established from the available information. It is not known if this medicine passes into breast milk. Consult your doctor before use while breastfeeding. Avoid applying to the breast area to prevent infant exposure.

💊 Overdose Management

Overdose with topical application is unlikely. If accidental ingestion occurs, seek immediate medical attention. Symptoms of overdose may include nausea, vomiting, and abdominal discomfort. Treatment is symptomatic and supportive.

⏰ Missed Dose

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply a double dose to make up for a missed one.

Additional Safety Advice

General Safety

For external use only. Avoid contact with eyes, nose, mouth, and other mucous membranes. Wash hands thoroughly before and after applying the cream. Apply a thin layer to the affected area and gently rub it in as directed by your doctor. Do not cover the treated area with airtight dressings unless instructed. Do not use this medicine for longer than prescribed, as it may increase the risk of antibiotic resistance. If your condition does not improve within a few days or worsens, contact your healthcare provider. Keep out of reach of children. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not use this medicine after the expiry date.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may have thinner skin and are more prone to irritation. Use with caution and monitor for adverse effects.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. The safety of topical ciprofloxacin and metronidazole during pregnancy is not well established.

🏥 Post-Surgery Considerations

This medicine may be prescribed after surgery to prevent or treat wound infections. Use only as directed by your surgeon.

🦷 Dental Procedures

No specific considerations for dental procedures. Inform your dentist if you are using this medicine.

💚 Lifestyle Tips for Better Results

🏃
Keep the affected area clean and dry.
🥗
Avoid scratching or picking at the affected area.
😴
Maintain good hygiene to prevent spreading infection.
💧
Eat a balanced diet to support healing.
🧘
Avoid sharing towels or personal items.

🏋️ Exercise Considerations

Avoid strenuous exercise that may cause friction or sweating on the treated area. Keep the area clean and dry after exercise.

🥗 Diet Recommendations

Include protein-rich foods to promote wound healing.
Stay well hydrated.
Avoid excessive sugar intake as it may impair healing.

💼 Impact on Daily Work & Life

This medicine is unlikely to affect your ability to drive or operate machinery. However, if you experience any side effects like dizziness, avoid these activities until you feel better.

🛑 When to Stop This Medicine

Stop using this medicine if you experience a severe allergic reaction or if your doctor advises discontinuation. Do not stop prematurely even if symptoms improve, as this may lead to recurrence of infection.

📅 Long-Term Use Effects

Prolonged use of this medicine may lead to bacterial resistance and overgrowth of non-susceptible organisms. It should only be used for the prescribed duration. If long-term use is required, your doctor will monitor for signs of superinfection and adjust treatment accordingly.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Good wound care

Keeping wounds clean and covered can prevent infection.

Evidence: Well-established
Other topical antibiotics

Depending on the bacteria, other antibiotics may be prescribed.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. However, consult your doctor if you are due for any vaccination while using this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store it in a cool, dry place away from direct sunlight. If traveling to a different time zone, continue applying as per your usual schedule. Declare it at customs if required. Keep it in your carry-on luggage if you need it during the flight.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with an infected cut on his hand
He was prescribed this medicine to apply twice daily. After 3 days, the redness and pus reduced significantly. He completed the 7-day course and the wound healed completely.
💡 Lesson: Consistent application and completing the full course are key to successful treatment.
👤 A 60-year-old woman with a diabetic foot ulcer
She used this cream as part of her wound care regimen. The infection cleared within 10 days, and she continued to monitor her blood sugar levels.
💡 Lesson: For chronic wounds, this medicine should be used under medical supervision along with proper wound care and blood sugar control.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start seeing improvement within 2-3 days. If no improvement after 7 days, consult your doctor.

Q: Can I use this cream on my face?

A: It should only be used on the face if specifically prescribed by a doctor. Avoid contact with eyes and mucous membranes.

Q: Is it safe during pregnancy?

A: Consult your doctor before use if you are pregnant or planning pregnancy. The safety profile is not well established for topical use.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this cream on my face?
  • How long should I use this cream?
  • Is it safe for children?
  • Can I use it during pregnancy?
  • What if I miss a dose?
  • Can I use other creams at the same time?

🔄 Substitutes for dermosav plus cream

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This cream can be used for any skin problem.
    Fact: It is specifically for bacterial infections and should only be used as prescribed.
  • Myth: More cream means faster healing.
    Fact: Applying more than prescribed does not speed up healing and may increase side effects.

🔄 Alternative Options

Generic Alternatives

  • Ciprofloxacin and metronidazole topical cream

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","active_ingredients":"Ciprofloxacin + Metronidazole","class":"Fluoroquinolone + Nitroimidazole","route":"Topical","primary_use":"Bacterial skin infections"},{"medicine":"Mupirocin cream","active_ingredients":"Mupirocin","class":"Monoxycarbolic acid","route":"Topical","primary_use":"Impetigo, skin infections"}]

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