supatret c aqueous gel - Clindamycin (1% w/w) + Tretinoin (0.04% w/w) medicine

Nexret-TC Gel: Comprehensive Guide to Uses, Side Effects, and Safety

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🏭 Sun Pharmaceutical Industries Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
🤰 Pregnancy Category Consult your doctor. Topical clindamycin and tretinoin should be used during pregnancy only if clearly needed. Tretinoin is known to be teratogenic when taken orally, but the risk with topical use is considered low. However, caution is advised. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for the treatment of acne vulgaris.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe diarrhea or abdominal cramps
  • Blood in stool
  • Swelling of face, lips, or throat
  • Difficulty breathing
  • Severe skin blistering or peeling
  • Yellowing of skin or eyes
  • Signs of severe allergic reaction (rash, hives, itching)

If experiencing severe symptoms, call emergency services immediately.

What is supatret c aqueous gel used for?

This medicine is a topical gel containing clindamycin 1% and tretinoin 0.04%, used to treat moderate to severe acne vulgaris. It works by reducing acne-causing bacteria and promoting skin cell turnover. Apply a thin layer to affected areas once daily at bedtime.

  • Generic Name: Clindamycin (1% w/w) + Tretinoin (0.04% w/w)
  • Manufacturer: Sun Pharmaceutical Industries Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 supatret c aqueous gel के बारे में (Hindi Summary)

उपयोग: यह दवा मुँहासे (एक्ने) के इलाज के लिए एक टॉपिकल जेल है जिसमें क्लिंडामाइसिन 1% और ट्रेटिनॉइन 0.04% होता है। यह मुँहासे पैदा करने वाले बैक्टीरिया को कम करती है और त्वचा की कोशिकाओं के नवीनीकरण को बढ़ावा देती है। यह मध्यम से गंभीर मुँहासे, ब्लैकहेड्स और व्हाइटहेड्स के इलाज में प्रभावी है। इसे रात में सोने से पहले प्रभावित हिस्से पर पतली परत में लगाएं।

साइड इफेक्ट्स: आम दुष्प्रभावों में त्वचा का सूखना, छिलना, लालिमा, जलन, खुजली और चुभन शामिल हैं। ये आमतौर पर हल्के होते हैं और उपयोग जारी रखने पर कम हो जाते हैं। दुर्लभ मामलों में गंभीर एलर्जी या कोलाइटिस हो सकता है। यदि गंभीर दस्त, पेट दर्द या मल में खून आए तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: केवल बाहरी उपयोग के लिए। आंखों, होंठों और श्लेष्मा झिल्ली के संपर्क से बचें। धूप से बचें और सनस्क्रीन का उपयोग करें। टूटी या जली हुई त्वचा पर न लगाएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 supatret c aqueous gel Uses & Benefits

[{"condition":"Acne vulgaris","description":"This medicine is used for the topical treatment of moderate to severe acne vulgaris, reducing inflammatory and non-inflammatory lesions.","evidence":"Well-established"}]

Off-label uses: []

Primary treatment for: Acne vulgaris

📋 Drug Information

Generic Name(s)Clindamycin (1% w/w) + Tretinoin (0.04% w/w)
Brand Namesupatret c aqueous gel
ManufacturerSun Pharmaceutical Industries Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassDERMA
Action Class
Route of AdministrationTopical
StorageStore at room temperature (15-30°C). Protect from light 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 this medicine only at bedtime to minimize sun sensitivity.
2
Start with a pea-sized amount for the entire face to avoid irritation.
3
Use a gentle, non-comedogenic moisturizer to manage dryness.
4
Avoid using other irritating skincare products like scrubs or astringents.
5
Be patient; visible improvement may take 8-12 weeks.
6
Always use sunscreen with SPF 30 or higher during the day.
7
Do not apply to broken or irritated skin.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Acne (pimples, blackheads, whiteheads)
This medicine is commonly prescribed for this.
Likely Use
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionClindamycin is absorbed percutaneously to a small extent. Tretinoin absorption through intact skin is minimal. Systemic absorption is generally low but may increase with application to large areas or broken skin.
DistributionNot established from the available information.
Protein BindingNot established from the available information.
MetabolismClindamycin is metabolized in the liver. Tretinoin is metabolized in the skin and liver.
Half-LifeNot established from the available information.
ExcretionClindamycin and its metabolites are excreted in urine and bile. Tretinoin metabolites are excreted in urine and feces.
BioavailabilityNot established from the available information.
Onset of ActionInitial improvement may be seen within 2-4 weeks, but optimal results may take 8-12 weeks.
Peak Plasma TimeNot established from the available information.
Duration of ActionNot established from the available information.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Clindamycin binds to the 50S ribosomal subunit of susceptible bacteria, inhibiting protein synthesis and thereby reducing the population of Cutibacterium acnes. Tretinoin, a retinoid, modulates keratinocyte proliferation and differentiation, promotes desquamation of follicular epithelium, and prevents the formation of new comedones. Together, they reduce both bacterial load and follicular plugging.

Mechanism Steps

1
Clindamycin inhibits bacterial protein synthesis: Clindamycin binds to the 50S ribosomal subunit of Cutibacterium acnes, preventing peptide bond formation and inhibiting bacterial growth.
2
Tretinoin modulates keratinization: Tretinoin binds to retinoic acid receptors, altering gene expression to promote normal keratinocyte turnover and reduce comedone formation.
3
Reduction of inflammation: By reducing bacterial load and unclogging pores, the inflammatory response in acne lesions is diminished.

💡 How to Take supatret c aqueous gel

Strength: Gel containing clindamycin 1% w/w and tretinoin 0.04% w/w.

1Wash your hands thoroughly before application.
2Cleanse the affected area with a mild, non-medicated cleanser and pat dry.
3Wait 20-30 minutes to ensure the skin is completely dry.
4Apply a pea-sized amount of the gel to the affected areas, avoiding the eyes, lips, and mucous membranes.
5Rub in gently until the gel is evenly distributed.
6Wash your hands immediately after application.
7Use sunscreen daily and avoid sun exposure.

Dosage Information

Adult DosageApply a thin layer of this medicine to the affected areas once daily at bedtime, or as directed by your doctor. Wash the affected area gently with a mild cleanser and pat dry before application. Avoid applying to unaffected skin. Dose must be individualized by a qualified clinician based on the severity of acne and skin tolerance.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageNo specific dosage adjustments are recommended for elderly patients. Use with caution and monitor for skin irritation.
Renal ImpairmentNo dosage adjustment is required for renal impairment when used topically, as systemic absorption is minimal.
Hepatic ImpairmentNo dosage adjustment is required for hepatic impairment when used topically, as systemic absorption is minimal.
Maximum Daily DoseApply once daily. Do not exceed the recommended frequency.

Dosage Timeline

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

⏰ What to Do If You Miss a Dose

📌 Less than 12 hours have passed since the missed dose
→ Apply the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 12 hours have passed since the missed dose
→ Skip the missed dose.
💡 Do not apply a double dose to catch up.

⚠️ Side Effects of supatret c aqueous gel

✅ Common Side Effects

Dry skin (Common (10-30%))
Apply a moisturizer and reduce frequency if severe. Consult doctor if persists.
Peeling (Common (10-30%))
Use gentle cleansers and moisturizers. Avoid scrubbing.
Redness (Common (10-30%))
Usually subsides with continued use. If severe, consult doctor.
Burning or stinging (Common (5-15%))
Apply to dry skin and wait 20-30 minutes after washing. Consult if severe.
Itching (Common (5-15%))
Avoid scratching. Use cool compresses. Consult doctor if persistent.

🚨 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.
Clindamycin-associated colitis (Rare (<0.1%))
Stop using and seek immediate medical attention if you develop severe diarrhea, abdominal cramps, or blood in stool.
Severe skin irritation (Uncommon (0.1-1%))
Discontinue use and consult a doctor if you experience severe blistering, peeling, or swelling.

⚠️ Rare Side Effects

Photosensitivity
Use sunscreen and protective clothing. Avoid sun exposure.
Hyperpigmentation
Consult doctor; may resolve with time.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Other topical retinoids Major
Neuromuscular blockers Major
Erythromycin Moderate
Salicylic acid Moderate
Benzoyl peroxide Moderate

🚨 Major Interactions

  • Other topical retinoids or keratolytics (e.g., salicylic acid, benzoyl peroxide, resorcinol, sulfur)
  • Neuromuscular blocking agents (e.g., atracurium, vecuronium)

⚡ Moderate Interactions

  • Erythromycin
  • Other topical acne treatments (e.g., adapalene, tazarotene)

🍷 Alcohol Interaction

No known interaction with alcohol when used topically. However, alcohol consumption may worsen skin condition and should be limited.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to clindamycin, tretinoin, or any component of the gel","History of regional enteritis, ulcerative colitis, or antibiotic-associated colitis","Use on broken, eczematous, or sunburned skin","Concurrent use with other topical retinoids or keratolytics"]

⚠️ Warnings & Precautions

["For external use only. Avoid contact with eyes, lips, and mucous membranes.","May cause photosensitivity. Use sunscreen and protective clothing.","Do not use on large areas of skin or for prolonged periods without medical supervision.","Discontinue if severe diarrhea or colitis develops.","Caution in patients with a history of colitis.","Avoid concurrent use with other topical acne products unless directed.","Keep out of reach of children."]

🤱 Lactation Safety

It is not known whether clindamycin or tretinoin are excreted in human milk after topical application. Because many drugs are excreted in human milk, caution should be exercised when this medicine is used by a nursing woman. Avoid applying to the breast area to prevent infant exposure.

💊 Overdose Management

Overdose with topical application is unlikely. If excessive amounts are applied, wash off with water and seek medical advice if irritation occurs. Ingestion of the gel may cause gastrointestinal upset; seek medical attention if swallowed.

⏰ 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, lips, and mucous membranes. If accidental contact occurs, rinse thoroughly with water. Apply a thin layer to affected areas as prescribed. Do not cover with airtight dressings unless directed. Use sunscreen daily and avoid excessive sun exposure. Do not use on broken or irritated skin. Keep out of reach of children. Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding. Do not use other topical acne products unless advised by your doctor. Wash hands before and after application.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Acne is less common in the elderly, but if prescribed, use with caution due to potentially more sensitive skin. Monitor for irritation.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. Topical tretinoin is not recommended during pregnancy. Effective contraception should be used during treatment if you are of childbearing potential.

🏥 Post-Surgery Considerations

Avoid applying this medicine to areas of recent surgery or broken skin until fully healed. Consult your doctor before resuming use.

🦷 Dental Procedures

No specific precautions for dental procedures. Inform your dentist about all medications you are using.

💚 Lifestyle Tips for Better Results

🏃
Maintain a consistent skincare routine with gentle cleansers and moisturizers.
🥗
Avoid picking or squeezing acne lesions to prevent scarring.
😴
Use oil-free, non-comedogenic skincare and makeup products.
💧
Manage stress through relaxation techniques, as stress can worsen acne.
🧘
Get adequate sleep and stay hydrated.
🌞
Eat a balanced diet rich in fruits and vegetables.

🏋️ Exercise Considerations

Exercise is generally safe while using this medicine. However, sweat may irritate the skin, so wash your face gently after exercising. Avoid sharing towels or equipment that may come into contact with treated skin.

🥗 Diet Recommendations

Include foods rich in omega-3 fatty acids (e.g., fish, flaxseeds).
Reduce intake of high-glycemic foods and dairy if they trigger acne.
Stay well hydrated by drinking plenty of water.
Consume antioxidant-rich fruits and vegetables.

💼 Impact on Daily Work & Life

This medicine is applied topically and is unlikely to affect your ability to drive or operate machinery. However, if you experience significant skin irritation or sensitivity, you may want to avoid prolonged sun exposure during work hours.

🛑 When to Stop This Medicine

Do not stop using this medicine without consulting your doctor. If you experience severe side effects such as severe diarrhea, allergic reactions, or severe skin irritation, stop use and seek medical advice immediately. Your doctor may adjust the treatment plan.

📅 Long-Term Use Effects

Long-term use of this medicine is generally safe for acne management. However, prolonged use of topical clindamycin may lead to bacterial resistance. Tretinoin can cause skin thinning and increased sensitivity with overuse. Regular follow-up with a dermatologist is recommended to assess continued need and monitor for side effects.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Oral antibiotics

May be prescribed for severe acne, but with potential systemic side effects.

Evidence: Well-established
Chemical peels

Can complement topical therapy for acne and scarring.

Evidence: Moderate
Laser therapy

Used for refractory acne and scarring.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. Continue routine vaccinations as scheduled.

📦 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 the prescription label intact. Bring a copy of your prescription in case of customs checks. Store at room temperature and protect from extreme heat or cold. If traveling across time zones, continue applying once daily at bedtime local time. Keep the tube tightly closed and away from direct sunlight.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 22-year-old college student with moderate acne
Started using this medicine as prescribed. Initially experienced mild dryness and peeling, which subsided after two weeks with regular moisturizer use. After 10 weeks, noticed significant reduction in pimples and blackheads. Emphasized the importance of sunscreen and not skipping applications.
💡 Lesson: Consistent use and proper skin care can lead to good results despite initial irritation.
👤 A 30-year-old woman with hormonal acne
Was hesitant to use a retinoid due to sensitive skin. Started with alternate-day application for the first two weeks, then progressed to daily use. Experienced mild redness initially but skin adjusted. After 3 months, acne was well-controlled. She advises others to start slowly and be patient.
💡 Lesson: Gradual introduction can improve tolerance and adherence.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Initial improvement may be seen within 2-4 weeks, but optimal results may take 8-12 weeks of consistent use.

Q: Can I use this medicine with other acne treatments?

A: Consult your doctor before combining with other topical acne treatments, as it may increase irritation.

Q: Is this medicine safe during pregnancy?

A: Consult your doctor. Topical tretinoin should be used with caution during pregnancy.

Q: What should I do if I miss a dose?

A: Apply as soon as you remember if less than 12 hours have passed. Otherwise, skip and continue with your regular schedule.

Q: Can I apply makeup over this medicine?

A: You can apply non-comedogenic makeup after the gel has dried, but it's best to wait a few minutes.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for supatret c aqueous gel

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine works overnight.
    Fact: It may take several weeks to see improvement.
  • Myth: More application means faster results.
    Fact: Applying more than prescribed can cause severe irritation without faster results.
  • Myth: You can stop using it once acne clears.
    Fact: Acne may recur; maintenance therapy may be needed as advised by your doctor.

🔄 Alternative Options

Generic Alternatives

  • Clindamycin 1% and tretinoin 0.04% gel (generic)

Brand Alternatives

  • Nexret-TC Gel

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","active_ingredients":"Clindamycin 1% + Tretinoin 0.04%","form":"Gel","primary_use":"Acne vulgaris"},{"medicine":"Adapalene and clindamycin gel","active_ingredients":"Adapalene 0.1% + Clindamycin 1%","form":"Gel","primary_use":"Acne vulgaris"},{"medicine":"Benzoyl peroxide and clindamycin gel","active_ingredients":"Benzoyl peroxide 5% + Clindamycin 1%","form":"Gel","primary_use":"Acne vulgaris"}]

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