Visorex (2/0.05%) 10g Gel

Erythromycin primarily exerts its antibacterial effect by binding to the 50S subunit of bacterial ribosomes, inhibiting protein synthesis. It interferes with the translocation process, preventing the ribosome from moving along the messenger RNA, thereby disrupting the assembly of bacterial proteins. Erythromycin is particularly effective against gram-positive bacteria and some gram-negative organisms. Isotretinoin gel, on the other hand, acts by normalizing epithelial differentiation and reducing sebaceous gland activity. It binds to specific nuclear receptors, regulating gene expression and influencing cellular processes such as cellular differentiation, keratinization, and sebum production. This mechanism helps to reduce the formation of acne lesions by preventing the development of comedones and inhibiting the growth of Propionibacterium acnes, a bacterium associated with acne.

Erythromycin, Isotretinoin

Macrolide Antibiotic, Retinoid.

Topical Gel

The following are the uses of Erythromycin, Isotretinoin Gel:

• Used for treating moderate to severe acne that has not responded to other treatments.
• Used for reducing the presence of acne-causing bacteria and controlling inflammation.
• Used for preventing the formation of new acne lesions.
• Used for promoting the healing of existing acne lesions.
• Used for improving overall skin appearance by reducing redness and swelling.
• Used for managing acne in patients intolerant to systemic antibiotics.
• Used for localised application to minimize systemic side effects.

In the case of an overdose of Erythromycin, symptoms may include nausea, vomiting, abdominal pain, and diarrhea. Prompt medical care should be sought, and treatment may involve managing these symptoms. For Isotretinoin Gel overdose, individuals may experience skin irritation, redness, and peeling. Medical advice should be sought, and the affected area should be gently washed with mild soap and water to reduce discomfort. Both medications should be stored out of reach of children to prevent accidental ingestion.

In the case of a missed dose of Erythromycin, take it as soon as you remember, but if it's almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one. For Isotretinoin Gel, if you forget to apply it at the usual time, apply it as soon as you remember, but avoid applying a double dose to compensate for the missed application. It is best to maintain a consistent routine to ensure optimal treatment effectiveness.

To use Erythromycin, Isotretinoin Gel, gently squeeze a small amount onto your fingertips and apply a thin layer to the affected skin area once or twice daily, or as directed by your healthcare provider, ensuring you avoid contact with your eyes and mouth.

Erythromycin and Isotretinoin Gel should not be used in the following conditions:

• Hypersensitivity or allergy to erythromycin, isotretinoin, or any component of the gel.
• Pregnancy or breastfeeding (due to the potential risks to the fetus or infant, especially with isotretinoin).
• History of severe liver dysfunction or jaundice (especially with erythromycin).
• Patients with a history of hypersensitivity to other antibiotics, such as macrolides, may be at higher risk of reactions.
• Patients with a history of depression, suicidal thoughts, or mental health issues (as isotretinoin can worsen these conditions).
• Use of other topical products that may cause skin irritation or are contraindicated with either ingredient.
• Avoid use on broken, irritated, or sunburned skin.

The side effects of Erythromycin may include:

• Nausea and vomiting
• Abdominal pain
• Diarrhea
• Loss of appetite
• Hearing loss (rare)
• Skin rashes or itching
• Fatigue
• Skin dryness, peeling, or redness
• Itchy or burning skin
• Acne flare-ups (initial worsening)
• Increased sensitivity to sunlight
• Nosebleeds
• Changes in skin color
• Joint or muscle pain
• Changes in blood lipid levels

Following are the precautions and warnings for Erythromycin, Isotretinoin Gel:

• Avoid using Erythromycin if you are allergic to any of its ingredients or similar antibiotics like azithromycin or clarithromycin.
• Isotretinoin can cause severe birth defects; pregnant women should not use it, and effective contraception is essential during treatment.
• Both medications can interact with other drugs; inform your doctor about all medications you are taking.
• Avoid prolonged exposure to sunlight or UV rays while using Isotretinoin Gel, and use sunscreen regularly.
• Erythromycin may cause liver problems; regular monitoring is necessary, especially in patients with existing liver conditions.
• Do not use Isotretinoin Gel if you have severe liver or kidney disease.
• Patients with diabetes should be cautious as Erythromycin may affect blood sugar levels.

Following are the drug interactions for Erythromycin and Isotretinoin Gel:

• Erythromycin can interact with other antibiotics like clarithromycin and telithromycin, increasing the risk of cardiac side effects.
• It may also increase the concentration of statins, leading to increased risk of muscle-related side effects.
• Avoidance of co-administration with simvastatin is recommended.
• Erythromycin can alter the metabolism of some medications, including calcium channel blockers and benzodiazepines, potentially requiring dose adjustments.
• Isotretinoin Gel should not be used with other retinoids or vitamin A derivatives, as it may increase the risk of side effects.
• Topical use with other medications containing benzoyl peroxide or tretinoin may cause excessive skin irritation.
• Isotretinoin may increase blood levels of certain medications, such as oral vitamin A supplements, leading to potential toxicity.
• Concomitant use of isotretinoin with certain antibiotics (e.g., tetracyclines) may increase the risk of intracranial hypertension.

Following are the food interactions for this Gel:

• Avoid consuming large amounts of high-fat foods as they can slow down the absorption of Erythromycin, affecting its effectiveness.
• Consuming alcohol with Erythromycin may cause nausea, vomiting, and increased heart rate. It is best to avoid or limit alcohol intake.
• Grapefruit juice should be avoided as it can increase the levels of Erythromycin in the blood, potentially leading to an increased risk of side effects.
• Vitamin A-rich foods like liver, carrots, and spinach should be consumed in moderation as excessive Vitamin A intake can increase the risk of side effects.
• Dairy products with high-fat content may interfere with the absorption of Isotretinoin, so consider reducing their consumption.
• Spicy foods may exacerbate gastrointestinal side effects, so it's advisable to limit their intake during treatment.

Erythromycin and Isotretinoin Gel should be stored in a cool, dry area, preferably in a medicine cabinet or a designated storage space, ensuring it is out of the reach of children and pets. The gel should be kept at room temperature, away from excessive heat, direct sunlight, and moisture to maintain its effectiveness. It is crucial not to freeze the gel as it may alter its consistency and potency. Always check the expiration date on the tube or packaging before each application, and discard any expired or unused gel according to local regulations and guidelines. Proper disposal methods should be followed, such as returning the medication to a pharmacy or a designated collection point for safe disposal, rather than throwing it in the trash or pouring it down the drain, to minimize environmental impact.

Following are the quick tips for Erythromycin:

• Consult your healthcare provider for the right dosage and duration for your condition.
• Take the medication as prescribed, ensuring you complete the full course.
• Erythromycin can be taken with or without food, but taking it with food may reduce stomach upset.
• Avoid consuming grapefruit or grapefruit juice while on this medication.
• Inform your doctor about all medications you are taking to prevent potential drug interactions.
• Apply the gel as directed, typically once or twice daily, to the affected areas of the skin.
• Wash your hands before and after application to prevent spreading the medication.
• Use a thin layer of gel and gently massage it into the skin, avoiding the eyes, mouth, and sensitive areas.
• Allow sufficient time for the gel to absorb before applying other skincare products.
• Protect your skin from sunlight and UV rays during treatment, and avoid excessive sun exposure.
• Avoid waxing or laser hair removal during treatment and for at least 6 months after stopping the medication.
• Do not share your medication with others, as it is prescribed specifically for your condition.