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ZIANA® (clindamycin phosphate 1.2% and tretinoin 0.025%) Gel Logo
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ZIANA Gel
An effective combination treatment for mild, moderate and severe acne vulgaris.

ZIANA Gel is an antibiotic and retinoid combination medicine used for the skin treatment of acne in patients 12 years and older.

In clinical studies, ZIANA Gel was effective at eliminating or reducing the number of inflammatory and non-inflammatory lesions in patients with acne vulgaris. This means ZIANA Gel can be effective treatment in the clearing and reduction of pimples and nodules as well as whiteheads and blackheads.

How to use ZIANA Gel
For best results, follow these guidelines as instructed by your doctor:

At bedtime: Image of girl washing face, image of hand with pea-size amount of ZIANA Gel on a fingertip, and image of girl with arrows indicating how to smooth ZIANA Gel into the skin.
  1. Wash your face gently with mild soap and warm water. DO NOT use astringents, medicated soaps or alcohol-based cleansers. Dry your skin by gently blotting with a towel.
  2. Use only a pea-size amount of ZIANA Gel for your entire face. Apply ZIANA Gel to your fingertip and gently smooth it into your skin. Do not get ZIANA Gel in your eyes, mouth, lips, corners of nose, or open wounds.
In the morning:
  • Apply a suncreen and reapply during the day as needed.
Caution. Failure to follow these guidelines can irritate your skin and worsen your acne condition:
  • DO NOT apply ZIANA Gel more than once a day.
  • DO NOT use more ZIANA Gel than prescribed by your doctor.
  • DO NOT wash your face more than 2 to 3 times a day.
  • DO NOT pick, squeeze or spot-treat blemishes.
  • AVOID soaps, cosmetics and other skin products that contain alcohol, astringents, spices, lime, or drying agents.
  • AVOID excessive exposure to the sun, cold, and wind.
  • AVOID the use of sunlamps and tanning booths.
Use ZIANA Gel exactly as prescribed. It may take some time for you to see improvement of your acne with ZIANA Gel. It is important that you continue using ZIANA Gel for the entire period prescribed by your doctor.

If you don’t have much peeling, stinging, or burning from ZIANA Gel, don’t worry, it is still working. ZIANA Gel can continue to improve your acne week after week—up to 12 weeks.

Do not use ZIANA Gel if you have:
  • Crohn’s Disease
  • Ulcerative Colitis
  • Developed colitis with past antibiotic use

Tell your doctor:
  • If you are pregnant or planning to become pregnant. It is not known if ZIANA Gel may harm your unborn baby.
  • If you are breastfeeding. ZIANA Gel may pass through your milk and may harm your baby.
  • About all the medicines and skin products you use. ZIANA Gel should not be used with erythromycin-containing products. Avoid medicated or abrasive soaps and cleansers, soaps and cosmetics that have a strong drying effect, and skin products that contain alcohol, astringents, spices or lime. These products may cause increased skin irritation if used with ZIANA Gel.

What are the possible side effects with ZIANA Gel?
  • Skin irritation. ZIANA Gel may cause skin irritation such as dryness, redness, peeling, burning, or stinging. If your skin becomes very red, swollen, blistered, or crusted, stop using ZIANA Gel and call your doctor.
  • Change in skin color. ZIANA Gel may cause a temporary skin color change (lighter or darker).
  • Colitis. This occurs rarely. If you develop severe watery diarrhea, or bloody diarrhea, stop using ZIANA Gel and call your doctor.

Important Safety Information for ZIANA Gel
ZIANA Gel is used on the skin for treatment of acne in patients 12 years or older.

  • The most commonly reported adverse events were inflammation of the nose and throat, throat pain, dry skin, cough, and sinus inflammation.
  • Stop ZIANA Gel and call your doctor if you develop watery or bloody diarrhea, or if your skin becomes very red, swollen, blistered, or crusted.
  • Avoid excessive exposure to the sun, cold, and wind. Weather extremes can dry and burn the skin. Always use a sunscreen on skin treated with ZIANA Gel, even on cloudy days. Use other protective clothing, such as a hat, when you are out in the sun. Avoid the use of sunlamps and tanning booths. If your face becomes sunburned, stop treatment until your skin has healed.
  • Do not get ZIANA Gel in your eyes or mouth, on your lips, on the corners of your nose, or on open wounds.
  • Do not use ZIANA Gel if you have Crohn’s disease, ulcerative colitis, or have developed colitis with past antibiotic use.
  • Avoid medicated or abrasive soaps and cleaners, soaps and cosmetics that have a strong drying effect, and skin products that contain alcohol, astringents, spices, or lime.
  • Talk to your doctor if you are pregnant, planning to become pregnant, or breastfeeding.


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ZIANA is a registered trademark of Medicis Pharmaceutical Corporation. © 2010 Medicis, The Dermatology Company. All rights reserved.

By following the link, you will be leaving this Medicis product website. Medicis did not prepare the information on the linked websites, nor does it monitor or endorse the content of the linked website. Medicis is not responsible for the information found on the linked site, including any information that may be about Medicis. The links are provided only as citations and aids to help you locate and identify other Internet resources that may be of interest. These links are not intended to state or imply that Medicis has sponsored, approved, or adopted any materials on the linked website or that it is legally authorized to use any trade name, trademark, logo, seal or copyrighted information reflected in the linked site.

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By following the link, you will be leaving this Medicis product website. Medicis did not prepare the information on the linked websites, nor does it monitor or endorse the content of the linked website. Medicis is not responsible for the information found on the linked site, including any information that may be about Medicis. The links are provided only as citations and aids to help you locate and identify other Internet resources that may be of interest. These links are not intended to state or imply that Medicis has sponsored, approved, or adopted any materials on the linked website or that it is legally authorized to use any trade name, trademark, logo, seal or copyrighted information reflected in the linked site.

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