Acne is a complex skin condition involving excess oil production, thickening of the skin’s outer layer, bacterial growth, and inflammation. In males and females, natural hormones like testosterone and dihydrotestosterone (DHT) are involved in developing acne. When DHT binds to receptors, this complex moves into the nucleus, promoting genes that lead to acne-related effects like sebaceous gland growth, oil production, and inflammation. Clascoterone blocks androgen receptors, preventing DHT from binding and reducing the signaling that triggers acne.
Clascoterone can also block DHT’s effects on androgenic alopecia, as DHT interactions in hair follicles contribute to hair loss. By inhibiting DHT from binding to scalp androgen receptors, clascoterone reduces androgen receptor-related gene expression and IL-6 production.
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Acne, commonly referred to as acne vulgaris, is a skin condition that arises when pores and hair follicles become clogged with sebum, an oily substance from skin glands. Acne is typically seen on the face but can also develop on the chest, shoulders, and upper back.
Types of Acne
Key Facts
Diagnostic Tests
Treatment Options
Symptoms of Acne
Acne manifests as clogged pores leading to pimples, blackheads, or skin nodes. Typical symptoms include:
Types Based on Symptoms
Severe cases, known as nodulocystic acne, can cause larger, hardened masses, especially on the back and neck.
Common Causes of Acne
Treatment Options
Acne treatments include topical, systemic, and lifestyle approaches:
General physicians, dermatologists, and gynecologists can help manage and treat acne effectively.
No interactions were found/established. Please consult your doctor if you have any concerns.
Please consult your doctor before using Nulevi if you are pregnant or planning to conceive.
Please consult your doctor before using Nulevi if you are breastfeeding. If you need to apply the cream, gel, or lotion on your breasts, don't do this shortly before giving a feed.
Nulevi has no or negligible influence on the ability to drive or use machines.
Let your doctor know if you have any history of kidney diseases before using Nulevi
Let your doctor know if you have any history of liver diseases before using Nulevi
Acne
Nulevi contains clascoterone which works by inhibiting bacterial protein synthesis, which inhibits bacterial growth. It shows a bacteriostatic effect, which stops bacterial reproduction but doesn't kill them.
Clascoterone is an androgen receptor antagonist used for the topical treatment of acne vulgaris in patients 12 years of age and older. This medicine is available only with your doctor's prescription.
To apply Clascoterone cream, gently cleanse the affected area and ensure it is dry. Apply a thin layer to the affected skin twice daily, once in the morning and once in the evening. Be cautious not to let the cream contact your eyes, mouth, or other mucous membranes; if it does, rinse thoroughly with water. This cream is intended for topical use only, and it should not be used in the eyes, mouth, or vaginal area.
Clascoterone’s safety and efficacy are established in patients aged 12-18 through clinical trials and pharmacokinetic studies. It is not recommended for children under 12 due to insufficient data.
Clascoterone was not specifically studied in patients over 65, so dose selection should start cautiously, taking into account potentially reduced liver, kidney, or heart function common with aging.
No clinical study evaluating the drug interaction of Nulevi cream has been conducted.
Data on the contraindication of clascoterone cream is not available.
Pregnancy: There is no clinical data on the effects of Clascoterone cream in pregnant women, so potential risks to the fetus are unknown. Animal studies indicate that when clascoterone is administered at higher doses than the maximum human dose, there are increased malformations and pregnancy loss in animals. The background risk of birth defects and miscarriage for acne patients is unknown, though for the general U.S. population, these risks are estimated at 2-4% and 15-20%, respectively.
Lactation: There is no information on whether clascoterone or its metabolites are excreted in human breast milk or on its effects on a breastfeeding infant or milk production. The potential benefits of breastfeeding should be considered alongside the mother’s treatment needs and possible risks to the infant.
Local Skin Reactions: Clascoterone may cause local skin irritation, such as redness, itching, dryness, and scaling. Using other potentially irritating topical products, including harsh soaps, alcohol-based cosmetics, or astringents, should be minimized. Avoid applying to broken, cut, or sunburned skin.
HPA Axis Suppression: Clascoterone may suppress the hypothalamic-pituitary-adrenal (HPA) axis, particularly when used on large areas of skin, for prolonged periods, or with occlusive dressings. If HPA suppression occurs, discontinue use gradually. Pediatric patients may have a higher risk of systemic side effects.
Store below 30°C, away from light and moisture, and keep out of reach of children. Do not keep outdated medicine or medicine no longer needed.
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