Your Online Medical Consultation


How long have you had acne?

Which parts of your body does acne affect?

E.g. face, neck, shoulders, chest, back etc?

What treatments are you currently taking for your acne?

Creams? Gels? Antibiotics?

Answer ‘no’ if this does not apply to you

What have you used previously to treat your acne?

Have you purchased items from the supermarket, pharmacy or been prescribed medication by a doctor?

Answer ‘no’ if this does not apply to you

Why do you think this medication will help your acne?

Have you used this treatment before? Heard about it from a friend? etc

Are you currently suffering from sunburn?


Are you allergic to any of the following?

  • Adapalene
  • Benzoyl peroxide
  • Propylene Glycol

Do you have any other allergies not listed above?

Answer ‘no’ if this does not apply to you

Are you taking any other medication or have you recently finished a course of medication?

This includes medication prescribed by your doctor, bought at the pharmacy or online, herbal supplements, recreations drugs.

This includes tablets, patches, inhalers, injections and all other forms of medication

Answer ‘no’ if this does not apply to you

Do you suffer from any of the following conditions?

  • Eczema
  • Rosacea
  • Dermatitis
  • Skin cancer

Do you have any other medical problems not listed above?

This also includes previous admissions to the hospital or any surgeries

Answer ‘no’ if this does not apply to you

Do you have a family history of any medical conditions?

Do any medical conditions run in the family? Such as heart problems, diabetes, blood disorders etc?

Answer ‘no’ if this does not apply to you

Are you pregnant or breast feeding, think you may be pregnant or planning to have a baby?


I understand this medication will often cause skin to become a little red, feel dry and peel. This is normal during the first few weeks of treatment. I can use an oil-free moisturiser to ease irritation, reduce how often I apply this medication to my skin, or stop using treatment for a short period while my skin recovers.

I understand that it often takes 4-8 weeks before positive results are noted

I understand that this medication will make my skin more sensitive to sunlight. I should avoid exposure to strong sunlight or artificial UV light. I should use sun protection products and wear protective clothing over the treated areas.

(For females) I understand that I should be on contraception if I am sexually active as this treatment can cause birth defects if used during pregnancy.


We strongly recommend that you inform your GP of any treatment you receive. Would you like e-Surgery to do this in your behalf?

Please write the name of your GP surgery below if you want us to let them know.

This will ensure that any new medication started by your GP will not interact with this treatment.

Answer ‘no’ if you do not want us to inform your GP

I agree to the following

  • I am 18 years of age or older
  • This treatment is for my use only
  • I confirm that I have understood all the questions asked and have answered all questions to the best of my knowledge
  • I have read the patient information leaflet supplied with this medication
  • I will contact e-Surgery and inform my GP if I experience any side effects from this treatment or if there are any changes to my health
  • I have answered all questions truthfully and accurately

I have read, understood and agree to abide by terms and conditions and privacy policy and cookie policy of e-Surgery

What is this?

Your answers form the basis of your medical consultation. It is important you are open and honest, so our doctors can ensure this medication is safe and effective for you

Treclin Gel (Tretinoin and Clindamycin)

Treclin Gel used to treat moderate to severe acne. It is a combination of an antibiotic (Clindamycin) and a retinoid (Tretinoin) that is very effective in eliminating acne.

Choose from your desired treatment below, and complete a short questionnaire to help our GPs make sure this medication is safe for you to take. All prices include a private prescription from one of our UK registered GPs. 


Need to Know Facts About Treclin Gel

The most important questions and answers about Treclin Gel.

Treclin gel contains the active substances clindamycin and tretinoin.

Clindamycin is an antibiotic. It reduces the growth of bacteria associated with acne and the inflammation caused by these bacteria.

Tretinoin normalizes the growth of superficial skin cells and shedding of the cells that clog the hair follicles in areas with acne. This prevents the build-up of skin oil and the formation of blackheads and whiteheads. 

Clindamycin and Tretinoin are more effective when combined together in the form of Treclin Gel, rather than being used alone. 

Treclin Gel is used to treat moderate to severe acne in patients aged 12 years old. 

DO NOT use Treclin:

  • if you are pregnant

  • if you are planning a pregnancy

  • if you are allergic to clindamycin, tretinoin, or any of the other ingredients of this medicine (listed in section 6).

  • if you are allergic to lincomycin.

  • if you have a chronic inflammatory bowel disease (e.g. Crohn’s disease or ulcerative colitis).

  • if you have a history of colitis with past antibiotic use which is characterised by prolonged or significant diarrhoea or abdominal cramps.

  • if you or a member of your family have ever suffered from skin cancer.

  • if you are suffering from acute eczema which is characterised by inflamed, red, dry and scaly skin.

  • if you are suffering from rosacea, a skin disease which affects the face and is characterised by redness, pimples and peeling.

  • if you are suffering from other acute inflammatory conditions of the skin (e.g. folliculitis), especially around the mouth (perioral dermatitis).

  • if you are suffering from certain special forms of acne vulgaris characterized by pustular and deep cystic nodular acne lesions (acne conglobata and acne fulminans).

If any of the above applies to you, do not use this medicine and talk to your doctor.

• Avoid contact of this medicine with the mouth, eyes, mucous membranes and with abraded or eczematous skin. Be careful when applying to sensitive areas of skin.

In case of accidental contact with the eyes, rinse with plenty of lukewarm water.

• If you are a woman of childbearing potential, you should not use Treclin unless you are using contraception (see also section “Pregnancy, breast-feeding and fertility”).

• If prolonged or significant diarrhoea or abdominal cramps occur, stop using this medicine and talk to your doctorimmediately.

• If you have atopic eczema (chronic, itching inflammation of the skin), please talk to your doctor before using this medicine.

• Exposure to natural or artificial light (such as a sunlamp) should be avoided. This is because this medicine may make your skin more sensitive to sunburn and other adverse effects of the sun.
An effective sunscreen with Sun Protection Factor (SPF) of at least 30 and protective clothing (such as a hat) should be used any time you are outside.

If nevertheless your face becomes sunburnt, stop medication until your skin has healed.

• Talk to your doctor in case an acute inflammation of the skin occurs when using this medicine.

• Treclin should not be applied at the same time as other preparations used on the skin including cosmetics (see also section “Other medicines and Treclin”).

DO NOT use Treclin if you are pregnant or thinking of becoming pregnant. Your doctor can give you more information.

If you are a woman of child-bearing age you should use contraception while using this medicine and for one month after discontinuation of treatment.

You should not use Trecling Gel if you are breastfeeding. It is not known if Treclin may pass through your milk and harm your baby.

Trecling Gel is known to be teratogenic, meaning potentially harmful to a baby. DO NOT use Treclin if you are pregnant or thinking of becoming pregnant. Your doctor can give you more information.

If you are a woman of child-bearing age you should use contraception while using this medicine and for one month after discontinuation of treatment.

You should always use the medicine exactly as directed by your doctor. 

The usual recommended dose of Treclin Gel is a pea-sized amount applied once daily at bedtime. 

Wash your face gently with mild soap and warm water and pat your skin dry with a towel. Squeeze a pea-sized amount of gel onto the fingertip. Dab the gel on your forehead, chin, nose and both cheeks, and then gently spread it evenly over your whole face.

Do not use more than the amount that has been suggested by your doctor, or apply the product more frequently than instructed. Too much medication may irritate the skin, and will not give faster or better results.

To get the best results with Treclin, it is necessary to use it properly and not stop using it as soon as your acne starts
to get better. Typically, it may take several weeks to have an optimal effect. In some cases, it may take up to 12 weeks. Please contact your doctor if symptoms persist for more than 12 weeks, as your doctor will need to re-evaluate your treament.

You will not get faster or better results by using more Treclin than recommended. If you use too much a marked redness, peeling, or discomfort may occur. In such cases, the face should be gently washed with a mild soap and lukewarm water. The use of this medicine should be stopped until all these symptoms have gone away.

Overdose may also result in side effects from your stomach and intenstine; including stomach pain, nausea, vomiting and diarrhoea. In such cases, the use of this medicine should be discontinued and your doctor should be contacted.

Treclin is only for use on the skin. In case of accidental ingestion, contact your doctor or go to the nearest hospital casualty department immediately.

If you forget to use Treclin at bedtime, you should apply the next dose at the usual time. You should not double the dose to make up for the forgotten dose.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

The most common side effects of Treclin Gel are:

Acne, dry skin, redness of the skin, increased skin oil production, sensitivity of the skin to light, itching, rash, scaly rash, scaling of the skin, sunburn, inflamed skin, and redness of the skin. 

Skin irritation and dryness typically goes away with continued use. 

Less common side effects of Treclin Gel are:

  • Hypersensitivity

  • Underactive thyroid gland (symptoms may include fatigue, weakness, weight gain, dry hair, rough pale skin, hair loss, increased sensitivity to cold).

  • Headache

  • Eye irritation

  • Gastroenteritis (inflammation of any part of the gastro-intestinal tract), nausea

  • Inflamed skin, herpes simplex (cold sore), rash macular (small, flat, red spots), skin bleeding, skin burning sensation, loss of skin pigmentation, skin irritation

  • Application site symptoms such as irritation, swelling, superficial skin damage, discolouration, itching, scaling

  • Feeling hot, pain

To read the full Treclin Gel patient information leaflet click here. 

Learn More About Acne

Most frequent questions and answers about acne

Acne is a common skin condition that predominantly impacts teenagers. Acne can consist of zits, spots or pimples. 

This skin condition causes blackheads, whiteheads and red spots. It commonly occurs on the face, back and top of the chest. 

The majority of people suffering from acne are aged 12-25; however people outside this age range can still be affected. It has been found that 8/10 teenagers develop some form of acne, most commonly milk; however 3/10 teenagers will require some form of acne treatment to prevent scarring. 

There are two main cuases of acne:

  1. Blocked pores/hair follicles
  2. Infection at the bottom of the blockage 

Blocked pores are often observed as blackheads or whiteheads.  When the hair follicle is blocked, an infection can occur deep in the pore. This causes oil to build up in the pore and inflammation.

Wearing a lot of make-up can further block your pores, thus making acne worse. Touching your skin with your hands can spread bacteria into pores.

Picking or squeezing spots can further inflammation and may cause scarring. 

Humid conditions and heavily sweating can contribute to acne. In addition to this, tight clothing can too.

Contraceptive pills, anabolic steroid and certain medications can also make your acne worse. If you believe this is happening to you, you should consult with your doctor to find alternatives. 

You should not wash more than normal (twice a day at most). In addition to this you should be careful about using harsh, abrasive soaps as this can spread your acne. 

You should allow your skin to air dry, as towels can spread bacteria that cause acne. 

Some studies show that antiseptic and topical acne treatments may be beneficial to treating acne.

Various creams, lotions and gels are available to treat acne topically. Benzoyl peroxide is a common form of acne treatment and works to kill bacteria causing acne and reduce inflammation.

Retinoids are good at unblocking pores and reducing inflammation. 

Topical antibiotics are used when acne is present in areas that aren’t accessible for topical treatment. 

Light treatment is a new form; however, scientific research is still being reviewed to prove that they are effective. 

Acne caused by a dysregulation in hormones. The contraceptive pill is often associated with acne due to the change of hormones that it causes.

The most effective form of acne treatment varies on an individual basis. If you have severe acne, you should consult with your doctor to find the best form of treatment for your individual case. 

Read More

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