From the FDA Drug Label
Apply a thin film of Clindamycin Phosphate Topical Solution, Clindamycin Phosphate Lotion, or Clindamycin Phosphate Gel twice daily to affected area. The treatment for pseudofolliculitis barbae (PFB) may include applying topical antibiotics such as clindamycin phosphate twice daily to the affected area.
- Key points:
- Apply a thin film of the medication
- Use the medication twice daily
- Apply to the affected area 1
From the Research
Treatment for pseudofolliculitis barbae (PFB) should prioritize a multifaceted approach, including preventive measures, topical therapies, and potentially laser hair removal, as evidenced by the most recent study in 2023 2. The most effective treatment approach involves changing shaving habits and proper skin care.
- Stop shaving completely for 3-4 weeks to allow embedded hairs to grow out naturally.
- If shaving is necessary, use a single-blade razor or electric razor with guards, shave in the direction of hair growth, and avoid stretching the skin while shaving.
- Pre-shave preparation is crucial: wash with warm water and gentle cleanser, then apply shaving cream or gel and let it soften the hair for 2-3 minutes before shaving.
- After shaving, rinse with cool water and apply an alcohol-free moisturizer. Topical treatments include:
- Benzoyl peroxide 2.5-5% once daily
- Salicylic acid 2% twice daily
- Glycolic acid 8-15% once daily to reduce inflammation and prevent ingrown hairs. For more severe cases, prescription options include:
- Topical retinoids like tretinoin 0.025-0.05% applied nightly
- Topical antibiotics like clindamycin 1% twice daily
- Topical corticosteroids like hydrocortisone 1% for short-term use to reduce inflammation. Laser hair removal has become a potential long-term treatment option, as shown in a 2021 study 3, and additional studies are warranted to understand its long-term efficacy and permanency. The treatment approach should be individualized, considering the patient's skin type, hair texture, and severity of PFB, as highlighted in a 2019 review 4. It is essential to address the prominent disparity in healthcare management of patients with skin of color, as noted in the 2023 review 2. Overall, a comprehensive treatment plan, including preventive measures, topical therapies, and potentially laser hair removal, can effectively manage PFB and improve patient outcomes, as supported by the latest evidence 2.