Effect of Cedar (Ziziphus spina-christi) topical solution in mild to moderate acne vulgaris: a randomized clinical study

Background Acne is the most prevalent skin disease in the world and antibiotics as its standard treatments have limited and also adverse effects. Cedar (Ziziphus spina-christi) has medicinal properties like antibacterial activity and is used topically for treatment of some kinds of skin problems in...

Full description

Bibliographic Details
Main Authors: Rasoul Shakiba, Mohammad Ali Nilforoushzadeh, Fataneh Hashem-Dabaghian, Bagher Minaii Zangii, Ali Ghobadi, Laila Shirbeigi, Jale Aliasl, Mahdad Shakiba, Roshanak Ghods
Format: Article
Language:English
Published: Taylor & Francis Group 2021-02-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2019.1692125
_version_ 1797683647867781120
author Rasoul Shakiba
Mohammad Ali Nilforoushzadeh
Fataneh Hashem-Dabaghian
Bagher Minaii Zangii
Ali Ghobadi
Laila Shirbeigi
Jale Aliasl
Mahdad Shakiba
Roshanak Ghods
author_facet Rasoul Shakiba
Mohammad Ali Nilforoushzadeh
Fataneh Hashem-Dabaghian
Bagher Minaii Zangii
Ali Ghobadi
Laila Shirbeigi
Jale Aliasl
Mahdad Shakiba
Roshanak Ghods
author_sort Rasoul Shakiba
collection DOAJ
description Background Acne is the most prevalent skin disease in the world and antibiotics as its standard treatments have limited and also adverse effects. Cedar (Ziziphus spina-christi) has medicinal properties like antibacterial activity and is used topically for treatment of some kinds of skin problems in Persian medicine. The aim of this study was to evaluation the efficacy of topical cedar solution of acne vulgaris. Methods Eighty patients aged between 15–45 years with mild to moderate acne vulgaris were conducted in this randomized, double blind trial. The participants were allocated to receive the topical cedar solution plus clindamycin 1% or topical placebo plus 1% clindamycin solution for six weeks. Patients were evaluated at the beginning of the study, second, sixth and eighth weeks after intervention for the acne severity index (ASI) and total acne lesions counting (TLC). Data was analyzed by SPSS software with Mann–Whitney U test. Results From 105 subjects 68 people completed the study (33 persons in cedar group and 35 persons in placebo group). The mean and standard deviation of the age was 26.1 ± 7.5 years and 22 subjects (32.4%) were male. TLC and ASI in the sixth and eighth weeks in cedar group were significantly less than in placebo group (p < 0.001). Topical cedar solution had no serious side effects. Conclusion The topical cedar solution plus clindamycin 1% was more effective and safe than placebo plus 1% clindamycin for the treatment of acne vulgaris.
first_indexed 2024-03-12T00:17:36Z
format Article
id doaj.art-f73a9ede3ca143dfb9c5c67c9e21f8e7
institution Directory Open Access Journal
issn 0954-6634
1471-1753
language English
last_indexed 2024-03-12T00:17:36Z
publishDate 2021-02-01
publisher Taylor & Francis Group
record_format Article
series Journal of Dermatological Treatment
spelling doaj.art-f73a9ede3ca143dfb9c5c67c9e21f8e72023-09-15T14:23:04ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532021-02-0132219720210.1080/09546634.2019.16921251692125Effect of Cedar (Ziziphus spina-christi) topical solution in mild to moderate acne vulgaris: a randomized clinical studyRasoul Shakiba0Mohammad Ali Nilforoushzadeh1Fataneh Hashem-Dabaghian2Bagher Minaii Zangii3Ali Ghobadi4Laila Shirbeigi5Jale Aliasl6Mahdad Shakiba7Roshanak Ghods8Research Institute for Islamic and Complementary Medicine, Iran University of Medical SciencesSkin and Stem Cell Research Center, Tehran University of Medical SciencesResearch Institute for Islamic and Complementary Medicine, Iran University of Medical SciencesDepartment of Histology, Faculty of Medicine, Tehran University of Medical SciencesResearch Institute for Islamic and Complementary Medicine, Iran University of Medical SciencesDepartment of Traditional Medicine, School of Traditional Medicine, Tehran University of Medical SciencesTraditional Medicine Clinical Trial Research Center, Shahed UniversitySchool of Pharmacy, International Campus, Tehran University of Medical SciencesResearch Institute for Islamic and Complementary Medicine, Iran University of Medical SciencesBackground Acne is the most prevalent skin disease in the world and antibiotics as its standard treatments have limited and also adverse effects. Cedar (Ziziphus spina-christi) has medicinal properties like antibacterial activity and is used topically for treatment of some kinds of skin problems in Persian medicine. The aim of this study was to evaluation the efficacy of topical cedar solution of acne vulgaris. Methods Eighty patients aged between 15–45 years with mild to moderate acne vulgaris were conducted in this randomized, double blind trial. The participants were allocated to receive the topical cedar solution plus clindamycin 1% or topical placebo plus 1% clindamycin solution for six weeks. Patients were evaluated at the beginning of the study, second, sixth and eighth weeks after intervention for the acne severity index (ASI) and total acne lesions counting (TLC). Data was analyzed by SPSS software with Mann–Whitney U test. Results From 105 subjects 68 people completed the study (33 persons in cedar group and 35 persons in placebo group). The mean and standard deviation of the age was 26.1 ± 7.5 years and 22 subjects (32.4%) were male. TLC and ASI in the sixth and eighth weeks in cedar group were significantly less than in placebo group (p < 0.001). Topical cedar solution had no serious side effects. Conclusion The topical cedar solution plus clindamycin 1% was more effective and safe than placebo plus 1% clindamycin for the treatment of acne vulgaris.http://dx.doi.org/10.1080/09546634.2019.1692125acnecedarpersian medicineziziphus spina-christi
spellingShingle Rasoul Shakiba
Mohammad Ali Nilforoushzadeh
Fataneh Hashem-Dabaghian
Bagher Minaii Zangii
Ali Ghobadi
Laila Shirbeigi
Jale Aliasl
Mahdad Shakiba
Roshanak Ghods
Effect of Cedar (Ziziphus spina-christi) topical solution in mild to moderate acne vulgaris: a randomized clinical study
Journal of Dermatological Treatment
acne
cedar
persian medicine
ziziphus spina-christi
title Effect of Cedar (Ziziphus spina-christi) topical solution in mild to moderate acne vulgaris: a randomized clinical study
title_full Effect of Cedar (Ziziphus spina-christi) topical solution in mild to moderate acne vulgaris: a randomized clinical study
title_fullStr Effect of Cedar (Ziziphus spina-christi) topical solution in mild to moderate acne vulgaris: a randomized clinical study
title_full_unstemmed Effect of Cedar (Ziziphus spina-christi) topical solution in mild to moderate acne vulgaris: a randomized clinical study
title_short Effect of Cedar (Ziziphus spina-christi) topical solution in mild to moderate acne vulgaris: a randomized clinical study
title_sort effect of cedar ziziphus spina christi topical solution in mild to moderate acne vulgaris a randomized clinical study
topic acne
cedar
persian medicine
ziziphus spina-christi
url http://dx.doi.org/10.1080/09546634.2019.1692125
work_keys_str_mv AT rasoulshakiba effectofcedarziziphusspinachristitopicalsolutioninmildtomoderateacnevulgarisarandomizedclinicalstudy
AT mohammadalinilforoushzadeh effectofcedarziziphusspinachristitopicalsolutioninmildtomoderateacnevulgarisarandomizedclinicalstudy
AT fatanehhashemdabaghian effectofcedarziziphusspinachristitopicalsolutioninmildtomoderateacnevulgarisarandomizedclinicalstudy
AT bagherminaiizangii effectofcedarziziphusspinachristitopicalsolutioninmildtomoderateacnevulgarisarandomizedclinicalstudy
AT alighobadi effectofcedarziziphusspinachristitopicalsolutioninmildtomoderateacnevulgarisarandomizedclinicalstudy
AT lailashirbeigi effectofcedarziziphusspinachristitopicalsolutioninmildtomoderateacnevulgarisarandomizedclinicalstudy
AT jalealiasl effectofcedarziziphusspinachristitopicalsolutioninmildtomoderateacnevulgarisarandomizedclinicalstudy
AT mahdadshakiba effectofcedarziziphusspinachristitopicalsolutioninmildtomoderateacnevulgarisarandomizedclinicalstudy
AT roshanakghods effectofcedarziziphusspinachristitopicalsolutioninmildtomoderateacnevulgarisarandomizedclinicalstudy