A novel topical benzoyl peroxide (BP) gel formulation containing liposomal
BP was shown to significantly reduce local irritation relative to its nonli
posomal BP gel (plain BP gel) preparation and also to improve clinical effi
cacy (almost twofold) in the treatment of acne. BP liposomes were prepared,
optimized, and formulated into a carbopol 934 gel base. Drug release evalu
ated using dialysis membrane has repeatedly shown that a new topical gel fo
rmulation containing liposomal BP (liposomal BP gel) significantly reduced
BP penetration. Clinical evaluation data were also compared with those obta
ined with liposomal tretinoin (TRE) gel in an earlier investigation of ours
. The overall improvement in terms of percentage reduction in total number
of skin lesions demonstrated almost similar results for both BP and TRE. Ho
wever, variation was observed in the treatment of separate types of lesions
in which liposomal TRE gel was found to be more effective in treating come
dones and liposomal BP gel in treating papules and pustules. Also, the lipo
somal gel formulation of both the drugs significantly reduced the local adv
erse effects, thereby improving patient compliance.