In two identical multicenter, randomized, double-blind, vehicle-controlled trials, 1421 subjects 12 years and older with facial acne vulgaris applied WINLEVI cream or vehicle twice daily for 12 weeks. Overall, 62% of the subjects were female, and 38% were male, 91% of the patients were Caucasian, and the mean age was 19.7 years.
Local skin reactions (edema, erythema/redness, pruritus, scaling/dryness, skin atrophy, stinging/burning, striae rubrea, telangiectasia) were observed during the12-week treatment and occurred in a similar percentage of subjects treated with vehicle. Local skin reactions reported by ≥1% of subjects treated with WINLEVI cream are shown in the following table. (See Table 2.)

The following adverse reactions associated with the use of WINLEVI cream were identified in clinical trials and long-term safety studies.
Metabolism: hyperkalemia [see Pharmacology: Pharmacodynamics under Actions].
Reproductive: polycystic ovaries, amenorrhea.
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