Cleargel Nico Gel contains clindamycin 1% and nicotinamide 4%. Cleargel Nico Gel is mainly used for skin conditions such as acne and bacterial inflammation, and is not intended for piles or itching caused by haemorrhoids. Since haemorrhoid-related itching has a different cause and needs specific treatment, it is best not to use this gel for that purpose. If you have piles or related symptoms, consult a doctor for proper evaluation and treatment, as self-medication can sometimes delay correct diagnosis or make the condition worse.