Clindamycin

Pneumocystis Pneumonia, Bacterial Vaginosis ... show more

DRUG STATUS

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Government Approvals

US(FDA), UK(BNF)

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WHO Essential Medicine

YES

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Known Teratogen

NO

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Pharmaceutical Class

Lincosamide Antibacterial

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Controlled Drug Substance

NO

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Drug Ingredient

Clindamycin

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Summary

  • Clindamycin is an antibiotic used to treat a variety of bacterial infections. It is particularly effective for skin and respiratory infections. It is also used to treat acne, and in severe cases, conditions like streptococcal toxic shock syndrome.

  • Clindamycin works by stopping bacteria from producing proteins they need to survive. It attaches to a part of the bacteria's machinery, the ribosome, disrupting its function. It can reach most parts of the body, including bones, but does not easily enter the fluid around the brain and spinal cord.

  • For adults, Clindamycin is typically taken at a dose of 150 to 300 mg every 6 hours. For more severe infections, the dose may be increased to 300 to 450 mg every 6 hours. For children who can swallow capsules, the dose is 8 to 16 mg/kg/day divided into three or four equal doses.

  • Common side effects of Clindamycin include gastrointestinal issues like nausea and diarrhea, which can occur in about 10% of users. Less common side effects, occurring in less than 10% of users, include changes in appetite, mood swings, sleep disturbances, headaches, and unexpected weight gain.

  • Clindamycin should be used with caution in individuals with a history of gastrointestinal disease, particularly colitis. It can cause severe diarrhea caused by C. difficile bacteria, which can be dangerous. It should not be used for infections of the brain and spinal cord. If you experience diarrhea while taking Clindamycin or even later, tell your doctor right away.

Indications and Purpose

What is Clindamycin used for?

Clindamycin hydrochloride is an antibiotic, meaning it only works against bacterial infections, not viruses like colds or the flu. It's especially important to avoid using it if you have a stomach problem, especially colitis (inflammation of the colon), or allergies. Also, it won't work for infections of the brain and spinal cord (meningitis). It should only be used when a doctor is sure a bacterial infection is the problem.

How does Clindamycin work?

Clindamycin is an antibiotic that stops bacteria from making the proteins they need to survive. It does this by attaching to a part of the bacteria's machinery (the ribosome). It gets into most parts of the body, including bones, but not easily into the fluid surrounding the brain and spinal cord. The body breaks it down, mostly using a liver enzyme, and gets rid of it through urine and feces. In children, it disappears from the blood relatively quickly (about two hours on average).

Is Clindamycin effective?

Clindamycin has been shown to be effective in treating various infections. Studies indicate that it significantly reduces mortality in severe infections like streptococcal toxic shock syndrome. It is also effective for treating acne, with topical formulations demonstrating good results against acne-causing bacteria. Clindamycin is approved for serious infections, including skin and respiratory infections, and is commonly used when other antibiotics are not suitable. Overall, its effectiveness is supported by clinical evidence across multiple types of infections.

How does one know if Clindamycin is working?

Clindamycin's effectiveness is evaluated through clinical studies that measure how well it reduces infection symptoms, like acne lesions. For example, studies have shown that it significantly lowers the number of acne spots after treatment. Researchers compare Clindamycin to other treatments and assess patient responses over time. The results are analyzed statistically to confirm its effectiveness, ensuring it works better than a placebo or alternative treatments for conditions like skin infections or acne.

Directions for Use

What is the usual dose of Clindamycin?

For adults, the usual dose of Clindamycin is 150 to 300 mg every 6 hours, and for more severe infections, 300 to 450 mg every 6 hours. For children who can swallow capsules, the dose is 8 to 16 mg/kg/day divided into three or four equal doses. Always follow your doctor's advice for the correct dosage.

How do I take Clindamycin?

Clindamycin can be taken with or without food, but taking it with food may help reduce stomach upset. There are generally no specific food restrictions while using Clindamycin, but it’s important to avoid alcohol, as it can increase the risk of side effects. Always follow your healthcare provider's instructions and complete the full course of the medication, even if you start feeling better. 

For how long do I take Clindamycin?

Clindamycin is usually prescribed for a duration of 7 to 14 days, depending on the type and severity of the infection being treated. For some conditions, treatment may extend longer, but it is important to follow your healthcare provider's instructions and complete the full course of antibiotics to ensure effectiveness and reduce the risk of resistance. Always consult your doctor for personalized guidance regarding treatment duration.

How long does it take for Clindamycin to start working?

Clindamycin typically starts to work within 24 to 48 hours after beginning treatment. However, the full effects may take longer to become noticeable, depending on the type and severity of the infection being treated. It's important to complete the entire course of antibiotics as prescribed by your healthcare provider, even if you start feeling better, to ensure the infection is fully cleared. If you have concerns about its effectiveness or experience worsening symptoms, consult your doctor.

How should I store Clindamycin?

Keep the mixed Clindamycin medicine at room temperature, between 68° and 77° Fahrenheit. Don't put it in the refrigerator; cold temperatures make it thick and hard to use. It's good to use for two weeks after you mix it.

Warnings and Precautions

Who should avoid taking Clindamycin?

Clindamycin is an antibiotic, but some people are allergic to it or a similar medicine called lincomycin. A serious side effect is severe diarrhea caused by C. difficile bacteria. This diarrhea can happen even after you stop taking the medicine and can be very dangerous. If you get diarrhea while taking clindamycin, or even later, tell your doctor right away. They might give you fluids, extra protein, and other medicines to help.

Can I take Clindamycin with other prescription drugs?

Clindamycin can interact with several prescription drugs. Significant interactions include:

1. Neuromuscular blockers (like succinylcholine) may have enhanced effects when taken with Clindamycin, increasing the risk of respiratory issues.2. CYP3A4 inhibitors (such as clarithromycin and ketoconazole) can raise Clindamycin levels in the body, leading to more side effects.3. CYP3A4 inducers (like rifampicin) can lower Clindamycin effectiveness by speeding up its breakdown.

Always consult your doctor about potential drug interactions while using Clindamycin.

Can I take Clindamycin with vitamins or supplements?

Clindamycin does not have significant interactions with most vitamins or supplements. However, taking probiotics may help restore gut bacteria if Clindamycin causes digestive issues. Always consult your doctor before adding any supplements to your routine while on Clindamycin to ensure safety and effectiveness.

Can Clindamycin be taken safely while pregnant?

Clindamycin is an antibiotic. Doctors are careful about using it during pregnancy. It seems safe in the later stages of pregnancy (second and third trimesters), but there aren't enough studies on its use during the first three months. So, it's only given then if absolutely necessary. Tests on animals didn't show any birth defects.

Can Clindamycin be taken safely while breastfeeding?

If a breastfeeding mom needs clindamycin (an antibiotic), it's usually okay to continue breastfeeding. However, doctors might try a different medicine first. It's important to watch the baby for diarrhea, yeast infections (thrush or diaper rash), or blood in their poop, which are rare side effects. Doctors weigh the benefits of breastfeeding against any possible harm from the medicine to the baby. Only a small amount of the medicine passes into breast milk.

Is Clindamycin safe for the elderly?

Older adults (over 60) are more likely to get very sick from diarrhea caused by antibiotics, even if the medicine works the same in their bodies as in younger people's. So, doctors need to watch them closely for diarrhea.

Is it safe to exercise while taking Clindamycin?

From all available and reliable information, there is no confirmed data on this. Please consult a doctor for personalized advice.

Is it safe to drink alcohol while taking Clindamycin?

From all available and reliable information, there is no confirmed data on this. Please consult a doctor for personalized advice.