IMPORTANT WARNING:
| Clindamycin may cause colitis,
an infection of the colon that can be dangerous
and sometimes life-threatening. If you experience
any of the following symptoms while taking clindamycin
or within a few weeks of stopping clindamycin,
call your doctor immediately: severe persistent
diarrhea, severe stomach cramps, or bloody stool.
Talk to your doctor about the risk of taking clindamycin. |
Why is this medication prescribed?
Clindamycin, an antibiotic, is
used to treat infections of the respiratory tract,
skin, pelvis, vagina, and abdomen. Antibiotics will
not work for colds, flu, or other viral infections.
This medication is sometimes prescribed
for other uses; ask your doctor or pharmacist for
more information.
How should this medicine be used?
Clindamycin comes as a capsule
and liquid to take by mouth; topical solution, lotion,
and gel for skin infections; and vaginal cream. Clindamycin
usually is taken every 6 hours for respiratory, pelvis,
or abdomen infections or applied twice a day for acne.
Shake the oral liquid well before each use to mix
the medication evenly. Drink a full glass of water
after each dose (capsules and oral liquid).
For acne, it may take up to 12
weeks for the full effect of the drug to be seen.
Shake the topical lotion well before each use. Apply
this liquid, the solution, or the gel in a thin film
after washing and drying the skin thoroughly. Avoid
getting the medication in your eyes and mouth or on
broken skin; if you do, use plenty of water to wash
the drug away.
Follow the directions on your
prescription label carefully, and ask your doctor
or pharmacist to explain any part you do not understand.
Take clindamycin exactly as directed. Do not take
more or less of it or take it more often than prescribed
by your doctor.
For vaginal infections, clindamycin
is used once a day, at bedtime, for 7 days. Clindamycin
cream for the vagina comes with a special applicator.
The dose should be applied when you lie down to go
to bed. The medicine works best if you do not get
up again after applying the drug except to wash your
hands and the applicator. Read the directions provided
with it and follow these steps:
- Fill the special applicator that comes with the
cream to the level indicated.
- Lie on your back with your knees drawn upward
and spread apart.
- Gently insert the applicator into your vagina
and push the plunger to release the medication.
- Withdraw the applicator and wash it with soap
and warm water.
- Wash your hands promptly to avoid spreading the
infection.
You may wish to wear a sanitary
napkin while using the vaginal cream to protect your
clothing against stains. Do not use a tampon because
it will absorb the drug. Do not douche unless your
doctor tells you to do so. Continue using clindamycin
vaginal cream even if you get your period during treatment.
What special precautions should I follow?
Before taking
clindamycin,
- tell your doctor and pharmacist if you are allergic
to clindamycin, tartrazine (a yellow dye in some
processed foods and drugs), or any other drugs.
- tell your doctor and pharmacist what prescription
and nonprescription medications you are taking,
including vitamins. If you are using topical clindamycin,
ask your doctor for advice on using other acne medications
(e.g., benzoyl peroxide) and cosmetics. Some cosmetics
make acne worse and interfere with the effectiveness
of this medication.
- tell your doctor if you have or have ever had
gastrointestinal, liver, or kidney disease.
- tell your doctor if you are pregnant, plan to
become pregnant, or are breast-feeding. If you become
pregnant while using clindamycin, call your doctor.
What should I do if I forget a dose?
Take the missed
dose as soon as you remember it. However, if it is
almost time for the next dose, skip the missed dose
and take any remaining doses for that day at evenly
spaced intervals. Do not take a double dose to make
up for a missed one. Do not apply a missed topical
dose.
What side effects can this medication cause?
Although
side effects from clindamycin are not common, they
can occur. Tell your doctor if any of these symptoms
are severe or do not go away:
- upset stomach
- vomiting
- gas
- diarrhea
Tell your doctor if any these
symptoms are severe or do not go away while using
clindamycin vaginally or on your skin:
- dry skin
- redness or irritation
- peeling
- oiliness
- itching or burning
If you experience the following
symptom, or any of those listed in the IMPORTANT WARNING
section, stop taking clindamycin and call your doctor
immediately:
What storage conditions are needed for this medicine?
Keep
this medication in the container it came in, tightly
closed, and out of reach of children. Store it at
room temperature and away from excess heat and moisture
(not in the bathroom). Throw away any medication that
is outdated or no longer needed. Talk to your pharmacist
about the proper disposal of your medication.
In case of emergency/overdose
In case of overdose, call your
local poison control center at 1-800-222-1222. If
the victim has collapsed or is not breathing, call
local emergency services at 911.
What other information should I know?
Keep all appointments
with your doctor and the laboratory. Your doctor will
order certain lab tests to check your response to
clindamycin.
Do not let anyone else take your
medication. Your prescription is probably not refillable.
If you still have symptoms of infection after you
finish the clindamycin, call your doctor.
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