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Clindamycin Brand Names
Cleocin | Cleocin Ovules | Cleocin Pediatric | Cleocin T | CLIN | Clindacin ETZ | Clindacin-P | Clinda-Derm | Clindagel | ClindaMax | ClindaReach | Clindesse | Clindets | Evoclin | PledgaClin
What is Clindamycin
Clindamycin is an antibiotic structurally similar to lincomycin, from which it is derived.
Clindamycin traditionally has been considered an effective anti-anaerobic antibiotic, but it recently has been shown to be effective in combination with pyrimethamine in treating toxoplasmic encephalitis in patients with AIDS.
Clindamycin was approved by the FDA in 1970 and is marketed as the hydrochloride salt for oral administration and as the phosphate salt for parenteral, topical or vaginal administration.
The FDA approved a single-dose vaginal cream (Clindesse™) for bacterial vaginosis in November 2004.
The FDA approved Evoclin™, an aerosol topical foam containing 1% clindamycin, for the treatment of acne vulgaris in December 2004.
Indications
- acne vulgaris
- Actinomyces israelii
- anthrax
- anthrax prophylaxis
- aspiration pneumonia
- babesiosis
- bacteremia
- bacterial colonization eradication
- bacterial vaginosis
- Bacteroides fragilis
- bone and joint infections
- cellulitis
- Clostridium clostridioforme
- Clostridium perfringens
- community-acquired pneumonia
- dental abscess (apical)
- dental abscess (periapical)
- dental infection
- dentoalveolar infection
- diabetic foot ulcer
- Eggerthella lenta
- endocarditis prophylaxis
- endodontic infection
- endometritis
- erysipelas
- Fusobacterium necrophorum
- Fusobacterium nucleatum
- gas gangrene
- gynecologic infections
- impetigo
- infectious arthritis
- infectious neonatal pustulosis
- intraabdominal abscess
- intraabdominal infections
- lower respiratory tract infections
- lung abscess
- malaria
- mastitis
- orthopedic device-related infection
- osteomyelitis
- otitis media
- pelvic inflammatory disease (PID)
- Peptostreptococcus anaerobius
- Peptostreptococcus magnus
- Peptostreptococcus micros
- perinatal Group B streptococcal infection prophylaxis
- periodontitis
- peritonitis
- pharyngitis
- Plasmodium falciparum
- pleural empyema
- Pneumocystis jirovecii (formerly Pneumocystis carinii)
- Pneumocystis pneumonia (PCP)
- Pneumocystis pneumonia (PCP) prophylaxis
- pneumonia
- Prevotella bivia
- Prevotella intermedia
- Prevotella melaninogenica
- Propionibacterium acnes
- Propionibacterium sp.
- rheumatic fever prophylaxis
- sinusitis
- skin and skin structure infections
- Staphylococcus aureus (MRSA)
- Staphylococcus aureus (MSSA)
- Staphylococcus epidermidis
- Streptococcus agalactiae (group B streptococci)
- Streptococcus anginosus
- Streptococcus mitis
- Streptococcus oralis
- Streptococcus pneumoniae
- Streptococcus pyogenes (group A beta-hemolytic streptococci)
- surgical infection prophylaxis
- Toxoplasma gondii
- toxoplasmic encephalitis
- toxoplasmosis
- toxoplasmosis prophylaxis
- tubo-ovarian abscess
Side Effects
- abdominal pain
- acute generalized exanthematous pustulosis (AGEP)
- agranulocytosis
- anaphylactic shock
- anaphylactoid reactions
- angioedema
- azotemia
- back pain
- bullous rash
- candidiasis
- cardiac arrest
- constipation
- contact dermatitis
- diarrhea
- dizziness
- Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS)
- dysgeusia
- dysmenorrhea
- dyspepsia
- dysphagia
- dysuria
- edema
- elevated hepatic enzymes
- eosinophilia
- epistaxis
- erythema
- erythema multiforme
- esophagitis
- exfoliative dermatitis
- fatigue
- fever
- flatulence
- folliculitis
- halitosis
- headache
- hyperthyroidism
- hypotension
- infection
- injection site reaction
- jaundice
- leukopenia
- maculopapular rash
- nausea
- neutropenia
- ocular irritation
- ocular pain
- odynophagia
- oliguria
- pelvic pain
- phlebitis
- proteinuria
- pruritus
- pseudomembranous colitis
- rash
- seborrhea
- Stevens-Johnson syndrome
- superinfection
- thrombocytopenia
- toxic epidermal necrolysis
- urticaria
- vaginal bleeding
- vaginal discharge
- vaginal irritation
- vaginal pain
- vaginitis
- vertigo
- vesicular rash
- vomiting
- xerosis
Monitoring Parameters
- LFTs
Contraindications
- asthma
- atopy
- breast-feeding
- clindamycin hypersensitivity
- diarrhea
- fungal infection
- geriatric
- hepatic disease
- inflammatory bowel disease
- lincomycin hypersensitivity
- neonates
- ocular exposure
- pregnancy
- pseudomembranous colitis
- serious rash
- sexually transmitted disease
- tartrazine dye hypersensitivity
- ulcerative colitis
Interactions
- Acetaminophen; Butalbital; Caffeine; Codeine
- Acetaminophen; Caffeine; Dihydrocodeine
- Acetaminophen; Codeine
- Acetaminophen; Hydrocodone
- Acetaminophen; Oxycodone
- Acetaminophen; Propoxyphene
- Alfentanil
- Amoxicillin; Clarithromycin; Lansoprazole
- Amoxicillin; Clarithromycin; Omeprazole
- Apalutamide
- Aspirin, ASA; Butalbital; Caffeine; Codeine
- Aspirin, ASA; Caffeine; Dihydrocodeine
- Aspirin, ASA; Carisoprodol; Codeine
- Aspirin, ASA; Oxycodone
- Atazanavir
- Atazanavir; Cobicistat
- Atracurium
- Atropine; Hyoscyamine; Phenobarbital; Scopolamine
- Azelastine; Fluticasone
- Beclomethasone
- Belladonna Alkaloids; Ergotamine; Phenobarbital
- Belladonna; Opium
- Betamethasone
- Boceprevir
- Brompheniramine; Guaifenesin; Hydrocodone
- Brompheniramine; Hydrocodone; Pseudoephedrine
- Budesonide
- Budesonide; Formoterol
- Capreomycin
- Carbamazepine
- Carbinoxamine; Hydrocodone; Phenylephrine
- Carbinoxamine; Hydrocodone; Pseudoephedrine
- Ceritinib
- Chloramphenicol
- Chlorpheniramine; Codeine
- Chlorpheniramine; Dihydrocodeine; Phenylephrine
- Chlorpheniramine; Dihydrocodeine; Pseudoephedrine
- Chlorpheniramine; Guaifenesin; Hydrocodone; Pseudoephedrine
- Chlorpheniramine; Hydrocodone
- Chlorpheniramine; Hydrocodone; Phenylephrine
- Chlorpheniramine; Hydrocodone; Pseudoephedrine
- Ciclesonide
- Cisatracurium
- Clarithromycin
- Cobicistat
- Codeine
- Codeine; Guaifenesin
- Codeine; Phenylephrine; Promethazine
- Codeine; Promethazine
- Conivaptan
- Corticosteroids
- Cortisone
- Cyclosporine
- Darunavir
- Darunavir; Cobicistat
- Darunavir; Cobicistat; Emtricitabine; Tenofovir alafenamide
- Dasabuvir; Ombitasvir; Paritaprevir; Ritonavir
- Deflazacort
- Delavirdine
- Dexamethasone
- Dienogest; Estradiol valerate
- Dihydrocodeine; Guaifenesin; Pseudoephedrine
- Diphenhydramine; Hydrocodone; Phenylephrine
- Doxacurium
- Elvitegravir; Cobicistat; Emtricitabine; Tenofovir Alafenamide
- Elvitegravir; Cobicistat; Emtricitabine; Tenofovir Disoproxil Fumarate
- Enflurane
- Enzalutamide
- Estradiol
- Estradiol Cypionate; Medroxyprogesterone
- Fentanyl
- Fludrocortisone
- Flunisolide
- Fluticasone
- Fluticasone; Salmeterol
- Fluticasone; Umeclidinium; Vilanterol
- Fluticasone; Vilanterol
- Formoterol; Mometasone
- Fosamprenavir
- Fosphenytoin
- grapefruit juice
- Guaifenesin; Hydrocodone
- Guaifenesin; Hydrocodone; Pseudoephedrine
- Halothane
- Homatropine; Hydrocodone
- Hydrocodone
- Hydrocodone; Ibuprofen
- Hydrocodone; Phenylephrine
- Hydrocodone; Potassium Guaiacolsulfonate
- Hydrocodone; Potassium Guaiacolsulfonate; Pseudoephedrine
- Hydrocodone; Pseudoephedrine
- Hydrocortisone
- Hydromorphone
- Ibuprofen; Oxycodone
- Idelalisib
- Indinavir
- Isoflurane
- Isoniazid, INH; Pyrazinamide, PZA; Rifampin
- Isoniazid, INH; Rifampin
- Itraconazole
- Ketoconazole
- Letermovir
- Levorphanol
- Lithium
- Lopinavir; Ritonavir
- Lumacaftor; Ivacaftor
- Lumacaftor; Ivacaftor
- Meperidine
- Meperidine; Promethazine
- Methadone
- Methylprednisolone
- Mifepristone
- Mitotane
- Mivacurium
- Mometasone
- Morphine
- Morphine; Naltrexone
- Nefazodone
- Nelfinavir
- Neuromuscular blockers
- Ombitasvir; Paritaprevir; Ritonavir
- Opiate Agonists
- Oral Contraceptives
- Oxycodone
- Oxymorphone
- Pancuronium
- Phenobarbital
- Phenytoin
- Polymyxins
- Posaconazole
- Prednisolone
- Prednisone
- Primidone
- Propoxyphene
- Rapacuronium
- Remifentanil
- Rifampin
- Ritonavir
- Rocuronium
- Salicylic Acid
- Sevoflurane
- Sodium picosulfate; Magnesium oxide; Anhydrous citric acid
- Sodium Thiosulfate; Salicylic Acid
- St. John’s Wort, Hypericum perforatum
- Succinylcholine
- Sufentanil
- Telithromycin
- Tolvaptan
- Triamcinolone
- Tubocurarine
- Tucatinib
- Vecuronium
- Voriconazole