Clindamycin

Clindamycin is an antibiotic. Chemically it is identified as 7-deoxy, 7-chloro derivative of of Lincomycin, an antobiotic that is elaborated by Streptomyces lincolnensis. It is effective against gram positive organism and many anaerobic bacteria. Antibiotics require constant drug level in body for therapeutic effect. This is achieved by taking the medication at regular interval of time throughout the day and night as prescribed. It is important to take the drug for the full time period as prescribed. If you discontinue the therapy, it may result in ineffective treatment. Clindamycin phosphate is used for the treatment of bacterial vaginosis.


Adult Dose
Dose: 300 to 600 mg
Single Dose: 450 (450)
Frequency: 6 hourly
Route: IM, IV
Instructions: Should not Exceed 4.8g/day
Neonatal
Paedriatic
Dose: 8 to 16 mg/kg
Single Dose: 12 (12)
Frequency: 6 hourly
Route: serious infection
Instructions:
Characteristics
Clindamycin (HCl), Clindamycin (HCl) are the derivatives of Clindamycin. It is of Semi Synthetic origin and belongs to Deoxylincomycin. It belongs to Antibacterial (Proetin synthesis inhibitor) pharmacological group on the basis of mechanism of action and also classified in Antibiotics pharmacological group.The Molecular Weight of Clindamycin is 479.50. It is weakly acidic drug, 10.73% solution of the drug is isotonic and Its pKa is 7.7.
Contraindications
Clindamycin is contraindicated in conditions like Pseudomembranous colitis,Hypersensitivity.
Effects
The severe or irreversible adverse effects of Clindamycin, which give rise to further complications include Elevated SGPT & SGOT, Elevated alkaline phosphatase concentration, Esophageal ulceration, Severe diarrhea.Clindamycin produces potentially life-threatening effects which include Ventricular fibrillation, Anaphylactic shock, Pseudomembranous colitis, Cardiac Arrest, Colonic ulceration, Mucosal edema. which are responsible for the discontinuation of Clindamycin therapy.The symptomatic adverse reactions produced by Clindamycin are more or less tolerable and if they become severe, they can be treated symptomatically, these include Nausea, Vomiting, Abdominal pain, Rashes, Vaginitis, Contact dermatitis, Leukocytoclastic angiitis, Local irritation, Reaction at injection site, Xerosis, Cervicitis.
Indications
Clindamycin is primarily indicated in conditions like Acne vulgaris, Babesiosis, Bacterial infections, Bacterial vaginosis, Dental infections, Endocarditis, Hidradenitis suppurativa, Intra-abdominal infections, Malaria, Osteomyelitis, Pelvic infections, Peritonitis, Pulmonary infection, Septic arthritis, Septicaemia, Soft tissue infections, Staphylococcal bone and joint infections, Systemic sepsis, Toxoplasmosis.
Interactions
Clindamycin is known to interact with other drugs, the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementAmikacin (Sulphate)BamifyllineCalcium GluconateChlorocarbacholDistigmine (Br)GentamicinKaolinPectin suspensionLincomycin (HCl)Pancuronium (Br)PhysostigmineRivastigmineRocuronium (Br)Sodium ThiosulphateConcomitant use may result in excessive irritation or drying. Moderate These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Interfrence
Liver Function Test (LFT)
Risks
Drug should not be given to Pregnant Mothers, patients suffering from Kidney dysfunction, patients suffering from Liver Malfunction, and Neonates.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Storage
Store Below 30°C.
Warnings
Clindamycin should be used with caution in patients with kidney or liver impairments and gastrointestinal diseases. Take appropriate measures in case of secondary infections.
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