Clindamycin

Therapeutic Group

Macrolides, Lincosamides And Streptogramins

Indication Dosage

Staphylococcal Bone And Joint Infections Such As Osteomyelitis, Peritonitis, Intra-abdominal Sepsis, Meticillin-resistant Staphylococcus Aureus (MRSA) In bronchiectasis, Bone And Joint Infections, And Skin And Soft-tissue Infections, Erysipelas Or Cellulitis Inpenicillin-allergic Patients: 

Oral: 

  • Adult: 150-300 Mg Every 6 Hours; Increased If Necessary Up To 450 Mg Every 6 Hours In Severe Infection.
  • Children: 3-6 Mg/kg 4 Times A Day (max. Per Dose 450 Mg) 

By Deep IM Inj, Or By IV Infusion: 

  • Adult: 0.6 - 2.7 G Daily In 2-4 Divided Doses; Increased If Necessary Up To 4.8 G Daily, Increased Dose Used In Life-Threatening Infection, Single Doses Above 600mg To Bead Ministered By Intravenous Infusion Only, Not To Exceed 1.2 G 

Treatment Of Mild To Moderate Pneumocystis Pneumonia (in Combination With Primaquine): 

Oral: 

  • Adult: 600 Mg Every 8 Hours 

Treatment Of Falciparum Malaria (to Be Given With Or following Quinine): 

Oral: 

  • Adult: 450 Mg Every 8 Hours For 7 Days; 
  • Children: 7-13 Mg/kg Every 8 Hours (max. Per Dose 450 Mg) For 7 Days 

Bacterial Vaginosis: 

Oral:

  • Adult (Female): 300 Mg Every 12 Hr For 7 Days. 

Septicaemia: 

By IV Inj Or IV Infusion: 

  • Adults: 1200-2700 Mg/day Given In Two Or Four Divided Doses, Up To 4800 Mg/day. 
  • Children 1 Month - 16 Yr: 20-40 Mg/kg/day Given In 3-4 Doses.
  • Children Less Than 1 Month: 15-20 Mg/ Kg/day Given 3-4 Doses.

Content

  • Cap 150mg /300mg: Clindamycin (as Nci) 150mg /300mg.
  • Syp: Per 5 ml: Clindamycin (as Palmitate) 75mg.
  • Inj 150mg: Per ml: Clindamycin (as Phosphate) 150mg; Amp Of 2 ml, 4 ml, 6 ml.

Pregnancy

Caution Advised

Stability

  • Lincosamide

Contra Indications

  • Lincosamide Sensitivity.

Precautions

  • Lincosamide Sensitivity.

Lactation

  • Not Recommended.

Side Effects

  • Abdominal Discomfort
  • Anaphylactoid Reactions
  • Antibiotic-associated Colitis
  • Diarrhoea (discontinue Treatment)
  • Eosinophilia
  • Exfoliative Dermatitis
  • Jaundice
  • Leucopenia
  • Nausea
  • Oesophageal Ulcers
  • Oesophagitis
  • Polyarthritis
  • Pruritus
  • Rash
  • Stevens-johnson Syndrome
  • Taste Disturbances
  • Thrombocytopenia
  • Toxic Epidermal Necrolysis
  • Urticaria
  • Vesiculobullous Dermatitis
  • Vomiting