Clindamycin caps 150mg #16

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Clindamycin user manual

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Composition and release form

Clindamycin comes in the form of solution for injection and capsules for oral administration. In addition, there are forms of release of the drug for external use: cream, gel and suppositories.
    The active ingredient is clindamycin hydrochloride or clindamycin phosphate.
Clinico-pharmacological group: an antibiotic of the group of lincosamides.

Indications for use

Indications for use of Clindamycin in the form of capsules and solution for intravenous and intramuscular administration are infectious and inflammatory diseases caused by microorganisms sensitive to clindamycin:
    Chronic and acute osteomyelitis;
    Bacterial endocarditis;
    Septicemia (primarily anaerobic);
    Infections of the urogenital tract (vaginal infections, endometritis, chlamydia, tubo-ovarian inflammation);
    Infections of soft tissues and skin (boils, abscesses, felon, infected wounds), oral cavity and abdominal cavity (abscess, peritonitis);
    Infections of upper respiratory tract and upper respiratory tract (otitis media, tonsillitis, pharyngitis, sinusitis), lower respiratory tract (bronchitis, pleural empyema, lung abscess, pneumonia, including aspiration), diphtheria, scarlet fever;
    Prevention of intraperitoneal abscesses and peritonitis as a result of traumatic infection or after perforation of the intestine (combined with aminoglycosides).
Clindamycin Cream is used to treat bacterial vaginosis.

pharmachologic effect

According to the mechanism of action, chemical structure and antimicrobial spectrum reminds lincomycin. It has a bacteriostatic and bactericidal effect. The drug slows down or completely stops the synthesis of proteins that occurs in the cell.
    The following bacteria are sensitive to clindamycin: Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus spp. (except Streptococcus faecalis), Pneumococcus spp., Bacteroides spp. (including Bacteroides fragilis), Fusobacterium spp., Propionibacterium spp., Eubacterium spp., Actinomyces spp., Leuconostoc spp., Peptococcus spp., Peptostreptococcus spp., Prevotella melaninogenica, micro-effectivo, micro-effectivo, microproperties, Peptostreptococcus spp., Prevotella melaninogenica, micro-effectivi, micro-effectivium spp., Peptostreptococcus spp., Prevotella melaninogenica, micro-effectivi spp., Peptostreptococcus spp., Prevotella melaninogenica, micro-effectivi, micro-effectivi spp., Peptococcus spp.
After absorption, the drug is able to penetrate into various tissues and body fluids. The highest concentration of the drug is observed in the bone tissue and cerebrospinal fluid.


Instructions for use

The dose of Clindamycin and the choice of its dosage form depend on the disease, the course of the disease and age.
    Clindamycin tablets should be taken orally. The recommended therapeutic dosage is 150 mg of the drug every 6–8 hours. With a particularly severe course of infection, a single dose may be increased to 300-450 mg. The daily dose of Clindamycin tablets for children from one month is determined at the rate of 8-25 mg / kg and is divided into 3-4 doses.
    For severe infections and diseases of the abdominal cavity, Clindamycin is used as an injection in accordance with the instructions. In milder forms, 1.2-1.8 g is usually administered per day, and in severe forms, 2.4-2.7 g, divided into 2-4 doses, more than 600 mg of Clindamycin should not be administered simultaneously.
    Suppositories with clindamycin are used intravaginally in 1 pc. 1 per day. Use suppositories before bedtime, the course - 3-7 days. Before use, you must remove the protective film, enter deep into the vagina, it should be done in the prone position.
The instruction on the cream provides for its intravaginal use. It is best to apply the remedy at bedtime, for 3-7 days.

Contraindications

Contraindications to the use of the drug in the form of capsules and solution for injection are also:
    Bronchial asthma;
    Myasthenia gravis;
    Ulcerative colitis (in history);
    Hypersensitivity to components of Clindamycin.
    Pregnancy and lactation;
    Children's age up to 3 years - for a solution for IV and IM injection (due to the lack of safety data on the use of benzyl alcohol);
    Children's age up to 8 years for capsules (average weight of a child is less than 25 kg);
    Rare hereditary diseases: galactose intolerance, lactase deficiency or glucose-galactose malabsorption (for capsules).
With extreme caution should take medication in the presence of gastrointestinal diseases. Drinking alcohol during treatment is contraindicated.

Side effects

Clindamycin causes various side effects:
    Nervous system: dizziness, weakness;
    Cardiovascular system: lowering blood pressure;
    Immune system: angioedema, anaphylactic shock;
    Local reactions: irritation, abscess, phlebitis, infiltration;
    Reproductive system: vaginitis, cervicitis, vulvovaginal irritation;
    Blood system: a decrease in the number of platelets, neutrophils and granulocytes, a reversible decrease in the number of leukocytes;
    Lesions of the skin: erythema multiforme, urticaria, contact dermatitis;
    Laboratory results: increased activity of hepatic transaminases and the amount of bilirubin in the blood;
    Digestive system: vomiting, diarrhea, esophagitis, liver disease, pseudomembranous colitis, nausea, metallic taste in mouth, jaundice, abdominal pain;
    Other: fever, candidiasis.
Pseudomembranous colitis may develop during drug administration and after several weeks after completion of treatment. Symptoms of this condition are bowel dysfunction, leukocytosis, severe pain in the abdomen, the development of fever.

Reviews

Galina
Clindamycin was prescribed by a gynecologist. During the periodic inspection a smear on the pathogenic flora of Gardnerella vaginalis. He was diagnosed with vaginal dysbacteriosis. The doctor explained nothing terrible, but you need to treat. Prescribed this drug in the form of a cream. The cream is easy to use, I did not cause any side reactions. True, he did not cure right away, when he resubmitted a smear, this flora was again found, but in a smaller quantity. I had to repeat the treatment. After the repetition, everything was fine.

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