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Details

Stereochemistry ABSOLUTE
Molecular Formula C18H33ClN2O5S.ClH
Molecular Weight 461.444
Optical Activity UNSPECIFIED
Defined Stereocenters 9 / 9
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of CLINDAMYCIN HYDROCHLORIDE

SMILES

Cl.[H][C@@](NC(=O)[C@@H]1C[C@@H](CCC)CN1C)([C@H](C)Cl)[C@@]2([H])O[C@H](SC)[C@H](O)[C@@H](O)[C@H]2O

InChI

InChIKey=AUODDLQVRAJAJM-XJQDNNTCSA-N
InChI=1S/C18H33ClN2O5S.ClH/c1-5-6-10-7-11(21(3)8-10)17(25)20-12(9(2)19)16-14(23)13(22)15(24)18(26-16)27-4;/h9-16,18,22-24H,5-8H2,1-4H3,(H,20,25);1H/t9-,10+,11-,12+,13-,14+,15+,16+,18+;/m0./s1

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including: http://www.accessdata.fda.gov/drugsatfda_docs/label/2014/050537s035,050600s013,050615s012lbl.pdf | http://www.rxlist.com/clindamycin-phosphate-topical-solution-drug.htm

Clindamycin phosphate is the prodrug of clindamycin with no antimicrobial activity in vitro but can be rapidly converted in vivo to the parent drug, clindamycin, by phosphatase ester hydrolysis. It is indicated in the treatment of serious infections caused by susceptible anaerobic bacteria: Lower respiratory tract infections including pneumonia, empyema, and lung abscess caused by anaerobes; Skin and skin structure infections; Gynecological infections including endometritis, nongonococcal tubo-ovarian abscess, pelvic cellulitis, and postsurgical vaginal cuff infection caused by susceptible anaerobes; Intra-abdominal infections; Septicemia; Bone and joint infections. Orally and parenterally administered clindamycin has been associated with severe colitis, which may end fatally. Abdominal pain, gastrointestinal disturbances, gram-negative folliculitis, eye pain and contact dermatitis have also been reported in association with the use of topical formulations of clindamycin. Clindamycin has been shown to have neuromuscular blocking properties that may enhance the action of other neuromuscular blocking agents

CNS Activity

Curator's Comment: Clindamycin phosphate is the prodrug of clindamycin with no antimicrobial activity in vitro but can be rapidly converted in vivo to the parent drug, clindamycin, by phosphatase ester hydrolysis.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
CLEOCIN HYDROCHLORIDE

Approved Use

Clindamycin Injection, USP is indicated in the treatment of serious infections caused by susceptible anaerobic bacteria. Clindamycin Injection, USP is also indicated in the treatment of serious infections due to susceptible strains of streptococci, pneumococci, and staphylococci. Its use should be reserved for penicillin-allergic patients or other patients for whom, in the judgment of the physician, a penicillin is inappropriate. Because of the risk of antibiotic-associated pseudomembranous colitis, as described in the WARNING box, before selecting clindamycin the physician should consider the nature of the infection and the suitability of less toxic alternatives (e.g., erythromycin). Bacteriologic studies should be performed to determine the causative organisms and their susceptibility to clindamycin. Indicated surgical procedures should be performed in conjunction with antibiotic therapy. Clindamycin Injection, USP is indicated in the treatment of serious infections caused by susceptible strains of the designated organisms in the conditions listed below: Lower respiratory tract infections including pneumonia, empyema, and lung abscess caused by anaerobes, Streptococcus pneumoniae, other streptococci (except E. faecalis), and Staphylococcus aureus. Skin and skin structure infections caused by Streptococcus pyogenes, Staphylococcus aureus, and anaerobes. Gynecological infections including endometritis, nongonococcal tubo-ovarian abscess, pelvic cellulitis, and postsurgical vaginal cuff infection caused by susceptible anaerobes. Intra-abdominal infections including peritonitis and intra-abdominal abscess caused by susceptible anaerobic organisms. Septicemia caused by Staphylococcus aureus, streptococci (except Enterococcus faecalis), and susceptible anaerobes. Bone and joint infections including acute hematogenous osteomyelitis caused by Staphylococcus aureus and as adjunctive therapy in the surgical treatment of chronic bone and joint infections due to susceptible organisms. To reduce the development of drug-resistant bacteria and maintain the effectiveness of clindamycin and other antibacterial drugs, clindamycin should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

Launch Date

1970
Curative
CLEOCIN HYDROCHLORIDE

Approved Use

Clindamycin Injection, USP is indicated in the treatment of serious infections caused by susceptible anaerobic bacteria. Clindamycin Injection, USP is also indicated in the treatment of serious infections due to susceptible strains of streptococci, pneumococci, and staphylococci. Its use should be reserved for penicillin-allergic patients or other patients for whom, in the judgment of the physician, a penicillin is inappropriate. Because of the risk of antibiotic-associated pseudomembranous colitis, as described in the WARNING box, before selecting clindamycin the physician should consider the nature of the infection and the suitability of less toxic alternatives (e.g., erythromycin). Bacteriologic studies should be performed to determine the causative organisms and their susceptibility to clindamycin. Indicated surgical procedures should be performed in conjunction with antibiotic therapy. Clindamycin Injection, USP is indicated in the treatment of serious infections caused by susceptible strains of the designated organisms in the conditions listed below: Lower respiratory tract infections including pneumonia, empyema, and lung abscess caused by anaerobes, Streptococcus pneumoniae, other streptococci (except E. faecalis), and Staphylococcus aureus. Skin and skin structure infections caused by Streptococcus pyogenes, Staphylococcus aureus, and anaerobes. Gynecological infections including endometritis, nongonococcal tubo-ovarian abscess, pelvic cellulitis, and postsurgical vaginal cuff infection caused by susceptible anaerobes. Intra-abdominal infections including peritonitis and intra-abdominal abscess caused by susceptible anaerobic organisms. Septicemia caused by Staphylococcus aureus, streptococci (except Enterococcus faecalis), and susceptible anaerobes. Bone and joint infections including acute hematogenous osteomyelitis caused by Staphylococcus aureus and as adjunctive therapy in the surgical treatment of chronic bone and joint infections due to susceptible organisms. To reduce the development of drug-resistant bacteria and maintain the effectiveness of clindamycin and other antibacterial drugs, clindamycin should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

Launch Date

1970
Curative
CLEOCIN HYDROCHLORIDE

Approved Use

Clindamycin Injection, USP is indicated in the treatment of serious infections caused by susceptible anaerobic bacteria. Clindamycin Injection, USP is also indicated in the treatment of serious infections due to susceptible strains of streptococci, pneumococci, and staphylococci. Its use should be reserved for penicillin-allergic patients or other patients for whom, in the judgment of the physician, a penicillin is inappropriate. Because of the risk of antibiotic-associated pseudomembranous colitis, as described in the WARNING box, before selecting clindamycin the physician should consider the nature of the infection and the suitability of less toxic alternatives (e.g., erythromycin). Bacteriologic studies should be performed to determine the causative organisms and their susceptibility to clindamycin. Indicated surgical procedures should be performed in conjunction with antibiotic therapy. Clindamycin Injection, USP is indicated in the treatment of serious infections caused by susceptible strains of the designated organisms in the conditions listed below: Lower respiratory tract infections including pneumonia, empyema, and lung abscess caused by anaerobes, Streptococcus pneumoniae, other streptococci (except E. faecalis), and Staphylococcus aureus. Skin and skin structure infections caused by Streptococcus pyogenes, Staphylococcus aureus, and anaerobes. Gynecological infections including endometritis, nongonococcal tubo-ovarian abscess, pelvic cellulitis, and postsurgical vaginal cuff infection caused by susceptible anaerobes. Intra-abdominal infections including peritonitis and intra-abdominal abscess caused by susceptible anaerobic organisms. Septicemia caused by Staphylococcus aureus, streptococci (except Enterococcus faecalis), and susceptible anaerobes. Bone and joint infections including acute hematogenous osteomyelitis caused by Staphylococcus aureus and as adjunctive therapy in the surgical treatment of chronic bone and joint infections due to susceptible organisms. To reduce the development of drug-resistant bacteria and maintain the effectiveness of clindamycin and other antibacterial drugs, clindamycin should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

Launch Date

1970
Curative
CLEOCIN HYDROCHLORIDE

Approved Use

Clindamycin Injection, USP is indicated in the treatment of serious infections caused by susceptible anaerobic bacteria. Clindamycin Injection, USP is also indicated in the treatment of serious infections due to susceptible strains of streptococci, pneumococci, and staphylococci. Its use should be reserved for penicillin-allergic patients or other patients for whom, in the judgment of the physician, a penicillin is inappropriate. Because of the risk of antibiotic-associated pseudomembranous colitis, as described in the WARNING box, before selecting clindamycin the physician should consider the nature of the infection and the suitability of less toxic alternatives (e.g., erythromycin). Bacteriologic studies should be performed to determine the causative organisms and their susceptibility to clindamycin. Indicated surgical procedures should be performed in conjunction with antibiotic therapy. Clindamycin Injection, USP is indicated in the treatment of serious infections caused by susceptible strains of the designated organisms in the conditions listed below: Lower respiratory tract infections including pneumonia, empyema, and lung abscess caused by anaerobes, Streptococcus pneumoniae, other streptococci (except E. faecalis), and Staphylococcus aureus. Skin and skin structure infections caused by Streptococcus pyogenes, Staphylococcus aureus, and anaerobes. Gynecological infections including endometritis, nongonococcal tubo-ovarian abscess, pelvic cellulitis, and postsurgical vaginal cuff infection caused by susceptible anaerobes. Intra-abdominal infections including peritonitis and intra-abdominal abscess caused by susceptible anaerobic organisms. Septicemia caused by Staphylococcus aureus, streptococci (except Enterococcus faecalis), and susceptible anaerobes. Bone and joint infections including acute hematogenous osteomyelitis caused by Staphylococcus aureus and as adjunctive therapy in the surgical treatment of chronic bone and joint infections due to susceptible organisms. To reduce the development of drug-resistant bacteria and maintain the effectiveness of clindamycin and other antibacterial drugs, clindamycin should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

Launch Date

1970
Curative
CLEOCIN HYDROCHLORIDE

Approved Use

Clindamycin Injection, USP is indicated in the treatment of serious infections caused by susceptible anaerobic bacteria. Clindamycin Injection, USP is also indicated in the treatment of serious infections due to susceptible strains of streptococci, pneumococci, and staphylococci. Its use should be reserved for penicillin-allergic patients or other patients for whom, in the judgment of the physician, a penicillin is inappropriate. Because of the risk of antibiotic-associated pseudomembranous colitis, as described in the WARNING box, before selecting clindamycin the physician should consider the nature of the infection and the suitability of less toxic alternatives (e.g., erythromycin). Bacteriologic studies should be performed to determine the causative organisms and their susceptibility to clindamycin. Indicated surgical procedures should be performed in conjunction with antibiotic therapy. Clindamycin Injection, USP is indicated in the treatment of serious infections caused by susceptible strains of the designated organisms in the conditions listed below: Lower respiratory tract infections including pneumonia, empyema, and lung abscess caused by anaerobes, Streptococcus pneumoniae, other streptococci (except E. faecalis), and Staphylococcus aureus. Skin and skin structure infections caused by Streptococcus pyogenes, Staphylococcus aureus, and anaerobes. Gynecological infections including endometritis, nongonococcal tubo-ovarian abscess, pelvic cellulitis, and postsurgical vaginal cuff infection caused by susceptible anaerobes. Intra-abdominal infections including peritonitis and intra-abdominal abscess caused by susceptible anaerobic organisms. Septicemia caused by Staphylococcus aureus, streptococci (except Enterococcus faecalis), and susceptible anaerobes. Bone and joint infections including acute hematogenous osteomyelitis caused by Staphylococcus aureus and as adjunctive therapy in the surgical treatment of chronic bone and joint infections due to susceptible organisms. To reduce the development of drug-resistant bacteria and maintain the effectiveness of clindamycin and other antibacterial drugs, clindamycin should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

Launch Date

1970
Curative
CLEOCIN HYDROCHLORIDE

Approved Use

Clindamycin Injection, USP is indicated in the treatment of serious infections caused by susceptible anaerobic bacteria. Clindamycin Injection, USP is also indicated in the treatment of serious infections due to susceptible strains of streptococci, pneumococci, and staphylococci. Its use should be reserved for penicillin-allergic patients or other patients for whom, in the judgment of the physician, a penicillin is inappropriate. Because of the risk of antibiotic-associated pseudomembranous colitis, as described in the WARNING box, before selecting clindamycin the physician should consider the nature of the infection and the suitability of less toxic alternatives (e.g., erythromycin). Bacteriologic studies should be performed to determine the causative organisms and their susceptibility to clindamycin. Indicated surgical procedures should be performed in conjunction with antibiotic therapy. Clindamycin Injection, USP is indicated in the treatment of serious infections caused by susceptible strains of the designated organisms in the conditions listed below: Lower respiratory tract infections including pneumonia, empyema, and lung abscess caused by anaerobes, Streptococcus pneumoniae, other streptococci (except E. faecalis), and Staphylococcus aureus. Skin and skin structure infections caused by Streptococcus pyogenes, Staphylococcus aureus, and anaerobes. Gynecological infections including endometritis, nongonococcal tubo-ovarian abscess, pelvic cellulitis, and postsurgical vaginal cuff infection caused by susceptible anaerobes. Intra-abdominal infections including peritonitis and intra-abdominal abscess caused by susceptible anaerobic organisms. Septicemia caused by Staphylococcus aureus, streptococci (except Enterococcus faecalis), and susceptible anaerobes. Bone and joint infections including acute hematogenous osteomyelitis caused by Staphylococcus aureus and as adjunctive therapy in the surgical treatment of chronic bone and joint infections due to susceptible organisms. To reduce the development of drug-resistant bacteria and maintain the effectiveness of clindamycin and other antibacterial drugs, clindamycin should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

Launch Date

1970
Curative
CLEOCIN HYDROCHLORIDE

Approved Use

Clindamycin Injection, USP is indicated in the treatment of serious infections caused by susceptible anaerobic bacteria. Clindamycin Injection, USP is also indicated in the treatment of serious infections due to susceptible strains of streptococci, pneumococci, and staphylococci. Its use should be reserved for penicillin-allergic patients or other patients for whom, in the judgment of the physician, a penicillin is inappropriate. Because of the risk of antibiotic-associated pseudomembranous colitis, as described in the WARNING box, before selecting clindamycin the physician should consider the nature of the infection and the suitability of less toxic alternatives (e.g., erythromycin). Bacteriologic studies should be performed to determine the causative organisms and their susceptibility to clindamycin. Indicated surgical procedures should be performed in conjunction with antibiotic therapy. Clindamycin Injection, USP is indicated in the treatment of serious infections caused by susceptible strains of the designated organisms in the conditions listed below: Lower respiratory tract infections including pneumonia, empyema, and lung abscess caused by anaerobes, Streptococcus pneumoniae, other streptococci (except E. faecalis), and Staphylococcus aureus. Skin and skin structure infections caused by Streptococcus pyogenes, Staphylococcus aureus, and anaerobes. Gynecological infections including endometritis, nongonococcal tubo-ovarian abscess, pelvic cellulitis, and postsurgical vaginal cuff infection caused by susceptible anaerobes. Intra-abdominal infections including peritonitis and intra-abdominal abscess caused by susceptible anaerobic organisms. Septicemia caused by Staphylococcus aureus, streptococci (except Enterococcus faecalis), and susceptible anaerobes. Bone and joint infections including acute hematogenous osteomyelitis caused by Staphylococcus aureus and as adjunctive therapy in the surgical treatment of chronic bone and joint infections due to susceptible organisms. To reduce the development of drug-resistant bacteria and maintain the effectiveness of clindamycin and other antibacterial drugs, clindamycin should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

Launch Date

1970
Curative
CLEOCIN T

Approved Use

Clindamycin Phosphate is indicated in the treatment of acne vulgaris.

Launch Date

1980
Curative
CLEOCIN PHOSPHATE

Approved Use

Lower respiratory tract infections including pneumonia, empyema, and lung abscess caused by anaerobes, Streptococcus pneumoniae, other streptococci (except E. faecalis), and Staphylococcus aureus.

Launch Date

1972
Curative
CLEOCIN PHOSPHATE

Approved Use

Skin and skin structure infections caused by Streptococcus pyogenes, Staphylococcus aureus, and anaerobes.

Launch Date

1972
Curative
CLEOCIN PHOSPHATE

Approved Use

Gynecological infections including endometritis, nongonococcal tubo-ovarian abscess, pelvic cellulitis, and postsurgical vaginal cuff infection caused by susceptible anaerobes.

Launch Date

1972
Curative
CLEOCIN PHOSPHATE

Approved Use

Intra-abdominal infections including peritonitis and intra-abdominal abscess caused by susceptible anaerobic organisms.

Launch Date

1972
Curative
CLEOCIN PHOSPHATE

Approved Use

Septicemia caused by Staphylococcus aureus, streptococci (except Enterococcus faecalis), and susceptible anaerobes.

Launch Date

1972
Curative
CLEOCIN PHOSPHATE

Approved Use

Bone and joint infections including acute hematogenous osteomyelitis caused by Staphylococcus aureus and as adjunctive therapy in the surgical treatment of chronic bone and joint infections due to susceptible organisms.

Launch Date

1972
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
3.1 μg/mL
600 mg single, oral
dose: 600 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CLINDAMYCIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
0.92 ng/mL
0.03 g 1 times / day steady-state, topical
dose: 0.03 g
route of administration: Topical
experiment type: STEADY-STATE
co-administered:
CLINDAMYCIN plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
12.2 μg × h/mL
600 mg single, oral
dose: 600 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CLINDAMYCIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
13.54 ng × h/mL
0.03 g 1 times / day steady-state, topical
dose: 0.03 g
route of administration: Topical
experiment type: STEADY-STATE
co-administered:
CLINDAMYCIN plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
2.3 h
600 mg single, oral
dose: 600 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CLINDAMYCIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
5 g 7 times / day multiple, vaginal
Recommended
Dose: 5 g, 7 times / day
Route: vaginal
Route: multiple
Dose: 5 g, 7 times / day
Sources: Page: p.571
unhealthy, 16 - 51
n = 79
Health Status: unhealthy
Condition: Bacterial Vaginosis
Age Group: 16 - 51
Sex: F
Population Size: 79
Sources: Page: p.571
Disc. AE: Vaginal pain or burning...
AEs leading to
discontinuation/dose reduction:
Vaginal pain or burning (1.2%)
Sources: Page: p.571
1200 mg 4 times / day multiple, intravenous
Recommended
Dose: 1200 mg, 4 times / day
Route: intravenous
Route: multiple
Dose: 1200 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources:
Disc. AE: Diarrhea, Clostridium difficile, Anaphylactic shock...
AEs leading to
discontinuation/dose reduction:
Diarrhea, Clostridium difficile
Anaphylactic shock
Hypersensitivity reaction (severe)
Sources:
300 mg 4 times / day multiple, intramuscular
Recommended
Dose: 300 mg, 4 times / day
Route: intramuscular
Route: multiple
Dose: 300 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources:
Disc. AE: Diarrhea, Clostridium difficile, Anaphylactic shock...
AEs leading to
discontinuation/dose reduction:
Diarrhea, Clostridium difficile
Anaphylactic shock
Hypersensitivity reaction (severe)
Sources:
300 mg 4 times / day multiple, intravenous
Recommended
Dose: 300 mg, 4 times / day
Route: intravenous
Route: multiple
Dose: 300 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources:
Disc. AE: Diarrhea, Clostridium difficile, Anaphylactic shock...
AEs leading to
discontinuation/dose reduction:
Diarrhea, Clostridium difficile
Anaphylactic shock
Hypersensitivity reaction (severe)
Sources:
450 mg 4 times / day multiple, oral
Recommended
Dose: 450 mg, 4 times / day
Route: oral
Route: multiple
Dose: 450 mg, 4 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources: Page: p.1
Disc. AE: Diarrhea, Clostridium difficile, Reaction skin...
AEs leading to
discontinuation/dose reduction:
Diarrhea, Clostridium difficile
Reaction skin (severe)
Toxic epidermal necrolysis (grade 3-5)
Sources: Page: p.1
AEs

AEs

AESignificanceDosePopulation
Vaginal pain or burning 1.2%
Disc. AE
5 g 7 times / day multiple, vaginal
Recommended
Dose: 5 g, 7 times / day
Route: vaginal
Route: multiple
Dose: 5 g, 7 times / day
Sources: Page: p.571
unhealthy, 16 - 51
n = 79
Health Status: unhealthy
Condition: Bacterial Vaginosis
Age Group: 16 - 51
Sex: F
Population Size: 79
Sources: Page: p.571
Anaphylactic shock Disc. AE
1200 mg 4 times / day multiple, intravenous
Recommended
Dose: 1200 mg, 4 times / day
Route: intravenous
Route: multiple
Dose: 1200 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources:
Diarrhea, Clostridium difficile Disc. AE
1200 mg 4 times / day multiple, intravenous
Recommended
Dose: 1200 mg, 4 times / day
Route: intravenous
Route: multiple
Dose: 1200 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources:
Hypersensitivity reaction severe
Disc. AE
1200 mg 4 times / day multiple, intravenous
Recommended
Dose: 1200 mg, 4 times / day
Route: intravenous
Route: multiple
Dose: 1200 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources:
Anaphylactic shock Disc. AE
300 mg 4 times / day multiple, intramuscular
Recommended
Dose: 300 mg, 4 times / day
Route: intramuscular
Route: multiple
Dose: 300 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources:
Diarrhea, Clostridium difficile Disc. AE
300 mg 4 times / day multiple, intramuscular
Recommended
Dose: 300 mg, 4 times / day
Route: intramuscular
Route: multiple
Dose: 300 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources:
Hypersensitivity reaction severe
Disc. AE
300 mg 4 times / day multiple, intramuscular
Recommended
Dose: 300 mg, 4 times / day
Route: intramuscular
Route: multiple
Dose: 300 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources:
Anaphylactic shock Disc. AE
300 mg 4 times / day multiple, intravenous
Recommended
Dose: 300 mg, 4 times / day
Route: intravenous
Route: multiple
Dose: 300 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources:
Diarrhea, Clostridium difficile Disc. AE
300 mg 4 times / day multiple, intravenous
Recommended
Dose: 300 mg, 4 times / day
Route: intravenous
Route: multiple
Dose: 300 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources:
Hypersensitivity reaction severe
Disc. AE
300 mg 4 times / day multiple, intravenous
Recommended
Dose: 300 mg, 4 times / day
Route: intravenous
Route: multiple
Dose: 300 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources:
Diarrhea, Clostridium difficile Disc. AE
450 mg 4 times / day multiple, oral
Recommended
Dose: 450 mg, 4 times / day
Route: oral
Route: multiple
Dose: 450 mg, 4 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources: Page: p.1
Toxic epidermal necrolysis grade 3-5
Disc. AE
450 mg 4 times / day multiple, oral
Recommended
Dose: 450 mg, 4 times / day
Route: oral
Route: multiple
Dose: 450 mg, 4 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources: Page: p.1
Reaction skin severe
Disc. AE
450 mg 4 times / day multiple, oral
Recommended
Dose: 450 mg, 4 times / day
Route: oral
Route: multiple
Dose: 450 mg, 4 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Infections due to susceptible strains of streptococci, pneumococci, and staphylococci
Sources: Page: p.1
Overview

Overview

Drug as perpetrator​Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
major
likely (co-administration study)
Comment: inhibitors of CYP3A4 and CYP3A5 may increase plasma concentrations of clindamycin and inducers of these isoenzymes may reduce plasma concentrations of clindamycin
Page: 5.0
minor
likely (co-administration study)
Comment: inhibitors of CYP3A4 and CYP3A5 may increase plasma concentrations of clindamycin and inducers of these isoenzymes may reduce plasma concentrations of clindamycin
Page: 5.0
not determined
not determined
not determined
not determined
not determined
not determined
not determined
not determined
PubMed

PubMed

TitleDatePubMed
Synergistic effect of clindamycin and atovaquone in acute murine toxoplasmosis.
1999 Sep
Occurrence of metronidazole and imipenem resistance among Bacteroides fragilis group clinical isolates in Hungary.
2001
Efficacy of clindamycin vaginal ovule (3-day treatment) vs. clindamycin vaginal cream (7-day treatment) in bacterial vaginosis.
2001
Lemierre's syndrome with spondylitis and pulmonary and gluteal abscesses associated with Mycoplasma pneumoniae pneumonia.
2001 Apr
Clinical features of patients with invasive Eikenella corrodens infections and microbiological characteristics of the causative isolates.
2001 Apr
Thoracic spondylitis mimicking idiopathic scoliosis: a case report.
2001 Apr
Clindamycin suspension and endocarditis prophylaxis.
2001 Apr 28
Laparoscopic management of adnexal masses.
2001 Apr-Jun
Clostridium difficile--Associated diarrhea: A review.
2001 Feb 26
Two cases of severe bronchopneumonia due to influenza A (H3N2) virus: detection of influenza virus gene using reverse transcription polymerase chain reaction.
2001 Jan
Babesiosis.
2001 Jan
Frequency of antibiotic-associated diarrhoea in 2462 antibiotic-treated hospitalized patients: a prospective study.
2001 Jan
Possible role of cellular immunity: a case of cellulitis.
2001 Jan
Xerostomia, xerophthalmia, and plasmacytic infiltrates of the salivary glands (Sjögren's-like syndrome) in a cat.
2001 Jan 1
Lipid analysis of follicular casts from cyanoacrylate strips as a new method for studying therapeutic effects of antiacne agents.
2001 Jul
A rare case of primary group A streptococcal peritonitis.
2001 Jul
Susceptibility of the Bacteroides fragilis group to newer quinolones and other standard anti-anaerobic agents.
2001 Jul
Comparison of in-vitro activities of SCH27899 and other antibiotics against Mycoplasma pneumoniae.
2001 Jun
The emergence of erythromycin-resistant Streptococcus pyogenes in Seoul, Korea.
2001 Jun
Transfusion-transmitted babesiosis in Ontario: first reported case in Canada.
2001 Jun 12
Infection of hamsters with epidemiologically important strains of Clostridium difficile.
2001 Jun 15
[Antibiotic prophylaxis in oncologic pharyngolaryngeal surgery: ceftriaxone versus clindamycin and gentamycin].
2001 Mar
[Ocular parasitoses and mycoses: cases diagnosed in the Central University Hospital of Sfax between 1996 and 1999].
2001 Mar
Prevalence and phenotypes of erythromycin-resistant Streptococcus pneumoniae in Shanghai, China.
2001 Mar
Persistence of Plasmodium falciparum in the placenta after apparently effective quinidine/clindamycin therapy.
2001 Mar
[The therapeutic approach to necrotizing fasciitis].
2001 Mar
[Cellulitis and necrotizing fasciitis: microbiology and pathogenesis].
2001 Mar
Antimicrobial resistance in viridans group streptococci among patients with and without the diagnosis of cancer in the USA, Canada and Latin America.
2001 Mar
In vitro activity and pharmacodynamics of azithromycin and clarithromycin against Streptococcus pneumoniae based on serum and intrapulmonary pharmacokinetics.
2001 Mar
Antimicrobial susceptibilities of Erysipelothrix rhusiopathiae isolated from pigs with swine erysipelas in Japan, 1988-1998.
2001 Mar
Detection and characterization of a bacteriocin, garviecin L1-5, produced by Lactococcus garvieae isolated from raw cow's milk.
2001 Mar
Treatment of nosocomial postoperative pneumonia in cancer patients: a prospective randomized study.
2001 Mar
Sequential parapharyngeal abscesses.
2001 Mar
Phenotypic and genotypic characterization of macrolide-resistant group A Streptococcus strains in the province of Quebec, Canada.
2001 Mar
Dose-escalation, phase I/II study of azithromycin and pyrimethamine for the treatment of toxoplasmic encephalitis in AIDS.
2001 Mar 30
[Dermo-hypodermitis and necrotizing fasciitis].
2001 Mar 31
Serotyping and antimicrobial susceptibility of group B Streptococcus over an eight-year period in southern Taiwan.
2001 May
Clinical inquiries. What are the most effective treatments for bacterial vaginosis in nonpregnant women?
2001 May
Vaginal clindamycin in preventing preterm birth and peripartal infections in asymptomatic women with bacterial vaginosis: a randomized, controlled trial.
2001 May
High prevalence of carriage of antibiotic-resistant Streptococcus pneumoniae in children in Kampala Uganda.
2001 May
Worldwide prevalence of antimicrobial resistance in Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis in the SENTRY Antimicrobial Surveillance Program, 1997-1999.
2001 May 15
Sensitive and specific determination of clindamycin in human serum and bone tissue applying liquid chromatography-atmospheric pressure chemical ionization-mass spectrometry.
2001 May 5
Intravitreal clindamycin and dexamethasone for toxoplasmic retinochoroiditis.
2001 May-Jun
Prevalence of serotypes and molecular epidemiology of Streptococcus pneumoniae strains isolated from children in Beijing, China: identification of two novel multiply-resistant clones.
2001 Spring
In vitro activity of 19 antimicrobial agents against enterococci from healthy subjects and hospitalized patients and use of an ace gene probe from Enterococcus faecalis for species identification.
2001 Spring
Preparation and characterization of chitosan-based spray-dried microparticles for the delivery of clindamycin phosphate to periodontal pockets.
2014
Design and development of intraocular polymeric implant systems for long-term controlled-release of clindamycin phosphate for toxoplasmic retinochoroiditis.
2015
Clindamycin hydrochloride and clindamycin phosphate: two drugs or one? A retrospective analysis of a spontaneous reporting system.
2017 Feb
Patents

Sample Use Guides

150 to 300 mg every 6 hours (Serious infections), 300 to 450 mg every 6 hours (More severe infections), 8 to 16 mg/kg/day divided into three or four equal doses (Serious infections in pediatric patients), 16 to 20 mg/kg/day divided into three or four equal doses (More severe infections in pediatric patients).
Route of Administration: Oral
In Vitro Use Guide
Curator's Comment: The Minimum Inhibitory Concentration was 0.03-0.12 ug/ml (Streptococcus pneumoniae ATCC 49619) when testing aerobic pathogens and 0.06-0.25 ug/ml (Eubacterium lentum ATCC 43055) when testing anaerobs.
MIC=0.03-0.12 ug/ml (Aerobic Pathogens), MIC=0.06-0.25 ug/ml (Anaerobes).
Name Type Language
CLINDAMYCIN HYDROCHLORIDE
EP   GREEN BOOK   MART.   MI   ORANGE BOOK   USP   VANDF   WHO-DD  
Common Name English
ANTIROBE
Brand Name English
SOBELIN
Brand Name English
CLINDAMYCIN HYDROCHLORIDE [USP-RS]
Common Name English
CLINDAMYCIN HCL
Common Name English
CLINDAMYCIN HYDROCHLORIDE [GREEN BOOK]
Common Name English
NSC-756696
Code English
DALACIN C
Brand Name English
L-THREO-.ALPHA.-D-GALACTO-OCTOPYRANOSIDE, METHYL 7-CHLORO-6,7,8-TRIDEOXY-6-(((1-METHYL-4-PROPYL-2-PYRROLIDINYL)CARBONYL)AMINO)-1-THIO-,(2S-TRANS)-, MONOHYDROCHLORIDE
Common Name English
CLINDAMYCIN HYDROCHLORIDE [VANDF]
Common Name English
CLINSOL
Brand Name English
CLINTABS
Brand Name English
CLINDAMYCIN HYDROCHLORIDE [USP MONOGRAPH]
Common Name English
CLINDAMYCIN HYDROCHLORIDE [ORANGE BOOK]
Common Name English
CLINDAMYCIN HYDROCHLORIDE [MI]
Common Name English
CLINDAMYCIN HYDROCHLORIDE [EP MONOGRAPH]
Common Name English
CLINDAMYCIN HYDROCHLORIDE [MART.]
Common Name English
CLINDAMYCIN HYDROCHLORIDE [JAN]
Common Name English
CLINDAMYCIN (AS HYDROCHLORIDE)
Common Name English
CLINDAMYCIN HYDROCHLORIDE ANHYDROUS
Common Name English
METHYL 7-CHLORO-6,7,8-TRIDEOXY-6-(1-METHYL-TRANS-4-PROPYL-L-2-PYRROLIDINECARBOXAMIDO)-1-THIO-L-THREO-.ALPHA.-D-GALACTO-OCTOPYRANOSIDE MONOHYDROCHLORIDE
Common Name English
Clindamycin hydrochloride [WHO-DD]
Common Name English
Classification Tree Code System Code
FDA ORPHAN DRUG 213405
Created by admin on Fri Dec 15 15:04:50 GMT 2023 , Edited by admin on Fri Dec 15 15:04:50 GMT 2023
NCI_THESAURUS C82922
Created by admin on Fri Dec 15 15:04:50 GMT 2023 , Edited by admin on Fri Dec 15 15:04:50 GMT 2023
Code System Code Type Description
CAS
21462-39-5
Created by admin on Fri Dec 15 15:04:50 GMT 2023 , Edited by admin on Fri Dec 15 15:04:50 GMT 2023
PRIMARY
NCI_THESAURUS
C47977
Created by admin on Fri Dec 15 15:04:50 GMT 2023 , Edited by admin on Fri Dec 15 15:04:50 GMT 2023
PRIMARY
EVMPD
SUB127118
Created by admin on Fri Dec 15 15:04:50 GMT 2023 , Edited by admin on Fri Dec 15 15:04:50 GMT 2023
PRIMARY
PUBCHEM
16051951
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PRIMARY
RS_ITEM_NUM
1136002
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PRIMARY
FDA UNII
T20OQ1YN1W
Created by admin on Fri Dec 15 15:04:50 GMT 2023 , Edited by admin on Fri Dec 15 15:04:50 GMT 2023
PRIMARY
ChEMBL
CHEMBL1753
Created by admin on Fri Dec 15 15:04:50 GMT 2023 , Edited by admin on Fri Dec 15 15:04:50 GMT 2023
PRIMARY
NSC
756696
Created by admin on Fri Dec 15 15:04:50 GMT 2023 , Edited by admin on Fri Dec 15 15:04:50 GMT 2023
PRIMARY
ECHA (EC/EINECS)
244-398-6
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PRIMARY
RXCUI
81982
Created by admin on Fri Dec 15 15:04:50 GMT 2023 , Edited by admin on Fri Dec 15 15:04:50 GMT 2023
PRIMARY RxNorm
DAILYMED
T20OQ1YN1W
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PRIMARY
SMS_ID
100000090552
Created by admin on Fri Dec 15 15:04:50 GMT 2023 , Edited by admin on Fri Dec 15 15:04:50 GMT 2023
PRIMARY
EVMPD
SUB01342MIG
Created by admin on Fri Dec 15 15:04:50 GMT 2023 , Edited by admin on Fri Dec 15 15:04:50 GMT 2023
PRIMARY
MERCK INDEX
m3624
Created by admin on Fri Dec 15 15:04:50 GMT 2023 , Edited by admin on Fri Dec 15 15:04:50 GMT 2023
PRIMARY Merck Index
DRUG BANK
DBSALT001163
Created by admin on Fri Dec 15 15:04:50 GMT 2023 , Edited by admin on Fri Dec 15 15:04:50 GMT 2023
PRIMARY
EPA CompTox
DTXSID4045428
Created by admin on Fri Dec 15 15:04:50 GMT 2023 , Edited by admin on Fri Dec 15 15:04:50 GMT 2023
PRIMARY