Clindamycin

Pregnancy & gynaecology-specific. Every dose row is source-referenced; verify against institutional protocols.

ClindamycinEMERGENCY KITAntibiotics

Regimens checked: 2026-10-17. Each indication has its own preparation, limits and safety checks.

Clindamycin: indication-specific regimens
Indication	Dose	Route	Frequency	Duration / preparation	Maximum	Monitoring / cautions
Postpartum endometritis, in combination with gentamicin when appropriate Ministry of Health Malaysiachecked	900 mg	IV infusion	Every 8 hours	Continue until clinical improvement and afebrile for 24–48 h in the cited NAG regimen; persistent fever needs source reassessment · 150 mg/mL concentrate: 900 mg =6 mL; dilute in compatible IV fluid and infuse over at least 30 min (not IV push)	2700 mg/day in this regimen	Monitor Temperature, uterine tenderness, renal function/gentamicin levels for the partner drug; diarrhoea/C. difficile risk Contraindications / cautions Clindamycin allergy; previous severe antibiotic-associated colitis requires assessment
Symptomatic bacterial vaginosis when an oral alternative is appropriate CDC · 2021 STI guidelinechecked	300 mg	Oral	Twice daily	7 days · 300 mg capsule or two 150 mg capsules per dose; swallow with a full glass of water Do not shorten this CDC pregnancy BV course to five days.	600 mg/day in this BV regimen, separate from 900 mg IV emergency dosing	Monitor Symptom response, intolerance and severe/persistent diarrhoea suggestive of C. difficile Contraindications / cautions Clindamycin/lincomycin allergy; previous antibiotic-associated colitis needs careful assessment

Pregnancy safety

Use for an indicated infection with appropriate combination therapy.

Lactation

Acute maternal stabilisation takes priority; review ongoing treatment and infant exposure with the linked source and specialist team.