Crema di Clindamicina per vaginosi batterica
Dalacin
Revisione paritaria di Sid DajaniUltimo aggiornamento di Michael Stewart, MRPharmSUltimo aggiornamento 18 maggio 2023
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Clindamycin cream is used to treat bacterial vaginosis.
Use one applicatorful at bedtime. It is usual for a course of treatment to last 3-7 nights.
The most common side-effect is mild itching/irritation.
A colpo d'occhio
Clindamycin cream treats bacterial vaginosis, a common bacterial infection causing vaginal discharge.
It is applied into the vagina using an applicator, usually for 3-7 nights at bedtime.
Always finish the full course of treatment, even if symptoms improve.
Avoid sexual intercourse during treatment, as the cream can damage condoms and diaphragms.
Common side effects include irritation, itching, and diarrhoea.
Tell your doctor if you are pregnant, breastfeeding, or have bowel problems before using this cream.
About clindamycin cream
Tipo di medicinale | An antibiotic cream |
Utilizzato per | Treatment of bacterial vaginosis |
Chiamato anche | Dalacin® |
Disponibile come | Cream to use in the vagina |
Vaginosi batterica is a common condition. It is a bacterial infection of the vagina and is caused by an overgrowth of normal bacteria. The main symptom is a vaginal discharge, often with a noticeable fishy smell. The infection may clear without treatment, or it can be treated with an antibiotic cream such as clindamycin. Clindamycin cream is applied into the vagina using an applicator.
Clindamycin is a medicine which is also available as a skin preparation for the treatment of acne, and as capsules to take by mouth to treat serious infections. There are two separate medicine leaflets available which provide more information about these uses of clindamycin, called Preparazioni cutanee di clindamicina per l'acne e Capsule di clindamicina per infezione.
Before using clindamycin cream
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start using clindamycin cream, it is important that your doctor knows:
If you are pregnant or breastfeeding. (Although clindamycin is not known to be harmful to a baby, it is still important that you tell your doctor if you are expecting or breastfeeding a baby.)
If you have any bowel problems which cause you to have diarrhoea.
If you have ever had an allergic reaction to a medicine or a skin preparation.
If you are taking any other medicines. This includes medicines you have bought without a prescription, as well as herbal and complementary medicines.
How to use clindamycin cream
Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. The manufacturer's leaflet will give you more information about clindamycin, and it will also explain how to use the cream and applicator.
Use clindamycin cream exactly as your doctor tells you to. It is for use in the vagina only.
Use one applicatorful (approximately 5 grams) of cream in the vagina at bedtime. Your doctor will tell you how many days you should use the cream for - a course of treatment usually lasts for 3-7 consecutive days.
If you forget to use the cream, use it as soon as you remember. If you do not remember until the following day, use the cream as normal for your next dose (do not 'double up' the amount of cream you use). Use the cream for the correct number of days in total.
How to fill the applicator and use the cream
Remove the cap from the tube of cream.
Attach one of the disposable applicators to the tube of cream (the applicator will screw on to the tube).
Squeeze the tube of cream gently to fill the applicator. When the plunger on the applicator stops moving, the applicator is full.
Unscrew the applicator from the tube, and replace the cap on to the tube.
Lie on your back and insert the applicator into your vagina. Insert it as far as is comfortable for you.
Gently push on the plunger of the applicator to empty the cream into your vagina. Then remove the applicator and throw it away (it can be wrapped in toilet paper and disposed of in a waste bin).
Wash your hands afterwards.
Ottenere il massimo dal tuo trattamento
Even if you feel your infection has cleared up, keep using the cream until the course is finished (unless you are told to stop by your doctor). This is to prevent the infection from coming back.
Sexual intercourse during treatment for a vaginal infection is not recommended. Also, clindamycin cream can cause damage to condoms and caps (diaphragms), so you should not rely on these for contraception during treatment or for three days after using the cream.
Some women develop thrush (redness and itching around the vagina) after a course of antibiotics. If you think you have thrush, speak with your doctor or pharmacist for advice.
Can clindamycin cream cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with clindamycin when used in the vagina. You will find a full list in the manufacturer's information leaflet supplied with your cream. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Very common clindamycin cream side-effects (these affect more than 1 in 10 people) | Cosa posso fare se sperimento questo? |
Irritation and itching | This should improve as your infection is treated and you get used to the cream |
Common clindamycin cream side-effects (these affect fewer than 1 in 10 people) | Cosa posso fare se sperimento questo? |
Diarrea | If this happens and it is severe, contact your doctor for further advice before you apply any more of the cream |
Tummy (abdominal) cramps | Try using heat pads or a hot water bottle to ease any discomfort |
Vaginal thrush, vaginal discharge | If you think you have another type of fungal or bacterial infection, let your doctor know |
Se si verificano altri sintomi che si pensa possano essere causati dalla crema, consultare il medico o il farmacista per ulteriori consigli.
How to store clindamycin cream
Tenere tutti i medicinali fuori dalla portata e dalla vista dei bambini.
Conservare in un luogo fresco e asciutto, lontano da fonti di calore e luce diretta.
Informazioni importanti su tutti i medicinali
Informazioni importanti su tutti i medicinali
Never use more than the prescribed dose. If you suspect that you or someone else might have swallowed some of this cream by accident, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.
Questo medicinale è per te. Non darlo mai ad altre persone, anche se la loro condizione sembra essere la stessa della tua.
Se acquisti dei medicinali, verifica con un farmacista che siano adatti da assumere insieme agli altri tuoi medicinali.
If you are having an operation or any dental treatment, tell the person carrying out the treatment which medicines you are using.
Non conservare medicinali scaduti o indesiderati. Portali alla tua farmacia locale che li smaltirà per te.
Se hai domande su questo medicinale, chiedi al tuo farmacista.
Segnala effetti collaterali di un medicinale o vaccino
Se si verificano effetti collaterali, è possibile segnalarli online tramite il Sito web Yellow Card.

Non sei sicuro di mescolare i medicinali?
Controlla le possibili interazioni tra farmaci, integratori e alimenti prima di assumerli insieme.
Domande frequenti
Can I have sex during treatment with clindamycin cream?
No, sexual intercourse is not recommended while you are being treated for a vaginal infection with clindamycin cream. Additionally, the cream can damage condoms and diaphragms, making them unreliable for contraception during treatment and for three days after you finish using the cream.
What should I do if I accidentally swallow some clindamycin cream?
If you suspect that you or someone else has accidentally swallowed some of the cream, you should go to the accident and emergency department of your local hospital immediately. Remember to take the cream container with you, even if it is empty.
What should I do with leftover or expired clindamycin cream?
You should not keep out-of-date or unwanted medicines. Take any leftover or expired clindamycin cream to your local pharmacy, where they will dispose of it for you safely.
When should I apply clindamycin cream during the day?
You should apply one applicatorful of clindamycin cream into your vagina at bedtime. Your doctor will provide instructions on the exact number of days you need to continue the treatment, which typically lasts between 3 to 7 consecutive days.
Can using clindamycin cream cause a yeast infection?
Yes, some women may experience thrush (a yeast infection) after a course of antibiotics. If you develop redness and itching around the vagina and suspect you have thrush, you should speak with your doctor or pharmacist for advice.
Ulteriori letture e riferimenti
- Manufacturer's PIL, Dalacin® Cream 2%; Pfizer Limited, The electronic Medicines Compendium. Dated August 2022.
- Medicinali Completi BNF 89ª Edizione; Associazione Medica Britannica e Società Farmaceutica Reale di Gran Bretagna, Londra.
Informazioni sull'autoreVisualizza il profilo completo

Michael Stewart, MRPharmS
Responsabile Revisione Foglietti Illustrativi – Contrattista, Farmacista
BPharm (Hons), MRPharmS
Michael è un farmacista comunitario che esercita nelle Midlands e nel South Yorkshire con oltre 20 anni di esperienza nel consigliare su farmaci e condizioni mediche. Ha una solida esperienza nella formazione sanitaria, avendo prodotto e tenuto corsi di formazione per team di farmacia e personale di strutture di assistenza residenziale, inclusi infermieri. Ha anche contribuito a consigli consultivi farmaceutici per la gestione di condizioni a bassa gravità nella comunità.
Informazioni sul recensore

Sid Dajani
Sultan Dajani si è laureato alla London School of Pharmacy nel 1994 ed è diventato il più giovane membro eletto del consiglio della Royal Pharmaceutical Society dalla sua fondazione nel 1842.
Storia dell'articolo
Le informazioni su questa pagina sono scritte e revisionate da clinici qualificati.
Articolo disponibile anche in Inglese, Tedesco, Spagnolo, Francese, Italiano, Portoghese, Hindi, Ebraico, Arabo, and Svedese.
Prossima revisione prevista: 17 Nov 2027
18 maggio 2023 | Ultima versione

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