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How long does clindamycin take to work?

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OverviewWhen will I see results?Dosage durationAlternativesSummary
Medically reviewed by Andrew Perugini, PharmD
Written by Rashida Ruwa, RN
Updated on

Key takeaways

  • Clindamycin is an antibiotic that doctors commonly prescribe for bacterial infections. It begins working immediately, and you may notice symptom relief within a few days. The exact timeframe varies depending on your condition.
  • The duration of clindamycin treatment depends on the type of infection and the medication form, ranging from a few days for tooth and skin infections to several weeks for acne.
  • If symptoms don’t reduce within a few days or if they worsen, consult a doctor. They may adjust the dosage, prescribe a different antibiotic, or check for viral or fungal infections, as clindamycin is only effective against bacteria.

Overview

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Clindamycin is an antibiotic that doctors often prescribe for bacterial infections, including those of the skin and teeth, and certain respiratory conditions. It’s available in brand-name and generic forms and requires a prescription.

Clindamycin starts working immediately, and you can notice relief within 2 to 3 days. However, this may vary depending on the condition being treated.

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How long does it take to see results with clindamycin?

Clindamycin (Cleocin) starts working right away, typically within 1 hour of taking it. But you won’t notice any relief in symptoms until later, when the drug has had more time to take effect in your body. You may start to notice relief from your symptoms within 2 to 3 days.

Doctors prescribe clindamycin for various conditions, including:

  • Acne: Use clindamycin consistently to see results with acne. You may see visible results in a few weeks. But it may take up to 12 weeks to notice significant changes if you have moderate to severe acne. Signs that clindamycin is working include fewer breakouts and reduced inflammation.
  • Tooth infections: Doctors often prescribe clindamycin for tooth infections when other antibiotics like penicillin are not effective. You may start feeling relief within 2 to 3 days, though it may take several days to fully recover from a tooth infection. Signs that clindamycin is working include less pain, swelling, and easier chewing without discomfort.
  • Bacterial vaginosis: Doctors often prescribe clindamycin to treat bacterial vaginosis, especially if medications like metronidazole aren’t working. You may notice a relief in symptoms like odor and discharge within a few days. For bacterial vaginosis, you will typically use clindamycin for about 7 days.
  • Skin and soft tissue infections: For skin and soft tissue infections, antibiotics like clindamycin usually show results within 5 days. However, treatment with clindamycin may need an extension if you don’t notice any relief. You can tell it’s working if you notice less swelling, pain, reduction in redness, or other color changes around the infected area.
  • Respiratory tract infections: You’ll typically experience relief in your respiratory symptoms within a few days of taking clindamycin. Signs that it’s working include ease of breathing, less cough, fever, and congestion.

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How long do you need to take clindamycin?

Clindamycin is available in various forms, including:

  • oral capsules
  • oral solution
  • topical solution
  • gels
  • lotions
  • foams
  • intravenous (IV) formulations
  • vaginal suppositories

The time you will need to take clindamycin depends on the type of infection you have and the form of the drug you’re using.

  • Tooth infections: For tooth infections like a dental abscess, the usual dose of clindamycin is 300 milligrams (mg) 4 times daily for 5 days.
  • Skin and soft tissue infections: For treating bacterial skin infections like cellulitis, the typical dose is 300 to 450 mg every 6 to 8 hours for 5 days.
  • Acne: The treatment length of clindamycin for acne may vary, but it will likely be a long-term treatment than for other indications. Many studies research its effects over a treatment course of 12 weeks.
  • Respiratory infections: The typical dose of clindamycin for serious infections in adults is 150 to 300 mg every 6 hours, depending on the severity of the infection and your body’s response to the treatment.
  • Bacterial vaginosis: Doctors often prescribe clindamycin in the form of a vaginal cream or an oral capsule for bacterial vaginosis. The oral dose is 300 mg, taken twice daily for 7 days. 

How long does clindamycin stay in your system?

Clindamycin has a half-life of about 2.4 hours, which means half of the drug passes out of your body after every 2.4 hours. It usually takes about 5 to 6 half-lives to remove a drug entirely from your body. Therefore, clindamycin remains in your system for approximately 12 to 15 hours after the last dose.

What if it doesn‘t work?

If your doctor prescribes clindamycin for a bacterial infection, you’ll typically start to see your symptoms ease within 2 to 3 days.

If you don’t see any relief within 3 days, or if your symptoms worsen, check with your doctor to know about changes in your treatment plan. 

Your doctor may check the cause of the infection, whether it is bacterial or not, since clindamycin won’t work for viral or fungal infections. They may also check whether the bacteria are resistant to clindamycin. Depending on your diagnosis, your doctor might adjust your dose or prescribe another antibiotic. 

For bacterial infections that don’t get better with clindamycin use, doctors may consider other antibiotics such as:

Summary

Clindamycin works differently depending on the infection it treats. While tooth infection symptoms may ease within 2 to 3 days, acne typically requires long-term use. 

Always follow your doctor’s instructions and complete the full prescribed dose to prevent bacterial resistance. For symptoms that get worse or don’t go away, talk with your doctor about possible alternatives.

Download the free Optum Perks Discount Card to save up to 80% on many prescription medications. Plus, you can now get them delivered to your home in as little as 3 days. Search for your medication here.

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