What is Clz?
Clz belongs to the family of medicines called antibiotics.
Topical Clz is used to help control acne. It may be used alone or with one or more other medicines that are used on the skin or taken by mouth for acne.
Topical Clz may also be used for other problems as determined by your doctor.
Clz is available only with your doctor's prescription.
Clz indications
Clz Pediatric (Clz palmitate HCl) is indicated in the treatment of serious infections caused by susceptible anaerobic bacteria.
Clz 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 colitis, as described in the WARNING box, before selecting Clz the physician should consider the nature of the infection and the suitability of less toxic alternatives (e.g., erythromycin).
Anaerobes: Serious respiratory tract infections such as empyema, anaerobic pneumonitis and lung abscess; serious skin and soft tissue infections; septicemia; intra-abdominal infections such as peritonitis and intra-abdominal abscess (typically resulting from anaerobic organisms resident in the normal gastrointestinal tract); infections of the female pelvis and genital tract such as endometritis, nongonococcal tubo-ovarian abscess, pelvic cellulitis and postsurgical vaginal cuff infection.
Streptococci: Serious respiratory tract infections; serious skin and soft tissue infections.
Staphylococci: Serious respiratory tract infections; serious skin and soft tissue infections.
Pneumococci: Serious respiratory tract infections.
Bacteriologic studies should be performed to determine the causative organisms and their susceptibility to Clz.
In Vitro Susceptibility Testing
A standardized disk testing procedure2 is recommended for determining susceptibility of aerobic bacteria to Clz. A description is contained in the Clz® Susceptibility Disk (Clz) insert. Using this method, the laboratory can designate isolates as resistant, intermediate, or susceptible. Tube or agar dilution methods may be used for both anaerobic and aerobic bacteria. When the directions in the Clz® Susceptibility Powder insert are followed, an MIC (minimal inhibitory concentration) of 1.6 mcg/mL may be considered susceptible; MICs of 1.6 to 4.8 mcg/mL may be considered intermediate and MICs greater than 4.8 mcg/mL may be considered resistant.
Clz Susceptibility Disks 2 mcg. See package insert for use.
Clz Susceptibility Powder 20 mg. See package insert for use.
For anaerobic bacteria the minimal inhibitory concentration (MIC) of Clz can be determined by agar dilution and broth dilution (including microdilution) techniques. If MICs are not determined routinely, the disk broth method is recommended for routine use. THE KIRBY-BAUER DISK DIFFUSION METHOD AND ITS INTERPRETIVE STANDARDS ARE NOT RECOMMENDED FOR ANAEROBES.
To reduce the development of drug-resistant bacteria and maintain the effectiveness of Clz Pediatric and other antibacterial drugs, Clz Pediatric 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.
How should I use Clz?
Use Clz suppositories as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Clz suppositories comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Clz suppositories refilled.
- Do not use this product if the foil pouch that contains Clindamycin suppositories is torn, open, or not sealed all the way.
- Insert into vagina at bedtime for 3 consecutive days.
- Once inside the vagina, Clz suppositories melts. Lie down as soon as possible to minimize leakage.
- Clz suppositories works best if it is used at the same time each day.
- To clear up your infection completely, use Clz suppositories for the full course of treatment. Keep using it even if you feel better in a few days.
- If you miss a dose of Clz suppositories and you are using it regularly, use it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not use 2 doses at once. If more than one dose is missed, contact your doctor or pharmacist.
Ask your health care provider any questions you may have about how to use Clz suppositories.
Uses of Clz in details
Use: Labeled Indications
Bone and joint infections: Treatment of 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 caused by susceptible organisms.
Gynecological infections: Treatment of gynecologic infections, including endometritis, nongonococcal tubo-ovarian abscess, pelvic cellulitis, and postsurgical vaginal cuff infection caused by susceptible anaerobes.
Intraabdominal infections: Treatment of intraabdominal infections, including peritonitis and intraabdominal abscess caused by susceptible anaerobic organisms.
Lower respiratory tract infections: Treatment of lower respiratory tract infections, including pneumonia, empyema, and lung abscess caused by susceptible anaerobes, Streptococcus pneumoniae, other streptococci (except Enterococcus faecalis), and S. aureus.
Septicemia: Treatment of septicemia caused by S. aureus, streptococci (except E. faecalis), and susceptible anaerobes.
Skin and soft tissue infection: Treatment of skin and soft tissue infection caused by Streptococcus pyogenes, S. aureus, and susceptible anaerobes.
Off Label Uses
Anthrax
Based on the Centers for Disease Control and Prevention (CDC) expert panel meetings on prevention and treatment of anthrax in adults, Clz is an effective and acceptable alternative for postexposure prophylaxis or treatment of cutaneous anthrax; it is also a first-line option, in combination with other antimicrobials, for the treatment of systemic anthrax. Alternative regimens have also been suggested for other patient populations with anthrax, including injectable drug users who develop injectional anthrax.
Streptococcal (group A) pharyngitis and chronic carriage
Based on the IDSA guidelines for the diagnosis and management of group A streptococcal pharyngitis, Clz is an effective and recommended alternative agent for the treatment of streptococcal pharyngitis and an option for treatment of chronic group A streptococcal carriage.
Surgical prophylaxis
Based on the American Society of Health-System Pharmacists (ASHP) clinical practice guidelines for antimicrobial prophylaxis in surgery, Clz, given as an alternative antibiotic in patients with beta-lactam allergy requiring surgical prophylaxis, is effective and recommended for a number of surgical procedures.
Toxoplasma gondii encephalitis and pneumonitis (treatment/long-term maintenance)
Based on the US Department of Health and Human Services guidelines for the prevention and treatment of opportunistic infections in HIV-infected adults and adolescents and the American Society of Transplantation Infectious Diseases Community of Practice guidelines on parasitic infections in solid organ transplantation, Clz (with pyrimethamine and leucovorin) is an effective and recommended alternative regimen for the treatment and long-term maintenance therapy of Toxoplasma gondii encephalitis and pneumonitis.
Clz description
Clz is a semisynthetic antibiotic produced by a 7(S)-chloro-substitution of the 7(R)-hydroxyl group of the parent compound lincomycin.
Clz phosphate is a water soluble ester of Clz and phosphoric acid.
Clz phosphate is L-threo-α-D-galacto-Octopyranoside, methyl 7-chloro-6, 7, 8-trideoxy-6-[[(1-methyl-4-propyl-2-pyrrolidinyl)carbonyl] amino]-1-thio-, 2-(dihydrogen phosphate), (2S-trans)-.
The molecular formula is C18H34CIN2O8PS and the molecular weight is 504.96.
Clz hydrochloride is the hydrated hydrochloride salt of Clz. Clz hydrochloride is Methyl 7-chloro-6, 7, 8-trideoxy-6-(1-methyl-trans-4-propyl-L-2-pyrrolidinecarboxamido)-1-thio-L-threo-α-D-galacto-octopyranoside monohydrochloride.
Clz palmitate hydrochloride is a water soluble salt of ester of Clz and palmitic acid. Clz palmitate hydrochloride is Methyl 7-chloro-6, 7, 8-trideoxy-6-(1-methyl-trans-4-propyl-L-2-pyrrolidinecarboxamido)-1-thio-L-threo-α-D-galacto-octopyranoside 2-palmitate monohydrochloride.
Clz dosage
Clz Dosage
Generic name: Clz PHOSPHATE 10mg in 1g
Dosage form: aerosol, foam
The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.
Clz Foam is for topical use only, and not for oral, ophthalmic, or intravaginal use.
Apply Clz Foam once daily to affected areas after the skin is washed with mild soap and allowed to fully dry. Use enough to cover the entire affected area.
If there has been no improvement after 6 to 8 weeks or if the condition becomes worse, treatment should be discontinued.
The contents of Clz Foam are flammable; avoid fire, flame and/or smoking during and immediately following application.
More about Clz (Clz topical)
- Side Effects
- During Pregnancy or Breastfeeding
- Dosage Information
- Drug Interactions
- Support Group
- Pricing & Coupons
- 0 Reviews - Add your own review/rating
- Generic Availability
Consumer resources
- Clz
- Clz foam
- Clz
Topical (Advanced Reading)
- Other brands: Clz T, Clindagel, Clz Vaginal, Clindesse, More (8) »
Professional resources
- Clz (FDA)
- Clz Phosphate topical (AHFS Monograph)
Related treatment guides
- Acne
- Perioral Dermatitis
Clz interactions
See also:
What other drugs will affect Clz?
With simultaneous use of Clz with theophylline, aminophylline, caffeine, there is an increase in their concentration in blood plasma and thus increases the risk of toxic effects.
Erythromycin increases the concentrations of cyclosporine in the blood plasma and may increase the risk of nephrotoxicity.
Drugs that block tubular secretion prolongs T1/2 of erythromycin.
Incompatible with lincomycin, Clz and chloramphenicol (antagonism).
Clz reduces the bactericidal action of beta-lactam antibiotics (penicillins, cephalosporins, carbapenems).
With simultaneous use of erythromycin increases the concentration of theophylline.
At the same time receiving chemotherapy, which is carried metabolism in the liver (carbamazepine, valproic acid, hexobarbital, phenytoin, alfentanil, dizopiramid, lovastatin, bromocriptine), may increase the concentration of these drugs in plasma (an inhibitor of microsomal liver enzymes).
IV injection of erythromycin increases the effects of ethanol (accelerating gastric emptying and decrease the duration of alcohol dehydrogenase in the gastric mucosa).
Erythromycin reduces the clearance of triazolam and midazolam and therefore may increase the pharmacological effects of benzodiazepines.
At the same time taking with terfenadine or astemizole may develop arrhythmias (fibrillation and ventricular flutter, ventricular tachycardia, until death); with dihydroergotamine or non hydrated ergot alkaloids may vasoconstriction to spasm, dysesthesia.
With simultaneous application Clz slows elimination (increases the effect) of methylprednisolone, felodipine and anticoagulants of cumarine series.
In a joint appointment with lovastatin increased rhabdomyolysis.
Erythromycin increases the bioavailability of digoxin.
Erythromycin reduces the effectiveness of hormonal contraceptives.
Clz side effects
See also:
What are the possible side effects of Clz?
Clinical Trials Experience
Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice.
A total of 439 subjects with mild to moderate acne vulgaris were treated once daily for 12 weeks with Clz Foam.
The incidence of adverse reactions occurring in ≥1% of the subjects in clinical trials comparing Clz Foam and its vehicle is presented in Table 1.
Table 1: Adverse Reactions Occurring in ≥1% of Subjects
| Adverse Reactions | Number (%) of Subjects | |
| Clz Foam N = 439 | Vehicle Foam N = 154 | |
| Headache | 12 (3%) | 1 (1%) |
| Application site burning | 27 (6%) | 14 (9%) |
| Application site pruritus | 5 (1%) | 5 (3%) |
| Application site dryness | 4 (1%) | 5 (3%) |
| Application site reaction, not otherwise specified | 3 (1%) | 4 (3%) |
In a contact sensitization study, none of the 203 subjects developed evidence of allergic contact sensitization to Clz Foam.
Postmarketing Experience
The following adverse reactions have been identified during post approval use of Clz Foam: application site pain, application site erythema, diarrhea, urticaria, abdominal pain, hypersensitivity, rash, abdominal discomfort, nausea, seborrhea, application site rash, dizziness, pain of skin, colitis (including pseudomembranous colitis), and hemorrhagic diarrhea. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.
Abdominal pain and gastrointestinal disturbances, as well as gram-negative folliculitis, have also been reported in association with the use of topical formulations of Clz.
Orally and parenterally administered Clz have been associated with severe colitis, which may end fatally.
Clz contraindications
See also:
What is the most important information I should know about Clz?
You should not use this medication if you are allergic to Clz or lincomycin (Bactramycin, L-Mycin, Lincocin).
Do not take Clz together with erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole, and others).
Before using Clz, tell your doctor if you have kidney disease, liver disease, an intestinal disorder such as colitis or Crohn's disease, or a history of asthma, eczema, or allergic skin reaction.
Take this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics. Clz will not treat a viral infection such as the common cold or flu.
Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, stop taking Clz and call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.
To be sure this medication is not causing harmful effects, your blood may need to be tested often. Your kidney or liver function may also need to be tested. Visit your doctor regularly.
If you need surgery, tell the surgeon ahead of time that you are using Clz. You may need to stop using the medicine for a short time.
Active ingredient matches for Clz:
| Unit description / dosage (Manufacturer) | Price, USD |
| CLZ 300 mg Capsule | $ 0.27 |
List of Clz substitutes (brand and generic names): | |
| Clycin-V (Pakistan) | |
| Cobatin (Mexico) | |
| Comdasin (Indonesia) | |
| Comdasin 300 mg x 30's (Combiphar) | $ 17.48 |
| Comdasin Solution (Indonesia) | |
| Comdasin Solution 1 % x 30 mL | $ 3.41 |
| Croclin-A (India) | |
| Croclin-A Clindamycin phosphate 10 mg, adapalene 1 mg. T-GEL / 10g (Cronus) | $ 0.84 |
| CROCLIN-A topical gel 10g (Cronus) | $ 0.84 |
| Ctop (India) | |
| Ctop 1% w/w GEL / 20g (Intas Laboratories Pvt Ltd) | $ 0.51 |
| 1 % w/w x 20g (Intas Laboratories Pvt Ltd) | $ 0.51 |
| Ctop Skin 20 gm Gel (Intas Laboratories Pvt Ltd) | $ 0.51 |
| Ctop 100 mg Injection (Intas Laboratories Pvt Ltd) | $ 0.65 |
| CTOP 1% GEL 1 tube / 20 GM gel each (Intas Laboratories Pvt Ltd) | $ 0.24 |
| CTOP topical gel 1 % w/w x 20g (Intas Laboratories Pvt Ltd) | $ 0.51 |
| Ctop 1% Gel (Intas Laboratories Pvt Ltd) | $ 0.24 |
| Cutaclin (Costa Rica, Dominican Republic, El Salvador, Guatemala, Honduras, Mexico, Nicaragua, Panama, Peru) | |
| Gel; Topical; Clindamycin Phosphate 1% (Valeant) | |
| Cutaclin 1% (Costa Rica, Dominican Republic, El Salvador, Guatemala, Honduras, Nicaragua, Panama) | |
| D'Acne (India) | |
| D'Acne 1% w/w GEL / 10g (Glenmark (Gracewell)) | $ 0.95 |
| D'ACNE topical gel 1 % w/w x 10g (Glenmark (Gracewell)) | $ 0.95 |
| Da Fen Rong (China) | |
| Dacin-F (Thailand) | |
| Dacin-F 150 150 mg x 10 x 10's (Farmaline) | |
| Dacin-F 300 300 mg x 10 x 10's (Farmaline) | |
| Dacin-F 150 (Thailand) | |
| Dacin-F 300 (Thailand) | |
| Daclin Acne (Indonesia) | |
| Daclin Acne 1 % x 10 g x 1's | |
| Daclin-300 (Indonesia) | |
| Daclin-300 300 mg x 50's | $ 26.66 |
| Daklin (Vietnam) | |
| Daklin 150mg CAP / 100 (Synmedic) | |
| Daklin 300mg CAP / 100 (Synmedic) | |
| Daklin 150 mg x 1 Box (Synmedic) | |
| Daklin 300 mg x 1 Box (Synmedic) | |
| 150 mg x 100's (Synmedic) | |
| 300 mg x 100's (Synmedic) | |
| DAKLIN cap 150 mg x 100's (Synmedic) | |
| DAKLIN cap 300 mg x 100's (Synmedic) | |
| Dalacin (Austria, Belgium, Bulgaria, Canada, Chile, Croatia (Hrvatska), Czech Republic, Denmark, Estonia, Finland, Hungary, Iceland, Ireland, Israel, Japan, Latvia, Lithuania, Malaysia, Malta, Norway, Oman, Peru, Poland, Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, United Kingdom, Venezuela) | |
| Capsule; Oral; Clindamycin Hydrochloride 150 mg (Max Cure Drugs & Pharmaceuticals Ltd.) | |
| Capsule; Oral; Clindamycin Hydrochloride 300 mg (Max Cure Drugs & Pharmaceuticals Ltd.) | |
| Cream; Topical; Clindamycin Phosphate 2% (Max Cure Drugs & Pharmaceuticals Ltd.) | |
| Cream; Vaginal; Clindamycin Phosphate 2% (Max Cure Drugs & Pharmaceuticals Ltd.) | |
| Gel; Topical; Clindamycin Phosphate 1% (Max Cure Drugs & Pharmaceuticals Ltd.) | |
| Gel; Topical; Clindamycin Phosphate 2% (Max Cure Drugs & Pharmaceuticals Ltd.) | |
| Suppositories; Vaginal; Clindamycin Phosphate 100 mg (Max Cure Drugs & Pharmaceuticals Ltd.) | |
| Dalacin 150 mg x 100's (Max Cure Drugs & Pharmaceuticals Ltd.) | |
| Dalacin 300 mg x 16's (Max Cure Drugs & Pharmaceuticals Ltd.) | |
| Dalacin C 150 mg/1 mL x 2 mL (Max Cure Drugs & Pharmaceuticals Ltd.) | |
See 2128 substitutes for Clz | |
References
- PubChem. "clindamycin". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
- DrugBank. "clindamycin". http://www.drugbank.ca/drugs/DB01190 (accessed September 17, 2018).
- MeSH. "Protein Synthesis Inhibitors". https://www.ncbi.nlm.nih.gov/mesh/68... (accessed September 17, 2018).
Reviews
The results of a survey conducted on ndrugs.com for Clz are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Clz. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.User reports
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Information checked by Dr. Sachin Kumar, MD Pharmacology
