Drug/Small Molecule:
clindamycin

2D structure

Overview

Generic Names: Clindamicina [INN-Spanish]; Clindamycin Hcl; Clindamycin Hydrochloride; Clindamycin Phosphate; Clindamycine [French]; Clindamycine [INN-French]; Clindamycinum [INN-Latin]; clindamycin
Trade Names: Chlolincocin; Cleocin; Cleocin Hcl; Cleocin Pediatric; Cleocin Phosphate; Cleocin T; Cleocin T Gel; Cleocin T Lotion; Cleocin T Topical Solution; Clinda-Derm; Clindagel; Clindesse; Clindets; Clinimycin; Dalacin; Dalacin C; Dalacin C Flavored Granules; Dalacin C Phosphate; Dalacin T Topical Solution; Evoclin; ResiDerm A; Sobelin; Zindaclin
PharmGKB Accession Id: PA449035

Description

An antibacterial agent that is a semisynthetic analog of lincomycin. PubChem (source: Drug Bank)

Indication

For the treatment of serious infections caused by susceptible anaerobic bacteria (anaerobes, streptococci, pneumococci, and staphylococci) (source: Drug Bank)

ATC Therapeutic Categories

  • D10AF:Antiinfectives for treatment of acne
  • G01AA:Antibiotics
  • J01FF:Lincosamides

Pharmacology, Interactions, and Contraindications

Mechanism Of Action

Systemic/Vaginal-Clindamycin inhibits protein synthesis of bacteria by binding to the 50 S ribosomal subunits of the bacteria. Topical-Clindamycin reduces free fatty acid concentrations on the skin and to suppress the growth of Propionibacterium acnes (Corynebacterium acnes) , an anaerobe found in sebaceous glands and follicles. (source: Drug Bank)

Pharmacology

Clindamycin is an antibiotic, similar to and a derivative of lincomycin. Clindamycin can be used in topical or systemic treatment. It is effective as an anti-anaerobic antibiotic and antiprotozoal. (source: Drug Bank)

Food Interactions

Take with food. (source: Drug Bank)

Absorption, Distribution, Metabolism, Elimination & Toxicity

Biotransformation

Hepatic (source: Drug Bank)

Protein Binding

92-94% (source: Drug Bank)

Absorption

Rapidly absorbed after oral administration. Absorption of an oral dose is virtually complete (90%), and the concomitant administration of food does not appreciably modify the serum concentrations; serum levels have been uniform and predictable from person to person and dose to dose. (source: Drug Bank)

Toxicity

Orally and parenterally administered clindamycin has been associated with severe colitis (pseudomembranous colitis) which may result in patient death. Use of the topical formulation of clindamycin results in absorption of the antibiotic from the skin surface. Diarrhea, bloody diarrhea, and colitis (including pseudomembranous colitis) have been reported with the use of topical and systemic clindamycin. (source: Drug Bank)

Isomeric SMILES Code:

CCC[C@@H]1C[C@H](N(C1)C)C(=O)N[C@@H]([C@@H]2[C@@H]([C@@H]([C@H]([C@H](O2)SC)O)O)O)[C@H](C)Cl (source: Drug Bank)

The following genes are in curated knowledge about this drug.

  Gene Relationship Evidence
Phenotype data available Genotype Data Available Literature annotations available Not annotated
CYP3A
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Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
CYP3A4
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  • PK
  • FA
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Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
CYP3A5
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  • PK
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Publications
Phenotype data available Genotype Data Available Literature annotations available Has annotations
NR1I2
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  • FA
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Publications

A list of non-curated publications that mention this drug along with other genes is available.

A list of non-curated publications that mention this drug along with other drugs is available.

Drug Interactions

Drug Description
cyclosporine Uncurated Annotation Decreases the effect of cyclosporine (source: Drug Bank)
kaolin Uncurated Annotation The aluminium salt decreases the absorption of lincosamides (source: Drug Bank)
mivacurium Uncurated Annotation The agent increases the effect of muscle relaxant (source: Drug Bank)
pancuronium Uncurated Annotation The agent increases the effect of muscle relaxant (source: Drug Bank)
succinylcholine Uncurated Annotation The agent increases the effect of muscle relaxant (source: Drug Bank)
tubocurarine Uncurated Annotation The agent increases the effect of muscle relaxant (source: Drug Bank)

LinkOuts

Web Resource:
Wikipedia
DrugBank:
DB01190
ChEBI ID:
3745
KEGG Compound ID:
C06914
KEGG Drug ID:
D00277
PubChem Compound ID:
29029
PubChem Substance ID:
171415

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