Our Services
Medical Information
Helpful Resources
Published on: 9/24/2026
Clindamycin most often causes digestive side effects such as nausea, vomiting, diarrhea, stomach pain, and an unpleasant or metallic taste, while topical and vaginal forms may bring dryness, peeling, itching, or burning at the site of use. Less common but serious reactions include severe or watery diarrhea linked to C. difficile infection, which can begin even weeks after the final dose, as well as rash, hives, yellowing of the skin or eyes, and trouble breathing. Risk varies based on dose, formulation, length of treatment, and personal health history, so several factors matter here. See below to understand which effects are usually mild, which ones signal a medical emergency, and when to contact a clinician. Because it can be hard to tell a routine reaction from a warning sign, taking a free, instant online symptom check gives you a quick, private way to organize what you are feeling and clarify your next steps before symptoms escalate.
Last reviewed for medical accuracy: 09/24/2026
Clindamycin is a prescription antibiotic that fights bacterial infections. It works by stopping the growth of certain bacteria. Your doctor may prescribe it for:
Clindamycin comes in various forms—capsules, liquid, creams, and gels. Your doctor will choose the right formulation and dose based on your infection type and severity.
Like all medications, clindamycin can cause side effects. Most people tolerate it well, but it’s important to know what to expect.
These effects happen because clindamycin alters the normal balance of bacteria in your gut. Drinking plenty of water and eating small, frequent meals can help ease mild stomach upset.
If you notice any rash, stop taking the medication and contact your doctor. Even a mild rash can be an early sign of a more serious reaction.
When using clindamycin gel or lotion, apply a thin layer to clean, dry skin. Avoid contact with eyes, lips, and open wounds.
Most of these side effects are mild and go away on their own as your body adjusts to the medication.
While rare, clindamycin can cause severe reactions. Watch for any of these and seek medical help immediately:
These may signal life-threatening complications. If you experience any of them, call your doctor or go to the nearest emergency department.
Most mild side effects can be managed at home:
If side effects persist for more than a few days or become bothersome, talk to your healthcare provider. They may adjust your dose or switch you to a different antibiotic.
Any new or worsening symptom should prompt you to check in with a healthcare professional. You might consider doing a free, online symptom check, using the doctor approved Ubie Symptom Checker. This tool can help you decide if you need urgent care or can wait to see your regular doctor.
Always let your doctor know:
This information helps your provider choose the safest and most effective treatment for you.
This overview is meant to inform and does not replace professional medical advice. If you experience any life-threatening or serious symptoms, speak to a doctor immediately.
(References)
* Soper DE. Clindamycin. Obstet Gynecol Clin North Am. 1992 Sep;19(3):483-96. PMID: 1436926.
* Elmore M, Rissing JP, Rink L, Brooks GF. Clindamycin-associated hepatotoxicity. Am J Med. 1974 Oct;57(4):627-30. doi: 10.1016/0002-9343(74)90015-1. PMID: 4432865.
* Pickering LK, Feigin RD. Stevens-Johnson syndrome. JAMA. 1973 Mar 19;223(12):1392. PMID: 4739414.
* Kandula S, Burke WS, Goldfarb JN. Clindamycin-induced Sweet syndrome. J Am Acad Dermatol. 2010 May;62(5):898-900. doi: 10.1016/j.jaad.2009.03.050. PMID: 20398826.
* Mackeen AD, Packard RE, Ota E, Speer L. Antibiotic regimens for postpartum endometritis. Cochrane Database Syst Rev. 2015 Feb 2;2015(2):CD001067. doi: 10.1002/14651858.CD001067.pub3. Epub 2015 Feb 2. PMID: 25922861; PMCID: PMC7050613.
* Bulloch MN, Baccas JT, Arnold S. Clindamycin-induced hypersensitivity reaction. Infection. 2016 Jun;44(3):357-9. doi: 10.1007/s15010-015-0826-2. Epub 2015 Jul 28. PMID: 26216470.
* Blumenthal KG, Ryan EE, Li Y, Lee H, Kuhlen JL, Shenoy ES. The Impact of a Reported Penicillin Allergy on Surgical Site Infection Risk. Clin Infect Dis. 2018 Jan 18;66(3):329-336. doi: 10.1093/cid/cix794. PMID: 29361015; PMCID: PMC5850334.
* Schrumpf E, Rizvi SMH. [Pustular drug eruption]. Tidsskr Nor Laegeforen. 2018 Nov 13;138(18). doi: 10.4045/tidsskr.18.0333. Epub 2018 Nov 5. PMID: 30421738.
* Dilley M, Geng B. Immediate and Delayed Hypersensitivity Reactions to Antibiotics: Aminoglycosides, Clindamycin, Linezolid, and Metronidazole. Clin Rev Allergy Immunol. 2022 Jun;62(3):463-475. doi: 10.1007/s12016-021-08878-x. Epub 2021 Dec 15. PMID: 34910281; PMCID: PMC9156451.
* Scolari M, Trovato D, Kot L, Ernst G. [Adverse drug reactions to multiple antibiotics]. Medicina (B Aires). 2023;83(1):158-162. PMID: 36774615.
We would love to help them too.
For First Time Users
We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.
Was this page helpful?
Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.