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Dalacin 2% Cream

Dalacin 2% Cream

Dalacin 2 is an antibiotic cream that is applied inside the vagina. It contains the active ingredient clindamycin phosphate, an antibiotic which fights bacterial infection by attacking the wall or coating surrounding the bacteria and stopping it from growing.  The strength of this antibiotic cream is 2% meaning it contains 20mg of clindamycin per gram of cream.  The cream is white and comes in a laminated tube containing either 7.8g, 20g or 40g of cream in a package along with disposable plastic applicators. 

Bacterial vaginosis is a common condition that often has little or no symptoms. The most common symptom is an unusual discharge with a strong, fishy smell, particularly after sex. It is caused by a change in the natural balance of bacteria in your vagina although why this happens is still unclear, it can be triggered by sex or be caused by using perfumed shower soap when washing or vaginal douching. Whilst bacterial vaginosis doesn’t cause you to itch or suffer any pain, it can have more serious consequences so it’s important to get it treated if you think you have it. You can get treatment for bacterial vaginosis at a sexual health clinic, which is usually in the form of an antibiotic pill, cream or gel, you will usually need medication more than once as bacterial vaginosis commonly re-occurs after 3 months. 

What is Dalacin 2 Cream? 

Dalacin 2 is an antibiotic cream that is applied inside the vagina. It contains the active ingredient clindamycin phosphate, an antibiotic which fights bacterial infection by attacking the wall or coating surrounding the bacteria and stopping it from growing. 

The strength of this antibiotic cream is 2% meaning it contains 20mg of clindamycin per gram of cream. 

The cream is white and comes in a laminated tube containing either 7.8g, 20g or 40g of cream in a package along with disposable plastic applicators. 

When is Dalacin 2 Cream used? 

Dalacin cream is a vaginal cream, it is used inside the vagina to fight bacterial vaginosis a type of infection with the following symptoms: 

  • An unusual vaginal discharge; 
  • Discharge with a strong fishy smell; 
  • Changes in colour to your discharge (e.g. becoming grey/white). 

50% of women with bacterial vaginosis will have no symptoms. 

How do you use Dalacin 2 Cream? 

You should always use any medication exactly the way you are instructed to do so by your doctor or pharmacist. 

Dalacin 2 comes with an applicator which is used to apply the cream inside the vagina. To use: 

  • Wash your hands; 
  • Remove the cap from the tube; 
  • Take one of the disposable plastic applicators from the pack and screw it onto the tube at the top; 
  • Hold the tube at the bottom and gentle squeeze to force the cream into the applicator; 
  • The applicator is full when the plunger can move no further; 
  • Unscrew the applicator and replace the cap; 
  • Lie on your back and with a firm hold on the applicator barrel, gently place it into your vagina as far as is possible without being uncomfortable; 
  • Keep hold of the barrel as you slowly push the plunger until it stops and all the cream has been released; 
  • Withdraw the applicator carefully and wrap it in paper before throwing away;  
  • Do not flush it down the toilet; 
  • Wash your hands thoroughly. 

When using Dalacin cream follow the instructions below to help relieve symptoms and to prevent a recurrence. Bacterial vaginosis often returns after 3 months. 

  • Wash with water and plain soap; 
  • Try to shower instead of taking a bath; 
  • Don’t use perfumed soaps, bubble bath or shower gel in the bath; 
  • Don’t use antiseptic liquids in the bath; 
  • Don’t use strong detergent to wash your underwear; 
  • Don’t use vaginal deodorants, washes or douches; 
  • Don’t smoke. 

What dosages are there? 

Your doctor or pharmacist will instruct you on the right dose for you, you should always follow their guidance and check if you are unsure. The usual dose is: 

  • One full applicator of cream per day; 
  • Each applicator contains 5g of cream; 
  • Apply the cream inside the vagina at bedtime. 

While you may start to notice an improvement a few days into your treatment, you should continue with the treatment and complete the full course given to you to prevent the problem from coming back. 

If you forget to apply the cream when you are supposed to, apply it straight away. If it is nearly time for your next application then miss out the dose you forgot and carry on using the cream at the usual times. Never apply a double dose to make up for a forgotten one. 

It is common for bacterial vaginosis to come back once you have treated it, usually within 3 months. You will need to repeat the treatment for up to six months if you keep getting bacterial vaginosis. 

What are the side effects of Dalacin 2 Cream? 

As with all medication, Dalacin 2 comes with a warning of some side effects, not everyone who uses Dalacin 2 will experience them. 

Rare but serious side effects are: 

  • Severe, persistent or bloody diarrhoea along with possible stomach ache or fever) – this can be a sign of serious bowel inflammation; 
  • An allergic reaction or skin reaction, for example, hives or a measles-like rash. 

If you experience these serious side effects seek immediate medical assistance and stop using the cream. 

Very common side effects (affecting less than 1 in 10 people): 

  • Inflammation of the cervix. 

Common side effects (affecting less than 1 in every 10 people): 

Infection or inflammation of the vulva and vagina; 

  • Vaginal thrush; 
  • Stomach cramps; 
  • Itching; 
  • Vaginal disorder; 
  • Vaginal discomfort; 
  • Vaginal discharge. 

Uncommon side effects (affecting less than 1 in every 100 people): 

  • Vaginal infection; 
  • Urinary tract infection; 
  • Inflammation of the vagina; 
  • Yeast infection; 
  • Allergic reactions; 
  • Fungal infection; 
  • Dizziness; 
  • Headaches
  • Loss of balance; 
  • Nosebleed; 
  • Bad breath; 
  • Nausea; 
  • Vomiting; 
  • Diarrhea; 
  • Constipation; 
  • Stomach ache; 
  • Wind; 
  • Indigestion; 
  • Bad breath; 
  • Change in sense of taste; 
  • Rash; 
  • Reddening of the skin; 
  • Hives; 
  • Pain when peeing; 
  • Excess sugar in the urine; 
  • Protein in the urine; 
  • Pain in the vagina. 

The following side effects have also been noted, however, it is unknown how frequent they are due to lack of data: 

  • Overactive thyroid; 
  • Pain in a specific area on the stomach; 
  • Swelling the stomach; 
  • Back pain; 
  • Pelvic pain; 
  • Skin infection; 
  • Bacterial infection
  • Head and chest infection caused by a virus; 
  • Irregular periods; 
  • Abnormal bleeding from the uterus; 
  • Abnormal labour; 
  • Endometriosis; 
  • Swelling; 
  • Generalised pain; 
  • Inflammation of the lining of the large intestine. 

When shouldn’t you use Dalacin 2 Cream? 

Do not use Dalacin Cream if any of the following apply to you: 

  • You have a history of inflammatory bowel disease or colitis associated with taking antibiotics; 
  • You are allergic to clindamycin, lincomycin or any of the other ingredients in the cream that are listed on the patient leaflet. 

Dalacin cream should only be used on adults and not for children 

Take special care if any of the following apply: 

  • You are pregnant or planning to have a baby – seek advice from a doctor or pharmacist; 
  • You can use Dalacin while breastfeeding but, although unlikely, some of the medicine may be passed onto your baby, if your baby shows any signs of illness talk to your doctor and stop breastfeeding at once. 
  • You have ever had diarrhoea when taking antibiotics; 
  • You have diarrhoea when Dalacin is prescribed before you start using the cream. 

If you experience severe, long-lasting or bloody diarrhoea when using Dalacin you should contact your doctor as you may need to stop the treatment. This could be a sign of bowel inflammation caused by antibiotics. 

Other precautions: 

  • Avoid having sex whilst undergoing treatment with Dalacin, and indeed with any kind of vaginal infection. Dalacin cream can weaken condoms and diaphragms so you shouldn’t rely on this form of contraception when using Dalacin; 
  • Do not use tampons or vaginal washes while undergoing treatment with Dalacin cream. 

Does Dalacin 2 Cream interact with other medications? 

When discussing symptoms and treatments with your doctor or pharmacist you should always tell them about any other medication you are taking, including any vitamins or supplements as different medicines can interfere with each other meaning they don’t work as effectively as they should or cause other issues. 

In particular, mention to your doctor any of the following you have either taken recently or are taking: 

  • Erythromycin; 
  • Lincomycin. 

These can be present in medicines which do not require a prescription. 

Warfarin or similar – these medicines are used to thin the blood which can put you at a higher risk of having a bleed. You may need extra blood tests to check how well your blood can clot. 

Where can you buy Dalacin 2 Cream? 

You can buy Dalacin 2 cream from any pharmacy, order online for convenient delivery to your home or office or pop into your local pharmacy next time you are passing. 

Can I get Dalacin 2 Cream without a prescription? 

No, you cannot by Dalacin 2 Cream without a prescription. It contains an antibiotic and antibiotics work on a specific set of illnesses only. For this reason, they are strictly regulated so you will need to consult with a doctor to get a prescription to buy Dalacin 2 Cream. You can arrange a consultation with a doctor online or visit your local doctor. You may also be able to visit a sexual health clinic where they are able to prescribe this kind of medicine. 

Sources 

NHS 24 (2019). Bacterial vaginosis symptoms and treatments. [online] Nhsinform.scot. Available at: https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/bacterial-vaginosis [Accessed 13 Jan. 2020]. 

NHS UK (2018). Bacterial vaginosis. [online] nhs.uk. Available at: https://www.nhs.uk/conditions/bacterial-vaginosis/ [Accessed 13 Jan. 2020].  

NICE Excellence (2020). Dalacin 2% cream | Clinical medicinal product information | BNF content published by NICE. [online] Bnf.nice.org.uk. Available at: https://bnf.nice.org.uk/clinical-medicinal-product-information/dalacin-2-cream.html [Accessed 13 Jan. 2020]. 

Pfizer Ltd (2018). [online] Medicines.org.uk. Available at: https://www.medicines.org.uk/emc/files/pil.1080.pdf [Accessed 13 Jan. 2020]. 

Sampson, S. (2018). How Do Antibiotics Work? How Long They Take to Work and More. [online] Healthline. Available at: https://www.healthline.com/health/how-do-antibiotics-work [Accessed 14 Jan. 2020].