Dalacin 2 is an antibiotic vaginal cream, i.e. it 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 vaginal cream is 2%, i.e. it contains 20 mg of clindamycin per gram of vaginal cream. The cream is white and comes in a laminated tube containing either 7.8 g, 20 g or 40 g of vaginal cream in a package along with disposable plastic applicators. Bacterial vaginosis is a common condition that often has few 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 however be triggered by sex or by using perfumed shower soap when washing or vaginal douching. Whilst bacterial vaginosis does not cause you to itch or suffer any pain, it can have more serious consequences, so it is important to get it treated if you think you are suffering it. You can get treatment for bacterial vaginosis at a sexual health clinic, which is usually in the form of an antibiotic pill, vaginal cream or gel, and you will likely need medication more than once as bacterial vaginosis commonly reoccurs after three months.
What is Dalacin 2 cream?
Dalacin 2 is an antibiotic vaginal cream, i.e. it 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 vaginal cream is 2%, i.e. it contains 20 mg of clindamycin per gram of vaginal cream. The cream is white and comes in a laminated tube containing either 7.8 g, 20 g or 40 g of vaginal cream in a package along with disposable plastic applicators.
When is Dalacin 2 cream used?
Dalacin is a vaginal cream, i.e. it is used inside the vagina to fight bacterial vaginosis – an infection with the following symptoms: an unusual vaginal discharge; discharge with a strong fishy smell, and 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 vaginal cream 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 gently squeeze to force the vaginal 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 vaginal 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 vaginal cream, follow the instructions below to help relieve symptoms and to prevent a recurrence, as bacterial vaginosis often returns after three months:
- Wash with water and plain soap;
- Try to shower instead of taking a bath;
- Do not use perfumed soaps, bubble bath or shower gel in the bath;
- Do not use antiseptic liquids in the bath;
- Do not use strong detergent to wash your underwear;
- Do not use vaginal deodorants, washes or douches;
- Do not 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 Dalcin 2 vaginal cream per day. Each applicator contains 5 g of vaginal cream – apply it 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 Dalcin 2 vaginal cream when you are supposed to, apply it straight away. If it is nearly time for your next application, then miss the dose you forgot and carry on using the Dalcin 2 vaginal 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 three 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?
As with all medication, Dalacin 2 vaginal cream comes with a warning of some side effects. Not everyone who uses it 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 Dalcin 2 vaginal cream.
Very common side effects (affecting fewer than 1 in 10 people):
- Inflammation of the cervix.
Common side effects (affecting fewer than 1 in every 10 people):
- Infection or inflammation of the vulva and vagina;
- Vaginal thrush;
- Stomach cramps;
- Vaginal disorder;
- Vaginal discomfort;
- Vaginal discharge.
Uncommon side effects (affecting fewer than 1 in every 100 people):
- Vaginal infection;
- Urinary tract infection;
- Inflammation of the vagina;
- Yeast infection;
- Allergic reactions;
- Fungal infection;
- Loss of balance;
- Bad breath;
- Stomach ache;
- Bad breath;
- Change in sense of taste;
- Reddening of the skin;
- Pain when urinating;
- 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 in 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;
- Generalised pain;
- Inflammation of the lining of the large intestine.
When should you not use Dalacin 2?
Do not use Dalacin vaginal cream if you have a history of inflammatory bowel disease or colitis associated with taking antibiotics, or if you are allergic to clindamycin, lincomycin or any of the other ingredients in the cream that are listed on the patient leaflet.
Dalacin vaginal cream should only be used on adults and is not for children. Take special care if:
- You are pregnant or planning to have a baby – seek advice from a doctor or pharmacist. You can use Dalacin 2 vaginal cream 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, or if you have diarrhoea when Dalacin 2 is prescribed before you start using the vaginal 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, since this could be a sign of bowel inflammation caused by antibiotics.
- Avoid having sex whilst undergoing treatment with Dalacin 2, and indeed with any kind of vaginal infection. Dalacin vaginal cream can weaken condoms and diaphragms, so you should not rely on this form of contraception when using Dalacin;
- Do not use tampons or vaginal washes while undergoing treatment with Dalacin vaginal cream.
Does Dalacin 2 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 do not work as effectively as they should or cause other issues. In particular, mention to your doctor if you have either taken recently or are currently taking erythromycin or lincomycin – these can be present in medicines which do not require a prescription – or warfarin or similar – medicines 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?
You can buy Dalacin 2 vaginal cream from any pharmacy. Order online for convenient delivery to your home or office or then drop by your local pharmacy next time you are passing.
Can I get Dalacin 2 without a prescription?
No, you cannot by Dalacin 2 vaginal cream without a prescription. It contains an antibiotic, and these are medications which work on a specific set of illnesses only. For this reason, they are strictly regulated so you will need to consult a doctor to get a prescription to buy Dalacin 2 vaginal 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.
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NICE Excellence (2020). Dalacin 2% vaginal 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].
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