Hello! I am a dentist.   My patient was on Amoxicillin  after I did open flap surgery to control the infection on her lower jaw.  I switched it to Clindamycin 300mg  2 stat 1PO q6h three days later because her swelling became worse.  Today is the 4th day since she took the Clindamycin.  She said the facial swelling went down a lot but  now  she is concerned  that her stomach is hurting today.   I like to know whether I need to tell her to stop taking the Clindamycin immediately?   I hope I can put her on the medication for few more days to control the infection because I do not want the facial swelling to return.  What is the minimum number of days to control infection?
Hi. Thanks for the query. Well, your patient has side effect of antibiotic Clindamycin and first you can start proton pump inhibitors like Omeprazole or Pantoprazole empty stomach in the morning till your patient is on antibiotics. Or else he can take the same twice a day half an hour before meals. Also advise him to take antacids. Eating plenty of probiotics like Yogurt can help. Avoid spicy and heavy meals. Chat Doctor. . In case of still there is no improvement then switch to lower doses or change the antibiotic. Infection control can depend on severity of infection, however a week to ten days can go for severe Infection. Injectable antibiotics can be another option. Hope this helps. Regards.