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Dalacin Vaginal Cream is a prescription intravaginal antibiotic used to treat bacterial vaginosis (BV). It contains clindamycin phosphate 2%, a lincosamide antibacterial agent that works locally inside the vagina to reduce harmful bacteria and restore balance to the vaginal environment.
Dalacin Vaginal Cream is a brand formulation of clindamycin phosphate vaginal cream used in several countries. In the United States, clindamycin phosphate vaginal cream 2% is also available under other brand and authorized generic names. This ensures patients receive the same active ingredient and effect, even if the brand name differs from what is commonly available in U.S. pharmacies.
Below is a quick overview of important facts for patients and caregivers:
| Product Name | Dalacin Vaginal Cream |
|---|---|
| Generic Name | Clindamycin phosphate |
| Strengths | 2% |
| Drug Class | Lincosamide antibiotic |
| Primary Use | Treatment of bacterial vaginosis (BV) |
| Dosage Form | Cream |
| Storage | Store at 20°-25°C (68°-77°F) [USP Controlled Room Temperature]; protect from freezing |
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Dalacin Vaginal Cream (clindamycin phosphate 2%) is indicated for the treatment of bacterial vaginosis (BV). It may be used in:
Bacterial vaginosis is a vaginal infection caused by an imbalance of normal vaginal bacteria.
For clinical purposes, a diagnosis of bacterial vaginosis is typically based on the presence of:
Other infections that may cause similar symptoms should be ruled out before treatment.
This cream is not indicated for:
Proper diagnosis by a healthcare provider is recommended before starting treatment.
Dalacin Vaginal Cream (clindamycin phosphate) works by:
When used intravaginally, approximately 5% (range 2-8%) of the dose is absorbed systemically, with minimal accumulation during repeated use.
Always follow your healthcare provider’s instructions. General guidelines include:
For best results, apply the cream at bedtime.
The dosage of Dalacin Vaginal Cream must be individualized and closely monitored by a healthcare provider.
| Patient Group | Recommended Regimen |
|---|---|
| Non-pregnant patients | One applicatorful (5 g ≈ 100 mg clindamycin phosphate) intravaginally at bedtime for 3 or 7 consecutive days |
| Pregnant patients (2nd and 3rd trimester) | One applicatorful (5 g ≈ 100 mg clindamycin phosphate) intravaginally at bedtime for 7 consecutive days |
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Each full applicator delivers approximately 100 mg of clindamycin phosphate. The 3-day regimen may be prescribed for uncomplicated cases of bacterial vaginosis, while the 7-day regimen may be recommended in certain clinical situations based on provider assessment.
Accidental overdose with Dalacin Vaginal Cream is uncommon. However, vaginally applied clindamycin may be absorbed in sufficient amounts to produce systemic effects. Excess use may increase the risk of adverse reactions associated with clindamycin. If an overdose is suspected, seek immediate emergency medical help or contact a poison control center. Treatment is supportive and based on clinical presentation.
Dalacin Vaginal Cream (clindamycin phosphate) may cause side effects. While many people tolerate the medication, some reactions can be serious and require medical attention. Commonly reported Dalacin Vaginal Cream side effects are listed below:
These reactions are usually mild and temporary.
Seek medical attention immediately if you experience:
Although systemic absorption is low, clindamycin has been associated with Clostridioides difficile-associated diarrhea (CDAD) in rare cases. If you notice unusual or worsening symptoms, contact your healthcare provider.
Although Dalacin Vaginal Cream is applied intravaginally, approximately 5% of the dose may be absorbed systemically.
Risk of Pseudomembranous Colitis:
Clindamycin has been associated with pseudomembranous colitis, which may range from mild to life-threatening.
If significant diarrhea develops, discontinue use and seek medical evaluation.
While using this medication, the following warnings should be considered:
Use Dalacin Vaginal Cream cautiously in the following situations:
This medication is intended for intravaginal use only. Do not use it in the eyes, mouth, or on broken skin. Safety and effectiveness in pediatric patients have not been established.
Pregnancy:
Clindamycin vaginal cream has been studied in women during the second and third trimesters, and available data have not demonstrated an increased risk of congenital abnormalities. Clindamycin vaginal cream should be used during the first trimester of pregnancy only if clearly needed, and the benefits outweigh the risks.
Breastfeeding:
It is not known whether clindamycin administered vaginally is excreted in human breast milk. Clindamycin, administered orally or intravenously, appears in breast milk in small amounts. Monitor breastfed infants for diarrhea, candidiasis, or blood in the stool. An alternative medication may be considered when appropriate.
Dalacin Vaginal Cream (clindamycin phosphate) may interact with certain medications.
Because systemic absorption is limited, other drug interactions are not commonly expected. Always inform your healthcare provider about all over-the-counter drugs, supplements, and prescription medicines you are taking before using this medicine.
For the treatment of bacterial vaginosis (BV), healthcare providers may consider other guideline-supported therapies available.
| Brand Name | Lincosamide antibiotic | Drug Class |
|---|---|---|
| Flagyl | Metronidazole | Nitroimidazole antibiotic |
| MetroGel-Vaginal | Metronidazole (vaginal) | Nitroimidazole antibiotic |
| Tindamax | Tinidazole | Nitroimidazole antibiotic |
| Solosec | Secnidazole | Nitroimidazole antibiotic |
| Cleocin Ovules | Clindamycin (vaginal ovules) | Lincosamide antibiotic |
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Metronidazole (oral or vaginal) is typically considered first-line therapy in many clinical guidelines. Clindamycin products may be used when metronidazole is not appropriate or not tolerated. Selection should be guided by clinical evaluation, pregnancy status, prior recurrence, and provider judgment.
Prescription treatments for bacterial vaginosis can be costly at many U.S. retail pharmacies. Ordering Dalacin Vaginal Cream online from Polar Bear Meds helps reduce overall costs while maintaining safety, quality, and reliability.
All Dalacin Vaginal Cream orders require a valid prescription. Medications are dispensed by licensed pharmacies that comply with applicable pharmacy regulations and safety standards.
This content is for informational purposes only and does not replace expert medical guidance, diagnosis, or treatment. Dalacin Vaginal Cream is a prescription antibiotic used to treat bacterial vaginosis. Always consult an authorized healthcare professional before starting, stopping, or changing the dosage. Individual results, side effects, and dosing needs may vary.

Dr. Jackson Miller is a board-certified medicine physician & hospitalist. He is a healthcare professional with a strong background in patient care. With years of experience and a patient-first approach, he believes the foundation of good health is a patient who feels informed and empowered. He contributes to medical content review, drawing on his background in clinical practice and patient education. He focuses on presenting health information in a clear, accurate, and accessible way to help readers make informed decisions. His work emphasizes clarity, evidence-based guidance, and understandable explanations of medical topics.
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