Dalacin cream is used to treat the symptoms of bacterial vaginosis (BV). The active ingredient is an antibiotic called clindamycin phosphate. The typical dose of Dalacin cream is one applicator full (5 grams) which should be used once a night for 7 nights. This means you can relieve symptoms and feel better within a week.
40 g tube(s) - £28.00
About Dalacin Cream
What is Dalacin cream?
Dalacin cream is a vaginal cream that can treat bacterial vaginosis (bacterial infection of the vagina). It contains the generic (non-branded) medicine clindamycin phosphate, which is an antibiotic that kills the bacteria causing the infection. It relieves unpleasant symptoms that bacterial vaginosis can cause.
- a thin grey or white vaginal discharge
- a strong odour (especially after sex)
Side effects and contraindications
Like with any medicine you take, Dalacin cream comes with potential side effects. Not everyone will get them, but it is good to be aware of side effects, especially if you feel unwell when using this treatment.
Common side effects of Dalacin cream include:
- inflammation or infection of the vulva and vagina
- stomach cramps
Uncommon side effects of Dalacin cream include:
- allergic reactions
- inflammation of the vagina
- UTI (urinary tract infection)
- yeast infection (body)
There are more serious side effects, but it is not known how common they are.
- severe diarrhoea
- blood in your poo
- abnormal bleeding from the uterus
- inflammation of the lining of the large intestine (pseudomembranous colitis)
If you get any of the common side effects above, it is advised to speak to your doctor. You may find that you need an alternative treatment to get rid of bacterial vaginosis symptoms. Should you get serious side effects, you must get urgent medical help.
If you are currently taking medication, some may interact with Dalacin cream. You should let your doctor know if you are taking erythromycin (an antibiotic) as this may interact with treatment. You should tell your doctor if you have recently taken any other kind of medication, including those bought without a prescription.
Dalacin cream works by stopping the growth of the bacteria that is causing bacterial vaginosis. It is inserted into the vagina, which allows the antibiotic to target the bacteria directly. When you use Dalacin cream, bacterial vaginosis symptoms should go away within 7 days.
Although Dalacin cream can be effective for many women who have bacterial vaginosis, you should not use it if you:
- are allergic to lincomycin, clindamycin, or any other ingredients in this medicine
- have a history of inflammatory bowel disease
It is advised that you avoid having sex while using Dalacin cream, as it may affect how well it works or cause further infection.
If you have diarrhoea or normally get diarrhoea when taking antibiotics, you should speak to your doctor or pharmacist before you use Dalacin cream. If you develop bloody, prolonged, or severe diarrhoea during or after using Dalacin cream, let your doctor know straight away. This could be a sign of bowel inflammation that can happen following antibiotic treatment.
If you are pregnant, believe you may be pregnant, or have plans to have a baby soon, you should ask your doctor or pharmacist for advice before using Dalacin cream. Let your doctor know if you will be breastfeeding while using Dalacin cream.
Clindamycin belongs to a class of medications called lincomycin antibiotics. The antibiotic works by halting or slowing the growth of bacteria in the vagina.
As well as Dalacin cream, there are other treatments that you can use to treat bacterial vaginosis. Another antibiotic called metronidazole can be taken as a tablet or used as a vaginal gel.
You should always use Dalacin cream exactly how your doctor or pharmacist has advised. The normal dose is one applicator full (roughly 5 grams). This should be placed into the vagina each night for seven nights in a row.
Always make sure to wash your hands before using Dalacin cream, and follow the instructions below:
- Take away the cap from the tube.
- Screw one of the disposable plastic applicators applied onto the tube where the cap has been removed.
- Hold the tube from the bottom, and gently squeeze and force the cream into the applicator.
- When the plunger no longer moves, this means the applicator is full.
- Take off the applicator and put the cap back onto the tube.
- Lie on your back, grasp the applicator barrel firmly, and gently insert the vagina as far as you can without causing irritation.
- While you hold the barrel, push the plunger gradually until it stops and once all the cream has been removed.
- Take out the applicator carefully and dispose of it. It is advised to wrap it in paper before disposing of it.
- Wash your hands well after you have applied the cream.
If you or someone else swallows any Dalacin cream, contact your doctor. While the cream is not likely to cause harm, only your doctor will tell you what steps to take next.
Should you forget a Dalacin cream dose, you can use it straight away if it has only been a few hours late. If it is nearly time for the next application, you should skip the forgotten one. Simply do the next application at the normal time. You should never double the amount you use. Instead, carry on using Dalacin cream at the normal times.
In some cases, you may feel better before treatment is finished. Even if you feel better, you should not stop using Dalacin cream until you have completed the full course.
Dr Kathryn Basford
Dr Kathryn Basford is a qualified GP who works as a GP in London, as well as with ZAVA. She graduated from the University of Manchester and completed her GP training through Whipps Cross Hospital in London.Meet our doctors
Article created: 16 Sep 2021
Last reviewed: 16 Sep 2021
Bacterial vaginosis (November 2018) NHS (Accessed 25 August 2021)
Clindamycin Drugs.com (Accessed 25 August 2021)
Dalacin cream 2% - Patient Information Leaflet (PIL) (May 2021) EMC (Accessed 25 August 2021)
List of Lincomycin derivatives Drugs.com (Accessed 25 August 2021)
Metronidazole: antibiotic to treat bacterial infections (December 2018) NHS (Accessed 25 August 2021)