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All about: Lincomycin

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Some commonly used brand names are:

In the U.S.—

  • Lincocin
  • Lincorex

In Canada—

  • Lincocin

Category

  • Antibacterial, systemic

Description

Lincomycin belongs to the family of medicines called antibiotics. These medicines are used to treat infections. They will not work for colds, flu, or other virus infections.

Lincomycin is available only with your doctor's prescription, in the following dosage forms:

  • Oral
  • Capsules (U.S. and Canada)
  • Parenteral
  • Injection (U.S. and Canada)

Before Using This Medicine

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For lincomycin, the following should be considered:

Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to lincomycin, clindamycin, or doxorubicin. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy—Lincomycin has not been reported to cause birth defects or other problems in humans.

Breast-feeding—Lincomycin passes into the breast milk. However, lincomycin has not been reported to cause problems in nursing babies.

Children—Lincomycin has been used in children 1 month of age or older and has not been reported to cause different side effects or problems than it does in adults.

Older adults—Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of lincomycin in the elderly with use in other age groups.

Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking lincomycin, it is especially important that your health care professional know if you are taking any of the following:

  • Chloramphenicol (e.g., Chloromycetin) or
  • Diarrhea medicine containing kaolin or attapulgite or
  • Erythromycins (medicine for infection)—Taking these medicines along with lincomycin may decrease the effects of lincomycin
  • Diarrhea medicine, such as loperamide (Imodium A-D)—Patients who take diarrhea medicine, such as loperamide (Imodium A-D) or diphenyoxylate and atropine (Lomotil), may worsen diarrhea that is a side effect of lincomycin

Other medical problems—The presence of other medical problems may affect the use of lincomycin. Make sure you tell your doctor if you have any other medical problems, especially:

  • Kidney disease (severe) or
  • Liver disease (severe)—Severe kidney or liver disease may increase blood levels of this medicine, increasing the chance of side effects
  • Stomach or intestinal disease, history of (especially colitis, including colitis caused by antibiotics, or enteritis)—Patients with a history of stomach or intestinal disease may have an increased chance of side effects

Proper Use of This Medicine

Lincomycin is best taken with a full glass (8 ounces) of water on an empty stomach (either 1 hour before or 2 hours after meals), unless otherwise directed by your doctor.

To help clear up your infection completely, keep taking this medicine for the full time of treatment , even if you begin to feel better after a few days. If you have a ``strep'' infection, you should keep taking this medicine for at least 10 days. This is especially important in ``strep'' infections. Serious heart problems could develop later if your infection is not cleared up completely. Also, if you stop taking this medicine too soon, your symptoms may return.

This medicine works best when there is a constant amount in the blood. To help keep the amount constant, do not miss any doses. Also, it is best to take each dose at evenly spaced times day and night . For example, if you are to take 4 doses a day, doses should be spaced about 6 hours apart. If this interferes with your sleep or other daily activities, or if you need help in planning the best times to take your medicine, check with your health care professional.

Dosing—The dose of lincomycin will be different for different patients. Follow your doctor's orders or the directions on the label . The following information includes only the average doses of lincomycin. If your dose is different, do not change it unless your doctor tells you to do so.

  • For infections caused by bacteria:
    • For oral dosage form (capsules):
      • Adults and teenagers—500 milligrams (mg) every six to eight hours.
      • Infants up to 1 month of age—Use and dose must be determined by your doctor.
      • Children 1 month of age and older—Dose is based on body weight. The usual dose is 7.5 to 15 mg per kilogram (kg) (3.4 to 6.8 mg per pound) of body weight every six hours; or 10 to 20 mg per kg (4.5 to 9.1 mg per pound) of body weight every eight hours.
    • For injection dosage form:
      • Adults and teenagers—600 mg to 1 gram injected into a vein over at least one hour, every eight to twelve hours; or 600 mg injected into a muscle every twelve to twenty-four hours.
      • Infants up to 1 month of age—Use and dose must be determined by your doctor.
      • Children 1 month of age and older—Dose is based on body weight. The usual dose is 10 mg per kg (4.5 mg per pound) of body weight injected into a muscle every twelve to twenty-four hours; or 3.3 to 6.7 mg per kg (1.5 to 3 mg per pound) of body weight injected into a vein every eight hours; or 5 to 10 mg per kg (2.3 to 4.5 mg per pound) of body weight injected into a vein every twelve hours.

Missed dose—If you miss a dose of this medicine, take it as soon as possible. This will help to keep a constant amount of medicine in the blood. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage—To store this medicine:

  • Keep out of the reach of children.
  • Store away from heat and direct light.
  • Do not store the capsule form of this medicine in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down.
  • Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

Precautions While Using This Medicine

It is important that your doctor check your progress at regular visits.

If your symptoms do not improve within a few days, or if they become worse, check with your doctor.

In some patients, lincomycin may cause diarrhea.

  • Severe diarrhea may be a sign of a serious side effect. Do not take any diarrhea medicine without first checking with your doctor . Diarrhea medicines may make your diarrhea worse or make it last longer.
  • For mild diarrhea, diarrhea medicine containing attapulgite (e.g., Kaopectate tablets, Diasorb) may be taken. However, kaolin or attapulgite may keep lincomycin from being absorbed into the body. Therefore, these diarrhea medicines should be taken at least 2 hours before or 3 to 4 hours after you take lincomycin by mouth. Other kinds of diarrhea medicine should not be taken. They may make your diarrhea worse or make it last longer.
  • If you have any questions about this or if mild diarrhea continues or gets worse, check with your health care professional.

Before having surgery (including dental surgery) with a general anesthetic, tell the medical doctor or dentist in charge that you are taking lincomycin.

Side Effects of This Medicine

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Abdominal or stomach cramps and pain (severe); abdominal tenderness; diarrhea (watery and severe), which may also be bloody; fever

Less common

Skin rash, redness, and itching; sore throat and fever; unusual bleeding and bruising

Note:

Some of the above side effects may also occur up to several weeks after you stop taking this medicine.

Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:

More common

Diarrhea (mild); nausea and vomiting; stomach pain

Less common

Itching of rectal or genital (sex organ) areas

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Revised: 03/24/1994

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