Urinary tract infections usually affect a person when the bacteria that should be present in the stool or in the skin end up being present in the urinary tract. Almost entirely these sorts of infections occur in the urethra. Once a person is attacked by these bacteria in the urethra, it is normal for the body’s immune system to attack these bacteria and make them useless. However, when the immune system fails to neutralize the bacteria, they start settling down or colonizing the urethra area. They start rapidly multiplying and spreading to other parts of the urinary tracts. If treatment is not done, then the bacteria will move up and can also infect the urinary bladder. It could also move up to the kidneys and impair their functioning. Hence, it is very important to stop the infection from spreading higher. The higher it moves; the more difficult and serious the problem could become. Clindamycin is the drug of choice when it comes to the treatment of the UTI related infections because these are serious in nature and the bacteria have moved up quite significantly.

As is the case with other antibiotics Clindamycin for UTI works best when there is a constant supply of the drug in the body. Hence, it is common to see people using this drug on regular intervals, either twice or thrice daily till such time the bacteria that cause UTI are controlled. It is very important therefore the patients to ensure that they do not miss doses when they are being treated with Clindamycin or any other antibiotic for that matter.

As far as the usage of this drug is concerned and usually it comes in capsule form as far as oral form of medication is concerned. It is always better to take the capsule along with a glass of water to avoid irritation and nauseating feeling which is common when taking pills and capsules. Once the drug is taken it is advisable for you to be on rest for a short period of 30 to 45 minutes. The drug will start having effect on the patient within a short time. Many people stop the medication once they see the symptoms coming down. This is very wrong and the course as recommended by the doctor should be completed. Discontinuing the drug midway through the course could lead to a situation where the patient could develop resistance to the drug the next time around when the drug may be needed.

There are quite a few side effects that could be associated with the use of Clindamycin for UTI. However, most of the symptoms are very mild in nature and they usually subside within a couple of days. Some of the common side effects could be vaginal itching or white discharge. Some patients have also complained on rashes when they were on Clindamycin. There could be some other side effects too such as loss of appetite, lack of proper urination and abdominal pain. Bloody diarrhea is also a common problem. Jaundice has also been reported in some cases and it is common to see patients having yellow eyes and urine that is deep yellow in color. In such cases it is always better to contact your doctor or health provider and take his advice and counseling.

It is a known fact that there have been many instances where colitis has been reported on patients whenever they are on some form of antibacterial treatment. The infection could range from mild and at time it could be life-threatening. The problem is that the onset of such infection, particularly when one uses Clindamycin could take place after a lapse of several weeks and hence the patient or the healthcare provider may not be knowing that such attacks of colitis have taken place because of the use of this particular antibiotic. This happens because use of Clindamycin can change the normal flora inside the colon. It could also be the reason for the growth of a substance called Clostridium Difficile which has a very powerful toxin. This toxin could be considered as the main reason for what is known as antibiotic-associated colitis.

The main manifestation of this type of drug induced colitis is generally associated with diarrhea which is very severe and very persistent. It also comes with severe cramps in the abdominal area and could also result in the passage of blood and mucus along with stool. Therefore, it is very important to exercise much caution while administering patients with drugs like Clindamycin. This is because they have severe antibacterial activity and hence it could create a lot of problems with a number of patients. Patients who have a history of gastrointestinal problems should be given this medical under strict medical supervision. Even the slightest gastrointestinal activity should be referred to the health care providers and the drug should be immediately discontinued.

Patients who have a history of colitis attacks are known to be very vulnerable when they are administered drug like Clindamycin. If such symptoms occur the patient apart from being discontinued with the drug should also undergo stool cultures to find out whether he or she has been infected with Clostridium Difficile. Asking the patient to go through Difficile Toxin test could help to diagnose whether he or she has been infected with colitis that is caused because of drug intake such as Clindamycin. In very severe cases the doctor may also ask the patient to undergo a large bowel endoscopy to find out whether the affect of the drug is very severe on the patient.

Hence there is no denying the fact that once if a patient is affected with any severe colitis; the first thing that should be done is to find out whether the patient was on a course of Clindamycin with the past few weeks of months. This is important because as described above, the manifestation and occurrence of colitis could take place after a long time.

If you are not sure about it, it would be better to take the help and assistance from the internet where there is a lot of information about the various cases where patients have been severely affected with colitis because of prolonged use of Clindamycin. Alternately, it would be better to always keep your health care provider updated and informed with any changes that could occur to your bowel movements when you are on this particular drug. Though in general this drug is well tolerated, it would be better to exercise caution while using this drug on patients whose history of colitis related infections is not clean. It is always better to exercise caution rather than ending up in trouble. However, at the end of the day the doctor is the main person who can decide such matters.

Clindamycin HCL

As is the case with most antibiotics Clindamycin HCL also works to stop infections that are caused by anaerobic bacteria. By the way, anaerobic bacteria are those that can survive without the presence of oxygen. There are quite a few types of such bacteria and a few examples could be Streptopcoccus pneumonia and Staphylococcus aureus. This drug works by retarding or inhibiting the manufacture of protein by the bacteria. Once the bacteria are deprived of oxygen, they will not be able to replicate and multiply in the body and therefore the infection that is caused by the bacteria can be controlled and reversed. This is a very simple but extremely effective method in which the drug works to treat various kinds of infections.

As explained earlier, there are many different types and brands of Clindamycin and let us look at a few of them. The most common brand names are Cleocin which is manufactured and market by Pfizer. Then there are also other brands such as Dalacin and Clinacin coming from the houses of Upjohn and Invert. However, Clinacin is a drug that is used only for veterinary purposes and is not recommended for human use. The generic forms of this drug are also available and the dosages range from 75 mg to 300 mg. The drug is also available in topical and intravenous forms. However the topical and intravenous forms contain Clindamycin Phosphate and they do not contain Clindamycin HCL.

As is the case with most of the antibiotic drugs this particular drug has also it’s own share of problems. This is a widespread concern that unregulated and unmonitored use of Clindamycin HCL has resulted in many patient suffering with antibiotic induced diarrhea. This happens because while the patient is on treatment with this drug a new group of bacteria by the name Clostridium Difficile grows in the patient. This bacteria is also known as C diff. This happens because during the period when Clindamycin HCL is used, many digestive enzymes and bacteria get killed but C diff thrives and grows. While the body helps a check of C diff in the normal course, during treatment with this drug the balance gets affected leading to a proliferation of C diff which causes mild to severe forms of colitis. The toxins that are released from C diff can cause abdominal cramps, bloating of the stomach and ultimately could lead to diarrhea or colitis. Hence, the patients who have had a history of abdominal problems such as cramps and diarrhea should be very carefully evaluated and monitored before being administered this drug.

There are quite a few side effects related with this disease, and it could range from mild stomach upset to nausea. Diarrhea in various forms has also been reported because of the use of this drug. However, most of the time the symptoms can be managed in the home itself and very rarely medical intervention is required. However, in case the patient shows symptoms of severity such as blood in the stool or severe abdominal cramps, in such cases it is very important to immediately discontinue the medication and put the patient on various tests and examinations to rule out the infection from C diff. But on the whole, this medicine is very well tolerated and whatever mild side effects that could arise disappear within a few days.

Clindamycin

As is the case with almost all the drugs, Clindamycin has also got various side effects and contraindications about which both the health care service provider and the patients must be well aware. There are some common side effects associated with the use of this drug and are as follows:

• Nausea
• Vomiting
• abdominal and stomach pain
• skin rashes
• unpleasant taste in the mouth
• yeast infections in the vagina
• mild to moderate diarrhea.

Though is it commonly felt that this drug is reasonable safe, it would however be appropriate to have full knowledge about the use of this drug in women who are breast feeding their new born children. There are quite a few clindamycin and breastfeeding warnings which must be adhered to very carefully. Let us now over the next few lines try and understand more about the impact of this drug on breastfeeding and lactating mothers.

The manufacturers of this drug themselves are very particular about this drug not being taken by women while they are breastfeeding their infants. However according to some reputed and well known Academies and Research Institutions, this drug is well tolerated by infants and there have been no serious cases to be much worried about. It is also supposed to very compatible with breastfeeding as far as the majority of women are concerned. In spite of the fact that it is generally considered very safe and well tolerated, it would be ideal to take the help and counseling of your doctor before this drug is administered to breastfeeding and lactating mothers. It is very important to be clearly aware about the various clindamycin and breastfeeding warnings before actually going in for such breastfeeding.

Coming to the possible side effects or reactions on infants who are breastfed by mothers on Clindamycin, it has to be taken into account that this drug does very much pass through the breast milk. There have been a number of cases where newborn babies have reported having stools with blood when their mothers have breastfed them with this drug. However, this has not happened individually. In other words, this problem has been encountered only when the mother has been administered clindamycin in combination with gentamicin and that too through the intravenous route. Once the baby was weaned away from the breastfeeding the loose motions immediately stopped. Hence, there is no denying the fact that there is a close correlation between reactions on new born infant and the fact that their mothers have been on Clindamycin treatment when such reactions happened on children.

However at the end of the day, the various clindamycin and breastfeeding warnings should be looked against the backdrop of the various benefits that are associated with this drug. It would be correct to state that this drug does not have any effect on the infant if the same is used for short periods of time. So, those who are using the drug for short period of time do not have to stop breastfeeding their children. However, for long term usage it is very important for the patients to take the advice and counseling from doctors and healthcare providers before going in for breastfeeding of the child. You have to take account the fact that this drug acts differently on different women and hence drawing a generalized pattern may not be the right thing to do.

The internet is the right place where a lot of useful information is available on the various side effects and precautions that should be taken when Clindamycin is being used either separately or with combination of the drug, especially for lactating and breastfeeding mothers.

Clindamycin Phosphate

Whenever one talks about acne vulgaris; one usually refers it to a mild non-inflammatory lesion. However, there is another form of acne that is very severe in nature and such kind of acne is usually characterized with the presence of nodules. It is a very common type of disease that affects large sections of American society and as of date there are around 15 million people who have been affected with some kind of acne or the other. Though not a very serious life threatening disease, it is a disease that comes with a lot of social inhibitions attached to it. It can cause permanent scarring which can really affect the psyche of the person.

People who have been treated with Clindamycin Phosphate have found that this drug is very effective in the treatment of mild to moderate vulgaris. Clindamycin in it’s plain form without phosphate is also used for the treatment of various other diseases such as severe skin infection and in the oral and injection form this disease is very commonly used for infections of the joints, abdomen and other such places. However, before using any form of this drug there are certain ground rules that need to be followed on a regular basis. Let us try and find out how the drug should be used in the topical format.

First and foremost, it is vital that this topical ointment is used only on the skin and not in any other place. Before the drug is used, it is important to ensure that the area where it is to be used is cleaning properly. It is also very important to follow the directions as provided in the package or you should use the drug strictly as per the advice of the doctors. In case a person is using the lotion it should be ensure that the bottle is well shaken before being used. Many people believe in applying a thick layer of Clindamycin phosphate either as an ointment or as a lotion. This should be avoided and it is better to use in as a thin layer. The frequency of use should be strictly as per the doctor’s advice. There are also medicated swabs available which are ready to be applied to the affected area. These swabs are used and thrown depending on the area that is to be treated it could be possible to use more than one swab.

There are others who also are recommended to use foam and it has to be applied once daily on the affected areas. While using the foam care has to be taken not to spray the clindamycin phosphate foam on the hand or eyes. Since the foam is cold and icy, it will begin to melt when it comes in contact with warm skins which should be avoided. It is very important to avoid contact with the eyes, mouth or nose when the product is used. It should not be used on any broken part of the skin which could cause some side effects.

Coming towards the side effects of Clindamycin phosphate, though the drug is quite safe there are some patients who suffer with side effects on using this drug. It could cause diarrhea which could be accompanied by blood if the drug gets into the intestine. It is also a drug which should be very carefully administered on patients who have a history of colitis. Though in topical application there could no such problems, if the drug gets into the digestive track quite often, it is possible that the patients may suffer from mild to severe attacks of colitis. More information about the use and effectiveness of this drug is available in the product brochure and user manuals. The internet also offers information about the product and it’s features.

Some of the common side and less severe side effects of Clindamycin are as follows:

• The user may suffer with mild diarrhea
• The user  may also complain of having feeling of nausea.
• Vomiting is another common and less severe side effect of Clindamycin.

Some of the side effects that are uncommon but severe are as follows:

• The patient may suffer difficulty in breathing
• The user passes bloody and tarry stools
• The urge to urinate also decreases
• Pain in the joints is also suffered by the user
• Swelling is also visible in the body of the patient
• Skin starts peeling off gradually as a side effect of this drug
• Skin may also become red, swollen and blistered
• The user may also suffer with severe or persistent diarrhea
• The user may also suffer with stomach cramps as an uncommon but severe side effect.
• Some women may also experience unusual vaginal discharge that should not be ignored.
• Eyes of some patients also become yellow with itching in them
• Some patients may also suffer with itching or yellowing of skin.

Clindamycin is also divided into different types.

Clindamycin or Tretinoin:

Some of the common and less severe side effects of Clindamycin or Tretnoin are as follows:

• The skin of the user becomes dry.
• The user of this medicine amy also suffer mild burning.
• Another common and severe side effect that is suffered is itching on the skin.
• The user’s skin also undergoes scaling and stinging.
• Skin may also become red .
• It is also observed that the skin of the user starts peeling off .
• Skin may also become swollen and blistered
• Muscous in stool is another side effect.
• Stomach cramps are also suffered by the patient.
• Skin of the user also undergoes severe and persistent burning.

Clindamycin Cream:

Some of the side effects of Clindamycin that are common and lesss severe are as follows:

• Fungal infection
• Genital itching is another side effect
• Inflammation is also suffered by the user of Clindmycin cream.
• Some women may also observe unusual vaginal discharge.

Clindamycin Foam:

Some of the side effects of Clindamycin that are common and lesss severe are as follows:

• There is always a burning sensation on the treated areas.
• Skin becomes dry and itchy
• Headache is another side effect.

Clindamycin Gel:

Some of the side effects of Clindamycin that are common and lesss severe are as follows:

• Skin of the user becomes dry
• Skin itching is a common but less severe side effect of this gel.
• Skin may also become oily.

Clindamycin Solution- Clindamycin Lotion- Clindamycin solution- Clindamycin suppositeries and Clindamycin swab have following common and less severe side effects:

• Skin of the user becomes dry
• Skin itching is a common but less severe side effect of this gel.
• Skin may also become oily.

One must consult to doctor to avoid side effects.

The clindamycin Clinical Pharmacology should be about it’s activity spectrum, pharmacology and adverse effects. The clindamycin normally works by binding the ribosomal subunit of bacteria. It disrupts the protein synthetis since it interferes with transpeptidation reaction and at it’s return it will inhibit the chain elongation. Macrolides such as erythromycin or cholamphenicol works in the same way and they can compete for the binding when they are used together. The medicine can be discussed together with the macrolides but in the reality, they are not and they do not have chemical relationship.

Clindamycin can increase the phagocytosis and opsonization of the bacteria and even subinhibitory concentration. When the drug disrupts the bacterial protein synthesis, the causes of the bacteria changes in the cells wall surface will also decrease. The drug also can exert and extend postantibiotic effects against different strains of bacteria. This can be because of the persistence of the drug on its ribosomal binding site.

The clindamycin Clinical Pharmacology advises that the clindamycin has to be used only when the infection is been strongly believed or has been proven that it is from the bacteria. This is to prevent any cases of drug resistance and to reduce the effectiveness of the drug.

The drug has to be used with care since it has been reported that it can cause diarrhea as any other antibacterial agents. The diarrhea can range from mild to severe and sometimes the fatal colitis. It is normally because the antibacterial agents alter the flora found in the colon and C difficile overgrows. Since the clindamycin is associated with severe colitis which sometimes can even be fatal, it has to be reserved to treat only some serious infection where the microbial agents are normally inappropriate. This is why also the doctor has to restrain himself from using it to treat other diseases which are not caused by bacteria like upper respiratory tract infection.

The hypertoxin also can contribute to the increase of C difficile which enhances the mortality and morbidity of the medicine. When these infections tend to be fromed refractory to the antimicrobial therapy, they may require that colectomy be used. The doctor has to know your history in taking the Clindamycin since the diarrhea can still occur even after sometime up to 3 months. In case it has been confirmed that the patient is suffering with c difficile, the doctor will have to discontinue the medicine and he will put him on the electrolyte management and appropriate fluid and protein supplementation. Sometimes, the antibiotics can be used to treat the C difficile while the surgical evaluation can be instituted in case it is necessary.

The patient has to be aware that the clindamycin has been developed to treat the infection that has been caused by the bacteria and not virus. The patient has to be warned that he has to continue to take the medicine as it has been directed even if he may begin to feel well in the beginning. When the doses have been skipped or if the doses have been taken up to the end, the effectiveness of the drug can reduce and the bacteria can develop the resistance. It can be hard to treat the same bacteria with the same drug in the future.

The clindamycin Clinical Pharmacology showed that the concentration of the medicine is normally high when the medicine is taken orally. The highest concentration was reached after only 45 minutes and the absorption of the drug if it is taken orally is 90%. The use of the drug with the food has shown that it does not change anything to it’s absorption. The absorption of the drug is easily predictable from a person to another. The drug did not show any evidence for accumulation or for altered metabolism even if the drug has been taken for a long time.

When the medicine was being used in the rats or mice, it has not shown any risks of birth defects or any other problem that can be considered to be a result of the drug. The drug can be used to treat bacterial vaginosis in women who are in their second trimester and it has shown that it decreases the case of preterm birth and miscarriage. It is hard to know that a woman has bacterial vaginosis since it does not have any symptoms. This is why women who are at risk of giving birth before the term, they are screened regularly and they are treated with the clindamycin if it is necessary.

The medicine can also be used in case there is a serious infection on the fetal tissue, uterus or the mother. The drug can cross the placenta easily which makes it a better option when treating the mother and child infections. Since the drug is yet to be studied in the length, it is still necessary to ensure that the clindamycin and pregnancy warnings are kept in mind and the woman has to take the medicine if it is necessary and the doctor see that the benefits are outweighing the risks.

If you are pregnant, you have to be more on the watch for all the side effects that you may have because of the clindamycin. If you are pregnant and the doctor wants to give you this medicine, you have to let your doctor know if you have any allergy for this medicine or for other medicines. You have also to tell him about any allergy you may have on animals, preservatives, dyes and foods.  You should not worry in case you are only pregnant since the medicine has no known risk to the baby. When you breastfeed, you have also to know that there are no proven risk that this can cause to the baby but you have to take it with precautions.

If you are pregnant and you need to take more than one medicine it is good if you let your doctor know about it since some other medicine may interact with the medicine. Some problems can put you at more risks if you have them and you are still pregnant you have to take this medicine with more clindamycin and pregnancy warnings. These problems can be kidney diseases or liver diseases since they increase the level of the medicine in the blood. This increases the chances of having more side effects. The person who has the intestinal or stomach diseases also should be taken with care.

The medicine in women can be given orally and also through topical or vaginal methods. The medication can cause intestinal conditional and sometimes it can be too severe and it can cause death in the end because of one type of resistant bacteria. You should let your doctor know in case you develop intestinal condition or diarrhea. The condition can still occur even if you have finished the treatment for sometime. You should not use any medication when you develop the diarrhea mostly because many anti diarrhea medicines can make the case worse and it can even be too serious if a woman is pregnant.

When you take the medicine while pregnant, you can have more of the following side effects: nausea, diarrhea and vomiting. Using this medicine can also cause you vaginal discharge or yeast infection. In rare occasions, you can develop a serious and rare allergic reaction and you have to let your doctor know as soon as possible. The symptoms of allergy can be trouble in breathing, dizziness rash and itching.

The clindamycin dosage depends on many different factors. The doctor has to assess the age, the weight and the problem to treat before he choses to give you the medicine. The following is the clindamycin dosage depending on the disease which is being treated. For the Babesiosis, an adult have to take 600mg orally each 8 hours, while he should be given 1,2 grams intravenous after each 12 hours. He will also be given the quinine sulfate of 650 mg 3 times each day every day until he finishes 10 days. For the bacteremia, the dosage has to be 450 mg up to 900 mg depending on how severe the patient is. When the patient has been stable and able to tolerate oral medications, he will be given oral dosage. The patient will have to take 450 mg after 6 hours. You have to know that the Clindamycin is not normally used to treat the bacteremia and it should not be used for staphylococcus aureus endocarditis or bactermia. In case it is given, it has to be taken up to 14 days depending on the severity of the infection.

If the drug is given because of the bacterial endocarditis prophylaxis, the dosage has to be 600mg one hour before the procedure takes place. A single dose can be used for any person who wants to undergo the oral, upper respiratory, dental or esophageal procedures. The drug is normally given for someone who is penicillin allergic. The Clindamycin is normally given intravenously for the patients who are not able to take the Clindamycin orally. When the medicine is given intravenous, it has to be given at the same dosage as the intravenous but it has to be given at least 30 minutes before the person undergoes the procedure. In case someone was already taking the Clindamycin for any other infection, then he has to be given any other antibiotics in this case. Other antibiotics which can be used are the azithromycin or clarithromycin in case of the endocarditis. Sometime the infection can be delayed for 14 days until the person has finished the medication for the therapy.

For an adult who is suffering with the Bacterial vaginosis, he should be given 300 mg twice a day. However, sometimes the vaginal Clindamycin can be used when it is appropriate. In case trichomoniasis has been suspected, both the woman and her partner have to undergo the treatment.The adult dose for someone who is suffering with the Diverticulitis is 450 mg which has to be taken every 6 hours. The medicine has to be taken together with Trimethoprim-sulfamethoxazole. In severe cases or hospitalization cases, the patient can be given Clindamycin 450 up 900 mg which should be given intravenously for 8 hours. The patient has to be given the medicine together with the aminoglycoside, antipseudomonal penicillin, aztreonam, and 3rd generation cephalosporin.

The adult dose for someone who is suffering with the deep neck infection, has to be 600 mg IV after 6 hours or 8 hours. When the patient is more stable, he should be given the mediation orally. The dosage will be reduced to 450 mg for someone who has been switched to orally. For the patient who has intraabdominal clindamycin dosage, the dosage should begin by giving it intravenous 450 mg and it has to be switched to 450 mg orally when the patient is stable. For a patient who is suffering with intraabdominal infection, it has to be given in combination with one or many other drugs and it has to be given from 7 up to 14 days. For the adult who is suffering joint infection, he has to take 450 up to 900 mg. The clindamycin dosage of 900mg can be given to a person who has Malaria and who is Chloroquine resistant. He has to take the medicine three times a day for 5 days.

For an adult who is suffering with the osteomyelitis, he has to take 450 up to 900mg after every 8 hours. When the patient has been stable and he can take oral medications, he will be given oral clindamycin. Before the medicine is given to the patient, the doctor should first identify the cause of the osteomyelitis. The medicine can also be given to the person who is suffering with Pelvic inflammatory disease, pneumocystis Pneumonia and Peritonis.

When you need to undergo any surgery or any other procedure which may need you to undergo general anesthetic, you have to let your doctor know so that he can take the clindamycin precautions.

You have to let your doctor know if you have liver disease, hepatitis or liver failure before he prescribes the clindamycin for you. You have also to take the clindamycin precautions in case you suffer with the renal failure, yeast infection, colitis and allergy to some preservatives dyes and foods. The doctor also has to be aware if you are pregnant or you are planning to become pregnant or if you are breastfeeding. The doctor needs to be aware of other medicine you are taking; even if they are prescribed or not- herbal, supplements or vitamins.

You have to be aware of the following warning so that you can take clindamycin precautions. Since the clindamycin is an antibiotic, it can disrupt normal bacteria found in the digestive tract and they can overgrow. A serious side effect known as the Pseudomembranous Colitis can develop when you are still taking the drug or after sometime when you have already finished to take the drug. You have to ensure that you watch for any sign of this problem such as diarrhea and to let the doctor know about it as soon as possible.

You should never use Clindamycin when you treat meningitis since it does not cross the cerebrospinal fluid in an appropriate way. This medication can lead to yeast infection if it disrupts the bacteria found in the vagina. In case you need to take the drug for a long term, your doctor has to monitor you especially for how the liver and kidney work.

Sometime the clindamycin can interact with other medicine so you have to let your doctor know about other medicines you are taking or you intend to take. The medicine can be allowed to be used in pregnancy even if the full risks are yet to be known. The drug can be found in the breast milk; therefore your doctor has to know this before he prescribes the medicine for you.

You have to take the clindamycin precautions, in case you have allergy to any of it’s components. There are some situations in which you may need to use the medicine with precaution. Your doctor is the one who is in the right position to give you all the information you need before you use the medicine.

When you take clindamycin, you have to be on the constant watch for any unwanted side effects. Some of the common side effects are diarrhea, abdominal tenderness and abdominal pain and stomach cramps. In rare cases, the patient may develop unusual bruising or bleeding, itching, redness and skin rash or fever and sore throat. Some side effects may not require you to see a doctor and they may go away on their own as you adjust to the medicine.