clyndamycin dosage

[webjim]

I had to have a root canal redone as my previous dentist did not get the whole nerve and it became infected. The Dentist put me on amoxicillin 875mg twice a day, after 6 days I called him as it was having no effect. he then put me on clyndamycin 300mg twice a day, this is day two, it seemed better this morning and by this afternoon it isswelling slightly the tissue above my tooth is spongie again and I can tell it's filling with pus. Everything I read indicates I should be taking a dosage of 300 mg every 6 hours rather than every 12 hours as he has prescribed. Any suggestions?

[Maxy_pharma]

Oh god, don't remember me with clindamycin,
the only time i'd used it to manage ludwig's angina, 300 mg 3 times daily, 5 days
i had had sever diarrhea that was not responsive to Metronidazole 500 nor ciprofloxacin 750
so, i was advised  for Vancomycin P.O  and it showed help...
since that day, i sweared that i will not prescribe clindamycin(or at least with 4timed daily dosing!!!!)

[Jerome Tsang, DDS]

You may want to call and ask him if the prescription is proper.  The dentist can prescribe based upon his clinical judgement but generally, clindamycin is prescribed at 150 to 300mg every 6 hours, with 300mg being a stronger dosage to kill bacteria.  He may be concerned with some side effects of the antibiotics.