Difficulty Swallowing / Dysphagia Support
Oral suspensionOralNon sterile Rx only

Clindamycin Oral Suspension (SuspendIt®)

Oral Suspension Vehicle

A sugar free, dye free clindamycin oral suspension in SuspendIt, prepared in Chino, CA to a prescriber's order at 10 mg/mL.

Reviewed by Linda Pungpravat, Compounding Pharmacist, RPh Mixwell Compounding Pharmacy, Chino, CA

  • USP <795> compliant
  • USP <800> hazardous drug lab
  • PCCA member

Clinical Advantages

  • Sugar free
  • Dye free option
  • Custom strength available
  • Weight based dosing
  • Flavored for palatability
  • Alternative to swallowing pills

How It Works

What is clindamycin?

Clindamycin is a prescription antibiotic that stops certain bacteria from making the proteins they need to grow. It is used for serious infections caused by bacteria that respond to it [1]. It does not work against viruses, such as colds or the flu.

What is the dosage form?

Clindamycin 10 mg/mL Oral Suspension is a liquid medicine you swallow, made by a compounding pharmacy to a prescriber's order. Each milliliter contains 10 mg of clindamycin. It is shaken before each dose and measured with an oral syringe or dosing cup.

What SuspendIt is designed to do

SuspendIt is the liquid base that holds the clindamycin. Its manufacturer describes it as follows:

  • Designed to keep the medicine evenly spread through the liquid, so each measured dose after shaking contains the intended amount
  • Thick when resting and thinner when shaken, which helps it pour and measure easily
  • Made without sugar, which matters for patients who need to limit sugar
  • Made without dyes, for patients who react to or want to avoid them
  • Able to be flavored to the prescriber's or patient's preference

When prescribers choose it

  • Prescribers who want a 10 mg/mL strength rather than the commercial 15 mg/mL liquid, for example for small doses measured by weight
  • Prescribers whose patients need a sugar free or dye free liquid
  • Prescribers whose patients cannot swallow capsules

Clinical Details

What does the evidence show?

FDA approved clindamycin is available as capsules and as Cleocin Pediatric granules that are mixed with water to make an oral solution of 75 mg per 5 mL, which is 15 mg per mL. Its labeling covers serious infections caused by susceptible bacteria, and it carries a boxed warning for Clostridioides difficile associated diarrhea [1].

Findings come from the cited studies and do not promise any individual outcome.

Why is it compounded, and how is it typically used?

Why it is compounded

An FDA approved clindamycin liquid exists at 15 mg/mL [1]. Federal law restricts compounding preparations that are essentially copies of approved products unless the prescriber documents a significant difference for the patient, such as a different strength, a sugar free or dye free base, or a different flavor [2].

Dosage forms and strengths

  • Clindamycin 10 mg/mL, or a strength the prescriber sets
  • SuspendIt suspending base, with flavoring on request
  • Dye free and sugar free
  • Dispensed with directions to shake well before each dose

Dosing and duration are the prescriber's decision.

How Mixwell prepares it

Mixwell compounds this suspension in Chino, California under USP 795 standards for non sterile preparations [3]. Our pharmacist confirms the strength, flavor, and storage with the prescriber before compounding. Batch records document every preparation, and finished suspensions ship across California.

Safety information

FDA labeling for clindamycin carries a boxed warning: Clostridioides difficile associated diarrhea has been reported with nearly all antibiotics, including clindamycin, and can range from mild diarrhea to fatal colitis. If significant diarrhea occurs, contact the prescriber, and the antibiotic may need to be stopped [1].

The labeling also advises caution in people with a history of stomach or bowel disease, especially colitis, and in people with allergies. Clindamycin can lead to yeast overgrowth, and antibiotics used without a bacterial infection add to drug resistance [1]. Take every dose as prescribed. Patient selection, dosing, and duration are the prescriber's responsibility.

References
  1. CLEOCIN PEDIATRIC (clindamycin palmitate hydrochloride) for oral solution. Prescribing information. Prescribing information
  2. U.S. Food and Drug Administration. Compounding when drugs are on FDA's drug shortages list. FDA human drug compounding
  3. United States Pharmacopeia. General Chapter 795, Pharmaceutical Compounding: Nonsterile Preparations. USP NF. Official November 1, 2023.

What to include on the prescription

  • APIs and strengths
  • Base or vehicle
  • Quantity
  • Directions for use
  • Refills
  • Allergies or dye free needs
Call (909) 378-7301 Fax (909) 378-7071
Commonly prescribed for Difficulty Swallowing / Dysphagia Support

Compounded in Chino, CA. Delivered across California.

  • Chino
  • Chino Hills
  • Ontario
  • Pomona
  • Diamond Bar
  • Rancho Cucamonga
  • Eastvale
Mixwell Compounding Pharmacy 13788 Roswell Ave, Ste 158, Chino, CA 91710
(909) 378-7301

Compounded medications are not reviewed or approved by the FDA. Dispensed only with a valid prescription. Mixwell is a non sterile pharmacy and does not prepare sterile products or injectables. Compounded preparations are not presented as superior to commercially available products, and nothing here promises a specific result. Mixwell does not accept insurance. Call for pricing.

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Want to learn more about Clindamycin Oral Suspension (SuspendIt®)

Are you a healthcare provider or patient in Chino, Chino Hills, Ontario, Eastvale, Rancho Cucamonga, or Upland? Mixwell Pharmacy provides specialized pharmaceutical support throughout San Bernardino, Los Angeles, and Orange Counties. Contact our Chino laboratory to learn how we facilitate customized Clindamycin Oral Suspension (SuspendIt®)for practitioners across Southern California.

(909) 378-7301

Serving Los Angeles County, Orange County, San Bernardino County, Riverside County, Ventura County, and the Inland Empire