Name a major side effect of clindamycin.

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Clindamycin is known to disrupt the normal flora of the colon, which can lead to an overgrowth of Clostridium difficile. This organism can cause antibiotic-associated colitis, ranging from mild diarrhea to severe pseudomembranous colitis, characterized by inflammation and ulceration of the colonic mucosa. The risk of developing a C. difficile infection is a significant concern with the use of nearly all antibiotics, but clindamycin is particularly notorious for this adverse effect.

While other side effects may occur with clindamycin, such as hepatotoxicity (which is less common) and skin rash, the association with Clostridium difficile infections is a well-known and major complication that healthcare providers actively consider when prescribing this medication.

Bone marrow suppression is associated with a variety of medications, but it is not a prominent side effect of clindamycin. Therefore, the identification of the risk of C. difficile infection as a major side effect underscores the importance of monitoring patients for gastrointestinal symptoms following clindamycin treatment.

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