📋 Indications & Clinical Dosage
*Infections due to Gram-positive bacteria including endocarditis, osteomyelitis, septicaemia and soft-tissueinfections:*
BY IV INF: Adult: 1-1.5 g every 12 hours
Elderly: 500 mg every 12 hours, alternatively 1 g once daily Infants & Neonates:15 mg/ kg 1 dose then 10 mg/kg every 12 hr for 1st week of life, every 8 hr up to 1 month of age.
*Surgical prophylaxis (when high risk of MRSA):*
BY IV INF: Adult: 1 g for 1 dose.
*Peritonitis associated with peritoneal dialysis:*
BY INTRAPERITONEAL ADMINISTRATION: Adult: (consult product literature).
💊 Mode of Administration
Intermittent infusion over at least 60 min at a final conc not to exceed 5 mg/ ml. Administration of antihistamines just before the infusion may also prevent or minimize Red man syndrome.
⚠️ Precautions & Warnings
Impaired renal function, previous hearing loss, elderly. Monitor blood levels, blood counts, urinalysis, and renal function tests. Monitor auditory function in elderly
🔄 Drug Interactions
Neurotoxic or nephrotoxic drugs, anaesthetics.
⚠️ Adverse Reactions / Side Effects
Blood disorders, including neutropenia (usually after 1 week or cumulative dose of 25 g), interstitial nephritis, nephrotoxicity, ototoxicity (discontinue if tinnitus occurs), renal failure. Rare: Agranulocytosis, thrombocytopenia, anaphylaxis, cardiac arrest on rapid infusion, chills, dyspnea, eosinophilia, exfoliative dermatitis, fever, Red mans syndrome, nausea, pain and muscle spasm of back and chest,phlebitis, pruritus, rashes, severe hypotension and shock on rapid infusion, Stevens-Johnson syndrome, toxic epidermal necrolysis, urticaria, vasculitis, wheezing
🤰 Pregnancy & Lactation Safety
Pregnancy Risk:
Caution advised
Lactation / Breastfeeding:
Not recommended
🧪 Compatibility & Storage Stability
Compatibility: Stable in dextran 6% in NS, D5W, D5% NS, RL, D5% RL, NS, D1OW.
Y-site administration: See drug to drug IV Compatibility chart
Stability & Storage: Store vials at 20C-25C (68F-77F). After initial reconstitution with SWFI, D5W or NS, solutions are stable for 14 days if refrigerated. After further dilution with D5W or NS, the solution may be stored in a refrigerator for 14 days without significant loss of potency. Solutions diluted with D5NS, RL, D5RL may be stored in a refrigerator for 96 hours. Store pharmacy bulk packages at 20C-25C (68F-77F). Discard pharmacy bulk packages no later than 4 hours after initial closure puncture.
📚 Official Regulatory & Clinical References
- Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
- World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
- Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.