The adverse reactions listed as follows is defined using the following MedDRA convention and system organ class database: very common (≥1/10); common (≥1/100 to <1/10); uncommon (≥1/1,000 to <1/100); rare (≥1/10,000 to <1/1,000); very rare (<1/10,000), not known (cannot be estimated from the available data).
The most common adverse reactions are phlebitis and pseudo-allergic reactions in connection with too rapid intravenous use of vancomycin.
Blood and the lymphatic system disorders: Rare (≥10,000 to ≤1/1,000): thrombocytopenia, neutropenia, agranulocytosis, eosinophilia.
Immune system disorders: Rare (≥10,000 to ≤1/1,000): anaphylactic reactions, hypersensitivity reactions.
Ear and labyrinth disorders: Uncommon (≥ 1,000 to ≤1/100): transient or permanent loss of hearing.
Rare (≥10,000 to ≤1/1,000): tinnitus, dizziness.
Cardiac disorders: Very rare (≤1/10,000): cardiac arrest.
Vascular disorders: Common (>1/100 to ≤1/10): decrease in blood pressure, thrombophlebitis.
Rare (≥10,000 to ≤1/1,000): vasculitis.
Respiratory, thoracic and mediastinal disorders: Common (>1/100 to ≤1/10): dyspnoea, stridor.
Gastrointestinal disorders: Rare (≥10,000 to ≤1/1,000): nausea.
Very rare (≤1/10,000): pseudomembranous enterocolitis.
Skin and subcutaneous tissue disorders: Common (>1/100 to ≤1/10): exanthema and mucosal inflammation, pruritus, urticaria.
Very rare (≤1/10,000): exfoliative dermatitis, Stevens-Johnson syndrome, Lyell's syndrome, IgA induced bullous dermatitis.
Renal and urinary disorders: Common (>1/100 to ≤1/10): renal insufficiency manifested primarily by increased serum creatinine or serum urea concentrations.
Rare (≥10,000 to ≤1/1,000): interstitial nephritis, acute renal failure.
General disorders and administration site conditions: Common (>1/100 to ≤1/10): redness of the upper body and the face, pain and spasm of the chest and back muscles.
Rare (≥10,000 to ≤1/1,000): drug fever, shivering.
During or shortly after rapid infusion anaphylactic reactions may occur. The reactions abate when administration is stopped, generally between 20 minutes and 2 hours after having stopped administration.
Ototoxicity has primarily been reported in patients given high doses, or concomitant treatment with other ototoxic medicinal products, or with pre-existing reduction in kidney function or hearing.
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