Vancokem

Vancokem

vancomycin

Manufacturer:

Alkem Lab

Distributor:

Alkem Lab
Concise Prescribing Info
Contents
Vancomycin HCl
Indications/Uses
Methicillin-resistant Staph aureus infection. Treatment of staphylococcal endocarditis. Prophylaxis against endocarditis in patients at risk from dental or surgical procedures. Severe cases of antibiotic-associated pseudomembranous colitis (usually involving Clostridium difficile) & staphylococcal enterocolitis.
Dosage/Direction for Use
IV infusion Adult 500 mg every 6 hr or 1 g every 12 hr. Infuse at no >10 mg/min. Bacterial endocarditis 500 mg every 6 hr for a min of 3 wk either alone or in combination w/ other antibiotics. Ped 10 mg/kg/dose IV infusion of at least 60 min every 6 hr. Neonate & young infant Initially 15 mg/kg, followed by 10 mg/kg every 12 hr in the 1st wk of life & every 8 hr thereafter until 1 mth of age. Impaired renal function CrCl 2 mL/min/kg 30.9 mg/kg/24 hr, & 1.5 mL/min/kg 23.2 mg/kg/24 hr, 1 mL/min/kg 15.4 mg/kg/24 hr, 0.5 mL/min/kg 7.7 mg/kg/24 hr, 0.2 mL/min/kg 3.1 mg/kg/24 hr. Anephric patient 15 mg/kg loading dose w/ subsequent dose of 1.9 mg/kg/24 hr. Anuria 1 g every 7-10 days.
Contraindications
Special Precautions
Do not administer IM. Avoid rapid infusion. High blood conc or prolonged therapy. Patients w/ inflammatory disorders of the intestinal mucosa. Avoid in patients w/ previous hearing loss. Anaesth induced myocardial depression. Monitor blood levels. Periodic haematological studies, urine analysis, LFT & renal function tests. Renal impairment. Pregnancy. Not recommended during lactation. Elderly.
Adverse Reactions
Sensorineural deafness accompanied by tinnitus; permanent deafness in patients w/ compromised auditory or renal function; hypotension, palpitations, substernal pressure, phlebitis, tachycardia; pruritus at inj site, generalised flushing, erythematous macular rash w/ intense pruritus over face, neck & upper body; tissue irritation & necrosis occurs after IM inj or extravasation from IV site.; bullous eruption disorders, rashes including exfoliative dermatitis, SJS, TEN, & linear IgA bullous dermatosis; overgrowth of non-susceptible organisms resulting in new bacterial or fungal infections; transient elevations of urea & granular casts in the urine; reversible neutropenia (usually starting ≥1 wk after onset of IV therapy or after a total dose of >25 g); neutropenia; histamine release w/ chills, nausea, urticaria, macular rash, fever, rigors; anaphylactoid/hypersensitivity reactions, anaphylaxis; subconjunctival inj; pain & muscle spasm of the chest & back.
Drug Interactions
Erythema, histamine-like flushing & anaphylactoid reactions w/ anaesth agents. Concurrent use w/ other neurotoxic or nephrotoxic drugs (eg, amphotericin B, streptomycin, neomycin, gentamicin, kanamycin, amikacin, tobramycin, bacitracin, polymyxin B, colistin & cisplatin). May aggravate ototoxicity w/ ethacrynic acid & furosemide.
MIMS Class
Other Antibiotics
ATC Classification
J01XA01 - vancomycin ; Belongs to the class of glycopeptide antibacterials. Used in the systemic treatment of infections.
Presentation/Packing
Form
Vancokem powd for inj 1 g
Packing/Price
1's
Form
Vancokem powd for inj 500 mg
Packing/Price
1's
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