Vancomycin

Revision as of 23:06, 27 February 2014 by Rossdonaldson1 (talk | contribs)

General

  • Type: 125mg, 250mg
  • Dosage Forms:
    • IV
    • May mix IV with 30mL water and give PO
    • May mix with 100mL NS and give PR
  • Common Trade Names: Vancocin

Adult Dosing

General

  • <50kg: 500mg IV q12h
  • 50-69kg: 750mg IV q12h
  • >70kg: 1000mg IV q12h
  • Alternative (All Weights): 10-15 mg/kg IV q12
  • Adjust dose based on serum levels

C. Difficile Infection

  • 1st occurrence
    • Uncomplicated: 125mg PO q6h x 10-14 days
    • Complicated: 500mg PO/NG q6h
      • May use in combo with metronidazole IV
      • Consider adding vancomycin 500mg PR q6 if complete ileus
  • 2nd occurrence
    • Uncomplicated: 125mg PO q6h x 10-14 days
    • Complicated: 500mg PO/NG q6h
      • May use in combo with metronidazole IV
      • Consider adding vancomycin 500mg PR q6 if complete ileus
  • 3rd+ occurrence
    • 125mg PO q6h x 10-14 days, then daily x 7 days, then q2-3 days x 2-8 wk

Staphylococcal Enterocolitis

  • 500-2000 mg/day PO divided q6-8h x 7-10 days
  • First Dose: 500mg PO x 1

Pediatric Dosing

Special Populations

  • Pregnancy:
  • Lactation:
  • Renal Dosing
    • Adult
    • Pediatric
  • Hepatic Dosing
    • Adult
    • Pediatric

Contraindications

  • Allergy to class/drug

Adverse Reactions

Serious

Common

Pharmacology

  • Half-life:
  • Metabolism:
  • Excretion:
  • Mechanism of Action:

See Also

Source

  • Epocrates