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Linezolid

  • A new oxazolidinone antibiotic

  • Excellent bioavailability when given orally.

  • Usual adult dose: 600mg twelve hourly – oral or IV

  • Usual duration 10-14 days not advised for treatment of longer that 28 days.

  • No dosage reduction necessary if renal impairment.

  • A reversible, non-selective inhibitor of monoamine oxidase. Has no antidepressive activity at antibacterial doses.

  • Many precautions regarding it's use, summarised below, for further information see manufacturer's datasheet.

  • Patient should be advised to avoid tyramine-rich foods.

  • Close monitoring of blood pressure required if taking MAOIs, SSRIs, TCAs, dopaminergics, pethidine, or if patient has uncontrolled hypertension, thyrotoxicosis, bipolar depressive disorder or schizophrenia.

  • Check full blood count weekly for all patients during therapy – myelosuppression possible.

  • Patients should be advised to report any visual impairment such as changes in acuity, colour vision or field defects. Patients who require >28 days therapy should have regular formal visual assessments.

  • Patients should be advised to report any signs of neuropathy, anaemia, thrombocytopenia or lactic acidosis.

Main indications:

  • Microbiology advice only– restricted agent

  • Resistant enterococcal infections (VRE).

  • Resistant staphylococcal infections.

Active against most strains of:

Not active against most strains of:

 

Page last edited: 05/10/2009

Caution; the antibiotic doses recommended on this website are intended for adult patients with normal renal and liver function unless otherwise stated. Dosing advice for patients with renal impairment is available here.

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