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Vancomycin hydrochloride is prepared as a solution and lyophilized in its final container.
Vancomycin is a tricyclic glycopeptide antibiotic derived from Amycolatopsis orientalis (formerly Nocardia orientalis). The molecular formula is C66H75Cl2N9O24 • HCl and the molecular weight is 1,485.71.
Indications:
Vancomycin is indicated for the treatment of serious or severe infections caused by susceptible strains of methicillin-resistant (beta-lactam-resistant) staphylococci. It is indicated for penicillin-allergic patients, for patients who cannot receive or who have failed to respond to other drugs, including the penicillins or cephalosporins, and for infections caused by vancomycin-susceptible organisms that are resistant to other antimicrobial drugs. Vancomycin is indicated for initial therapy when methicillin-resistant staphylococci are suspected, but after susceptibility data are available, therapy should be adjusted accordingly.
Vancomycin hydrochloride is effective in the treatment of staphylococcal endocarditis. Its effectiveness has been documented in other infections due to staphylococci, including septicemia, bone infections, lower respiratory tract infections, and skin and skin-structure infections. When staphylococcal infections are localized and purulent, antibiotics are used as adjuncts to appropriate surgical measures.
The dosage of vancomycin per day in mg is about 15 times the glomerular filtration rate in mL/min:Creatinine Clearance mL/min |
Vancomycin Dose mg/24 hr |
100 | 1,545 |
90 | 1,390 |
80 | 1,235 |
70 | 1,080 |
60 | 925 |
50 | 770 |
40 | 620 |
30 | 465 |
20 | 310 |
10 | 155 |