Generic Name and Formulations:
Linezolid 100mg/5mL; pwd for reconstitution; orange flavor; contains phenylalanine.
Company:
Pfizer Inc.
Susceptible vancomycin-resistant E. faecium (VREF) infections, nosocomial and community-acquired pneumonia, complicated skin and skin structure infections (including diabetic foot infections) without osteomyelitis, uncomplicated skin and skin structure infections.
Infuse inj over 30–120 minutes; switch to oral form when appropriate. VREF: 600mg every 12 hrs for 14–28 days. Pneumonia, complicated skin and skin structure: 600mg every 12 hrs for 10–14 days. Uncomplicated skin and skin structure (oral forms only): 12–17yrs: 600mg every 12 hrs; >17yrs: 400mg every 12 hrs; both for 10–14 days. MRSA: 600mg every 12 hrs.
Infuse inj over 30–120 minutes; switch to oral form when appropriate. Neonates <7 days: see literature. 0–11yrs: VREF: 10mg/kg every 8 hrs for 14–28 days; pneumonia, complicated skin and skin structure: 10mg/kg every 8 hrs for 10–14 days. Uncomplicated skin and skin structure (oral forms only): <5yrs: 10mg/kg every 8 hrs; 5–11yrs: 10mg/kg every 12 hrs; both for 10–14 days.
Oxazolidinone.
Uncontrolled hypertension. Pheochromocytoma. Thyrotoxicosis. Carcinoid syndrome. During or within 2 weeks of MAOIs (eg, phenelzine, isocarboxazid). Concomitant sympathomimetics (eg, pseudoephedrine), vasopressive agents (eg, epinephrine, norepinephrine), dopaminergics (eg, dopamine, dobutamine), SSRIs, trycyclic antidepressants, triptans, meperidine, buspirone.
History of seizures. Monitor CBC's weekly (esp. if otherwise at risk). Consider discontinuing if myelosuppression occurs or worsens. Therapy >28 days. Peripheral and optic neuropathy. Monitor visual function if treatment ≥3 months and if new visual symptoms occur. Diabetes; monitor for hypoglycemia, if occurs, reduce dose or discontinue. Pregnancy (Cat.C). Nursing mothers.
See Contraindications. Avoid large amounts of dietary tyramine (keep <100mg/meal). May be antagonized by carbamazepine, phenytoin, phenobarbital. Possible serotonin syndrome with serotonergic agents. Caution with myelosuppressants.
GI upset, headache, insomnia, constipation, rash, dizziness, pruritus, tongue discoloration, taste alteration, myelosuppression (eg, anemia, thrombocytopenia), lactic acidosis, hypoglycemia, blurred vision, convulsion.
Tabs—20, 100; Susp—150mL; Inj (100mL, 200mL, 300mL)—1