• Bacterial infections

Zyvox Generic Name & Formulations

General Description

Linezolid 600mg; tabs.

Pharmacological Class


How Supplied

Tabs—20, 30; Susp—150mL; Infusion bags (100mL, 300mL)—10


Generic Availability


Zyvox Indications


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.

Limitations of Use

Not for treating Gram (–) infections. Safety and efficacy of Zyvox given for longer than 28 days have not been evaluated.

Zyvox Dosage and Administration


Infuse inj over 30–120 mins; switch to oral form when appropriate. VREF: 600mg every 12hrs for 14–28 days. Pneumonia, complicated skin and skin structure: 600mg every 12hrs for 10–14 days. Uncomplicated skin and skin structure (oral forms only): 12–17yrs: 600mg every 12hrs; >17yrs: 400mg every 12hrs; both for 10–14 days. MRSA: 600mg every 12hrs.


Infuse inj over 30–120 mins; switch to oral form when appropriate. Neonates <7 days: see full labeling. 0–11yrs: VREF: 10mg/kg every 8hrs for 14–28 days; pneumonia, complicated skin and skin structure: 10mg/kg every 8hrs for 10–14 days. Uncomplicated skin and skin structure (oral forms only): <5yrs: 10mg/kg every 8hrs; 5–11yrs: 10mg/kg every 12hrs; both for 10–14 days.

Zyvox Contraindications


During or within 2 weeks of MAOIs (eg, phenelzine, isocarboxazid).

Zyvox Boxed Warnings

Not Applicable

Zyvox Warnings/Precautions


Not for treating catheter-related bloodstream infections or catheter-site infections. Uncontrolled hypertension, pheochromocytoma, thyrotoxicosis, carcinoid syndrome: not recommended. 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. Hyponatremia and/or SIADH; monitor serum sodium levels (esp. in elderly, those on diuretics, others at risk of). Phenylketonuria (oral susp form). Pregnancy. Nursing mothers: monitor infants.

Zyvox Pharmacokinetics

See Literature

Zyvox Interactions


See Contraindications. Concomitant sympathomimetics (eg, pseudoephedrine), vasopressive agents (eg, epinephrine, norepinephrine), dopaminergics (eg, dopamine, dobutamine): not recommended. Risk of serotonin syndrome with concomitant SSRIs, trycyclic antidepressants, bupropion, buspirone, triptans, or opioids (eg, meperidine). Avoid large amounts of dietary tyramine (keep <100mg/meal). May be antagonized by carbamazepine, phenytoin, phenobarbital. Caution with myelosuppressants.

Zyvox Adverse Reactions

Adverse Reactions

Diarrhea, vomiting, nausea, anemia, headache, rash, dizziness, pruritus, tongue discoloration, taste alteration; myelosuppression (eg, anemia, thrombocytopenia), lactic acidosis, C. difficile-associated diarrhea, hypoglycemia, blurred vision, convulsions.

Zyvox Clinical Trials

See Literature

Zyvox Note

Not Applicable

Zyvox Patient Counseling

See Literature