Vancomycin (HCl)

Vancomycin is an antibiotic produced by soil bacillus Streptococcus orientalis. Vancomycin (HCl) is a complex glycopeptide. Vancomycin (HCl) is highly effective against cocci, especially staphylococci and other gram positive bacteria. Vancomycin (HCl) is administered intravenously or by intravenous infusion. Antibiotics require constant drug level in body for therapeutic effect. This is achieved by taking the drug at regular intervals of time throughout the day and night as prescribed. Vancomycin (HCl) is important to take the drug for the full time period as prescribed. Discontinuation of the drug may result in ineffective treatment.


Adult Dose
Dose: 500 mg/ml of water
Single Dose: 500 (500)
Frequency: 6 hourly
Route: IV Inf
Instructions: Dose should be administered at no more than 10 mg/min or over a period of 1 hour.
Neonatal
Dose: 0.25 mg/kg.min
Single Dose: 0.25 (0.25)
Frequency: 8 hourly
Route: IV Infusion
Instructions: For 60 Minutes
Paedriatic
Dose: 0.25 mg/kg.min
Single Dose: 0.25 (0.25)
Frequency: 8 hourly
Route: IV Infusion
Instructions: For 60 Minutes
Characteristics
. It is of Semi Synthetic origin and belongs to Glycopeptide. It belongs to Peptidoglycan transpeptidase inhibitor pharmacological group on the basis of mechanism of action and also classified in Antibiotics pharmacological group.The Molecular Weight of Vancomycin (HCl) is 1484.50.
Contraindications
Vancomycin (HCl)
Effects
Vancomycin (HCl) produces potentially life-threatening effects which include Nephrotoxicity, Renal damage, Uremia, Hematuria, Proteinuria. which are responsible for the discontinuation of Vancomycin (HCl) therapy.The symptomatic adverse reactions produced by Vancomycin (HCl) are more or less tolerable and if they become severe, they can be treated symptomatically, these include Fever, Redness, Hypotension, Flushing, Urticarial skin rash, Eosinophilia, Red Man syndrome.
Indications
Vancomycin (HCl) is primarily indicated in conditions like Acute leukemia, Bacteremia, Brain abscesses, Chronic myeloid leukaemia, Colitis, Constipation and bowel evacuation, Endocarditis, Endocarditis prophylaxis, Endocarditis treatment, Meningitis, Peritonitis, Persistant neutropenia in advanced hiv infection, Prior to radiological procedures and surgery.
Interactions
Vancomycin (HCl) is known to interact with other drugs, the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementAdefovir DipivoxilAmikacin (Sulphate)Amphotericin BBoth drugs produce nephrotoxic and neurotoxic effects results in increased adverse effects.ModerateClosely monitor for serum drug concentration, renal function andauditory and vestiular function.Cyclosporin AGentamicinMetformin (HCl)Vancomycin reduces the excretion of metformin by competing renal tubular transport results in increased level of metformin may lead to lactic acidosis.ModerateSlowly reduce the dose of metformin. Closely monitor the blood glucose level. Patient should notify to physician if experience signs of lactic acidosis.Netilmicin (Sulphate)OxaliplatinYou should inform your doctor before using this combination.Do not start or stop any medicine without doctor or pharmacist approval.StreptomycinConcurrent use may cause toxicities to the kidneys.Tobramycin These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Interfrence
Risks
Drug should not be given to patients suffering from Kidney dysfunction, Geriatrics, and Neonates.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Storage
Inj Store Below 40°C.
Warnings
Monitor blood pressure throughout infusion. Perform test for auditory (hearing) function and serum levels in patients with borderline kidney function and over the age of 60.Take appropriate measure in case of super infections (secondary infections).
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