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Vancomycin hydrochloride for injection, USP by Fresenius Kabi
How does this medication work? What will it do for me?
Vancomycin belongs to the group of medications known as antibiotics. It works by killing the bacteria that are causing the infection.
The oral form is used to treat certain infections of the gastrointestinal tract.
The intravenous (IV) form of this medication is used to treat serious or life-threatening infections that have not been successfully treated with other antibiotics, or where penicillins cannot be used. These infections may involve the bones, lungs, blood, and heart.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are being given this medication, speak to your doctor. Do not stop using this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to use this medication if their doctor has not prescribed it.
What form(s) does this medication come in?
Powder for IV Solution
Each vial contains an off-white to light-tan lyophilized plug of vancomycin hydrochloride equivalent to 500 mg, 1 g, 5 g and 10 g vancomycin base. It forms a clear, colourless solution with a pH range of 2.5 to 4.5 when reconstituted with sterile water for injection.
How should I use this medication?
The usual oral dose for adults is 125 mg to 500 mg taken every 6 to 8 hours for 7 to 10 days.
The usual intravenous, (into a vein), or IV dose for adults is 500 mg given every 6 hours or 1g given every 12 hours. For IV injections, the dose of this medication will be administered by your doctor or health care professional. The length of treatment with IV vancomycin depends on the severity of the infection and the response to the medication.
For children, the oral form (given by mouth) is based on body weight and is given in 3 or 4 daily doses for 7 to 10 days. The IV form of vancomycin, also based on body weight, is given every 6 hours. The total daily dose should not be greater than 2,000 mg.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.
It is important to take this medication exactly as prescribed by your doctor. Finish all of this medication, even if you start to feel better. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not administer a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store this medication at room temperature and keep it out of the reach of children.
Who should NOT take this medication?
Vancomycin should not be used by anyone who is allergic to vancomycin or to any of the ingredients of the medication.
What side effects are possible with this medication?
The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed,and some may go away on their own over time.
- additional side effects associated with IV administration of vancomycin include:
- flushing, redness, rash, itching, pain in the back and neck
- severe decrease in blood pressure
- taste changes
Although most of these side effects listed below don’t happen very often, they could lead to serious problems if you do not seek medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
- flu-like symptoms (e.g., chills, fever, sore throat, fatigue)
- hearing loss, dizziness, ringing in the ears
- signs of clotting problems(e.g., unusual nosebleeds, bruising, blood in urine, coughing blood, bleeding gums, cuts that don’t stop bleeding)
- signs of kidney toxicity (e.g., puffy hands, eyes, or feet; fatigue, loss of appetite, nausea or vomiting)
Stop taking the medication and seek immediate medical attention if any of the following occur:
- signs of a severe allergic reaction (e.g., hives; difficulty breathing; swelling of the mouth, tongue, lips, or throat)
- symptoms of a severe skin rash (e.g., blistering, peeling, a rash covering a large area of the body, a rash that spreads quickly, or a rash combined with fever or discomfort)
Are there any other precautions or warnings for this medication?
Hearing loss: Vancomycin can cause hearing loss. People with a history of hearing loss should not take this medication if possible. If you experience any hearing loss, dizziness, or ringing ears while taking this medication, contact your doctor immediately.
Infusion reactions: IV administration of vancomycin can cause a reaction that includes severely reduced blood pressure, nausea, chills, fever, shortness of breath, and itching. If you experience any of these symptoms, let your doctor or nurse know immediately. Vancomycin may be able to be given if it is administered more slowly.
Intestinal inflammation: People with conditions associated with inflammation of the intestines (e.g., Crohn’s disease, ulcerative colitis) may be at higher risk for side effects, when they take vancomycin capsules, especially if they also have impaired kidney function. Your doctor will monitor you closely for side effects.
Kidney function: Reduced kidney function or kidney disease may cause this medication to build up in the body, causing side effects. If you have reduced kidney function or kidney disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Vancomycin can cause kidney damage. If you experience symptoms of reduced kidney function such as decreased urine production, swelling, fatigue, abdominal pain, let your doctor know as soon as possible.
Overgrowth of organisms: During prolonged or repeated treatment with vancomycin, other bacteria or fungi may be allowed to overgrow. If your condition does not improve or worsens while taking this medication, contact your doctor.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.
Breast-feeding: This medication passes into breast milk. If you are a breast-feeding mother and are receiving IV vancomycin, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: Premature neonates and young infants may require regular blood tests to ensure that the child is receiving the most appropriate dose.
Seniors: Seniors may be more likely to experience side effects associated with vancomycin as a result of reduced kidney function. They may need a lower dose or be put on a less frequent dosing schedule.
What other drugs could interact with this medication?
There may be an interaction between vancomycin and any of the following:
- aminoglycoside antibiotics (e.g., tobramycin, gentamicin)
- BCG vaccine (tuberculosis vaccine)
- cholestyramine (oral dosage form of vancomycin only)
- colestipol (oral dosage form of vancomycin only)
- neuromuscular blocking agents (e.g., tubocurarine, pancuronium)
- nonsteriodal anti-inflammatory medications (NSAIDs; e.g., ibuprofen, naproxen)
- sodium picosulfate
- typhoid vaccine
- stop taking one of the medications,
- change one of the medications to another,
- change how you are taking one or both of the medications, or
- leave everything as is.
All material copyright MediResource Inc. 1996 – 2021. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/drug/getdrug/Vancomycin-hydrochloride-for-injection-USP-by-Fresenius-Kabi