藥碼
CUB01
藥名
Daptomycin 500 mg/Vial
英文商品名
Cubicin 針 500 mg/Vial
中文商品名
救必辛注射劑
螢幕名
Cubicin 針 500 mg/Vial
劑型
Inj
規格
lyophilized cake for injection. 500 mg/vial
成分
藥理分類
Misc. Antibacterials
健保碼
BC24565277
ATC碼
藥品圖片
外觀圖片
適應症
Treatment of complicated skin and skin structure infections caused by susceptible aerobic gram-positive organisms; Staphylococcus aureus bacteremia, including right-sided infective endocarditis caused by MSSA or MRSA
藥理
Daptomycin binds to bacterial membranes and causes a rapid depolarization of membrane potential. This loss of membrane potential causes inhibition of protein, DNA, and RNA synthesis, which results in bacterial cell death.
藥動學
Steady-state trough concentrations were achieved by the third daily dose. Protein binding: 90 ~ 93%, 84% ~ 88% in patients with Clcr<30 mL/min. Distribution: 0.1 L/kg. Daptomycin is excreted primarily by the kidney approximately 78% and 5.7% of the dose was recovered from feces. Elimination half-life: 8-9 hours (up to 28 hrs in renal impairment)
禁忌症
Hypersensitivity to daptomycin.
懷孕分類
B
哺乳分類
Excretion in breast milk unknown/use caution
副作用
Diarrhea (5% to 12%), vomiting (3% to 12%), constipation (6% to 11%), Anemia (2% to 13%), Rash (4% to 7%), pruritus (3% to 6%), erythema (5%). HMG-CoA Reductase Inhibitors may enhance the adverse/toxic effect of DAPTOmycin. Specifically, the risk of skeletal muscle toxicity may be increased.
劑量和給藥方法
Complicated infection of skin AND/OR subcutaneous tissue: 4 mg/kg IV once every 24 hrs for 7 to 14 days. Staphylococcus aureus bacteremia, including right-sided endocarditis: 6 mg/kg IV every 24 hrs for a minimum of 2 to 6 weeks. Safety and efficacy in patients under the age of 18 have not been established. Dosage adjustment in adults: ClCr<30 mL/min, including hemodialysis or CAPD, complicated skin and skin structure infections: 4 mg/kg once every 48 hrs for 7 to 14 days;S. aureus bloodstream infections: 6 mg/kg IV once every 48 hrs for 2 to 6 weeks.
小兒調整劑量
腎功能調整劑量
Dosage adjustment in adults: ClCr<30 mL/min, including hemodialysis or CAPD
肝功能調整劑量
安定性
Store vials at 2~8℃. After reconstitution with NS,daptomycin solution is stable in the vial for 12 hrs at room temperature or up to 48 hrs when refrigerated. Stable in NS or LR; incompatible with dextrose-containing solutions

注射給藥指引
給藥途徑
IV(靜脈注射):僅限成人, IVD (靜脈滴注):成人及兒童病人(1-17歲) (仿單)
靜脈輸注液
再生溶液:NS (仿單)。稀釋溶液:NS、LR (仿單)。
每瓶稀釋液體積
IVD (靜脈滴注):成人:加入50mL稀釋液, 1-6歲兒童病人:加入25mL稀釋液, 7-17歲兒童病人:加入50mL稀釋液 (仿單)
注射濃度
給藥速率
IV(靜脈注射):2分鐘以上;IVD (靜脈滴注):1-6歲兒童病人輸注60分鐘、7-17歲兒童病人輸注30分鐘、成人輸注30分鐘 (仿單)
安定性
Store vials at 2~8℃. After reconstitution with NS,daptomycin solution is stable in the vial for 12 hrs at room temperature or up to 48 hrs when refrigerated. Stable in NS or LR; incompatible with dextrose-containing solutions

注意事項
此藥品以天歸整:至多保存一天,每日給藥。
* NS:0.9%生理食鹽水; D5W:5%葡萄糖水; LR:乳酸林格氏液; 1/2NS:0.45%生理食鹽水; SWFI:注射用水
藥袋資訊
臨床用途
抗生素
主要副作用
橫紋肌溶解症、過敏反應、腸胃道症狀
泡製方法
儲存方式
請置於 2-8℃ 冷藏儲存
注意事項
其他說明
急首 <冰箱>X23 | 藥庫 <冰箱>Z12
藥品外觀
顏色
形狀
剝痕
標記1
標記2
其他
健保藥價
2973
自費價
3567.6
仿單
資料庫
健保給付規定