Absorption
Tmax: (IM)2 hrs; (IV) end of infusion
Bioavailability: (IM)90% Distribution
Protein binding, albumin: 87.6% to 90.8%
Vd: 0.7 to 1.4 L/kg Excretion
Fecal: 2.7% unchanged (IV); 45% unchanged (oral)
Renal: 80% unchanged
Dialyzable: No Elimination Half Life
Adults: 100 to 170 hours; Neonates: 40 hours; Pediatric (age 8 years): 58 hours
禁忌症
Hypersensitivity to teicoplanin or any component of the product
懷孕分類
Fetal risk cannot be ruled out.
哺乳分類
Infant risk cannot be ruled out
副作用
Common
Dermatologic: Erythema, Pruritus, Rash (1% to less than 10%)
Other: Fever (1% to less than 10%) Serious
Dermatologic: Stevens-Johnson syndrome, Toxic epidermal necrolysis
Hematologic: Thrombocytopenia (0.1% to less than 1%)
Immunologic: Anaphylaxis (0.1% to less than 1%), Hypersensitivity reaction
Otic: Toxic deafness (0.1% to less than 1%)
Renal: Renal failure
劑量和給藥方法
Gram-positive infections:
Initial 6-12 mg/kg Q12H for 3 to 5 doses; Maintenance 6-12 mg/kg QD to achieve targeted trough concentration Surgical (orthopedic) prophylaxis:
400 mg (or 6 mg/kg) given once at induction of anesthesia
小兒調整劑量
Neonates and Infants <2 months:
(IV) Initial 16 mg/kg loading dose on day 1, followed by 8 mg/kg once daily starting on day 2 Infants ≥2 months and Children ≤12 years:
(IV) Initial 10 mg/kg every 12 hours for 3 doses, followed by 6 to 10 mg/kg once daily
腎功能調整劑量
1. Mild impairment (CrCl 40-60 mL/min): half dose or initial dose given QOD
2. Severe impairment (CrCl <40 mL/min): 1/3 dose
肝功能調整劑量
安定性
注射給藥指引
給藥途徑
IV (靜脈注射)、IM (肌肉注射)、IVD (靜脈滴注) (仿單)
靜脈輸注液
再生溶液:SWFI (仿單)。稀釋溶液:NS、D5W、LR (仿單)。
每瓶稀釋液體積
再生溶液3.14mL,稀釋溶液無相關資料 (仿單、Handbook、micromedex)
注射濃度
給藥速率
IVD (靜脈滴注):30分鐘 (仿單) / IV (靜脈注射):3-5分鐘, IVD (靜脈滴注):30分鐘以上 (Handbook)