Vancomycin-resistant Enterococcus faecium infection; nosocomial pneumonia or community-acquired pneumonia caused by Staphylococcus aureus, or Streptococcus pneumonia; complicated SSTI (skin, soft tissue infection).
藥理
Linezolid is a synthetic oxazolidinone antimicrobial agent. Inhibits bacterial protein synthesis by binding to bacterial 23S ribosomal RNA of the 50S subunit. This prevents the formation of a functional 70S initiation complex, which is essential for the bacterial translation process.
藥動學
Bioavailability is approximately 100%; plasma protein binding 31%; well penetration into a variety of tissues; undergoing hepatic oxidation to two inactive metabolites; excretion: urine (30% as parent drug). Elimination half-life: 4-5 hrs. Linezolid should be given after hemodialysis (removed by hemodialysis).
禁忌症
Hypersensitivity to linezolid or any of the other product components
懷孕分類
C
哺乳分類
Excretion in breast milk unknown
副作用
Diarrhea (3 % to 11.0%), headache (0.5% to 11.3%), nausea (3.4% to 9.6%), myelosuppression (more common in patients receiving linezolid for >2 weeks).
劑量和給藥方法
Adult and child ≧12 years: IV or Orally 600 mg Q12H; neonates <7 days of age :10 mg/kg Q12H; neonates >7 days of age : 10 mg/kg Q8H. Dose adjustments are unnecessary when converting from IV to oral administration . No dosage adjustment is recommended for renal or hepatic impairment patient.
小兒調整劑量
腎功能調整劑量
No dosage adjustment is recommended for renal impairment patient.
肝功能調整劑量
No dosage adjustment is recommended for hepatic impairment patient.