Spectrum: Local Antimicrobial Stewardship, for Island Health

Vancomycin PO

C. diff Risk

NA

Oral Bioavailability

None

Approximate Cost

$6/day

Spectrum Of Activity

General Spectrum of Activity

Spectrum Of Activity

Dosing

Adult

125mg po/ng/og q6h for 10-14 days.

Intra-colonic dose
250mg in 100mL of NS by rectal enema q6h

General Information

Common Usage

Common Usage

Only indication is in the therapy of C. difficile infection, particularly recurrent or severe disease

Drug Monitoring

Drug Monitoring

Possibility of accumulation in severe renal dysfunction.

Consider checking a vancomycin level in dialysis patients.

Additional Information

Additional Information

No oral absorption. May increase vancomycin resistant enterococci colonization in the gut.

Cost listed above reflects oral liquid. Capsules are almost 10X more costly

Pharmacology

Pharmacology

Antimicrobial class: glycopeptide

Pregnancy category: B

Average serum half life: 0.0

Urine penetration: None

Lung penetration: None

CSF penetration: None

Biliary penetration: None