Vancin 1 gm/vial (IV Infusion)

1 gm vial: ৳ 550.00

Medicine Details

Indications

  • Treatment of life-threatening infections
  • Therapy for severe staphylococcal infections
  • Treatment of endocarditis
  • Prophylaxis against endocarditis
  • Effective in osteomyelitis, pneumonia, septicemia, and soft tissue infections

Pharmacology

  • Binds tightly to D-alanyl-D-alanine portion of cell wall precursor
  • Causes blockage of glycopeptide polymerization
  • Inhibits cell wall synthesis
  • Causes secondary damage to the cytoplasmic membrane

Dosage & Administration

  • Concentration recommendation for adults
  • Dosage adjustment for patients with impaired renal function
  • Dosage adjustment for elderly patients
  • Recommended dosage for antibiotic-associated pseudomembranous colitis
  • Usual daily dose for adults and children

Contraindications

  • Contraindicated in patients with known hypersensitivity to vancomycin

Side Effects

  • Potential anaphylactic reactions
  • Hypotension
  • Wheezing
  • Dyspnea
  • Urticaria
  • Pruritus
  • Flushing of the upper body
  • Pain and muscle spasm of the chest and back

Pregnancy & Lactation

  • Unknown effect on fetal harm
  • Caution in pregnancy
  • Monitoring of blood levels in pregnancy
  • Excretion in human milk
  • Caution in nursing women

Precautions & Warnings

  • Serial tests of auditory function for patients with borderline renal function and individuals over 60
  • Periodic haematological studies
  • Urine analysis and renal function tests
  • Irritating to tissue, causing injection site necrosis if injected intramuscularly
  • Injection site pain and thrombophlebitis
  • Overgrowth of non-susceptible organisms with prolonged use
  • Observation for superinfection during therapy
  • Risk of pseudomembranous colitis due to C. difficile

Overdose Effects

  • Supportive care advised
  • Maintenance of glomerular filtration
  • Poor removal from blood by haemodialysis or peritoneal dialysis
  • Limited benefit of haemoperfusion with Amberlite resin XAD-4

Therapeutic Class

  • Other antibiotic

Storage Conditions

  • Cool and dry storage
  • Protection from light
  • Keep out of reach of children

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