Covan 500 mg/vial (IV Infusion)

500 mg vial: ৳ 250.00

Medicine Details

Category Details
Generic Vancomycin hydrochloride
Company Renata limited
Also available as

Indications

  • Treatment of potentially life-threatening infections
  • Therapy for severe staphylococcal infections
  • Treatment of endocarditis
  • Prophylaxis against endocarditis
  • Treatment of osteomyelitis
  • Treatment of pneumonia
  • Treatment of septicemia
  • Treatment of soft tissue infections

Pharmacology

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

Dosage & Administration

  • Recommended concentration of no more than 5 mg/ml
  • Recommended rate of no more than 10 mg/min in adults
  • Initial dose for infants and neonates: 15 mg/kg
  • Usual daily dose for adults: 2 gm
  • Total daily dose for children: 40 mg/Kg
  • Usual daily dosage for antibiotic-associated pseudomembranous colitis and staphylococcal enterocolitis in adults: 125 to 500 mg
  • Usual daily dosage for pediatric patients: approximately 40 mg/kg

Contraindications

  • Contraindicated in patients with known hypersensitivity to Vancomycin

Side Effects

  • Possible anaphylactic reactions
  • Rapid infusion may cause flushing of the upper body
  • Rapid infusion may cause pain and muscle spasm of the chest and back

Pregnancy & Lactation

  • Use only if clearly needed during pregnancy
  • Excreted in human milk
  • Caution should be exercised when administered to a nursing woman

Precautions & Warnings

  • Patients with borderline renal function and individuals over the age of 60 should have serial tests of auditory function and of blood levels
  • Periodic haematological studies, urine analysis, and renal function tests are recommended for all patients receiving the drug
  • Covan is very irritating to tissue and causes injection site necrosis when injected intramuscularly
  • Prolonged use may result in the overgrowth of non-susceptible organisms
  • Careful observation of the patient is essential

Overdose Effects

  • Supportive care is advised with maintenance of glomerular filtration
  • Poorly removed from the blood by haemodialysis or peritoneal dialysis
  • Haemoperfusion with Amberlite resin XAD-4 may be of limited benefit

Therapeutic Class

  • Other antibiotic

Storage Conditions

  • Store in a cool and dry place
  • Protect from light
  • Keep out of reach of children

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