Vancomycin PO

C. diff Risk

NA

Oral Bioavailability

None

Approximate Cost

Dosing

125 mg PO/NG/OG every 6 hr for 10-14 days Life-threatenting infections, ileus 500 mg PO/NG/OG every 6 hr for 10-14 days Intra-colonic dose 250 mg in 100mL of NS by rectal enema every 6 hr

General Information

Common Usage

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

Drug Monitoring

Lab

  • Possibility of accumulation in severe renal dysfunction.

  • Consider checking a vancomycin level in dialysis patients.

Additional Information

No oral absorption.

May increase vancomycin resistant Enterococci colonization in the gut.

Pharmacology

Antimicrobial class: Glycopeptide

Pregnancy category: B

Average serum half life: 0 hours

Biliary penetration: None

CSF penetration: None

Lung penetration: None

Urine penetration: None