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Guidelines
Pathogens
Antimicrobials
Low
NA
Non-formulary
Endocarditis or bloodstream infection 6-10 mg/kg IV daily
Non-bloodstream infections 4 mg/kg IV daily
Targeted therapy of resistant gram positive infections with MRSA (particularly when MIC≥2) and VRE including endovascular infection
Creatine kinase weekly
GI side effects common
Rash
Phlebitis
Increased INR
Myopathy including rhabdomyolysis
Statins and fibrates - Increased myopathy. Monitor creatine kinase or hold while on daptomycin therapy.
Higher doses used for endovascular infection.
Recommend Infectious Disease Consult.
Inactivated by pulmonary surfactant and therefore insufficient for pulmonary infection.
Antimicrobial class: Cyclic Lipopeptide.
Pregnancy category: B
Average serum half life: 9 hours
Urine penetration: Therapeutic
Lung penetration: Poor
CSF penetration: Poor