• Drug Interactions
  • Adjustment to > 4.2 mg/kg/hour (100mg/kg/day) should be in consultation with pharmacist and consultant




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    Adjustment to > 4.2 mg/kg/hour (100mg/kg/day) should be in consultation with pharmacist and consultant.

    Contraindications

    Known hypersensitivity to vancomycin.

    Precautions

    Use with caution in patients with renal impairment or those receiving other nephrotoxic, neurotoxic or ototoxic drugs.

    Drug Interactions

    Neurotoxic and nephrotoxic drugs – concurrent use of these agents may contribute to the additive neurotoxic and nephrotoxic effects.
    Diuretics – potent diuretics (e.g. furosemide [frusemide]) may add to the ototoxic effect.
    Neuromuscular blocking agents (e.g. pancuronium, suxamethonium, vecuronium) – vancomycin may enhance neuromuscular blockade.
    Vancomycin may be combined with an aminoglycoside, cephalosporin or rifampicin for synergistic activity.


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    Adjustment to > 4.2 mg/kg/hour (100mg/kg/day) should be in consultation with pharmacist and consultant

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