Medication info

Vancomycin Injection 500 mg (Vancomycin Hydrochloride)

Prescription medicationInjections경구 · 정맥
Ingredient · strength
Vancomycin Hydrochloride›500mg / 1 vial
Manufacturer / importer
구주제약(주)
Appearance
A colorless and transparent vial containing a white to light brown freeze-dried powder for injection.
Packaging
10 vials/box [500 mg potency/vial]
Approval status
Active

MFDS item code 202106421 · Notified 2021.09.08

Summary

Main use
Treatment of severe infections (endocarditis, osteomyelitis, etc.) and pseudomembranous colitis.
Who uses it
Adults · Children
Adult dosage
As vancomycin, 500 mg (potency) should be given as an intravenous drip every 6 hours or 1 g (potency) should be given every 12 hours. For oral administration, 500 to 2000 mg should be divided and given 3 to 4 times a day for 7 to 10 days, with the total daily dose not to exceed 2 g.
Children's dosage
Pediatric patients should receive 10 mg (potency) per kg of body weight every 6 hours by intravenous injection. Infants should receive 10 to 15 mg (potency) per kg of body weight every 12 hours by intravenous injection. For infants and newborns, an initial dose of 1

Ingredients

Manufacturer
구주제약(주)

Efficacy & effects

Treatment of severe infections (endocarditis, osteomyelitis, etc.) and pseudomembranous colitis.

  • Endocarditis
  • osteomyelitis
  • arthritis
  • peritonitis
  • meningitis
  • superficial secondary infections from burns or surgical wounds
  • pneumonia
  • sepsis
  • lung abscess
  • empyema
  • severe infections
  • enterocolitis
View approved original text

This medication is effective against various harmful bacteria including Streptococcus, Staphylococcus, Clostridium difficile, and Diphtheroid bacteria. It is used in the treatment of endocarditis, osteomyelitis, arthritis, peritonitis, meningitis, and superficial secondary infections caused by burns or surgical wounds. It also helps in severe infections such as pneumonia, sepsis, lung abscess, and empyema. It is effective for severe infections that are difficult to treat with penicillin or cephalosporin antibiotics. In particular, it can treat pseudomembranous colitis caused by Clostridium difficile through oral administration. This medication is widely used to treat various severe infections.

Dosage and Administration

Adult dosage

As vancomycin, 500 mg (potency) should be given as an intravenous drip every 6 hours or 1 g (potency) should be given every 12 hours. For oral administration, 500 to 2000 mg should be divided and given 3 to 4 times a day for 7 to 10 days, with the total daily dose not to exceed 2 g.

Children's dosage

Pediatric patients should receive 10 mg (potency) per kg of body weight every 6 hours by intravenous injection. Infants should receive 10 to 15 mg (potency) per kg of body weight every 12 hours by intravenous injection. For infants and newborns, an initial dose of 1

Precautions

This drug should not be used in patients who have previously experienced severe allergic reactions or shock due to this medication or peptide or aminoglycoside antibiotics. Additionally, caution should be taken in patients with hearing impairment or renal dysfunction, elderly patients, premature infants, and newborns. When using this medication, symptoms such as neurological disturbances, gastrointestinal symptoms, blood abnormalities, hearing loss, liver and kidney dysfunction, skin reactions, and allergic reactions can occur, so symptoms should be closely monitored. In particular, if the infusion rate is fast, red spots or pain on the face and body, or muscle cramps may appear, so it is important to infuse slowly. This medication can affect renal function, thus regular blood tests and renal function monitoring are required, and administration should be stopped immediately if abnormal symptoms appear. Furthermore, prolonged use of this medication can disrupt the normal intestinal flora balance and lead to diarrhea or gastroenteritis, so medical consultation should be sought immediately in case of symptom occurrence. This medication can interact with other drugs, so particular care should be taken when used in conjunction with anesthetics or medications that affect the kidneys and nervous system. Pregnant or breastfeeding women should consult a physician before using this medication and, if necessary, monitor blood concentrations to minimize effects on the fetus and newborn. Doses may require adjustment and careful observation in children and elderly individuals who may have reduced renal function. In cases of overdose, kidney damage or hearing impairment may occur, necessitating immediate medical attention, and this medication is not easily removed by dialysis, so special treatment measures may be required. When administering intravenously, it should always be diluted and infused slowly, and the site of infusion should be regularly monitored to avoid inflammation or pain. This medication may become unstable when mixed with other antibiotics, so avoid mixed administration and always check the condition of the solution before administration. Finally, although this medication works by inhibiting bacterial cell wall synthesis to treat infections, some bacteria may develop resistance, so it should be used appropriately based on sensitivity testing.

Side effects and when to seek care immediately

Serious side effects

Hives, severe swelling, chest tightness, difficulty breathing, cold sweats, pallor, severe rash with fever, blisters, skin peeling, pain in oral/ocular mucosa, asthma attack, respiratory abnormalities accompanied by cough and fever, yellowing of skin or eyes, extreme lethargy, severe headache, lightning headache, seizures, confusion, visual disturbances, paralysis, significantly reduced urine output, severe generalized swelling, elevated blood pressure, shock, anaphylaxis.

Mild side effects

  • Loose stools
  • diarrhea
  • nausea
  • vomiting
  • abdominal pain
  • anemia
  • leukopenia
  • thrombocytopenia
  • eosinophilia
  • dizziness
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  • tinnitus
  • hearing loss
  • elevated bilirubin
  • elevated AST
  • elevated ALT
  • elevated ALP
  • elevated LDH
  • elevated γ-GTP
  • elevated LAP
  • elevated BUN
  • elevated creatinine
  • fever
  • vascular pain
  • phlebitis
  • nausea
  • chills
  • vasculitis
  • maculopapular rash
  • purpura
  • vesicular rash
  • rash

Not everyone experiences these, and they can vary from person to person.

Storage

This medication should be stored in a sealed container to prevent exposure to air, maintaining a temperature between 1 to 30 degrees Celsius (room temperature). This helps to prolong the effectiveness of the medication and prevent degradation.

Appearance and packaging

Appearance

A colorless and transparent vial containing a white to light brown freeze-dried powder for injection.

Package unit

10 vials/box [500 mg potency/vial]

Same-ingredient medicines

Even with the same ingredient, strength, dosage form and how it is taken can differ.

Even with the same ingredient, the dose and directions can differ by strength and dosage form. Talk to a doctor or pharmacist before switching from a medication you are already taking.

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This drug information is based on data provided by the Korea Ministry of Food and Drug Safety.
Consult a doctor or pharmacist for accurate dosage, administration, and usage instructions.