What are the primary uses of Linezolid 600mg. How should patients take this medication. What are the most common and serious side effects of Linezolid. Why is a special diet important when taking Linezolid. How does Linezolid interact with other medications and substances.

Understanding Linezolid: An Powerful Antibiotic for Serious Bacterial Infections

Linezolid is a potent antibiotic medication primarily used to combat severe bacterial infections. As a member of the oxazolidinone class of antibiotics, it operates by inhibiting bacterial protein synthesis, effectively halting the growth and reproduction of harmful bacteria. This mechanism of action makes Linezolid particularly effective against certain resistant strains of bacteria that may not respond to other antibiotics.

Is Linezolid effective against all types of infections? No, Linezolid is specifically designed to treat bacterial infections and will not be effective against viral infections such as the common cold or flu. It’s crucial to use antibiotics only when necessary to prevent the development of antibiotic-resistant bacteria.

Key Uses of Linezolid

• Treatment of pneumonia
• Skin and soft tissue infections
• Vancomycin-resistant Enterococcus faecium infections
• Certain types of drug-resistant tuberculosis

The Dual Nature of Linezolid: Antibiotic and MAO Inhibitor

What sets Linezolid apart from many other antibiotics? Interestingly, Linezolid belongs to a class of drugs known as Monoamine Oxidase (MAO) inhibitors. This dual nature means that while it fights bacterial infections, it can also influence the levels of certain neurotransmitters in the body, including dopamine, norepinephrine, and serotonin.

The MAO inhibitor properties of Linezolid contribute to its unique profile of potential side effects and interactions. This characteristic necessitates careful consideration when prescribing Linezolid, especially for patients taking other medications that affect neurotransmitter levels.

Proper Administration of Linezolid 600mg

How should patients take Linezolid for optimal effectiveness? Linezolid 600mg is typically administered orally every 12 hours, with or without food. The exact dosage and duration of treatment will be determined by a healthcare provider based on the specific infection being treated, the patient’s age, weight, and overall health status.

For pediatric patients, the dosing schedule may differ, with some children being prescribed the medication every 8 hours instead. It’s crucial to follow the prescribed regimen precisely to ensure the best possible outcome and reduce the risk of antibiotic resistance.

Key Points for Taking Linezolid

1. Take at evenly spaced intervals, typically every 12 hours
2. Complete the full course of treatment, even if symptoms improve
3. Inform your doctor if symptoms persist or worsen
4. Follow any dietary restrictions recommended by your healthcare provider

The Critical Importance of Dietary Restrictions with Linezolid

Why is following a special diet crucial when taking Linezolid? Due to its MAO inhibitor properties, Linezolid can interact dangerously with certain foods high in tyramine. This interaction can potentially lead to a severe and potentially life-threatening increase in blood pressure, known as a hypertensive crisis.

Patients prescribed Linezolid must adhere to a tyramine-restricted diet to minimize this risk. This typically involves avoiding or limiting the consumption of various foods and beverages known to be high in tyramine content.

Foods and Beverages to Avoid or Limit

• Aged cheeses
• Dried or cured meats
• Fermented foods like sauerkraut and kimchi
• Soy products, including soy sauce and tofu
• Broad beans (fava beans)
• Tap beers, red wine, and sherry
• Foods containing large amounts of yeast

It’s essential for patients to consult with their healthcare provider or a dietician for a comprehensive list of foods to avoid or limit while taking Linezolid. This dietary guidance is crucial for ensuring the safe and effective use of the medication.

Common Side Effects of Linezolid 600mg

What are the most frequently reported side effects of Linezolid? While many patients tolerate Linezolid well, some may experience side effects. It’s important to note that the presence of side effects doesn’t necessarily mean the medication should be discontinued, but they should be reported to a healthcare provider for proper assessment.

Frequently Reported Side Effects

• Diarrhea
• Headache
• Nausea
• Vomiting
• Dizziness

These side effects are generally mild and may resolve on their own as the body adjusts to the medication. However, if they persist or worsen, it’s important to seek medical advice promptly.

Serious Side Effects and Complications of Linezolid

While less common, Linezolid can potentially cause more serious side effects that require immediate medical attention. It’s crucial for patients and caregivers to be aware of these potential complications and to seek help if they occur.

Serious Side Effects to Watch For

• Serotonin syndrome
• Vision changes or loss
• Numbness or tingling in extremities
• Unusual bleeding or bruising
• Severe diarrhea (possible C. difficile infection)
• Signs of hypertensive crisis

How can patients recognize serotonin syndrome? Symptoms may include rapid heartbeat, hallucinations, loss of coordination, severe dizziness, fever, severe nausea or vomiting, and muscle twitching. This condition can be life-threatening and requires immediate medical intervention.

What are the signs of a hypertensive crisis? Patients should be alert for severe headaches, fast or irregular heartbeat, chest pain, neck stiffness, severe nausea or vomiting, and sudden vision changes. These symptoms indicate a medical emergency and require immediate attention.

Drug Interactions and Precautions with Linezolid

Due to its MAO inhibitor properties, Linezolid has the potential to interact with a wide range of medications and substances. These interactions can range from reducing the effectiveness of Linezolid to causing potentially dangerous effects.

Medications That May Interact with Linezolid

• Selective Serotonin Reuptake Inhibitors (SSRIs)
• Tricyclic antidepressants
• Other MAO inhibitors
• Certain pain medications
• Some over-the-counter cold and flu remedies

Why is it crucial to inform healthcare providers about all medications and supplements? Complete disclosure of all drugs, including over-the-counter medications, herbal supplements, and recreational substances, is essential for preventing potentially dangerous drug interactions. Healthcare providers can then make informed decisions about the safety of prescribing Linezolid or recommend alternative treatments if necessary.

Special Considerations for Linezolid Use

Certain patient groups may require additional monitoring or dosage adjustments when taking Linezolid. These special considerations are crucial for ensuring the safe and effective use of the medication.

Patient Groups Requiring Special Attention

• Elderly patients
• Individuals with a history of seizures
• Patients with kidney or liver disease
• Pregnant or breastfeeding women
• Individuals with a history of hypertension

How does age affect Linezolid treatment? Elderly patients may be more susceptible to certain side effects and may require closer monitoring during treatment. Additionally, they may be more likely to be taking other medications that could interact with Linezolid, necessitating careful medication review.

What precautions should be taken for patients with a history of seizures? Linezolid has been associated with an increased risk of seizures in some patients. Those with a history of seizure disorders may require additional monitoring or alternative antibiotic options.

Monitoring and Follow-up During Linezolid Treatment

Regular monitoring is an essential component of Linezolid therapy to ensure its effectiveness and detect any potential complications early. Healthcare providers may recommend various tests and check-ups throughout the course of treatment.

Common Monitoring Procedures

• Complete blood count (CBC) to check for any changes in blood cell levels
• Liver function tests
• Blood pressure monitoring
• Vision tests, particularly for long-term use
• Assessment of neuropathy symptoms

Why is blood count monitoring important during Linezolid treatment? Linezolid can occasionally affect blood cell production, potentially leading to conditions such as anemia or thrombocytopenia. Regular blood tests can detect these changes early, allowing for prompt intervention if necessary.

How often should patients have follow-up appointments? The frequency of follow-up appointments will depend on the individual patient’s condition, the severity of their infection, and any pre-existing health issues. Typically, healthcare providers will schedule regular check-ups to assess the progress of treatment and monitor for any adverse effects.

Long-term Considerations and Antibiotic Stewardship

While Linezolid is a powerful tool in fighting serious bacterial infections, its use must be balanced with the principles of antibiotic stewardship to prevent the development of antibiotic-resistant bacteria.

Key Principles of Antibiotic Stewardship

• Using antibiotics only when necessary
• Choosing the most appropriate antibiotic for the specific infection
• Using the correct dosage and duration of treatment
• Regularly reviewing the need for continued antibiotic therapy
• Educating patients about proper antibiotic use

How can patients contribute to antibiotic stewardship? Patients play a crucial role in preventing antibiotic resistance by following their prescribed treatment regimen exactly, not sharing antibiotics with others, and not using leftover antibiotics from previous treatments. Additionally, patients should avoid pressuring healthcare providers for antibiotics when they may not be necessary, such as for viral infections.

What are the potential consequences of antibiotic overuse? Overuse or misuse of antibiotics can lead to the development of antibiotic-resistant bacteria, which are more difficult and expensive to treat. This can result in longer illnesses, more complex treatments, and potentially more serious health outcomes for individuals and communities.

Patient Education and Self-Monitoring

Empowering patients with knowledge about Linezolid and its potential effects is crucial for ensuring safe and effective treatment. Patients should be educated about the importance of adherence to the prescribed regimen, potential side effects to watch for, and when to seek medical attention.

Key Points for Patient Education

• The importance of completing the full course of antibiotics
• Dietary restrictions and their rationale
• Potential side effects and when to report them
• Drug interactions and the need to inform all healthcare providers about Linezolid use
• The importance of follow-up appointments and monitoring

How can patients effectively monitor their response to Linezolid? Patients should keep a diary of any symptoms or side effects they experience during treatment. This can help in discussions with healthcare providers and ensure that any concerns are addressed promptly. Additionally, patients should be encouraged to ask questions and seek clarification about any aspects of their treatment they don’t fully understand.

What role do caregivers play in Linezolid treatment? For patients who may have difficulty managing their own care, caregivers play a crucial role in ensuring proper medication administration, monitoring for side effects, and facilitating communication with healthcare providers. Caregivers should be included in patient education efforts and provided with resources to support their role in the patient’s care.

Alternative Treatments and Linezolid’s Place in Therapy

While Linezolid is an effective antibiotic for certain serious infections, it’s not always the first-line treatment choice due to its potential for side effects and interactions. Understanding its place in therapy and potential alternatives can help patients and healthcare providers make informed decisions about treatment options.

Factors Influencing Treatment Choice

• The specific type and severity of the infection
• The patient’s medical history and current medications
• Local patterns of antibiotic resistance
• The potential for side effects and drug interactions
• Cost and availability of different treatment options

When is Linezolid typically chosen over other antibiotics? Linezolid is often reserved for infections caused by resistant bacteria, particularly methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE). It may also be chosen when patients have allergies to other antibiotics or when other treatments have failed.

What are some potential alternatives to Linezolid? Depending on the specific infection and patient factors, alternatives might include vancomycin, daptomycin, or newer antibiotics like tedizolid. The choice of alternative will depend on the sensitivity of the infecting bacteria and the individual patient’s circumstances.

Future Developments and Research in Antibiotic Therapy

The field of antibiotic therapy is constantly evolving, with ongoing research aimed at developing new treatments and improving existing ones. Understanding the current landscape of antibiotic research can provide context for the use of medications like Linezolid and offer hope for future advancements in treating resistant infections.

Areas of Current Research

• Development of new classes of antibiotics
• Strategies to combat antibiotic resistance
• Personalized antibiotic therapy based on genetic factors
• Alternative approaches such as bacteriophage therapy
• Improved diagnostic tools for rapid identification of infections

How might future developments impact the use of Linezolid? As new antibiotics are developed and approved, the role of Linezolid in treating infections may evolve. Future research may also lead to improved understanding of how to minimize side effects and drug interactions, potentially expanding the safe use of Linezolid in different patient populations.

What role does ongoing surveillance play in antibiotic use? Continuous monitoring of antibiotic resistance patterns helps guide appropriate antibiotic use and informs the development of new treatment strategies. This surveillance is crucial for maintaining the effectiveness of existing antibiotics like Linezolid and identifying areas where new treatments are most urgently needed.

Linezolid Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

Uses

Linezolid is an antibiotic used to treat certain serious bacterial infections. It works by stopping the growth of bacteria.This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections.Linezolid also belongs to a class of drugs known as MAO inhibitors. It can increase the levels of certain natural substances in the body (such as dopamine, norepinephrine, serotonin) which can increase the chance of certain side effects and food and drug interactions. See How to Use, Side Effects, and Drug Interactions sections for more details.

How to use linezolid oral

Take this medication by mouth with or without food as directed by your doctor, usually every 12 hours. The dosage is based on your medical condition and response to treatment. For children, the dosage is also based on age and weight, and they may be directed to take this medication every 8 hours.

To prevent a very serious high blood pressure reaction, it is very important that you follow a special diet recommended by your doctor or dietician to limit your intake of tyramine while you are taking this medicine. Avoid foods and beverages that are high in tyramine, including aged cheeses, dried/aged meats and sausages (such as salami, liverwurst), preserved fish (such as pickled herring), products that contain large amounts of yeast (such as bouillon cubes, powdered soup/gravy, homemade or sourdough bread), fermented foods (such as sauerkraut, kim chee), most soybean products (such as soy sauce, tofu), broad/fava beans, red wine, sherry, tap beers, and vermouth. Consult your doctor or dietician for more details and a complete list of other foods that contain tyramine which you should limit or avoid.

For the best effect, take this antibiotic at evenly spaced times. To help you remember, take this medication at the same time(s) every day.

Continue to take this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may result in a return of the infection.

Tell your doctor if your condition lasts or gets worse.

Side Effects

Diarrhea, headache, nausea, vomiting, or dizziness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: deep/fast breathing, unusual drowsiness, nausea/vomiting that doesn’t stop, numbness/tingling of the hands/feet, unusual tiredness, easy bruising/bleeding.

Get medical help right away if you have any very serious side effects, including: muscle stiffness, increased sweating, vision changes (such as blurred vision, change in color vision, loss of vision), mental/mood changes (such as agitation, confusion), seizure.

This medication may rarely cause a severe intestinal condition due to a bacteria called C. difficile. This condition may occur during treatment or weeks to months after treatment has stopped. Tell your doctor right away if you develop: diarrhea that doesn’t stop, abdominal or stomach pain/cramping, blood/mucus in your stool.

If you have these symptoms, do not use anti-diarrhea or opioid products because they may make symptoms worse

Use of this medication for prolonged or repeated periods may result in oral thrush or a new yeast infection. Contact your doctor if you notice white patches in your mouth, a change in vaginal discharge, or other new symptoms.

This medication may increase serotonin and rarely cause a very serious condition called serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs you take. Get medical help right away if you develop some of the following symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, unexplained fever, severe nausea/vomiting/diarrhea, twitching muscles, unusual agitation/restlessness.

This drug may rarely cause an attack of extremely high blood pressure (hypertensive crisis), which may be fatal. Many drug and food interactions can increase this risk (see How to Use and Drug Interactions sections). Get medical help right away if any of these serious side effects occur: severe headache, fast/slow/irregular/pounding heartbeat, chest pain, neck stiffness/soreness, severe nausea/vomiting, sweating/clammy skin (sometimes with fever), widened pupils, vision changes (such as double/blurred vision), sudden sensitivity to light (photophobia).

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking linezolid, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: high blood pressure, blood/bone marrow problems (such as low red/white blood cells and platelets), kidney problems, liver problems, certain tumor conditions (such as pheochromocytoma, carcinoid syndrome), overactive thyroid, seizures.

This drug may make you dizzy. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

If you have diabetes, linezolid may lower your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Tell your doctor right away if you have symptoms of low blood sugar such as sudden sweating, shaking, fast heartbeat, hunger, blurred vision, dizziness, or tingling hands/feet. Your doctor may need to adjust your diabetes medication, exercise program, or diet.

Linezolid may cause live bacterial vaccines (such as typhoid vaccine) to not work well. Tell your health care professional that you are using linezolid before having any immunizations/vaccinations.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

This medication passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.

Interactions

See also How to Use section.

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Some products that may interact with this drug include: diet pills/appetite suppressants (such as diethylpropion), drugs for attention deficit disorder (such as atomoxetine, methylphenidate), apraclonidine, bupropion, buspirone, carbamazepine, cyclobenzaprine, deutetrabenazine, a certain combination product (dextromethorphan/quinidine), levodopa, maprotiline, methyldopa, metoclopramide, certain opioid pain relievers (such as fentanyl, meperidine, methadone, tapentadol), certain drugs for Parkinson’s disease (such as entacapone, tolcapone), certain supplements (such as tryptophan, tyramine), tetrabenazine, tricyclic antidepressants (such as amitriptyline, doxepin), valbenazine.

The risk of serotonin syndrome/toxicity increases if you are also taking other drugs that increase serotonin. Examples include street drugs such as MDMA/”ecstasy,” St. John’s wort, certain antidepressants (including mirtazapine, SSRIs such as fluoxetine/paroxetine, SNRIs such as duloxetine/venlafaxine), tramadol, certain “triptans” used to treat migraine headaches (such as rizatriptan, sumatriptan, zolmitriptan), among others. The risk of serotonin syndrome/toxicity may be more likely when you start or increase the dose of these drugs.

Some products can interact with linezolid if you take them together, or even if you take them weeks before or after taking linezolid. Tell your doctor or pharmacist if you take anything in the list of products that may interact with this drug, or any of the products that increase serotonin, within 2 weeks before or after taking linezolid. Also tell them if you have taken fluoxetine within 5 weeks before starting linezolid. Ask your doctor how much time to wait between starting or stopping any of these drugs and starting linezolid.

Taking other MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Do not take any other MAO inhibitors (isocarboxazid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before and after treatment with this medication. Ask your doctor when to start or stop taking this medication.

Before using linezolid, report the use of drugs that may increase the risk of extremely high blood pressure (hypertensive crisis) when combined with linezolid, including herbal products (such as ephedra/ma huang), allergy and cold products (including decongestants such as phenylephrine/pseudoephedrine), and stimulants (such as amphetamines, ephedrine, epinephrine). Linezolid should not be used with any of these medications. Talk to your doctor or pharmacist for more details.

Does linezolid oral interact with other drugs you are taking?

Enter your medication into the WebMD interaction checker

Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.

Do not share this medication with others.

This medication has been prescribed for your current condition only. Do not use it later for another infection unless your doctor tells you to.

Lab and/or medical tests (such as complete blood count, blood sodium levels) may be done while you are taking this medication. Eye tests should also be done if you take linezolid for 3 months or more, or if you have vision changes. Keep all medical and lab appointments.

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Images

linezolid 600 mg tablet

Color: whiteShape: ovalImprint: I 22

This medicine is a white, oval, film-coated, tablet imprinted with “I” and “22”.

linezolid 600 mg tablet

Color: whiteShape: ovalImprint: CIC 1

This medicine is a white, oval, film-coated, tablet imprinted with “I” and “22”.

linezolid 600 mg tablet

Color: whiteShape: ovalImprint: L340

This medicine is a white, oval, film-coated, tablet imprinted with “I” and “22”.

linezolid 600 mg tablet

Color: whiteShape: oblongImprint: LIN 600

This medicine is a white, oval, film-coated, tablet imprinted with “I” and “22”.

linezolid 600 mg tablet

Color: whiteShape: oblongImprint: ZYV 600

This medicine is a white, oval, film-coated, tablet imprinted with “I” and “22”.

linezolid 600 mg tablet

Color: whiteShape: oblongImprint: AN 777

This medicine is a white, oval, film-coated, tablet imprinted with “I” and “22”.

Next

Save up to 80% on your prescriptions.

Available coupons

Save up to 80% on your prescription with WebMDRx

Drug Survey

Are you currently using linezolid oral?

This survey is being conducted by the WebMD marketing sciences department.

Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

Apo-Linezolid – Uses, Side Effects, Interactions

How does this medication work? What will it do for me?

Linezolid belongs to the family of medications called antibiotics. It is used to kill certain types of bacteria that cause infections in the abdomen, lungs (e.g., pneumonia), urinary tract, skin, and skin-structures (e.g., sweat glands, hair follicles). This medication works by killing bacteria or preventing their growth.

This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.

Your doctor may have suggested this medication for conditions other than those listed in these drug information articles.  If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.

What form(s) does this medication come in?

Each white, oval, biconvex, film-coated tablet with “APO” engraved on one side and “LIN600” on the other, contains 600 mg of linezolid. Nonmedicinal ingredients: methyl cellulose, crospovidone, colloidal silicon dioxide, magnesium stearate, hydroxypropyl methylcellulose, hydroxypropyl cellulose, polyethylene glycol, and titanium dioxide.

How should I use this medication?

The recommended dose of linezolid depends on the type of infection being treated. For uncomplicated skin and skin-structure infections, the dose is usually 400 mg every 12 hours for 10 to 14 days.  For most other types of infections, the usual dose is 600 mg every 12 hours for 10 to 14 days or for 14 to 28 days (depending on the type of infection being treated). The tablets may be taken with or without food.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is very important to take this medication exactly as prescribed by your doctor. Finish all this medication, even if you have started to feel better.

If you miss a dose of this medication, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Who should NOT take this medication?

Do not use this medication if you:

• are allergic to linezolid or any ingredients of this medication
• have taken monoamine oxidase (MAO) inhibitors (e.g., phenelzine, tranylcypromine) in the past 2 weeks
• have uncontrolled high blood pressure
• have untreated thyroid disease
• have pheochromocytoma (tumour of the adrenal gland)
• are taking medications that increase blood pressure (e.g., pseudoephedrine, epinephrine, dopamine)
• are taking medications that affect the messenger serotonin (e.g., antidepressants, “triptan” migraine medications, buspirone)
• have carcinoid syndrome (a group of symptoms which results from the release of hormones, such as serotonin, from carcinoid tumours)

What side effects are possible with this medication?

Many medications can cause side effects.  A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

• change in colour of tongue
• constipation
• diarrhea
• dizziness
• dry mouth
• headache
• increased thirst
• nausea
• rash
• stomach discomfort
• taste changes
• trouble sleeping
• vomiting

Although most of the side effects listed below don’t happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

• changes in vision (e.g., blurred vision, trouble seeing clearly)
• fever or chills
• increased blood pressure
• ringing in the ears
• symptoms of blood problems (unusual weakness or tiredness, unusual bleeding or bruising, shortness of breath, fever)
• symptoms of high blood sugar (e.g., frequent urination, increased thirst, excessive eating, unexplained weight loss, poor wound healing, infections, fruity breath odour)
• symptoms of low blood sugar (e.g., cold sweat, cool pale skin, headache, fast heartbeat, weakness)
• symptoms of nerve problems (numbness, tingling, prickling, or burning sensations)
• vaginal yeast infections (itching, white discharge)
• white patches in the mouth or on the tongue or throat

Stop taking the medication and seek immediate medical attention if any of the following occur:

• symptoms of antibiotic-associated diarrhea (severe, watery diarrhea that may be bloody)
• symptoms of a severe allergic reaction (hives, difficulty breathing, swelling of the mouth or throat)
• symptoms of a severe skin reaction such as blistering, peeling, a rash covering a large area of the body, a rash that spreads quickly, or a rash combined with fever or discomfort
• symptoms of lactic acidosis (severe or recurrent nausea, vomiting, or diarrhea)
• symptoms of serotonin syndrome (agitation, confusion, delirium, muscle stiffness, shaking, poor coordination, or seizures)

Some people may experience side effects other than those listed.  Check with your doctor if you notice any symptom that worries you while you are taking this medication.

Are there any other precautions or warnings for this medication?

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Antibiotic-associated diarrhea: This medication, like other antibiotics, may cause a potentially dangerous condition called antibiotic-associated, or pseudomembranous, colitis. Symptoms include severe, watery diarrhea that may be bloody. If you notice these symptoms, stop taking linezolid and contact your doctor as soon as possible.

Bacterial resistance: Misuse of an antibiotic such as linezolid may lead to the growth of resistant bacteria that will not be killed by the antibiotic. If this happens, the antibiotic may not work for you in the future. Although you may begin to feel better early in your course of treatment with linezolid, you need to take the full course exactly as directed to finish ridding your body of the infection and to prevent resistant bacteria from taking hold. Do not take linezolid or other antibiotics to treat a viral infection such as the common cold; antibiotics do not kill viruses, and using them to treat viral infections can lead to the growth of resistant bacteria.

Diabetes: Linezolid may cause a loss of blood glucose control and glucose tolerance may change. People with diabetes may find it necessary to monitor their blood sugar more frequently while using this medication. Symptoms of low blood sugar include lightheadedness, weakness, cool, pale skin, or rapid heart rate.

If you have diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Foods with high tyramine content: When using this medication, avoid large quantities of foods or beverages with high tyramine content (e.g., draft beers, red wines, soy sauce, aged cheeses). The combination of linezolid and large amounts of tyramine may result in episodes of dangerously high blood pressure, which can be life-threatening.

Lactic acidosis: Rarely, linezolid may cause a serious condition called lactic acidosis (build-up of lactic acid in the blood). If you experience recurrent nausea or vomiting while taking this medication, get immediate medical attention.

Low blood cell counts: Linezolid may cause low blood cell counts. If you experience unusual weakness or tiredness, unusual bleeding or bruising, shortness of breath, or fever while taking linezolid contact your doctor immediately. Your doctor will monitor your blood cell counts while you are taking this medication.

Nerve problems: Linezolid may cause a nerve problem called peripheral neuropathy, especially when used for longer than recommended. If you experience numbness, tingling or prickling sensations, or burning pain while taking this medication, contact your doctor.

Other medical conditions: Linezolid may cause symptoms of other illnesses to become worse. If you have uncontrolled high blood pressure, pheochromocytoma, carcinoid syndrome, or untreated overactive thyroid, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Overgrowth of organisms: Treatment with antibiotics such as linezolid may allow normal fungus or types of bacteria not killed by the antibiotic to overgrow and cause unwanted infections such as yeast infections. Contact your doctor if you experience fever or chills while taking this medication.

Phenylketonuria: The oral liquid form of linezolid contains aspartame, an ingredient that cannot be broken down in the body by people who have phenylketonuria (a condition where you are lacking the enzyme needed to break down phenylalanine).  People with phenylketonuria should take linezolid tablets instead.

Seizures: This medication may cause seizures, especially for people with a history of seizures or who are at risk for seizures. Get immediate medical attention if you experience a seizure while taking this medication.

Serotonin syndrome: Severe reactions are possible when linezolid is combined with other medications that act on serotonin, such as tricyclic antidepressants and serotonin reuptake inhibitors, medications used to treat depression. These combinations must be avoided. Symptoms of a reaction may include muscle rigidity and spasms, difficulty moving, changes in mental state including delirium and agitation. Coma and death are possible.

If you are taking antidepressants, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Vision problems: Linezolid may cause vision problems, especially when used for longer than recommended. If you experience vision changes (e.g., blurred vision, changes in colour vision, trouble seeing clearly) while taking this medication, contact your doctor immediately.

Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.

Breast-feeding: This medication passes into breast milk. If you are a breast-feeding mother and are taking this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using this medication have not been established for children and adolescents less than 18 years old.

Seniors: People who are elderly may be more at risk of low sodium levels caused by linezolid.

What other drugs could interact with this medication?

There may be an interaction between linezolid and any of the following:

• alcohol
• amphetamines (e.g., dextroamphetamine, lisdexamfetamine)
• antiemetics (e.g., granisetron, ondansetron)
• antipsychotics (e.g., chlorpromazine, clozapine, haloperidol, olanzapine, quetiapine, risperidone)
• apraclonidine
• atomoxetine
• atropine eye drops
• BCG
• betahistine
• bezafibrate
• brimonidine
• bromocriptine
• fast acting bronchodilators (e.g., salbutamol, terbutaline)
• long acting bronchodilators (e.g., formoterol, salmeterol)
• buprenorphine
• bupropion
• buspirone
• cabergoline
• caffeine
• carbamazepine
• cholera vaccine
• cladribine
• cyclobenzaprine
• decongestant cold medications (e.g., phenylephrine, pseudoephedrine)
• decongestant eye drops and nose sprays (e. g., naphazoline, oxymetazoline, xylometazoline)
• deferiprone
• dexmethylphenidate
• dextromethorphan
• diabetes medications (e.g.,  acarbose, canagliflozin, glyburide, insulin, linagliptin, lixisenatide, metformin, rosiglitazone)
• diphenoxylate
• dipivefrin
• disopyramide
• domperidone
• entacapone
• epinephrine
• ergot alkaloids (e.g., ergotamine, dihydroergotamine)
• esketamine
• hydroxychloroquine
• lanreotide
• levodopa
• lithium
• mesalamine
• methadone
• methyldopa
• methylene blue
• methylphenidate
• metoclopramide
• midodrine
• mifepristone
• mirtazapine
• modafinil
• monoamine oxidase (MAO) inhibitors (e.g., phenelzine, tranylcypromine, moclobemide, selegiline)
• narcotic pain relievers (e.g., fentanyl, hydromorphone, morphine, oxycodone, tapentadol, tramadol)
• octreotide
• olsalazine
• ozanimod
• pasireotide
• pizotifen
• St. John’s wort
• selective serotonin reuptake inhibitors (SSRIs, e.g., citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline)
• serotonin agonists (“triptan” migraine medications; e.g., sumatriptan, zolmitriptan, rizatriptan, almotriptan)
• serotonin/norepinephrine reuptake inhibitors (SNRIs; e.g., desvenlafaxine, duloxetine, venlafaxine)
• sodium picosulfate
• solriamfetol
• sulfasalazine
• sulfonamide antibiotics (“sulfas”; e.g., sulfadiazine, sulfamethoxazole)
• tetrabenazine
• theophyllines (e.g., aminophylline, oxtriphylline, theophylline)
• trazodone
• tricyclic antidepressants (e.g., amitriptyline, clomipramine, desipramine, imipramine)
• tryptophan
• typhoid vaccine (oral)
• warfarin

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

All material copyright MediResource Inc. 1996 – 2023. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/drug/getdrug/Apo-Linezolid

Averozolid 600 mg 10 tablets

Brand name:

Averozolid

Averozolid

Composition:

Each tablet contains:

Linezolid 600 mg

Auxiliary components:

corn starch – 66 mg, microcrystalline cellulose – 97 mg, povidone K30 – 14 mg, croscarmellose sodium – 17 mg, magnesium stearate – 8 mg, colloidal silicon dioxide – 4 mg, calcium hydrogen phosphate – 40 mg, sodium lauryl sulfate – 4 mg.

Features:

Antimicrobial agent, belongs to the class of oxazolidinones. The mechanism of action is due to selective inhibition of protein synthesis in bacteria. By binding to bacterial ribosomes, linezolid prevents the formation of a functional 70S initiation complex, which is a component of the translation process during protein synthesis.

Readings:

Treatment of infectious and inflammatory diseases caused by susceptible to anaerobic and aerobic gram-positive microorganisms (including infections accompanied by bacteremia): community-acquired pneumonia; hospital pneumonia; skin and soft tissue infections; infections caused by Enterococcus spp. (including strains of Enterococcus faecalis and Enterococcus faecium resistant to vancomycin). Infections caused by gram-negative microorganisms, confirmed or suspected (as part of combination therapy).

Dosage and administration:

The optimal dosage regimen is determined by the doctor. Compliance of the dosage form of a particular drug with indications for use and dosing regimen should be strictly observed.

On average, adults and children over 12 years of age take 600 mg every 12 hours, the duration of treatment is from 10 to 28 days

Children under 11 take 10mg/kg every 8 hours for 10 to 28 days.

Contraindications:

Hypersensitivity to linezolid.

Precautions:

With the development of diarrhea during the use of linezolid, the risk of developing pseudomembranous colitis of varying severity should be taken into account.

In the course of treatment, it is necessary to conduct a clinical blood test in patients with an increased risk of bleeding, a history of myelosuppression, as well as with simultaneous use of drugs that reduce hemoglobin levels, platelet count or their functional properties, as well as in patients receiving linezolid for more than 2 weeks.

Side effects:

From the digestive system: often – taste perversion, nausea, vomiting, diarrhea, abdominal pain (including spastic), flatulence, changes in total bilirubin, ALT, AST, alkaline phosphatase.