Zoldap (600mg) 10 Tablets

Zoldap (600mg) 10 Tablets

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  • Manufacturer GETZ PHARMACEUTICALS (PVT.) LTD.
  • Generic Name

    Linezolid 600mg

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Product Information

  • Description
  • Ingredients
  • Drug Class
  • Dosage Form
  • Uses
  • Dosage
  • In case of Overdose
  • Missed Dose
  • How To Use
  • When Not to Use
  • Side Effects
  • Precautions & Warnings
  • Drug Interactions
  • Food Interactions
  • Storage/Disposal
  • Quick Tips, if any
  • Description

    Linezolid 600mg tablet is an antibiotic used to treat serious bacterial infections. It belongs to the class of oxazolidinone antibiotics and works by inhibiting the growth of bacteria. Linezolid is particularly effective against Gram-positive bacteria, including multi-drug-resistant strains like methicillin-resistant *Staphylococcus aureus* (MRSA) and vancomycin-resistant enterococci (VRE). This medication is commonly prescribed for infections such as pneumonia, skin infections, and certain types of blood infections. Linezolid is typically used when other antibiotics are not effective or suitable due to resistance issues. It should be taken exactly as prescribed, and its use is often limited to specific, serious infections to minimize the development of resistance.

  • Ingredients

    Linezolid 600mg

  • Drug Class

    antibiotic

  • Dosage Form

    Tablet

  • Uses

    Following are the uses of Linezolid 600mg tablet:

    • Used to treat serious bacterial infections, including pneumonia caused by susceptible bacteria.
    • Effective in managing skin and soft tissue infections, such as cellulitis, caused by resistant organisms like MRSA.
    • Prescribed for treating bloodstream infections (bacteremia) caused by Gram-positive bacteria.
    • Used in the treatment of infections caused by vancomycin-resistant *Enterococcus faecium* (VRE), including VRE bacteremia.
    • Helps manage complicated skin and soft tissue infections when other antibiotics are not suitable.
    • Often used for the treatment of resistant Gram-positive infections in patients who are intolerant to other antibiotics.
    • Can be used for treating certain types of surgical site infections due to its effectiveness against resistant bacteria.
  • Dosage

    Following are the doses of Linezolid 600mg tablet:

    • The usual adult dose is 600mg, taken orally every 12 hours.
    • For infections like pneumonia or skin infections, the typical treatment duration is 10 to 14 days, depending on the severity of the infection.
    • For more severe infections, such as bacteremia or VRE infections, treatment may continue for up to 14 to 28 days, depending on the clinical response.
    • For patients with hepatic impairment, the standard dose of 600mg every 12 hours is typically recommended, but close monitoring is advised.
  • In case of Overdose

    In case of an overdose of Linezolid 600mg tablet, immediate medical attention is required. If an overdose is suspected, contact a healthcare provider or call a poison control center for guidance. Symptoms of overdose may include nausea, vomiting, dizziness, tremors, confusion, seizures, and high blood pressure. In a medical setting, supportive care will be provided, which may include monitoring vital signs and blood pressure. Activated charcoal may be administered if the overdose occurred recently to limit further absorption of the drug. Continuous monitoring of the patient’s condition, including laboratory tests and vital signs, is necessary to manage any severe symptoms. If symptoms such as serotonin syndrome (which can present with agitation, fever, muscle rigidity, and altered mental status) occur, specific treatments may be initiated.

  • Missed Dose

    If you miss a dose of Linezolid 600mg tablet, take it as soon as you remember, unless it is almost time for your next scheduled dose. In that case, skip the missed dose and take your next dose at the usual time. Do not take two doses at once to make up for a missed dose, as this can increase the risk of side effects or toxicity. If you are unsure about what to do, or if you have missed multiple doses, contact your healthcare provider for guidance. It is important to maintain a consistent dosing schedule to ensure the effectiveness of the treatment and prevent the development of antibiotic resistance.

  • How To Use

    Linezolid 600mg tablet typically, it should be taken once or twice daily, with or without food. Swallow the tablet whole with a glass of water. Do not chew, crush, or break the tablet.

  • When Not to Use

    Following are the situations when Linezolid 600mg tablet should not be used:

    • Should not be used in individuals with a known allergy to Linezolid or any of its components.
    • Contraindicated in patients who are currently taking or have recently taken monoamine oxidase inhibitors (MAOIs) within the last 14 days, due to the risk of serious interactions.
    • Not recommended for patients with uncontrolled hypertension, as Linezolid can cause an increase in blood pressure.
    • Should not be used in individuals with a history of certain blood disorders, such as bone marrow suppression, due to the potential for myelosuppression.
    • Contraindicated in patients with pheochromocytoma or thyroid disorders, as it can increase the risk of hypertensive crises.
    • Not recommended in pregnancy unless the benefits outweigh the risks, as there is limited safety data available.
    • Should be avoided in breastfeeding mothers unless no alternative treatment is available, as Linezolid may pass into breast milk.
    • Contraindicated in patients with a history of serotonin syndrome, particularly if they are on serotonergic medications.
  • Side Effects

    Side effects of Linezolid 600mg tablet includes:

    • Headache
    • Nausea
    • Diarrhea
    • Dizziness
    • Vomiting
    • Insomnia
    • Rash
    • Anemia
    • Thrombocytopenia
    • Fatigue
    • Hypertension
    • Serotonin syndrome
  • Precautions & Warnings

    Following are the precautions and warnings for Linezolid 600mg tablet:

    • Use with caution in patients with a history of hypertension or those who are at risk of high blood pressure, as Linezolid may elevate blood pressure.
    • Patients with a history of bone marrow suppression should be closely monitored, as Linezolid may cause thrombocytopenia, anemia, or leukopenia.
    • Linezolid should be used with caution in individuals with renal or hepatic impairment, as they may require dosage adjustments or closer monitoring.
    • The use of Linezolid for more than two weeks should be done with caution and under regular blood count monitoring, as it can lead to myelosuppression.
    • Careful monitoring is necessary in patients with a history of serotonin syndrome, as Linezolid has the potential to interact with other serotonergic drugs.
    • Patients should be monitored for signs of peripheral neuropathy, optic neuropathy, or lactic acidosis during prolonged therapy.
    • Avoid consuming foods or drinks containing high levels of tyramine (such as aged cheeses, cured meats, and fermented products), as Linezolid can interact with tyramine and increase the risk of hypertensive crises.
    • Use with caution in elderly patients, as they may be more susceptible to the drug's side effects.
    • If signs of an allergic reaction, such as rash, itching, or difficulty breathing, occur, seek immediate medical attention.
    • Pregnant women should only use Linezolid if absolutely necessary and after consulting with a healthcare provider.
    • Linezolid should not be abruptly discontinued; a healthcare provider should be consulted for proper tapering if necessary.
  • Drug Interactions

    Following are the drug interactions for Linezolid 600mg tablet:

    • Linezolid should not be used concurrently with monoamine oxidase inhibitors (MAOIs), such as phenelzine, tranylcypromine, or selegiline, due to the risk of serotonin syndrome and hypertensive crisis.
    • It may interact with selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine, sertraline, and paroxetine, increasing the risk of serotonin syndrome.
    • Linezolid may interact with other serotonergic drugs, including triptans (for migraines), tramadol, and certain antidepressants, leading to serotonin syndrome.
    • Concomitant use of Linezolid with adrenergic drugs, such as epinephrine, norepinephrine, or dopamine, may result in increased blood pressure due to Linezolid’s potential to elevate blood pressure.
    • Linezolid can increase the effects of anticoagulants like warfarin, leading to a higher risk of bleeding; regular monitoring of INR is recommended.
    • The combination of Linezolid with tyramine-containing foods or beverages (e.g., aged cheeses, smoked or cured meats) can lead to hypertensive crises.
    • Use with caution when combined with other drugs that may cause myelosuppression, such as chemotherapy agents, as this may exacerbate bone marrow suppression.
    • Linezolid can interact with certain antihypertensive medications, potentially diminishing their effectiveness.
    • The drug may interfere with the metabolism of certain anti-HIV drugs, such as rilpivirine, reducing their effectiveness.
    • Caution should be exercised when combining Linezolid with other antibiotics that may cause similar side effects, like linezolid, for synergistic effects or potential for severe side effects.
  • Food Interactions

    Following are the food interactions for Linezolid 600mg tablet:

    • Avoid consuming foods or beverages that are high in tyramine, such as aged cheeses, fermented meats, and certain alcoholic drinks (e.g., tap beer), as they can interact with Linezolid and increase the risk of hypertensive crises.
    • Foods with high levels of caffeine or other stimulants should be consumed with caution, as they may exacerbate the blood pressure-elevating effects of Linezolid.
    • Linezolid can be taken with or without food, but taking it with food may help reduce stomach upset.
    • Alcohol should be avoided or limited during treatment with Linezolid, as it may increase the risk of side effects such as dizziness or low blood pressure.
    • It is advisable to avoid excessive consumption of sugary or high-fat foods, as these can exacerbate some side effects like gastrointestinal upset.
    • Ensure adequate hydration while taking Linezolid to help reduce the risk of kidney issues or dehydration, especially in patients with renal concerns.
  • Storage/Disposal

    Linezolid 600mg tablets should be stored at room temperature, ideally between 20°C to 25°C (68°F to 77°F). The medication should be kept in its original container, tightly closed, and protected from moisture, heat, and direct sunlight. It is important to store the tablets in a dry place and out of reach of children. If the medication has expired or is no longer needed, it should be disposed of properly. Do not flush the tablets down the toilet or throw them in the trash. Instead, follow local disposal guidelines or

  • Quick Tips, if any

    Following are the quick tips for Linezolid 600mg tablet:

    • Take Linezolid as prescribed by your healthcare provider, and do not adjust the dose without consulting a doctor.
    • Complete the full course of treatment, even if you start feeling better, to prevent the development of antibiotic resistance.
    • Avoid foods high in tyramine, such as aged cheeses, cured meats, and fermented products, while taking Linezolid to prevent serious side effects like hypertension.
    • If you experience unusual symptoms like dizziness, confusion, or severe headaches, contact your healthcare provider immediately.
    • Regular blood tests are recommended to monitor for potential side effects, especially if you are on prolonged treatment.
    • Do not consume alcohol while taking Linezolid, as it may increase the risk of side effects.
    • If you are taking any other medications, particularly antidepressants or other serotonergic drugs, inform your healthcare provider to avoid dangerous interactions.
    • Monitor for any signs of allergic reactions, such as rash, itching, or difficulty breathing, and seek immediate medical attention if they occur.

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