Linezolid
600 mg · Tablet, Film Coated
- Prescription only
- Oxazolidinone Antibacterial
- Active substance
- Linezolid
- Made by
- American Health Packaging
- Source
- Official label
Quoted from the official source. Not yet reviewed by Mediclarum — the leaflet in your pack is authoritative.
At a glance
Quoted from the official label · 2024-11-22
Oxazolidinone Antibacterial
- Linezolid is an oxazolidinone-class antibacterial indicated in
Adults and Adolescents (12 Years and Older) Duration (days) Nosocomial pneumonia 10 mg/kg intravenous or oral every 8 hours 600 mg oral every 12 hours 10 to 14 Community-acquired pneumonia, including concurrent bacteremia Complicated skin and skin structure infections Vancomycin-resistant Enterococcus faecium infections, including concurrent bacteremia 10 mg/kg intravenous or oral every 8 hours 600 mg oral every 12 hours 14 to 28 Uncomplicated skin and skin structure infections less than 5 yrs:
Full directions ↓Known hypersensitivity to linezolid or any of the other product components.
All warnings ↓- Prescription only
- FDA enforcement reports list no ongoing recall, and none from the last two years, for this product code · checked 2026-10-02
Every line above is selected, not written, from the official label. Nothing is reworded. DailyMed
What it is for
adults for the treatment of the following infections caused by susceptible Gram-positive bacteria:
- Linezolid is an oxazolidinone-class antibacterial indicated in
- Nosocomial pneumonia (1.1) ;
- Community-acquired pneumonia (1.2) ;
- Complicated skin and skin structure infections, including diabetic foot infections, without concomitant osteomyelitis (1.3) ;
- Uncomplicated skin and skin structure infections (1.4) ;
- Vancomycin-resistant Enterococcus faecium infections.
- (1.5) Limitations of Use (1.6) :
- Linezolid tablets are not indicated for the treatment of Gram-negative infections.
- The safety and efficacy of linezolid formulations given for longer than 28 days have not been evaluated in controlled clinical trials.
- To reduce the development of drug-resistant bacteria and maintain the effectiveness of linezolid formulations and other antibacterial drugs, linezolid tablets should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria.
- (1.7)
- 1.1 Nosocomial Pneumonia Linezolid tablets are indicated for the treatment of nosocomial pneumonia caused by Staphylococcus aureus (methicillin-susceptible and -resistant isolates) or Streptococcus pneumoniae [see Clinical Studies (14) ].
- 1.2 Community-acquired Pneumonia Linezolid tablets are indicated for the treatment of community-acquired pneumonia caused by Streptococcus pneumoniae, including cases with concurrent bacteremia, or Staphylococcus aureus (methicillin-susceptible isolates only) [see Clinical Studies (14) ].
- 1.3 Complicated Skin and Skin Structure Infections Linezolid tablets are indicated for the treatment of complicated skin and skin structure infections, including diabetic foot infections, without concomitant osteomyelitis, caused by Staphylococcus aureus (methicillin-susceptible and -resistant isolates), Streptococcus pyogenes, or Streptococcus agalactiae.
- Linezolid tablets have not been studied in the treatment of decubitus ulcers [see Clinical Studies (14) ].
- 1.4 Uncomplicated Skin and Skin Structure Infections Linezolid tablets are indicated for the treatment of uncomplicated skin and skin structure infections caused by Staphylococcus aureus (methicillin-susceptible isolates only) or Streptococcus pyogenes [see Clinical Studies (14) ].
- 1.5 Vancomycin-resistant Enterococcus faecium Infections Linezolid tablets are indicated for the treatment of vancomycin-resistant Enterococcus faecium infections, including cases with concurrent bacteremia [see Clinical Studies (14) ].
- 1.6 Limitations of Use Linezolid tablets are not indicated for the treatment of Gram-negative infections.
- It is critical that specific Gram-negative therapy be initiated immediately if a concomitant Gram-negative pathogen is documented or suspected [see Warnings and Precautions (5.4) ].
- The safety and efficacy of linezolid formulations given for longer than 28 days have not been evaluated in controlled clinical trials [see Clinical Studies (14) ].
- 1.7 Usage To reduce the development of drug-resistant bacteria and maintain the effectiveness of linezolid and other antibacterial drugs, linezolid should be used only to treat infections that are proven or strongly suspected to be caused by susceptible bacteria.
- When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy.
- In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.
From the official label · 2024-11-22 · DailyMed
How it works
From this product’s own US prescribing label.
Linezolid is an antibacterial drug [see Microbiology (12.4) ].
Linezolid is primarily metabolized by oxidation of the morpholine ring, which results in two inactive ring-opened carboxylic acid metabolites: the aminoethoxyacetic acid metabolite (A), and the hydroxyethyl glycine metabolite (B).
The time to reach the maximum concentration is delayed from 1.5 hours to 2.2 hours and C max is decreased by about 17% when high fat food is given with linezolid.
Quoted from the prescribing label, sections “Mechanism of Action” and “Pharmacokinetics”. DailyMed · 2024-11-22
Do not take it if
- Known hypersensitivity to linezolid or any of the other product components.
- (4.1) Patients taking any monoamine oxidase inhibitors (MAOI) or within two weeks of taking an MAOI.
- (4.2)
- 4.1 Hypersensitivity Linezolid tablets are contraindicated for use in patients who have known hypersensitivity to linezolid or any of the other product components.
- 4.2 Monoamine Oxidase Inhibitors Linezolid should not be used in patients taking any medicinal product which inhibits monoamine oxidases A or B (e.g., phenelzine, isocarboxazid) or within two weeks of taking any such medicinal product.
Quoted from the official label, section “Contraindications”.
How to take it
These directions are for this exact strength and form. Another one is different.
- Dosage, Route, and Frequency of Administration Infection Pediatric Patients (Birth through 11 years of Age)
- Adults and Adolescents (12 Years and Older) Duration (days) Nosocomial pneumonia 10 mg/kg intravenous or oral every 8 hours 600 mg oral every 12 hours 10 to 14 Community-acquired pneumonia, including concurrent bacteremia Complicated skin and skin structure infections Vancomycin-resistant Enterococcus faecium infections, including concurrent bacteremia 10 mg/kg intravenous or oral every 8 hours 600 mg oral every 12 hours 14 to 28 Uncomplicated skin and skin structure infections less than 5 yrs:
- 10 mg/kg oral every 8 hours 5-11 yrs:
- 10 mg/kg oral every 12 hours
- Adults:
- 400 mg oral every 12 hours Adolescents:
- 600 mg oral every 12 hours 10 to 14
- 2.1 General Dosage and Administration The recommended dosage for linezolid for the treatment of infections is described in Table 1.
- Table 1.
- Dosage Guidelines for Linezolid Infection Due to the designated pathogens [see Indications and Usage (1)] Dosage, Route, and Frequency of Administration Recommended Duration of Treatment (consecutive days) Pediatric Patients Neonates less than 7 days:
- Most pre-term neonates less than 7 days of age (gestational age less than 34 weeks) have lower systemic linezolid clearance values and larger AUC values than many full-term neonates and older infants.
- These neonates should be initiated with a dosing regimen of 10 mg/kg every 12 hours.
- Consideration may be given to the use of 10 mg/kg every 8 hours regimen in neonates with a sub-optimal clinical response.
- All neonatal patients should receive 10 mg/kg every 8 hours by 7 days of life [see Use in Specific Populations (8.4) and Clinical Pharmacology (12.3)].
- (Birth through 11 years of Age)
- Adults and Adolescent (12 Years and Older) Nosocomial pneumonia 10 mg/kg oral Oral dosing using either linezolid tablets [see How Supplied/Storage and Handling (16)]. every 8 hours 600 mg oral every 12 hours 10 to 14 Community-acquired pneumonia, including concurrent bacteremia Complicated skin and skin structure infections Vancomycin-resistant Enterococcus faecium infections, including concurrent bacteremia 10 mg/kg oral every 8 hours 600 mg oral every 12 hours 14 to 28 Uncomplicated skin and skin structure infections less than 5 yrs:
- 10 mg/kg oral every 8 hours 5-11 yrs:
- 10 mg/kg oral every 12 hours
- Adults:
- 400 mg oral every 12 hours Adolescents:
- 600 mg oral every 12 hours 10 to 14 No dose adjustment is necessary when switching from intravenous to oral administration.
Quoted from the official label, section “Dosage & Administration”.
Other warnings
- Myelosuppression: Monitor complete blood counts weekly.
- Thrombocytopenia has been reported more often in patients with severe renal and in patients with moderate to severe hepatic impairment.
- Consider discontinuation in patients who develop or have worsening myelosuppression.
- (5.1) Peripheral and Optic Neuropathy:
- Reported primarily in patients treated for longer than 28 days.
- If patients experience symptoms of visual impairment, prompt ophthalmic evaluation is recommended.
- (5.2) Serotonin Syndrome:
- Monitor patients taking serotonergic antidepressants should receive linezolid only if no other therapies are available.
- Discontinue serotonergic antidepressants and monitor patients for signs and symptoms of both serotonin syndrome and antidepressant discontinuation.
- (5.3) A mortality imbalance was seen in an investigational study in linezolid-treated patients with catheter-related bloodstream infections.
- (5.4) Clostridium difficile -Associated Diarrhea: Evaluate if diarrhea occurs.
- (5.5) Potential interactions producing elevation of blood pressure:
- monitor blood pressure (5.6) Hypoglycemia:
- Postmarketing cases of symptomatic hypoglycemia have been reported in patients with diabetes mellitus receiving insulin or oral hypoglycemic agents.
- (5.9) Hyponatremia and/or Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH):
- Monitor serum sodium levels regularly in patients at risk of hyponatremia and/or SIADH.
- (5.10)
- 5.1 Myelosuppression Myelosuppression (including anemia, leukopenia, pancytopenia, and thrombocytopenia) has been reported in patients receiving linezolid.
- In cases where the outcome is known, when linezolid was discontinued, the affected hematologic parameters have risen toward pretreatment levels.
- Thrombocytopenia has been reported more often in patients with severe renal impairment, whether or not on dialysis, and in patients with moderate to severe hepatic impairment.
- Complete blood counts should be monitored weekly in patients who receive linezolid, particularly in those who receive linezolid for longer than two weeks, those with pre-existing myelosuppression, those with severe renal impairment or moderate to severe hepatic impairment, those receiving concomitant drugs that produce bone marrow suppression, or those with a chronic infection who have received previous or concomitant antibacterial drug therapy.
- Discontinuation of therapy with linezolid should be considered in patients who develop or have worsening myelosuppression [see Adverse Reactions (6.2) ].
- 5.2 Peripheral and Optic Neuropathy Peripheral and optic neuropathies have been reported in patients treated with linezolid, primarily in those patients treated for longer than the maximum recommended duration of 28 days.
- In cases of optic neuropathy that progressed to loss of vision, patients were treated for extended periods beyond the maximum recommended duration.
- Visual blurring has been reported in some patients treated with linezolid for less than 28 days.
- Peripheral and optic neuropathy has also been reported in children.
- If patients experience symptoms of visual impairment, such as changes in visual acuity, changes in color vision, blurred vision, or visual field defect, prompt ophthalmic evaluation is recommended.
- Visual function should be monitored in all patients taking linezolid for extended periods (≥ 3 months) and in all patients reporting new visual symptoms regardless of length of therapy with linezolid.
- If peripheral or optic neuropathy occurs, the continued use of linezolid in these patients should be weighed against the potential risks.
- 5.3 Serotonin Syndrome Spontaneous reports of serotonin syndrome including fatal cases associated with the co-administration of linezolid and serotonergic agents, including antidepressants such as selective serotonin reuptake inhibitors (SSRIs), have been reported.
- Unless clinically appropriate and patients are carefully observed for signs and/or symptoms of serotonin syndrome or neuroleptic malignant syndrome-like (NMS-like) reactions, linezolid should not be administered to patients with carcinoid syndrome and/or patients taking any of the following medications:
- serotonin re-uptake inhibitors, tricyclic antidepressants, serotonin 5-HT1 receptor agonists (triptans), and opioids, including meperidine [see Drug Interactions (7) and Clinical Pharmacology (12.3) ].
- In some cases, a patient already receiving a serotonergic antidepressant or buspirone may require urgent treatment with linezolid.
- If alternatives to linezolid are not available and the potential benefits of linezolid outweigh the risks of serotonin syndrome or NMS-like reactions, the serotonergic antidepressant should be stopped promptly and linezolid administered.
- The patient should be monitored for two weeks (five weeks if fluoxetine was taken) or until 24 hours after the last dose of linezolid, whichever comes first.
- Symptoms of serotonin syndrome or NMS-like reactions include hyperthermia, rigidity, myoclonus, autonomic instability, and mental status changes that include extreme agitation progressing to delirium and coma.
- The patient should also be monitored for discontinuation symptoms of the antidepressant (see package insert of the specified agent(s) for a description of the associated discontinuation symptoms).
- 5.4 Mortality Imbalance in an Investigational Study in Patients with Catheter-Related Bloodstream Infections, including those with catheter-site infections An imbalance in mortality was seen in patients treated with linezolid relative to vancomycin/dicloxacillin/oxacillin in an open-label study in seriously ill patients with intravascular catheter-related infections [78/363 (21.5%) vs. 58/363 (16%); odds ratio 1.426, 95% CI 0.970, 2.098].
- While causality has not been established, this observed imbalance occurred primarily in linezolid-treated patients in whom either Gram-negative pathogens, mixed Gram-negative and Gram-positive pathogens, or no pathogen were identified at baseline, but was not seen in patients with Gram-positive infections only.
- Linezolid is not approved and should not be used for the treatment of patients with catheter-related bloodstream infections or catheter-site infections.
- Linezolid has no clinical activity against Gram-negative pathogens and is not indicated for the treatment of Gram-negative infections.
- It is critical that specific Gram-negative therapy be initiated immediately if a concomitant Gram-negative pathogen is documented or suspected [see Indications and Usage (1) ].
- 5.5 Clostridium difficile Associated Diarrhea Clostridium difficile -Associated Diarrhea (CDAD) has been reported with use of nearly all antibacterial agents, including linezolid, and may range in severity from mild diarrhea to fatal colitis.
- Treatment with antibacterial agents alters the normal flora of the colon leading to overgrowth of C. difficile .
- C. difficile produces toxins A and B which contribute to the development of CDAD.
- Hypertoxin producing strains of C. difficile cause increased morbidity and mortality, as these infections can be refractory to antimicrobial therapy and may require colectomy.
- CDAD must be considered in all patients who present with diarrhea following antibacterial use.
- Careful medical history is necessary since CDAD has been reported to occur over two months after the administration of antibacterial agents.
- If CDAD is suspected or confirmed, ongoing antibacterial use not directed against C. difficile may need to be discontinued.
- Appropriate fluid and electrolyte management, protein supplementation, antibacterial treatment of C. difficile , and surgical evaluation should be instituted as clinically indicated.
- 5.6 Potential Interactions Producing Elevation of Blood Pressure Unless patients are monitored for potential increases in blood pressure, linezolid should not be administered to patients with uncontrolled hypertension, pheochromocytoma, thyrotoxicosis and/or patients taking any of the following types of medications:
- directly and indirectly acting sympathomimetic agents (e.g., pseudoephedrine), vasopressive agents (e.g., epinephrine, norepinephrine), dopaminergic agents (e.g., dopamine, dobutamine) [see Drug Interactions (7) and Clinical Pharmacology (12.3) ].
- 5.7 Lactic Acidosis Lactic acidosis has been reported with the use of linezolid.
- In reported cases, patients experienced repeated episodes of nausea and vomiting.
- Patients who develop recurrent nausea or vomiting, unexplained acidosis, or a low bicarbonate level while receiving linezolid should receive immediate medical evaluation.
- 5.8 Convulsions Convulsions have been reported in patients when treated with linezolid.
- In some of these cases, a history of seizures or risk factors for seizures was reported.
- 5.9 Hypoglycemia Postmarketing cases of symptomatic hypoglycemia have been reported in patients with diabetes mellitus receiving insulin or oral hypoglycemic agents when treated with linezolid, a reversible, nonselective MAO inhibitor.
- Some MAO inhibitors have been associated with hypoglycemic episodes in diabetic patients receiving insulin or hypoglycemic agents.
- While a causal relationship between linezolid and hypoglycemia has not been established, diabetic patients should be cautioned of potential hypoglycemic reactions when treated with linezolid.
- If hypoglycemia occurs, a decrease in the dose of insulin or oral hypoglycemic agent, or discontinuation of oral hypoglycemic agent, insulin, or linezolid may be required.
- 5.10 Hyponatremia and/or Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) Postmarketing cases of hyponatremia and/or Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) have been observed in patients treated with linezolid.
- In reported cases, the signs and symptoms included confusion, somnolence, generalized weakness, and in severe cases led to respiratory failure and even death.
- Monitor serum sodium levels regularly in the elderly, in patients taking diuretics, and in other patients at risk of hyponatremia and/or SIADH while taking linezolid.
- If signs and symptoms of hyponatremia and/or SIADH occur, discontinue linezolid, and institute appropriate supportive measures.
- 5.12 Development of Drug-Resistant Bacteria Prescribing linezolid in the absence of a proven or strongly suspected bacterial infection or a prophylactic indication is unlikely to provide benefit to the patient and increases the risk of the development of drug-resistant bacteria.
Quoted from the official label, section “Warnings”.
Pregnancy and breastfeeding
- Risk Summary Available data from published and postmarketing case reports with linezolid use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes.
- When administered during organogenesis, linezolid did not cause malformations in mice, rats, or rabbits at maternal exposure levels approximately 6.5 times (mice), equivalent to (rats), or 0.06 times (rabbits) the clinical therapeutic exposure, based on AUCs.
- However, embryo-fetal lethality was observed in mice at 6.5 times the estimated human exposure.
- When female rats were dosed during organogenesis through lactation, postnatal survival of pups was decreased at doses approximately equivalent to the estimated human exposure based on AUCs (see Data).
- The background risk of major birth defects and miscarriage for the indicated populations is unknown.
- All pregnancies have a background risk of birth defect, loss, or other adverse outcomes.
- In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively.
- Data Animal Data In mice, embryo-fetal toxicities were observed only at doses that caused maternal toxicity (clinical signs and reduced body weight gain).
- An oral dose of 450 mg/kg/day given from Gestation Day (GD) 6-16 (6.5 times the estimated human exposure based on AUCs) correlated with increased postimplantational embryo death, including total litter loss, decreased fetal body weights, and an increased incidence of costal cartilage fusion.
- Neither maternal nor embryo-fetal toxicities were observed at doses up to 150 mg/kg/day.
- Fetal malformations were not observed.
- In rats, fetal toxicity was observed at 15 and 50 mg/kg/day administered orally from GD 6-17 (exposures 0.22 times to approximately equivalent to the estimated human exposure, respectively, based on AUCs).
- The effects consisted of decreased fetal body weights and reduced ossification of sternebrae, a finding often seen in association with decreased fetal body weights.
- Fetal malformations were not observed.
- Maternal toxicity, in the form of reduced body weight gain, was seen at 50 mg/kg/day.
- In rabbits, reduced fetal body weight occurred only in the presence of maternal toxicity (clinical signs, reduced body weight gain and food consumption) when administered at an oral dose of 15 mg/kg/day given from GD 6-20 (0.06 times the estimated human exposure based on AUCs).
- Fetal malformations were not observed.
- When female rats were treated with 50 mg/kg/day (approximately equivalent to the estimated human exposure based on AUCs) of linezolid during pregnancy and lactation (GD 6 through Lactation Day 20), survival of pups was decreased on postnatal days 1 to 4.
- Male and female pups permitted to mature to reproductive age, when mated, showed an increase in preimplantation loss.
- IN SPECIFIC POPULATIONS
- 8.1 Pregnancy Risk Summary Available data from published and postmarketing case reports with linezolid use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes.
- When administered during organogenesis, linezolid did not cause malformations in mice, rats, or rabbits at maternal exposure levels approximately 6.5 times (mice), equivalent to (rats), or 0.06 times (rabbits) the clinical therapeutic exposure, based on AUCs.
- However, embryo-fetal lethality was observed in mice at 6.5 times the estimated human exposure.
- When female rats were dosed during organogenesis through lactation, postnatal survival of pups was decreased at doses approximately equivalent to the estimated human exposure based on AUCs (see Data).
- The background risk of major birth defects and miscarriage for the indicated populations is unknown.
- All pregnancies have a background risk of birth defect, loss, or other adverse outcomes.
- In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively.
- Data Animal Data In mice, embryo-fetal toxicities were observed only at doses that caused maternal toxicity (clinical signs and reduced body weight gain).
- An oral dose of 450 mg/kg/day given from Gestation Day (GD) 6-16 (6.5 times the estimated human exposure based on AUCs) correlated with increased postimplantational embryo death, including total litter loss, decreased fetal body weights, and an increased incidence of costal cartilage fusion.
- Neither maternal nor embryo-fetal toxicities were observed at doses up to 150 mg/kg/day.
- Fetal malformations were not observed.
- In rats, fetal toxicity was observed at 15 and 50 mg/kg/day administered orally from GD 6-17 (exposures 0.22 times to approximately equivalent to the estimated human exposure, respectively, based on AUCs).
- The effects consisted of decreased fetal body weights and reduced ossification of sternebrae, a finding often seen in association with decreased fetal body weights.
- Fetal malformations were not observed.
- Maternal toxicity, in the form of reduced body weight gain, was seen at 50 mg/kg/day.
- In rabbits, reduced fetal body weight occurred only in the presence of maternal toxicity (clinical signs, reduced body weight gain and food consumption) when administered at an oral dose of 15 mg/kg/day given from GD 6-20 (0.06 times the estimated human exposure based on AUCs).
- Fetal malformations were not observed.
- When female rats were treated with 50 mg/kg/day (approximately equivalent to the estimated human exposure based on AUCs) of linezolid during pregnancy and lactation (GD 6 through Lactation Day 20), survival of pups was decreased on postnatal days 1 to 4.
- Male and female pups permitted to mature to reproductive age, when mated, showed an increase in preimplantation loss.
- 8.2 Lactation Risk Summary Linezolid is present in breast milk.
- Based on data from available published case reports, the daily dose of linezolid that the infant would receive from breastmilk would be approximately 6% to 9% of the recommended therapeutic infant dose (10 mg/kg every 8 hours).
- There is no information on the effects of linezolid on the breastfed infant; however, diarrhea and vomiting were the most common adverse reactions reported in clinical trials in infants receiving linezolid therapeutically [see Adverse Reactions (6.1) ] and (see Clinical Considerations) .
- There is no information on the effects of linezolid on milk production.
- The developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for linezolid and any potential adverse effects on the breastfed child from linezolid or from the underlying maternal condition.
- Clinical Considerations Advise lactating women to monitor a breastfed infant for diarrhea and vomiting.
- 8.3 Females and Males of Reproductive Potential Infertility Males Based on findings from studies in rats, linezolid may reversibly impair fertility in male patients [see Nonclinical Toxicology (13.1) ].
- 8.4 Pediatric Use The safety and effectiveness of linezolid for the treatment of pediatric patients with the following infections are supported by evidence from adequate and well-controlled studies in
- adults, pharmacokinetic data in pediatric patients, and additional data from a comparator-controlled study of Gram-positive infections in pediatric patients ranging in age from birth through 11 years [see Indications and Usage (1) , Clinical Pharmacology (12.3) and Clinical Studies (14) ]:
- nosocomial pneumonia complicated skin and skin structure infections community-acquired pneumonia (also supported by evidence from an uncontrolled study in patients ranging in age from 8 months through 12 years) vancomycin-resistant Enterococcus faecium infections The safety and effectiveness of linezolid for the treatment of pediatric patients with the following infection have been established in a comparator-controlled study in pediatric patients ranging in age from 5 through 17 years [see Clinical Studies (14) ]:
- uncomplicated skin and skin structure infections caused by Staphylococcus aureus (methicillin-susceptible strains only) or Streptococcus pyogenes Pharmacokinetic information generated in pediatric patients with ventriculoperitoneal shunts showed variable cerebrospinal fluid (CSF) linezolid concentrations following single and multiple dosing of linezolid; therapeutic concentrations were not consistently achieved or maintained in the CSF.
- Therefore, the use of linezolid for the empiric treatment of pediatric patients with central nervous system infections is not recommended.
- The pharmacokinetics of linezolid have been evaluated in pediatric patients from birth to 17 years of age.
- In general, weight-based clearance of linezolid gradually decreases with increasing age of pediatric patients.
- However, in preterm (gestational age < 34 weeks) neonates < 7 days of age, linezolid clearance is often lower than in full-term neonates < 7 days of age.
- Consequently, preterm neonates < 7 days of age may need an alternative linezolid dosing regimen of 10 mg/kg every 12 hours [see Dosage and Administration (2.1) and Clinical Pharmacology (12.3) ].
- In limited clinical experience, 5 out of 6 (83%) pediatric patients with infections due to Gram-positive pathogens with minimum inhibitory concentrations (MICs) of 4 mcg/mL treated with linezolid had clinical cures.
- However, pediatric patients exhibit wider variability in linezolid clearance and systemic exposure (AUC) compared with
- adults.
- In pediatric patients with a sub-optimal clinical response, particularly those with pathogens with MIC of 4 mcg/mL, lower systemic exposure, site and severity of infection, and the underlying medical condition should be considered when assessing clinical response [see Clinical Pharmacology (12.3) and Dosage and Administration (2) ].
- 8.5 Geriatric Use Of the 2,046 patients treated with linezolid in Phase 3 comparator-controlled clinical trials, 589 (29%) were 65 years or older and 253 (12%) were 75 years or older.
- No overall differences in safety or effectiveness were observed between these patients and younger patients, and other reported clinical experience has not identified differences in responses between the elderly and younger patients, but greater sensitivity of some older individuals cannot be ruled out.
Quoted from the official label, section “OTC — Pregnancy or Breast Feeding”.
Other medicines
- Monoamine oxidase inhibitors and potential for interaction with adrenergic and serotonergic agents.
- (4.2 , 5.3 , 5.6 , 7 , 12.3)
- 7.1 Monoamine Oxidase Inhibitors Linezolid is a reversible, nonselective inhibitor of monoamine oxidase [see Contraindications (4.2) and Clinical Pharmacology (12.3) ].
- 7.2 Adrenergic and Serotonergic Agents Linezolid has the potential for interaction with adrenergic and serotonergic agents. [see Warnings and Precautions (5.3 , 5.6) and Clinical Pharmacology (12.3) ].
Quoted from the official label, section “Drug Interactions”.
If you take too much
In an emergency, call your local emergency number or a poison control centre.
- In the event of overdosage, supportive care is advised, with maintenance of glomerular filtration.
- Hemodialysis may facilitate more rapid elimination of linezolid.
- In a Phase 1 clinical trial, approximately 30% of a dose of linezolid was removed during a 3-hour hemodialysis session beginning 3 hours after the dose of linezolid was administered.
- Data are not available for removal of linezolid with peritoneal dialysis or hemoperfusion.
- Clinical signs of acute toxicity in animals were decreased activity and ataxia in rats and vomiting and tremors in dogs treated with 3,000 mg/kg/day and 2,000 mg/kg/day, respectively.
Quoted from the official label, section “Overdosage”.
Use in children
- The safety and effectiveness of linezolid for the treatment of pediatric patients with the following infections are supported by evidence from adequate and well-controlled studies in
- adults, pharmacokinetic data in pediatric patients, and additional data from a comparator-controlled study of Gram-positive infections in pediatric patients ranging in age from birth through 11 years [see Indications and Usage (1) , Clinical Pharmacology (12.3) and Clinical Studies (14) ]:
- nosocomial pneumonia complicated skin and skin structure infections community-acquired pneumonia (also supported by evidence from an uncontrolled study in patients ranging in age from 8 months through 12 years) vancomycin-resistant Enterococcus faecium infections The safety and effectiveness of linezolid for the treatment of pediatric patients with the following infection have been established in a comparator-controlled study in pediatric patients ranging in age from 5 through 17 years [see Clinical Studies (14) ]:
- uncomplicated skin and skin structure infections caused by Staphylococcus aureus (methicillin-susceptible strains only) or Streptococcus pyogenes Pharmacokinetic information generated in pediatric patients with ventriculoperitoneal shunts showed variable cerebrospinal fluid (CSF) linezolid concentrations following single and multiple dosing of linezolid; therapeutic concentrations were not consistently achieved or maintained in the CSF.
- Therefore, the use of linezolid for the empiric treatment of pediatric patients with central nervous system infections is not recommended.
- The pharmacokinetics of linezolid have been evaluated in pediatric patients from birth to 17 years of age.
- In general, weight-based clearance of linezolid gradually decreases with increasing age of pediatric patients.
- However, in preterm (gestational age < 34 weeks) neonates < 7 days of age, linezolid clearance is often lower than in full-term neonates < 7 days of age.
- Consequently, preterm neonates < 7 days of age may need an alternative linezolid dosing regimen of 10 mg/kg every 12 hours [see Dosage and Administration (2.1) and Clinical Pharmacology (12.3) ].
- In limited clinical experience, 5 out of 6 (83%) pediatric patients with infections due to Gram-positive pathogens with minimum inhibitory concentrations (MICs) of 4 mcg/mL treated with linezolid had clinical cures.
- However, pediatric patients exhibit wider variability in linezolid clearance and systemic exposure (AUC) compared with
- adults.
- In pediatric patients with a sub-optimal clinical response, particularly those with pathogens with MIC of 4 mcg/mL, lower systemic exposure, site and severity of infection, and the underlying medical condition should be considered when assessing clinical response [see Clinical Pharmacology (12.3) and Dosage and Administration (2) ].
Quoted from the official label, section “Pediatric Use”.
Use in older people
- Of the 2,046 patients treated with linezolid in Phase 3 comparator-controlled clinical trials, 589 (29%) were 65 years or older and 253 (12%) were 75 years or older.
- No overall differences in safety or effectiveness were observed between these patients and younger patients, and other reported clinical experience has not identified differences in responses between the elderly and younger patients, but greater sensitivity of some older individuals cannot be ruled out.
Quoted from the official label, section “Geriatric Use”.
Side effects
- Most common adverse reactions (>5% of adult patients treated with linezolid) include:
- diarrhea, vomiting, headache, nausea, and anemia.
- (6) To report SUSPECTED ADVERSE REACTIONS, contact Hetero Labs Limited at 866-495-1995 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch .
- 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.
- Adults The safety of linezolid was evaluated in 2,046 adult patients enrolled in seven Phase 3 comparator-controlled clinical trials, who were treated for up to 28 days.
- Of the patients treated for uncomplicated skin and skin structure infections (uSSSIs), 25.4% of linezolid-treated and 19.6% of comparator-treated patients experienced at least one drug-related adverse event.
- For all other indications, 20.4% of linezolid-treated and 14.3% of comparator-treated patients experienced at least one drug-related adverse event.
- Table 2 shows the incidence of all-causality, treatment-emergent adverse reactions reported in at least 1% of adult patients in these trials by dose of linezolid.
- Table 2.
- Incidence (%) of Treatment-Emergent Adverse Reactions Occurring in >1% of Adult Patients Treated with Linezolid in Comparator-Controlled Clinical Trials ADVERSE REACTIONS Uncomplicated Skin and Skin Structure Infections All Other Indications Linezolid 400 mg by mouth every 12 hours (n=548) Clarithromycin 250 mg by mouth every 12 hours (n=537) Linezolid 600 mg every 12 hours (n=1498) All Other Comparators Comparators included cefpodoxime proxetil 200 mg by mouth every 12 hours; ceftriaxone 1 g intravenously every 12 hours; dicloxacillin 500 mg by mouth every 6 hours; oxacillin 2 g intravenously every 6 hours; vancomycin 1 g intravenously every 12 hours.
- (n=1464) Headache 8.8 8.4 5.7
- 4.4 Diarrhea 8.2 6.1 8.3
- 6.4 Nausea 5.1 4.5 6.6
- 4.6 Vomiting 2 1.5 4.3
- 2.3 Dizziness 2.6 3 1.8
- 1.5 Rash 1.1 1.1 2.3
- 2.6 Anemia 0.4 0 2.1
- 1.4 Taste alteration 1.8 2 1
- 0.3 Vaginal moniliasis 1.8 1.3 1.1
- 0.5 Oral moniliasis 0.5 0 1.7 1 Abnormal liver function tests 0.4 0.2 1.6
- 0.8 Fungal infection 1.5 0.2 0.3
- 0.2 Tongue discoloration 1.3 0 0.3 0 Localized abdominal pain 1.3 0.6 1.2
- 0.8 Generalized abdominal pain 0.9 0.4 1.2 1 Of the patients treated for uSSSIs, 3.5% of linezolid-treated and 2.4% of comparator-treated patients discontinued treatment due to drug-related adverse events.
- For all other indications, discontinuations due to drug-related adverse events occurred in 2.1% of linezolid-treated and 1.7% of comparator-treated patients.
- The most common reported drug-related adverse events leading to discontinuation of treatment were nausea, headache, diarrhea, and vomiting.
- Pediatric Patients The safety of linezolid was evaluated in 215 pediatric patients ranging in age from birth through 11 years, and in 248 pediatric patients aged 5 through 17 years (146 of these 248 were age 5 through 11 and 102 were age 12 to 17).
- These patients were enrolled in two Phase 3 comparator-controlled clinical trials and were treated for up to 28 days.
- In the study of hospitalized pediatric patients (birth through 11 years) with Gram-positive infections, who were randomized 2 to 1 (linezolid:
- vancomycin), mortality was 6 % (13/215) in the linezolid arm and 3% (3/101) in the vancomycin arm.
- However, given the severe underlying illness in the patient population, no causality could be established.
- Of the pediatric patients treated for uSSSIs, 19.2% of linezolid-treated and 14.1% of comparator-treated patients experienced at least one drug-related adverse event.
- For all other indications, 18.8% of linezolid-treated and 34.3% of comparator-treated patients experienced at least one drug-related adverse event.
- Table 3 shows the incidence of all-causality, treatment-emergent adverse reactions reported in more than 1% of pediatric patients (and more than 1 patient) in either treatment group in the comparator-controlled Phase 3 trials.
- Table 3.
- Incidence (%) of Treatment-Emergent Adverse Reactions Occurring in > 1% of Pediatric Patients (and >1 Patient) in Either Treatment Group in Comparator-Controlled Clinical Trials ADVERSE REACTIONS Uncomplicated Skin and Skin Structure Infections Patients 5 through 11 years of age received linezolid 10 mg/kg by mouth every 12 hours or cefadroxil 15 mg/kg by mouth every 12 hours.
- Patients 12 years or older received linezolid 600 mg by mouth every 12 hours or cefadroxil 500 mg by mouth every 12 hours.
- All Other Indications Patients from birth through 11 years of age received linezolid 10 mg/kg intravenously by mouth every 8 hours or vancomycin 10 to 15 mg/kg intravenously every 6 to 24 hours, depending on age and renal clearance.
- Linezolid (n=248) Cefadroxil (n=251) Linezolid (n=215) Vancomycin (n=101) Diarrhea 7.8 8 10.8
- 12.1 Vomiting 2.9 6.4 9.4
- 9.1 Headache 6.5 4 0.9 0 Anemia 0 0 5.6
- 7.1 Thrombocytopenia 0 0 4.7 2 Nausea 3.7 3.2 1.9 0 Generalized abdominal pain 2.4 2.8 0.9 2 Localized abdominal pain 2.4 2.8 0.5 1 Loose stools 1.6 0.8 2.3 3 Eosinophilia 0.4 0.8 1.9 1 Pruritus at non-application site 0.8 0.4 1.4 2 Vertigo 1.2 0.4 0 0 Of the pediatric patients treated for uSSSIs, 1.6% of linezolid-treated and 2.4% of comparator-treated patients discontinued treatment due to drug-related adverse events.
- For all other indications, discontinuations due to drug-related adverse events occurred in 0.9% of linezolid-treated and 6.1% of comparator-treated patients.
- Laboratory Abnormalities Linezolid has been associated with thrombocytopenia when used in doses up to and including 600 mg every 12 hours for up to 28 days.
- In Phase 3 comparator-controlled trials, the percentage of adult patients who developed a substantially low platelet count (defined as less than 75% of lower limit of normal and/or baseline) was 2.4% (range among studies:
- 0.3 to 10%) with linezolid and 1.5% (range among studies:
- 0.4 to 7%) with a comparator.
- In a study of hospitalized pediatric patients ranging in age from birth through 11 years, the percentage of patients who developed a substantially low platelet count (defined as less than 75% of lower limit of normal and/or baseline) was 12.9% with linezolid and 13.4% with vancomycin.
- In an outpatient study of pediatric patients aged from 5 through 17 years, the percentage of patients who developed a substantially low platelet count was 0% with linezolid and 0.4% with cefadroxil.
- Thrombocytopenia associated with the use of linezolid appears to be dependent on duration of therapy (generally greater than 2 weeks of treatment).
- The platelet counts for most patients returned to the normal range/baseline during the follow-up period.
- No related clinical adverse events were identified in Phase 3 clinical trials in patients developing thrombocytopenia.
- Bleeding events were identified in thrombocytopenic patients in a compassionate use program for linezolid; the role of linezolid in these events cannot be determined [see Warning and Precautions (5.1) ].
- Changes seen in other laboratory parameters, without regard to drug relationship, revealed no substantial differences between linezolid and the comparators.
- These changes were generally not clinically significant, did not lead to discontinuation of therapy, and were reversible.
- The incidence of adult and pediatric patients with at least one substantially abnormal hematologic or serum chemistry value is presented in Tables 4, 5, 6, and 7.
- Table 4.
- Percent of Adult Patients who Experienced at Least One Substantially Abnormal <75% (<50% for neutrophils) of Lower Limit of Normal (LLN) for values normal at baseline; <75% (<50% for neutrophils) of LLN and of baseline for values abnormal at baseline.
- Hematology Laboratory Value in Comparator-Controlled Clinical Trials with Linezolid Laboratory Assay Uncomplicated Skin and Skin Structure Infections All Other Indications Linezolid 400 mg every 12 hours Clarithromycin 250 mg every 12 hours Linezolid 600 mg every 12 hours All Other Comparators Comparators included cefpodoxime proxetil 200 mg by mouth every 12 hours; ceftriaxone 1 g intravenously every 12 hours; dicloxacillin 500 mg by mouth every 6 hours; oxacillin 2 g intravenously every 6 hours; vancomycin 1 g intravenously every 12 hours.
- Hemoglobin (g/dL) 0.9 0 7.1
- 6.6 Platelet count (x 10 3 /mm 3 ) 0.7 0.8 3
- 1.8 WBC (x 10 3 /mm 3 ) 0.2 0.6 2.2
- 1.3 Neutrophils (x 10 3 /mm 3 ) 0 0.2 1.1
- 1.2 Table 5.
- Percent of Adult Patients who Experienced at Least One Substantially Abnormal >2 x Upper Limit of Normal (ULN) for values normal at baseline; >2 x ULN >2 x baseline for values abnormal at baseline.
- Serum Chemistry Laboratory Value in Comparator-Controlled Clinical Trials with Linezolid Laboratory Assay Uncomplicated Skin and Skin Structure Infections All Other Indications Linezolid 400 mg every 12 hours Clarithromycin 250 mg every 12 hours Linezolid 600 mg every 12 hours All Other Comparators Comparators included cefpodoxime proxetil 200 mg by mouth every 12 hours; ceftriaxone 1 g intravenously every 12 hours; dicloxacillin 500 mg by mouth every 6 hours; oxacillin 2 g intravenously every 6 hours; vancomycin 1 g intravenously every 12 hours.
- AST (U/L) 1.7 1.3 5
- 6.8 ALT (U/L) 1.7 1.7 9.6
- 9.3 LDH (U/L) 0.2 0.2 1.8
- 1.5 Alkaline phosphatase (U/L) 0.2 0.2 3.5
- 3.1 Lipase (U/L) 2.8 2.6 4.3
- 4.2 Amylase (U/L) 0.2 0.2 2.4 2 Total bilirubin(mg/dL) 0.2 0 0.9
- 1.1 BUN (mg/dL) 0.2 0 2.1
- 1.5 Creatinine (mg/dL) 0.2 0 0.2
- 0.6 Table 6.
- Percent of Pediatric Patients who Experienced at Least One Substantially Abnormal <75% (<50% for neutrophils) of Lower Limit of Normal (LLN) for values normal at baseline; <75% (<50% for neutrophils) of LLN and <75% (<50% for neutrophils, <90% for hemoglobin if baseline <LLN) of baseline for values abnormal at baseline.
- Hematology Laboratory Value in Comparator-Controlled Clinical Trials with Linezolid Laboratory Assay Uncomplicated Skin and Skin Structure Infections Patients 5 through 11 years of age received linezolid 10 mg/kg by mouth every 12 hours or cefadroxil 15 mg/kg by mouth every 12 hours.
- Patients 12 years or older received linezolid 600 mg by mouth every 12 hours or cefadroxil 500 mg by mouth every 12 hours.
- All other Indications Patients from birth through 11 years of age received linezolid 10 mg/kg intravenously by mouth every 8 hours or vancomycin 10 to 15 mg/kg intravenously every 6 to 24 hours, depending on age and renal clearance.
- Linezolid Cefadroxil Linezolid Vancomycin Hemoglobin (g/dL) 0 0 15.7
- 12.4 Platelet count (x 10 3 /mm 3 ) 0 0.4 12.9
- 13.4 WBC (x 10 3 /mm 3 ) 0.8 0.8 12.4
- 10.3 Neutrophils (x 10 3 /mm 3 ) 1.2 0.8 5.9
- 4.3 Table 7.
- Percent of Pediatric Patients who Experienced at Least One Substantially Abnormal >2 x Upper Limit of Normal (ULN) for values normal at baseline; >2 x ULN and >2 (>1.5 for total bilirubin) x baseline for values abnormal at baseline.
- Serum Chemistry Laboratory Value in Comparator-Controlled Clinical Trials with Linezolid Laboratory Assay Uncomplicated Skin and Skin Structure Infections Patients 5 through 11 years of age received linezolid 10 mg/kg by mouth every 12 hours or cefadroxil 15 mg/kg by mouth every 12 hours.
- Patients 12 years or older received linezolid 600 mg mouth every 12 hours or cefadroxil 500 mg by mouth every 12 hours.
- All other Indications Patients from birth through 11 years of age received linezolid 10 mg/kg intravenously/by mouth every 8 hours or vancomycin 10 to 15 mg/kg intravenously every 6 to 24 hours, depending on age and renal clearance.
- Linezolid Cefadroxil Linezolid Vancomycin ALT (U/L) 0 0 10.1
- 12.5 Lipase (U/L) 0.4 1.2 --- --- Amylase (U/L) --- --- 0.6
- 1.3 Total bilirubin (mg/dL) --- --- 6.3
- 5.2 Creatinine (mg/dL) 0.4 0 2.4 1
- 6.2 Postmarketing Experience The following adverse reactions have been identified during postapproval use of linezolid.
- Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure:
- Myelosuppression (including anemia, leukopenia, pancytopenia, and thrombocytopenia).
- Thrombocytopenia has been reported more often in patients with severe renal impairment and in patients with moderate to severe hepatic impairment [see Warnings and Precautions (5.1) ]; sideroblastic anemia.
- Peripheral neuropathy, and optic neuropathy sometimes progressing to loss of vision [see Warnings and Precautions (5.2) ].
- Lactic acidosis [see Warnings and Precautions (5.7) ].
- Although these reports have primarily been in patients treated for longer than the maximum recommended duration of 28 days, these events have also been reported in patients receiving shorter courses of therapy.
- Serotonin syndrome has been reported in patients receiving concomitant serotonergic agents, including antidepressants such as selective serotonin reuptake inhibitors (SSRIs) and opioids, and linezolid [see Warnings and Precautions (5.3) ].
- Convulsions [see Warnings and Precautions (5.8) ].
- Anaphylaxis, angioedema, and bullous skin disorders including severe cutaneous adverse reactions (SCAR) such as toxic epidermal necrolysis and Stevens-Johnson syndrome, and hypersensitivity vasculitis.
- Superficial tooth discoloration and tongue discoloration have been reported with the use of linezolid.
- The tooth discoloration was removable with professional dental cleaning (manual descaling) in cases with known outcome.
- Hypoglycemia, including symptomatic episodes [see Warnings and Precautions (5.9) ].
- Hyponatremia and/or Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) [see Warnings and Precautions (5.10) ].
Quoted from the official label, section “Adverse Reactions”.
What to discuss with your doctor
- Important Administration Instructions Advise patients that linezolid may be taken with or without food. Peripheral and Optic Neuropathy Advise patients to inform their physician if they experience changes in vision while taking linezolid [see Warnings and Precautions (5.2) ]. Serotonin Syndrome Advise patients to inform their physician if taking serotonergic agents, including serotonin re-uptake inhibitors or other antidepressants and opioids [see Warnings and Precautions (5.3) ]. Potential Interactions Producing Elevation of Blood Pressure
- Advise patients to inform their physician if they have a history of hypertension.
- Advise patients to
- avoid large quantities of foods or beverages with high tyramine content while taking linezolid. Foods high in tyramine content include those that may have undergone protein changes by aging, fermentation, pickling, or smoking to improve flavor, such as aged cheeses, fermented or air-dried meats, sauerkraut, soy sauce, tap beers, and red wines. The tyramine content of any protein-rich food may be increased if stored for long periods or improperly refrigerated.
- Advise patients to inform their physician if taking medications containing pseudoephedrine HCl or phenylpropanolamine HCl, such as cold remedies and decongestants [see Warnings and Precautions (5.6) ]. Lactic Acidosis Advise patients to inform their physician if they experience repeated episodes of nausea or vomiting while receiving linezolid [see Warnings and Precautions (5.7) ]. Convulsions Advise patients to inform their physician if they have a history of seizures or convulsions [see Warnings and Precautions (5.8) ]. Hypoglycemia Advise patients to inform their physician if they have diabetes mellitus. Hypoglycemic reactions, such as diaphoresis and tremulousness, along with low blood glucose measurements may occur when treated with linezolid. If such reactions occur, patients should contact a physician or other health professional for proper treatment [see Warnings and Precautions (5.9) ]. Hyponatremia and/or SIADH Advise patients at risk for hyponatremia to inform their physician if they experience signs and symptoms of hyponatremia and/or SIADH, including confusion, somnolence, generalized weakness, and respiratory distress [see Warnings and Precautions (5.10) ]. Antibacterial Resistance Patients should be counseled that antibacterial drugs including linezolid should only be used to treat bacterial infections. They do not treat viral infections (e.g., the common cold). When linezolid is prescribed to treat a bacterial infection, patients should be told that although it is common to feel better early in the course of therapy, the medication should be taken exactly as directed. Skipping doses or not completing the full course of therapy may (1) decrease the effectiveness of the immediate treatment and (2) increase the likelihood that bacteria will develop resistance and will not be treatable by linezolid or other antibacterial drugs in the future. Diarrhea Diarrhea is a common problem caused by antibacterial drugs, which usually ends when the antibacterial drug is discontinued. Sometimes after starting treatment with antibacterial drugs, patients can develop watery and bloody stools (with or without stomach cramps and fever) even as late as two or more months after having taken the last dose of the antibacterial drug. If this occurs, patients should contact their physician as soon as possible [see Warnings and Precautions (5.5) ]. Infertility Advise male patients that linezolid may reversibly impair fertility [see Use in Specific Populations (8.3) ].
Quoted from the official label, section “Patient Counseling Information”.
Strengths and forms
- FORMS AND STRENGTHS Linezolid Tablets, 600 mg are white to off white, oval shaped, bevel edged, biconvex, film coated tablets, debossed with 'I' on one side and '22' on the other side. Tablet:
- 600 mg linezolid. (3)
Quoted from the official label, section “Dosage Forms & Strengths”.
What it looks like and how it is packed
- 16.2 Tablets Linezolid Tablets, 600 mg are white to off white, oval shaped, bevel edged, biconvex film coated tablets, debossed with 'I' on one side and '22' on other side.
- Unit-dose packages of 30 (3 x 10) NDC 60687-309-21
- Storage and Handling
- Store at 20º to 25ºC (68º to 77ºF) [see USP Controlled Room Temperature].
- Protect from light and moisture.
- FOR YOUR PROTECTION: Do not use if blister is torn or broken.
Quoted from the official label, section “How Supplied”.
What is in it
- Linezolid tablets contain linezolid, which is a synthetic antibacterial agent of the oxazolidinone class.
- The chemical name for linezolid is (N-[[(5S)-3-[3-Fluoro-4-(4-morpholinyl) phenyl]-2-oxo-5-oxazolidinyl]methyl] acetamide.
- The empirical formula is C 16 H 20 FN 3 O 4 .
- Its molecular weight is 337.35, and its chemical structure is represented below:
- Linezolid tablets for oral administration contain 600 mg linezolid as film-coated tablets.
- Inactive ingredients are carnauba wax, colloidal silicon dioxide, hypromellose, lactose monohydrate, magnesium stearate, polacrilin potassium, polyethylene glycol and titanium dioxide.
- Structural Formula
Quoted from the official label, section “Description”.
Ingredients people check for
Lactose, gluten, dyes, sugars and other ingredients that matter with an allergy, intolerance or diet — as this product’s FDA label lists them.
- Lactose
lactose monohydrate
Milk sugar: matters with lactose intolerance or a milk allergy. - Titanium dioxide
titanium dioxide
A whitening agent no longer allowed in food in the EU (E171).
Quoted from the FDA label. A label that does not name an ingredient is not a guarantee that the product is free of it, and formulations change. With an allergy, check the pack and ask a pharmacist.
Every version of this medicine (17)
The same active substance, strength and kind of form, from every company that sells it — with what each label lists.
Showing 17 of 17
- LinezolidThis onePrescription onlyAmerican Health PackagingLactoseTitanium dioxide
- LinezolidPrescription onlyA-S Medication SolutionsSugar alcoholsTitanium dioxide
- LinezolidPrescription onlyAlembic Pharmaceuticals Inc.Titanium dioxide
- LinezolidPrescription onlyAlembic Pharmaceuticals LimitedTitanium dioxide
- LinezolidPrescription onlyAscend Laboratories, LLCSugar alcoholsTitanium dioxide
- LinezolidPrescription onlyBryant Ranch PrepackLactoseTitanium dioxide
- LinezolidPrescription onlyCamber Pharmaceuticals, Inc.LactoseTitanium dioxide
- LinezolidPrescription onlyChartwell RX, LLCLactoseTitanium dioxide
- LinezolidPrescription onlyCoupler LLCLactoseTitanium dioxide
- LinezolidPrescription onlyLupin Pharmaceuticals,Inc.Titanium dioxide
- LinezolidPrescription onlyMacleods Pharmaceuticals LimitedNames none of these
- LinezolidPrescription onlyMajor PharmaceuticalsSugar alcoholsTitanium dioxide
- ZyvoxPrescription onlyPharmacia & Upjohn Company LLCSugars
- LinezolidPrescription onlyREMEDYREPACK INC.Sugar alcoholsTitanium dioxide
- LinezolidPrescription onlyRising Pharma Holdings, Inc.Colour dyesTitanium dioxide
- LinezolidPrescription onlySportpharm LLCColour dyesTitanium dioxide
- LinezolidPrescription onlySportpharm LLCSugar alcoholsTitanium dioxide
Same active substance, strength and form in other countries
Matched on active substance, strength and kind of form only. This is not a statement that the products are equivalent or interchangeable: other ingredients, release and approved uses can differ — ask a pharmacist before swapping.
Medicine passport: one printable page to show a pharmacist abroad
Spain13 matching products
- APEL 600 mg · comprimido recubierto con película
- LINEZOLID AUROVITAS SPAIN 600 mg · comprimido recubierto con película
- LINEZOLID ELC 600 mg · comprimido recubierto con película
- LINEZOLID FRESENIUS KABI 600 mg · comprimido recubierto con película
- LINEZOLID GLENMARK 600 mg · comprimido recubierto con película
- LINEZOLID KERN PHARMA 600 mg · comprimido recubierto con película
- LINEZOLID KRKA 600 MG · comprimido recubierto con película
- LINEZOLID MYLAN 600 mg · comprimido recubierto con película
Canada4 matching products
Netherlands7 matching products
- Linezolid Sandoz 600 mg 600 mg · filmomhulde tablet2 makers
- Linezolid Accord 600 mg filmomhulde tabletten 600 mg · filmomhulde tablet
- Linezolid Mylan 600 mg 600 mg · filmomhulde tablet
- Linezolid Polpharma 600 mg 600 mg · filmomhulde tablet
- Linezolid Teva 600 mg 600 mg · filmomhulde tablet
- Zyvoxid 600 mg 600 mg · filmomhulde tablet
Details
| Made by | American Health Packaging |
|---|---|
| Active substance | Linezolid |
| Used in | Antibiotics, antivirals and antifungals taken into the body |
| Strength | 600 mg |
| Form | Tablet, Film Coated |
| Route | Oral |
| Packs | 30 BLISTER PACK in 1 BOX, UNIT-DOSE / 1 TABLET, FILM COATED in 1 BLISTER PACK |
| NDC | 60687-309 |
Source: NDC Directory · 2026-09-13 · not reviewed by a clinician
Source: US Food and Drug Administration, NDC Directory. Reuse terms: US government work (FDA).
Other strengths and forms
32 products are sold under this name. Grouped by form; a number on a strength means several companies make it.
- Tablet, Film Coated11 products
600 mg11
600 mg · 11 companies
- A-S Medication Solutions
- Alembic Pharmaceuticals Inc.
- Alembic Pharmaceuticals Limited
- American Health Packaging · this page
- Ascend Laboratories, LLC
- Bryant Ranch Prepack
- Camber Pharmaceuticals, Inc.
- Coupler LLC
- Injection, Solution11 products
2 mg/mL3
2 mg/mL · 3 companies
200 mg/100mL2
200 mg/100mL · 2 companies
600 mg/300mL6
- Tablet4 products
600 mg4
- Granule, for Suspension2 products
100 mg/5mL2
100 mg/5mL · 2 companies
Show all forms · 8 forms
- Powder, for Suspension1 products
- Tablet, Coated1 products
- Suspension1 products
- Injection1 products
Same active substance
These contain the same substance. That does not mean one can replace another — ask a pharmacist.