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Doctor insights on: Vancomycin

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What is vancomycin best used for?

What is vancomycin best used for?

Gram positive infs.: Vancomycin is an antibiotic that is used to treat gram positive infections usually caused by staphylococcus and streptococcus species. It is most commonly used to treat MRSA and clostridium difficile colitis. ...Read more

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What is the highest safe dose of vancomycin ? I am getting 3 grams a day.

What is the highest safe dose of vancomycin ?  I am getting 3 grams a day.

Variable: This is determined by the estimated risk/benefit ratio. If vancomycin is felt to be the most effective treatment and the infection is life-threatening, then higher doses may be necessary. This drug is actually fairly safe compared to some others, and doses are adjusted by the serum levels obtained. Cannot comment on your treatment without knowing more, but 3 gms is not unusual. ...Read more

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Can multiple IV antibiotics, one being vancomycin, cause scalded tongue syndrome?

Can multiple IV antibiotics, one being vancomycin, cause scalded tongue syndrome?

Oral candidiasis : Patients who take antibiotics commonly develop candida infection or thrush that cause burning pain in the mouth and tongue. Eating yogurt or taking probiotics may help to prevent this problem. Topical antifungals usually used to treat it. ...Read more

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Can I use florastor with vancomycin?

Can I use florastor with vancomycin?

Yes.: There is no contraindication to taking the probiotic florastor with vancomycin. ...Read more

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Hi docs, can you tell me if surgical incisions to drain a staph infection and intravenous vancomycin are the most effective treatments?

Hi docs, can you tell me if surgical incisions to drain a staph infection and intravenous vancomycin are the most effective treatments?

MRSA?: Vancomycin will kill staph but it is regularly used for methicillin resistant staph. MRSA will not die with regular penicillin or Keflex so drainage and special antibiotics are used. Vanco should do just fine if not they may need to use zyvox (linezolid) a newer mrsa drug ...Read more

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I have sinus mrsa. I was put on oral vancomycin. I heard that won't absorb. What can I do to get rid of it? I just had surgery. Is that dangerous?

See below: If you have an MRSA sinusitis you are correct that oral vancomycin is not absorbed and would be totally inappropriate treatment. Oral Minocycline or septra (sulfamethoxazole and trimethoprim) which achieve good levels in sinus and nasal secretions and which are effective for 90% or so of MRSA strains would be my recommendation. I would also use Bactroban Nasal ointment for decolonization. ...Read more

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What are the side effects of vancomycin antibiotics?

What are the side effects of vancomycin antibiotics?

See below: All drugs carry the risk of side effects and toxicities. Vancomycin can cause a variety of skin rashes and allergies. If infused too rapidly it can cause a histamine release "red man syndrome" and can cause IV site phlebitis. If given in doses too high for the level of kidney function renal insufficiency and hearing problems can develop. Low white blood cell and platelet counts can occur. ...Read more

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How long do the side effects of vancomycin treatment last for?

How long do the side effects of vancomycin treatment last for?

Vancomycin: Vancomycin is removed by the body in 30 hours unless you are anephric and then it can take 37.5 days. ...Read more

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What are the consequences (on ones health) of an overdose of vancomycin? (currently 34.5 mg/l and took another 500 mg interperitonneally 4 peritonitis

What are the consequences (on ones health) of an overdose of vancomycin? (currently 34.5 mg/l and took another 500 mg interperitonneally 4 peritonitis

Vancomycin: Single episodes of excessive serum levels of vancomycin are not likely to be deleterious unless you have severe pre-existing kidney impairment or are concomitantly taking drugs toxic to the kidneys. Hope your illness clears up quickly. Best wishes. ...Read more