Vancomycin (Systemic)

A glycopeptide antibiotic. Systemic use (IV) is reserved for severe infections like endocarditis or bone infections. It requires drug level monitoring (Trough levels) to avoid kidney toxicity.

Dosage by Body Weight

Pediatric dose: 15 mg/kg every 6 to 8 hours. Infusion must be slow (at least 60 mins) to prevent 'Red Man Syndrome'.

Body Weight
10-20 kg
Dose
150 mg to 300 mg
Frequency
Every 6 to 8 hours
Tracking Notes
Blood trough levels are typically checked before the 4th dose.

Weight-based dosage tracking table for Vancomycin (Systemic), including body weight, dose, frequency, and tracking notes.
Body Weight	Dose	Frequency	Tracking Notes
10-20 kg	150 mg to 300 mg	Every 6 to 8 hours	Blood trough levels are typically checked before the 4th dose.

Formulation

Injection (Vial)

Purpose

Treatment of serious infections caused by MRSA and other resistant Gram-positive bacteria.

Generic Name

Vancomycin Hydrochloride

Branded Drug Names

Vancomycin (Systemic) is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

Linezolid Daptomycin

Safety Advice

Alcohol

CAUTION

Vancomycin (Systemic): Alcohol may worsen infection-related dehydration, dizziness, or stomach upset. Avoid or limit alcohol during antibiotic treatment.

Pregnancy

SAFE IF PRESCRIBED

Vancomycin (Systemic): Use during pregnancy only when prescribed for a bacterial infection; the prescriber will choose the safest suitable antibiotic.

Breast Feeding

SAFE IF PRESCRIBED

Vancomycin (Systemic): Many antibiotics are compatible with breastfeeding when prescribed, but monitor the infant for diarrhea, rash, or thrush.

Driving

SAFE

Vancomycin (Systemic): Usually does not affect driving, but dizziness, weakness, or illness symptoms can occur. Avoid driving if affected.

Liver

CAUTION

Vancomycin (Systemic): Use caution in liver disease or if jaundice, dark urine, or severe fatigue occurs during treatment.

Kidney

CAUTION

Vancomycin (Systemic): Some antibiotics require dose adjustment or monitoring in kidney disease. Use exactly as prescribed.