— Product
LIZOLINE 600 TAB S/P MC
LINEZOLID 600MG
LIZOLINE 600 TAB S/P MC is a tablet of linezolid 600 mg, an oxazolidinone antibiotic. It is a reserve agent used for serious infections caused by resistant Gram-positive organisms — MRSA, vancomycin-resistant enterococci, and multidrug-resistant tuberculosis — including pneumonia and complicated skin and soft-tissue infection.
01
Benefits
- Active against MRSA and vancomycin-resistant enterococci, organisms that resist most other oral agents.
- Near-complete oral bioavailability, so the tablet achieves blood levels equivalent to intravenous dosing — allowing early discharge on oral therapy.
- Excellent penetration into lung tissue and skin, the sites where resistant Gram-positive infection most often needs treating.
- Part of the regimen for multidrug-resistant and extensively drug-resistant tuberculosis.
- Requires no dose adjustment in renal impairment.
02
Side effects
Not everyone gets these. Most are mild and settle as the course finishes.
Common
- Nausea or vomiting
- Diarrhoea
- Headache
- Altered or metallic taste
Less common
- Low platelet, white cell or red cell counts
- Oral or vaginal thrush
- Dizziness
- Tongue discolouration
Stop and get medical help if any of these occur
- Unusual bruising or bleeding, or bleeding gums
- New numbness, tingling or weakness in the hands or feet
- Blurred vision, loss of colour vision or any change in visual acuity
- Nausea, vomiting and rapid breathing, which may indicate lactic acidosis
- Agitation, confusion, fever, sweating, tremor or muscle rigidity — this may be serotonin syndrome
- Severe, watery or bloody diarrhoea
03
Precautions
- Linezolid is a reserve antibiotic. Use it only where a resistant Gram-positive organism is confirmed or strongly suspected — indiscriminate use will destroy one of the few remaining oral options for MRSA.
- Causes reversible bone marrow suppression, particularly beyond two weeks of treatment. Check full blood counts weekly during treatment.
- Peripheral and optic neuropathy occur with prolonged use and may be irreversible. Any visual change or new numbness needs immediate review.
- Linezolid is a weak monoamine oxidase inhibitor. Risk of serotonin syndrome with SSRIs, SNRIs, tricyclics, triptans and tramadol — avoid or monitor closely.
- Avoid tyramine-rich foods — aged cheese, fermented and cured products, soy sauce, draught beer — which can precipitate a hypertensive reaction.
- Do not give with, or within two weeks of, a monoamine oxidase inhibitor. Avoid sympathomimetics including pseudoephedrine and phenylephrine.
- Courses beyond 28 days should be exceptional and closely supervised.
- Use in pregnancy and breastfeeding only where clearly indicated.