Vancomycin 1g Powder For Solution For Infusion
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V I C |
TOR DESIGN |
MANUFACTURER |
Ranbaxy UK Ltd |
PRODUCT |
Vancomycin 500 & 1000 mg Powder for Solution for Infusion |
PL NUMBER |
00000/0000 |
A/W VERSION |
Sixth draft |
DIMENSIONS |
125x 300 |
INKS USED |
Pantone 286 Blue / Black |
DATE |
03.06.08 |
tel: 01275 342028 • fax: 01275 342028 • email: mail@victor-design.com |
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PATIENT INFORMATION LEAFLET
Vancomycin 500 mg Powder for Solution for Infusion
Vancomycin 1 g
Powder for Solution for Infusion
Read all of this leaflet carefully before you start taking this medicine.
• Keep this leaflet. You may need to read it again.
• If you have further questions, please ask your doctor or your pharmacist.
• This medicine has been prescribed for you personally and you should not pass it on to others. It may harm them, even if their symptoms are the same as yours
In this leaflet:
1. WHAT IS VANCOMYCIN AND WHAT IS IT USED FOR?
2. BEFORE YOU USE VANCOMYCIN
3. HOW TO USE VANCOMYCIN
4. POSSIBLE SIDE EFFECTS
5. STORING VANCOMYCIN
The name of your medicine is Vancomycin 500 mg Powder for Solution for Infusion or Vancomycin 500 mg Powder for Solution for oral use; Vancomycin 1 g Powder for Solution for Infusion or Vancomycin 1 g Powder for Solution for oral use. Throughout this leaflet this medicine will be referred to as Vancomycin.
1. WHAT IS VANCOMYCIN AND WHAT IS IT USED FOR?
Vancomycin infusion contains the active ingredient Vancomycin Hydrochloride, which is an antibiotic. Antibiotics help your body fight infections. Vancomycin works by destroying certain bacteria that cause infection. .
Your medicine came from a glass vial supplied to the hospital containing either 500 milligrams (mg) or 1000 milligrams of Vancomycin Hydrochloride powder which looks like a whitish, porous cake. Each vial contains vancomycin 500 mg (equivalent to 500 000IU) or 1 g (equivalent to 1 000 000IU) as vancomycin hydrochloride. A hospital pharmacist, nurse or doctor will have dissolved the Vancomycin injection powder, usually in either sterile sodium chloride solution or sterile dextrose solution.
Marketing authorisation holder:
Ranbaxy (UK) Limited, 20 Balderton Street, London W1K 6TL, United Kingdom Manufacturer:
Laboratory Reig Jofre, Gran Capita, 10-08970 Sant Joan Despi, Barcelona, Spain
Vancomycin infusion is often used to treat infections caused by bacteria called ‘staphylococci’ which may be difficult to cure using more common antibiotics like penicillin. Sometimes it is used during operations to prevent infections. If you are given Vancomycin solution to drink, it is to kill bacteria which cause severe diarrhoea. If your doctor gives you this medicine for anything else, ask him or her if you have any questions about it.
2. BEFORE YOU USE VANCOMYCIN
When should you take special care with Vancomycin?
Before starting treatment, make sure your doctor knows if you:
• have ever had an allergic reaction such as a rash, itching, swelling or breathing difficulties, when having taken Vancomycin or any other antibiotic.
• are hard of hearing.
• have ever had kidney trouble.
Pregnancy and breast-feeding
Before starting treatment, you must tell your doctor if you are pregnant or if you intend to become pregnant. Your doctor will then decide whether you should receive Vancomycin. Mothers who wish to breast-feed should discuss this with their doctor who will then advise you on what to do.
Taking other medicines
Before starting treatment, make sure your doctor knows if you are taking other medicines (including those not prescribed by your doctor). This is extremely important, as using more than one medicine at the same time can strengthen or weaken the effect of the medicines.
3. HOW TO USE VANCOMYCIN
Usual doses - as infusions
Adults: 500mg every 6 hours or 1000mg every 12 hours.
Children: 10mg for every kilogram of their body weight every 6 hours.
Your doctor may decide to use smaller doses if your kidneys are not working normally. If you are elderly or if the patient is a baby.
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The Vancomycin solution must slowly go through a tube and needle from a bag or pump and into one of your veins. This is called an ‘intravenous infusion’. This will usually take at least one hour each time you get a dose.
Usual doses - by mouth
Adults: 500mg a day, divided into more than one dose, for 7 to 10 days.
Children: 40mg for every kilogram of their body weight each day. This will be divided into 3 or 4 doses and given for 7 to 10 days.
Adults and children should not have more than 2 grams of Vancomycin by mouth each day.
Your doctor will only inject Vancomycin into a vein and not into a muscle.
Your doctor or nurse may take samples of your blood. The hospital’s laboratory will measure the amount of Vancomycin in your blood. Your doctor may decide to change your dose to get the right amount in your blood. They may count your blood cells.
Your doctor may also test your kidneys and ears, especially if you are elderly. If you are hard of hearing, your doctor may not want to give you an injection of Vancomycin.
Your doctor or nurse will take great care that the Vancomycin solution does not leak out of your vein when they are injecting it. Please tell then immediately if you have pain or swelling during the injection or later.
If you take more Vancomycin than you should:
It is most unlikely that you will be given too much medicine by the nurse or doctor. Your doctor and nurse will be monitoring your progress, and checking the medicine that you are given. Always ask if you are not sure why you are getting a dose of medicine.
If you forget to take Vancomycin:
Your doctor or nurse have instructions when to give you your medicine. It is most unlikely that you will not be given the medicine as it has been prescribed. If you think that you may have missed a dose then talk to your nurse or doctor. It is important that the course of treatment your doctor has prescribed is taken. You may start to feel better but it is important not to stop taking this medicine, until the doctor advises, otherwise your condition may get worse again.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Vancomycin may cause unwanted effects; however, it is well tolerated by most patients and side effects are usually mild and go away.
• If the Vancomycin solution is too strong or if it is injected too quickly it can cause your blood pressure to drop, difficulty breathing, rashes and itchiness, flushed skin and muscle pain.
• More serious allergic reactions. But these are very rare. If blistering does occur, your doctor will stop giving you Vancomycin at once.
• Kidney troubles, but this is rare.
• Hearing difficulty - sometimes with dizziness and ringing in the ears.
• Low blood cell count - these may cause symptoms such as chills and, occasionally, bruising.
• Feeling sick
• You are less likely to have side effects if you are given Vancomycin by mouth because it usually passes through your stomach and intestines without getting into the rest of your body.
• If you have these or any other side effects, tell your doctor. He or she has more information about Vancomycin infusion and will tell you what to do.
5. STORING VANCOMYCIN
The hospital will store the vials of Vancomycin at not above 25°C. The hospital should not use Vancomycin after the 'Use Before' date shown on the carton and vial label. This product is for single use only and any out of date or unused vancomycin should be returned to your doctor or pharmacist for disposal.
When Vancomycin powder has been dissolved in a sterile diluting solution, the hospital may store the solution in the refrigerator (2-8°C) for up to 24 hours.
Solutions of the parenteral powder intended for oral administration may be stored in a refrigerator (2°-8°C) for 24 hours.
Keep medicine out of reach and sight of children.
Remember: This medicine is for you. Only a doctor can prescribe it for you. Never give it to others. It may harm them even if their symptoms are the same as yours.
Further information:
You can get more information on Vancomycin from your doctor or pharmacist.
Date of preparation
February 2008