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Zyvox vs. Vancomycin

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Linezolid (Zyvox) and vancomycin are both antibiotics used to treat serious bacterial infections, but they have some key differences. Linezolid is an oxazolidinone antibiotic available in oral, suspension, and injection forms, while vancomycin is a glycopeptide antibiotic given availible in injection. Linezolid is typically taken every 8 to 12 hours and can treat infections like pneumonia and MRSA, but it has a risk of serotonin syndrome when taken with certain medications. Vancomycin is usually given 2 to 4 times a day and is used for infections like bloodstream, heart infections, and MRSA, but it requires regular blood work to monitor kidney health and can cause vancomycin flushing syndrome if infused too quickly. Linezolid can be used in people with kidney or liver problems, whereas vancomycin can cause kidney damage, especially in those with pre-existing kidney issues. Both medications have serious side effects, but linezolid also interacts with certain foods, like aged cheeses and cured meats, which can raise blood pressure.

Linezolid

(Zyvox)

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vancomycin injection

 

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Summary for Zyvox

Prescription only

Linezolid (Zyvox) is an oxazolidinone antibiotic that's used to treat adults and children with certain bacterial infections, such as pneumonia and skin infections. This antibiotic can help fight hard-to-treat infections caused by certain bacteria, such as MRSA and VRE. Linezolid (Zyvox) is available as a tablet, powder for suspension, and injection. It's typically taken every 8 or 12 hours. Some side effects include nausea, diarrhea, and headache. This antibiotic also has a rare but serious risk for serotonin syndrome from interactions with medications like antidepressants.

Indications for Zyvox

Pros and Cons for Zyvox

Pros

  • Good choice for treating infections caused by resistant bacteria like MRSA and VRE
  • Available as a tablet, powder for suspension, and injection
  • Can be used in people with kidney or liver problems

Cons

  • Need to take every 8 or 12 hours, depending on your age and infection
  • Can raise the risk of serotonin syndrome when taken with other medications that affect serotonin levels in the body
  • Interacts with some foods, such as aged cheeses, cured meats, and pickled foods

Common Side Effects for Zyvox

Adults

  • Diarrhea (8%)
  • Nausea (7%)
  • Headache (6%)

Children

  • Diarrhea (11%)
  • Vomiting (9%)
  • Anemia (low red blood cell count; 6%)
  • Low platelets (up to 5%)

Warnings for Zyvox

  • Low blood cell counts
  • Nerve and eye damage
  • Serotonin syndrome
  • Diarrhea from Clostridioides difficile infection
  • Buildup of lactic acid in the blood (lactic acidosis)
  • Seizures
  • Low blood sugar
  • Low blood sodium levels
  • Caution use in people with phenylketonuria (PKU) - powder for suspension form only

Summary for Vancomycin

Prescription only

Vancomycin injection is an antibiotic used to treat some serious bacterial infections in adults and children. It treats bacterial infections in the bloodstream, skin, bone, heart, and lungs. This medication is given as an injection into your vein by a healthcare professional. It's usually infused 2 to 4 times a day. Your prescriber will check the vancomycin levels in your blood to make sure the dose is safe and works well for you. Side effects can include diarrhea and dizziness. If given too fast, it has a risk of causing a serious infusion reaction (previously known as red man syndrome).

Indications for Vancomycin

Treatment of certain serious bacterial infections, including:

Pros and Cons for Vancomycin

Pros

  • Can treat certain hard-to-treat bacterial infections
  • Approved for adults and children of most ages
  • A possible option for people with a penicillin allergy

Cons

  • Can raise the risk of kidney damage
  • Need regular blood work and tests to check for appropriate dosing and side effects
  • Risk of a serious infusion reaction if injected into the vein too quickly

Common Side Effects for Vancomycin

  • Pain and redness at the injection site

Warnings for Vancomycin

  • Infusion reactions
  • Sudden kidney problems
  • Hearing problems
  • Severe skin reactions
  • Severe infectious diarrhea
  • Risk of low white blood cell counts

Prices with our coupons for Zyvox vs. Vancomycin

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Linezolid20 tablets / 600mg
$43.89$2,387.61
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Vancomycin40 capsules / 125mg
$46.54$928.12
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