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At a glance

Linezolid is an antibiotic used in the treatment of severe bacterial infections. It is effective for lung infections (pneumonia), skin and soft tissue infections, and vancomycin-resistant Enterococcus infections.

Indications
  • Nosocomial pneumonia
  • Community-acquired pneumonia
  • Complicated skin and skin structure infections (including diabetic foot infections)
  • Uncomplicated skin and skin structure infections
  • Vancomycin-resistant Enterococcus faecium infections
Pharmacology

Linezolid binds to the 23S rRNA of the 50S ribosomal subunit to inhibit bacterial protein synthesis, preventing bacterial growth.

Dosage

Adult Dose (Oral/IV):

  • Nosocomial pneumonia, Community pneumonia, Complicated skin infections: 600 mg every 12 hours, 10-14 days
  • Vancomycin-resistant Enterococcus: 600 mg every 12 hours, 14-28 days
  • MRSA infections: 600 mg twice daily, 7-21 days
  • Uncomplicated skin infections: 400 mg every 12 hours, 10-14 days

Pediatric Dose: Pneumonia/Complicated: 30 mg/kg/day divided q8h; Uncomplicated: <5 years 30 mg/kg/day q8h, 5-11 years 20 mg/kg/day q12h

Side effects

Common Side Effects:

  • Diarrhea
  • Headache
  • Nausea
  • Oral moniliasis
  • Vaginal moniliasis
  • Hypertension
  • Dyspepsia
  • Tongue discoloration
Use in pregnancy

Use in Pregnancy: Linezolid has limited data in pregnancy (Category C); use only if potential benefit justifies potential risk to the fetus.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Monitor complete blood counts weekly if using for more than 2 weeks
  • Prompt ophthalmic evaluation if visual disturbances occur (blurred vision, color vision changes)
  • Avoid large quantities of tyramine-rich foods (cheese, processed meats, alcohol, soy sauce)
  • Do not use with MAO inhibitors, SSRIs, TCAs, triptans (risk of serotonin syndrome)
Overdose effects

No overdose cases reported; symptomatic and supportive care; ~30% removed by 3 hours hemodialysis.

Storage conditions

Store at 15-30°C, away from light and moisture; keep out of reach of children.

Linezolid — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.