Monograph Details

Infections & Infestations > Bacterial infections
SYNERCID
Manufacturer
King Pharmaceuticals, Inc.
Legal Classification
Rx
Pharmacological Class
Streptogramin.
Generic Name
Quinupristin/dalfopristin 500mg per vial (as 150mg quinupristin and 350mg dalfopristin); pwd for IV infusion after reconstitution; preservative-free.
Indications
Treatment of serious or life-threatening susceptible infections associated with vancomycin resistant E. faecium (VREF) bacteremia. Complicated skin and skin structure infections due to S. aureus (methicillin-susceptible) or S. pyogenes.
Children
<16 years: not recommended; doses of 7.5 mg/kg every 8 or 12 hours have been used in a limited number of children under emergency-use conditions (see literature).
Adults
≥16 years: VREF bacteremia: 7.5 mg/kg every 8 hours; base duration of therapy on infection site and severity. Complicated skin and skin structure: 7.5 mg/kg every 12  hours for at least 7 days.
Precautions
Hepatic insufficiency. Pregnancy (Cat.B). Nursing mothers.
Interactions
Avoid use with drugs that can cause QTc prolongation. Caution with these and with other drugs metabolized by CYP3A4 (e.g., cyclosporine, midazolam, calcium channel blockers, cisapride, vinca alkaloids, steroids, non-nucleoside reverse transcriptase inhibitors, statins, protease inhibitors); monitor appropriately.
Adverse Reactions
Inj site reactions, arthralgia, myalgia, GI upset, thrombophlebitis, rash, headache, pruritus.
How Supplied
Single-dose vials—10
Additional Resources
Related Prescribing Note