Lincomycin HCl monohydrate Uses

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What is Lincomycin HCl monohydrate?

Lincomycin HCl monohydrate is an antibiotic that fights bacteria.

Lincomycin HCl monohydrate is used to treat severe bacterial infections in people who cannot use penicillin antibiotics.

Lincomycin HCl monohydrate is used only for a severe infection. This medicine will not treat a viral infection such as the common cold or flu.

Lincomycin HCl monohydrate may also be used for purposes not listed in this medication guide.

Lincomycin HCl monohydrate indications

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Lincomycin HCl monohydrate Sterile Solution is indicated in the treatment of serious infections due to susceptible strains of streptococci, pneumococci, and staphylococci. Its use should be reserved for penicillin-allergic patients or other patients for whom, in the judgment of the physician, a penicillin is inappropriate. Because of the risk of antibiotic-associated pseudomembranous colitis, as described in Warnings, before selecting Lincomycin HCl monohydrate the physician should consider the nature of the infection and the suitability of less toxic alternatives (e.g., erythromycin).

Bacteriologic studies should be performed to determine the causative organisms and their susceptibility to Lincomycin HCl monohydrate.

Indicated surgical procedures should be performed in conjunction with antibiotic therapy.

Lincomycin HCl monohydrate has been demonstrated to be effective in the treatment of staphylococcal infections resistant to other antibiotics and susceptible to Lincomycin HCl monohydrate. Staphylococcal strains resistant to Lincomycin HCl monohydrate have been recovered; culture and susceptibility studies should be done in conjunction with therapy with Lincomycin HCl monohydrate. In the case of macrolides, partial but not complete cross-resistance may occur. The drug may be administered concomitantly with other antimicrobial agents when indicated.

Lincomycin HCl monohydrate is not indicated in the treatment of minor bacterial infections or viral infections.

To reduce the development of drug-resistant bacteria and maintain the effectiveness of Lincomycin HCl monohydrate and other antibacterial drugs, Lincomycin HCl monohydrate should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

How should I use Lincomycin HCl monohydrate?

Use Lincomycin HCl monohydrate as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Lincomycin HCl monohydrate.

Uses of Lincomycin HCl monohydrate in details

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Lincomycin HCl monohydrate is used in treatment of bacterial infections.

Lincomycin HCl monohydrate description

Each mL of Lincomycin HCl monohydrate Sterile Solution contains Lincomycin HCl monohydrate hydrochloride equivalent to Lincomycin HCl monohydrate 300 mg.

Lincomycin HCl monohydrate sterile solution contains Lincomycin HCl monohydrate hydrochloride which is the monohydrated salt of Lincomycin HCl monohydrate, a substance produced by the growth of a member of the lincolnensis group of Streptomyces lincolnensis (Fam. Streptomycetaceae).

The chemical name for Lincomycin HCl monohydrate hydrochloride is Methyl 6, 8-dideoxy-6-(1-methyl-trans-4-propyl-L-2-pyrolidinecarboxamido)-1-thio-D-erythro-α-D-galacto-octopyranoside monohydrochloride monohydrate. Its molecular formula is C18H34N2O6S.HCl. H2O and the molecular weight is 461.01.

Lincomycin HCl monohydrate hydrochloride is a white or practically white, crystalline powder and is odorless or has a faint odor. Its solutions are acid and are dextrorotatory. Lincomycin HCl monohydrate hydrochloride is freely soluble in water; soluble in dimethylformamide and very slightly soluble in acetone.

Excipients/Inactive Ingredients: Benzyl alcohol 9.45 mg added as preservative.

Lincomycin HCl monohydrate dosage

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Lincomycin HCl monohydrate Dosage

Generic name: Lincomycin HCl monohydrate HYDROCHLORIDE 300mg in 1mL

Dosage form: injection, solution

The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.

If significant diarrhea occurs during therapy, this antibacterial should be discontinued.

INTRAMUSCULAR

Adults

Serious infections—600 mg (2 mL) intramuscularly every 24 hours. More severe infections—600 mg (2 mL) intramuscularly every 12 hours or more often.

Pediatric patients over 1 month of age

Serious infections—one intramuscular injection of 10 mg/kg (5 mg/lb) every 24 hours. More severe infections—one intramuscular injection of 10 mg/kg (5 mg/lb) every 12 hours or more often.

INTRAVENOUS

Adults

The intravenous dose will be determined by the severity of the infection. For serious infections doses of 600 mg of Lincomycin HCl monohydrate (2 mL of Lincomycin HCl monohydrate) to 1 gram are given every 8 to 12 hours. For more severe infections these doses may have to be increased. In life-threatening situations daily intravenous doses of as much as 8 grams have been given.

Intravenous doses are given on the basis of 1 gram of Lincomycin HCl monohydrate diluted in not less than 100 mL of appropriate solution and infused over a period of not less than one hour.

Dose Vol. Diluent Time
600 mg 100 mL 1 hr
1 gram 100 mL 1 hr
2 grams 200 mL 2 hr
3 grams 300 mL 3 hr
4 grams 400 mL 4 hr

These doses may be repeated as often as required to the limit of the maximum recommended daily dose of 8 grams of Lincomycin HCl monohydrate.

Pediatric patients over 1 month of age

10 to 20 mg/kg/day (5 to 10 mg/lb/day) depending on the severity of the infection may be infused in divided doses as described above for adults.

NOTE: Severe cardiopulmonary reactions have occurred when this drug has been given at greater than the recommended concentration and rate.

SUBCONJUNCTIVAL INJECTION

0.25 mL (75 mg) injected subconjunctivally will result in ocular fluid levels of antibacterial (lasting for at least 5 hours) with MICs sufficient for most susceptible pathogens.

Patients with diminished renal function

When therapy with Lincomycin HCl monohydrate is required in individuals with severe impairment of renal function, an appropriate dose is 25 to 30% of that recommended for patients with normally functioning kidneys.

More about Lincomycin HCl monohydrate (Lincomycin HCl monohydrate)

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Lincomycin HCl monohydrate interactions

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What other drugs will affect Lincomycin HCl monohydrate?

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BCG (Intravesical): Antibiotics may diminish the therapeutic effect of BCG (Intravesical). Avoid combination

BCG Vaccine (Immunization): Antibiotics may diminish the therapeutic effect of BCG Vaccine (Immunization). Monitor therapy

Cholera Vaccine: Antibiotics may diminish the therapeutic effect of Cholera Vaccine. Management: Avoid cholera vaccine in patients receiving systemic antibiotics, and within 14 days following the use of oral or parenteral antibiotics. Avoid combination

Doxofylline: Lincomycin HCl monohydrate may increase the serum concentration of Doxofylline. Monitor therapy

Erythromycin (Systemic): May diminish the therapeutic effect of Lincomycin HCl monohydrate. Avoid combination

Kaolin: May decrease the absorption of Lincosamide Antibiotics. Monitor therapy

Lactobacillus and Estriol: Antibiotics may diminish the therapeutic effect of Lactobacillus and Estriol. Monitor therapy

Mecamylamine: Lincosamide Antibiotics may enhance the neuromuscular-blocking effect of Mecamylamine. Avoid combination

Neuromuscular-Blocking Agents: Lincosamide Antibiotics may enhance the neuromuscular-blocking effect of Neuromuscular-Blocking Agents. Monitor therapy

Sodium Picosulfate: Antibiotics may diminish the therapeutic effect of Sodium Picosulfate. Management: Consider using an alternative product for bowel cleansing prior to a colonoscopy in patients who have recently used or are concurrently using an antibiotic. Consider therapy modification

Typhoid Vaccine: Antibiotics may diminish the therapeutic effect of Typhoid Vaccine. Only the live attenuated Ty21a strain is affected. Management: Vaccination with live attenuated typhoid vaccine (Ty21a) should be avoided in patients being treated with systemic antibacterial agents. Use of this vaccine should be postponed until at least 3 days after cessation of antibacterial agents. Consider therapy modification

Lincomycin HCl monohydrate side effects

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What are the possible side effects of Lincomycin HCl monohydrate?

Applies to Lincomycin HCl monohydrate: capsule, solution

In addition to its needed effects, some unwanted effects may be caused by Lincomycin HCl monohydrate. In the event that any of these side effects do occur, they may require medical attention.

Major Side Effects

You should check with your doctor immediately if any of these side effects occur when taking Lincomycin HCl monohydrate:

More common:

Less common:

Note: Some of the above side effects may also occur up to several weeks after you Stop taking Lincomycin HCl monohydrate.

Minor Side Effects

Some of the side effects that can occur with Lincomycin HCl monohydrate may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:

More common:

Less common:

Lincomycin HCl monohydrate contraindications

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What is the most important information I should know about Lincomycin HCl monohydrate?

Hypersensitivity to Lincomycin HCl monohydrate, clindamycin, or any component of the formulation.

Canadian labeling: Additional contraindications (not in US labeling): Preexisting monilial (candida) infections; use in the newborn.

Active ingredient matches for Lincomycin HCl monohydrate:

Lincomycin HCl monohydrate


References

  1. PubChem. "lincomycin". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  2. DrugBank. "lincomycin". http://www.drugbank.ca/drugs/DB01627 (accessed September 17, 2018).
  3. MeSH. "Protein Synthesis Inhibitors". https://www.ncbi.nlm.nih.gov/mesh/68... (accessed September 17, 2018).

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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