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Adult Pediatric All

Usual Dose & Administration

Usual Adult Dose

600 mg q12h

Adjustment of Dose & Administration

Indication-Specific Adjustment

Non-TB Mycobacterium infection: 600 mg daily

Renal Adjustment

No adjustment in renal dysfunction

If applicable, administer dose after hemodialysis

Drug-Specific Information

IV to PO Conversion:

600 mg IV q12h = 600 mg PO q12h

Bioavailability: 100%

Toxicities

  1. Thrombocytopenia, neutropenia (more common with treatment > 10-14 days)
  2. Serotonin syndrome in patients receiving serotonergic agents
    1. Linezolid-induced serotonin syndrome is rare. Use is generally safe in patients on only one serotonergic agent; however, risk may be increased with select agents, multiple concurrent serotonergic agents, and/or higher doses. See here for further information.
  3. Optic and peripheral neuritis (more common with long term treatment)
  4. Lactic acidosis

Restricted Use

Linezolid is unrestricted for adults as of March 2025

 

General Notes

  1. Up-to-date cost information, click here 
  2. IV antimicrobials outpatient (OPAT) dosing, click here
  3. Obesity dosing weight recommendations here
  4. Helpful drug-drug interaction check website here 
  5. When dosing guidance is provided it is important to note the following:

Fixed (ie non weight-based) doses in adults are historically based on a 70 kg patient. Specific disease states or individual patients may warrant dosages that differ from the above recommendations. Since product-specific criteria for dose adjustment based on creatinine clearance exist, consult product information regarding specific recommendations for dosage adjustment based on estimated creatinine clearance.