Linezolid and Tedizolid

ByBrian J. Werth, PharmD, University of Washington School of Pharmacy
Reviewed/Revised May 2022
View Patient Education

oxazolidinone antibiotics.

Linezolid

  • Streptococci

  • Enterococci

  • Staphylococci, including methicillin-resistant S. aureus (MRSA) and other strains resistant to other classes of antibiotics

  • Mycobacteria, including Mycobacterium tuberculosis

  • Anaerobes, such as Fusobacterium, Prevotella, Porphyromonas, and Bacteroides species and peptostreptococci

Serotonin syndrome

serotonin syndrome (a hyperserotonergic state characterized by mental status changes, neurologic abnormalities, and autonomic instability) when it is used in patients with either of the following:

  • Endocrinologically active carcinoid tumors

  • Use of drugs with serotonergic activity

  • Promptly stop the proserotonergic drug

Hypertension

  • Those with uncontrolled hypertension

  • Those with thyrotoxicosis

  • Those with a pheochromocytoma

Use During Pregnancy and Breastfeeding

  • Reversible myelosuppression

  • Irreversible peripheral neuropathy

  • Reversible optic neuropathy

  • Serotonin syndrome

Reversible myelosuppression, including thrombocytopenia, leukopenia, and anemia, occurs in about 3% of patients, usually when therapy is used > 2 weeks. Consequently, complete blood count is monitored weekly, especially when therapy lasts > 2 weeks.

Tedizolid

9/L) when acceptable alternatives exist.

Use During Pregnancy and Breastfeeding

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