Teicoplanin (400mg)

Clinical Pharmacologist's Monograph

⚠️ Prescription Only: This medicine is Schedule H/H1. Do not self-medicate.

1. Clinical Overview

Teicoplanin is a glycopeptide antibiotic, structurally and functionally similar to vancomycin, used for the treatment of serious Gram-positive bacterial infections, particularly those caused by methicillin-resistant Staphylococcus aureus (MRSA) and other resistant organisms. It is considered a second-line or alternative agent to vancomycin, often preferred in certain Indian clinical scenarios due to its once-daily dosing and potentially more favorable safety profile regarding nephrotoxicity and 'Red Man Syndrome'.

OnsetDurationBioavailability
Peak serum concentrations are achieved approximately 1 hour after a 30-minute intravenous infusion.The long half-life allows for once-daily dosing. Therapeutic serum concentrations are maintained for 24 hours post-dose.Approximately 90% after intramuscular injection. Not absorbed orally.

2. Mechanism of Action

Teicoplanin inhibits bacterial cell wall synthesis by binding with high affinity to the D-alanyl-D-alanine terminus of cell wall precursor units (lipid II). This binding prevents the incorporation of these subunits into the peptidoglycan matrix by inhibiting the transglycosylation step, a crucial process for cell wall cross-linking and rigidity.

3. Indications & Uses

  • Complicated skin and soft tissue infections (cSSTI)
  • Bone and joint infections (e.g., osteomyelitis, septic arthritis)
  • Community-acquired pneumonia (Gram-positive component)
  • Hospital-acquired pneumonia (HAP) including ventilator-associated pneumonia (VAP) caused by MRSA
  • Bacteremia and septicemia caused by susceptible Gram-positive cocci
  • Endocarditis (as an alternative to vancomycin for MRSA)

4. Dosage & Administration

Adult Dosage: Loading Dose: 400 mg IV every 12 hours for 3 doses. Maintenance Dose: 400 mg IV or IM once daily. For severe infections (e.g., endocarditis, osteomyelitis): Maintenance dose may be increased to 400 mg every 12 hours.

Administration: For IV use: Reconstitute 400mg vial with 3-4 mL of Water for Injections. Further dilute in 100-250 mL of compatible IV fluid (0.9% NaCl, 5% Dextrose, Ringer's Lactate). Infuse over 30 minutes. For IM use: Reconstitute with 3 mL of 1% Lidocaine HCl (without adrenaline) or Water for Injections. Administer by deep intramuscular injection. DO NOT administer IV push.

5. Side Effects

Common side effects may include:

  • Pain at injection site (IM route)
  • Phlebitis (IV route)
  • Mild rash
  • Fever
  • Mild transient increase in liver enzymes (ALT/AST)

6. Drug Interactions

DrugEffectSeverity
Aminoglycosides (Gentamicin, Amikacin)Increased risk of nephrotoxicity and ototoxicity.Major
Loop Diuretics (Furosemide)May potentiate ototoxicity.Moderate
Other Nephrotoxic drugs (Amphotericin B, Cisplatin)Additive risk of kidney damage.Major
WarfarinPotential increased anticoagulant effect; monitor INR closely.Moderate
Ceftriaxone (in neonates)Risk of precipitation in bile; avoid concomitant use in neonates.Major

7. Patient Counselling

  • DO complete the full course of therapy even if you feel better.
  • DO inform all your doctors and dentists that you are on this antibiotic.
  • DO report any ringing in ears, dizziness, or hearing difficulty immediately.
  • DONT skip doses.
  • DONT take any other medicine (including OTC) without consulting your doctor.

8. Toxicology & Storage

Overdose: Symptoms may include exacerbation of adverse effects: severe ototoxicity (deafness, tinnitus), nephrotoxicity (acute renal failure), and hematological abnormalities (severe neutropenia).

Storage: Store unopened vials below 25°C, protected from light and moisture. Reconstituted solution in the vial is stable for 24 hours at 2-8°C. After further dilution in IV bag, use immediately or store at 2-8°C for not more than 24 hours. Do not freeze.