Zinplava vs. Vancomycin

Are Zinplava and Vancomycin the Same Thing?

Zinplava(bezlotoxumab) and Vancocin (vancomycin) are used to treatClostridium difficileinfection(CDI).

Vancocin is also used to treat serious or severe infections caused by susceptible strains of甲氧西林-resistant (beta-lactam-resistant) staphylococci also known as MRSA. Vancomycin is indicated forpenicillin-allergic patients, for patients who cannot receive or who have failed to respond to other drugs, including the penicillins or cephalosporins, and for infections caused by vancomycin-susceptible organisms that are resistant to otherantimicrobialdrugs.

Zinplava and Vancocin belong to different drug classes. Zinplava is a humanmonoclonal antibodyand Vancocin is anantibiotic.

Side effectsof Zinplava that are different from Vancocin includenausea,fever, andheadache.

Side effects of Vancocin that are different from Zinplava include serious allergic reactions (anaphylactoid reactions) includinglow blood pressure,wheezing, indigestion,hives, anditching. Rapid infusion of Vancocin may also cause flushing of the upper body (called "redneck" or "red mansyndrome"),dizziness, lowblood pressure, andpainandmusclespasmof thechestand back.

Zinplava may interact with other drugs.

Vancocin may interact withanestheticagents and other potentiallyneurotoxicand/ornephrotoxic药物(如两性霉素B、氨基甙类抗生素,bacitracin,polymyxin B, colistin, viomycin, andcisplatin).

What Are Possible Side Effects of Zinplava?

Common side effects of Zinplava include:

  • nausea,
  • fever, and
  • headache.

What Are Possible Side Effects of Vancomycin?

Common side effects of Vancomycin include:

  • serious allergic reactions (anaphylactoid reactions),
  • including lowbloodpressure,
  • wheezing,
  • indigestion,
  • hives, or
  • itching.
  • Rapid infusion of Vancomycin may also cause flushing of the upper body (called "red neck" or "red man syndrome"),
  • dizziness,
  • low blood pressure, or
  • pain and muscle spasm of the chest and back.

What Is Zinplava?

Zinplava (bezlotoxumab) injection is a humanmonoclonalantibodythat binds toClostridium difficile(C. Diff.)toxinB, indicated to reducerecurrenceofClostridium difficileinfection (CDI)inpatients 18 years of age or older who are receivingantibacterialdrug treatment of CDI and are at a high risk for CDI recurrence.

What Is Vancomycin?

Vancomycin is an antibiotic indicated for the treatment of serious or severe infections caused by susceptible strains of methicillin-resistant (beta-lactam-resistant) staphylococci. Vancomycin is indicated for penicillin-allergic patients, for patients who cannot receive or who have failed to respond to other drugs, including the penicillins or cephalosporins, and for infections caused by Vancomycin susceptible organisms that are resistant to other antimicrobial drugs.

What Drugs Interact With Zinplava?

Zinplava may interact with other drugs. Tell yourdoctorall medications and supplements you use. Tell your doctor if you arepregnantor plan to become pregnant before using Zinplava. It is unknown how it wouldaffectafetus. It is unknown if Zinplava passes intobreast milk. Consult your doctor beforebreastfeeding.

What Drugs Interact With Vancomycin?

Vancomycin may interact with blood thinners orseizuremedications.

Vancomycin may also interact withcimetidine,lithium, or disulfiram.

How Should Zinplava Be Taken?

The recommended dose of Zinplava is a single dose of 10mg/kg administered as anintravenousinfusion over 60 minutes.

How Should Vancomycin Be Taken?

日常成人剂量静脉注射of Vancomycin is 2 g divided either as 500 mg every 6 hours or 1 g every 12 hours. Vancomycin may interact with anesthetic agents, or other potentially neurotoxic and/or nephrotoxic drugs (such as amphotericin B, aminoglycosides, bacitracin, polymyxin B, colistin, viomycin, or cisplatin). Tell your doctor all medications and supplements you use. Duringpregnancy, thismedicationshould be used only when prescribed. Vancomycin passes intobreastmilk. Consult your doctor before breastfeeding.

Disclaimer

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References
Merck. Zinplava Drug Information.

https://www.merck.com/product/usa/pi_circulars/z/zinplava/zinplava_pi.pdf

Pfizer. Vancocin Prescribing Information.

https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/060180s047lbl.pdf

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