Vancomycin PO

Dosing: Adult Antimicrobial Dosing, Non-dialysis

Indication Dose Notes
Clostridioides difficile infection: initial episode, non-fulminant 125 mg PO QID No renal dose adjustment
Clostridioides difficile infection: fulminant 500 mg PO QID*

Dosing: Antimicrobial Dosing in Intermittent & Continuous Hemodialysis

IndicationDoseNotes
Clostridioides difficile infection: non-fulminant125 mg PO QIDNo dose adjustment in hemodialysis
Clostridioides difficile infection: fulminant500 mg PO QID

Dialysis Notes

*Consider additional rectal instillation

See IDMP guidelines for greater detail and vancomycin taper dosing: Adult C. difficile Infection Guideline

PO vancomycin is NOT sufficiently absorbed to treat systemic infections

References: