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

Indication Dose Notes
Clostridioides difficile infection: non-fulminant 125 mg PO QID No dose adjustment in hemodialysis
Clostridioides difficile infection: fulminant 500 mg PO QID

Dialysis Notes

*Consider additional rectal instillation

See IDMP guidelines for greater detail and vancomycin taper dosing: https://idmp.ucsf.edu/content/management-clostridium-difficile-infection-adults

PO vancomycin is NOT sufficiently absorbed to treat systemic infections

References: