Vancomycin IV
Adult

Adult

Note

Consider a loading dose of 25-30 mg/kg IV if severe infection, adjusting maintenance doses based on renal function

  • consider capping the loading dose at a maximum of 3 g.

Dosing based on actual body weight

Maximum of 2g/dose for initial maintenance doses (prior to vancomycin levels)

Adjust dose for serum drug levels where applicable. For prolonged therapies, consider pharmacy consult for appropriate dosing and monitoring

Target Trough of 10-15 mg/L for ALL infections

CrCl >80

15 mg/kg IV q8-12h

CrCl 40-80

15 mg/kg IV q24h