Linezolid
Brand Names: Zyvox
Methodology & AI Transparency ⓘ
Linezolid Key Takeaways
Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level
- 1 What it does: Linezolid Injection is an oxazolidinone-class antibacterial indicated in adults and children for the treatment of the following infections caused by susceptible Gram-positive bacteria: Nosocomial pneumonia ( 1.1 ); Community-acquired pneumonia ( 1.2 ); Complicated skin and skin structure infections, including diabetic foot infections, without concomitant osteomyelitis ( 1.3 ); Uncomplicated skin and skin structure infections ( 1.4 ); Vancomycin-resistant Enterococcus faecium infections.
- 2 Real-world patient consensus: 93% patient "Worth It" rating across 21 anonymous logs for Linezolid (RxNorm 1662285).
- 3 Typical cash cost range: Public pharmacy ledger: $26.03 low cash benchmark vs. $63.77 chain retail average ($1.3676/unit CMS NADAC).
- 4 Top reported side effects / signs: Key post-marketing and trial adverse reactions (Linezolid): nausea (11.8%), headache (10.4%), diarrhea (9.1%).
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Linezolid Mechanism, CYP450 Pathways & DailyMed Monograph
Linezolid Injection is an oxazolidinone-class antibacterial indicated in adults and children for the treatment of the following infections caused by susceptible Gram-positive bacteria: Nosocomial pneumonia ( 1.1 ); Community-acquired pneumonia ( 1.2 ); Complicated skin and skin structure infections, including diabetic foot infections, without concomitant osteomyelitis ( 1.3 ); Uncomplicated skin and skin structure infections ( 1.4 ); Vancomycin-resistant Enterococcus faecium infections. ( 1.5 ) Limitations of Use ( 1.6 ): ; Linezolid Injection is not indicated for the treatment of Gram-negative infections.
12.1 Mechanism of Action Linezolid is an antibacterial drug . 12.2 Pharmacodynamics In a randomized, positive- and placebo-controlled crossover thorough QT study, 40 healthy subjects were administered a single linezolid 600 mg dose via a 1 hour IV infusion, a single linezolid 1,200 mg dose via a 1 hour IV infusion, placebo, and a single oral dose of positive control. At both the 600 mg and 1,200 mg linezolid doses, no significant effect on QTc interval was detected at peak plasma concentration or at any other time.
Clinical clearance of Linezolid (Oxazolidinone Antibacterial) relies on mixed metabolic conjugation and unchanged urinary excretion across linezolid regimens with a Terminal t½ estimated at 4–8 hrs depending on renal/hepatic reserve (Linezolid) half-life; patients absorbing at F ≈ 57%–69% systemic availability after standard oral Linezolid administration bioavailability typically observe target onset around time to peak concentration spans 1 to 4 hrs under linezolid maintenance.
FDA clinical labeling for Linezolid restricts administration in 4 contraindications; known hypersensitivity to linezolid or any of the other product components.; patients taking any monoamine oxidase inhibitors (maoi) or within two weeks of taking an maoi. across 600 mg/1 Tablet, Film Coated, 600 mg/300mL Injection, Solution, 100 mg/5mL Granule, for Suspension, 100 mg/5mL Powder, for Suspension, 600 mg/1 Tablet, with self-reported patient tracking dominated by nausea (11.8% of reports), headache (10.4% of reports), diarrhea (9.1% of reports).
Combining Linezolid with MAOIs within a 14-day washout window risks severe serotonergic or pressor toxicity.
Avoid overlapping oxazolidinone antibacterial prescriptions alongside Linezolid to prevent cumulative receptor toxicity.
Standard Adult Titration & Dosages
Absolute & Relative Contraindications
- 4 CONTRAINDICATIONS
- Known hypersensitivity to linezolid or any of the other product components.
- Patients taking any monoamine oxidase inhibitors (MAOI) or within two weeks of taking an MAOI.
Logged Side-Effect Incidence (21 Reports)
Linezolid Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs
Peer-Reviewed Human Clinical Trials & Meta-Analyses (Linezolid)
| Study & Plain-English Finding | Sample (N) | Rigor | Primary Source |
|---|---|---|---|
| Can This Approach Help? Inside the Latest Research on Ceftobiprole versus ceftriaxone ± linezolid in Community-Acquired Bacterial Ceftobiprole was non-inferior to ceftriaxone ± linezolid for clinical success at Day 3 according to the current 2020 FDA CABP Guidance. PloS one • 2025-01-15 • Phase III Randomized Trial | Multi-cohort | 88/100 | PMID 40554538 ↗ |
| Can This Approach Help? Inside the Latest Research on A Phase III multicentre, randomized, gold-standard blind trial to evaluate the Contezolid 800 mg q12h is as effective as linezolid for treatment of cSSTIs in adults, but safer than linezolid in terms of haematological abnormalities. The Journal of antimicrobial chemotherapy • 2022-05-29 • Phase III Randomized Trial | Multi-cohort | 88/100 | PMID 35265985 ↗ |
| Can This Approach Help? Inside the Latest Research on How the body absorbs the medicine, bactericidal activity and toxicity of short These data indicate that the studied doses of linezolid and moxifloxacin could be the right balance between effectiveness and safety, strengthening the WHO recommendation that BPaLM is the preferred regimen for... Nature communications • 2026-06-10 • Phase III Randomized Trial | Multi-cohort | 82/100 | PMID 42270675 ↗ |
Linezolid Public Price Transparency Ledger
| Dispensing Channel / Benchmark | Verification Source | Reference Cost | Details |
|---|---|---|---|
| Pharmacy Acquisition Cost (CMS NADAC) | CMS Medicaid NADAC Weekly National Survey | $1.3676/unit (~$41.03/30u) | Wholesale baseline |
| Mark Cuban Cost Plus Drugs (Mail-Order Generic) | Public Wholesale Price List (NADAC + 15% + pharmacy fee) | $26.03 / mo | Formulary listing ↗ |
| Average U.S. Walk-In Retail Cash Price | Chain Pharmacy Uninsured Cash Index | $63.77 / mo | Before coupon/insurance |
| Patient-Logged Out-of-Pocket Average | 21 Anonymous DotMD Community Micro-Logs | $29.93 / mo | View logs ↓ |
Linezolid Federal Verification & Benchmark Summary
| Metric | Verified Benchmark | Source |
|---|---|---|
| Linezolid RxNorm Concept ID | 1662285 | U.S. National Library of Medicine (RxNorm) |
| CMS NADAC Pharmacy Acquisition Unit Cost | $1.3676 / unit | CMS Medicaid NADAC Weekly Feed |
| Walk-In Chain Pharmacy Cash Average | $63.77 / mo | U.S. Uninsured Retail Cash Index |
| Public Mail-Order Wholesale Benchmark | $26.03 / mo (Cost Plus Drugs) | Mark Cuban Cost Plus Public API |
| Real-World Patient Consensus | 93.00% Worth It (21 anonymous logs) | DotMD Zero-PHI Patient Ledger |
Linezolid Patient Community, Cohort Filters & Dosage Logs
Evidence synthesis for Linezolid: FDA labeling (2025-10-22, NDC 55150-242), CYP/interaction screening, and public pharmacy acquisition costs.
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Filter Linezolid community threads and patient logs by age, biological sex, dosage, and treatment duration.