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Vancomycin products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration

Licensed for intrathecal use

Products licensed for intrathecal use are the first line option and should be used wherever suitable.

There are currently no known vancomycin products licensed for intrathecal administration.

Not licensed for intrathecal use, limited information available

Products with partial information that are not licensed for intrathecal administration can still sometimes be used. Refer to the advice in our article and complete a risk assessment to enable you to interpret the details below and choose an appropriate product.

Bowmed (MA holder Laboratorios Azevedos)

Strength

500mg vial
1000mg vial

Excipients

Sodium hydroxide and hydrochloric acid (for pH adjustment)

Osmolarity / osmolality

275 – 276 mOsmol/kg

pH

2.5 – 4.5

Endotoxin content

≤0.25 EU/mg

Hameln Pharma

Strength

500mg vial
1000mg vial

Excipients

None

Osmolarity / osmolality

No information

pH

2.5 – 4.5

Endotoxin content

< 2.5 EU/ml

Hikma Farmaceutica

Strength

500mg vial
1000mg vial

Excipients

None

Osmolarity / osmolality

No information

pH

2.5 – 4.5

Endotoxin content

≤ 0.25 EU/mg

MIP Pharma

Strength

500mg vial
1000mg vial

Excipients

None

Osmolarity / osmolality

No information

pH

No information

Endotoxin content

No information

Noriderm

Strength

500mg vial
1000mg vial

Excipients

Hydrochloric acid (for pH adjustment) 

Osmolarity / osmolality

No information

pH

No information

Endotoxin content

No information

Novumgen

Strength

500mg vial

Excipients

None

Osmolarity / osmolality

No information

pH

No information

Endotoxin content

No information

SGS Pharma

Strength

500mg vial
1000mg vial

Excipients

None

Osmolarity / osmolality

No information

pH

No information

Endotoxin content

No information

Wockhardt

Strength

500mg vial
1000mg vial

Excipients

None

Osmolarity / osmolality

No information

pH

No information

Endotoxin content

No information

Zentiva

Strength

500mg vial
1000mg vial

Excipients

None

Osmolarity / osmolality

No information

pH

No information

Endotoxin content

No information

Unlicensed ‘Special’, specified for intrathecal use

Unlicensed medicines that are manufactured in MHRA-licensed Specials Manufacturing Units, at the request of an authorised healthcare professional specifically for intrathecal use.

Royal Liverpool Hospitals Foundation Trust

Vancomycin Intrathecal Injection

Strength

20mg in 4mL PFS

Update history

  1. Republished
  2. Full update of monograph
  1. Title and URL shortened.
  1. Published