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linezolid

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Brand names: Zyvox

Oxazolidinone Antibiotic Rx

Linezolid is an antibiotic that fights bacteria in your body. It is used to treat different types of infections.

Drug Pricing (NADAC)

Generic Price

$1.95/unit

Generic Available

Yes (16 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

Linezolid treats pneumonia, skin infections, and infections caused by certain drug-resistant bacteria.

Common side effects

Diarrhea, Vomiting, Headache

Key warnings

Linezolid can cause several serious side effects.

How It Works

Linezolid works by stopping the growth of bacteria. It blocks bacteria from making proteins that they need to live and multiply. This helps your body fight off the infection.

How to Take It

Take linezolid as your doctor tells you. The dose depends on the type of infection you have. For most infections, adults take 600 mg every 12 hours, either by IV or by mouth. Children's doses are based on weight and given every 8 or 12 hours.

Pregnancy & Breastfeeding

Tell your doctor if you are pregnant or plan to become pregnant. It is not known if linezolid will harm your unborn baby. It can pass into breast milk, so talk to your doctor about breastfeeding.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store linezolid oral suspension at room temperature, away from light and moisture.

Side Effects (from patient reports)

Based on 14,782 FDA adverse event reports.

Off Label Use
2,427
Thrombocytopenia
2,032
Drug Ineffective
1,992
Anaemia
1,601
Drug Interaction
1,381
Nausea
1,301
Vomiting
1,063
Diarrhoea
1,002
Platelet Count Decreased
1,001
Pyrexia
982

FDA Adverse Event Report Analysis

Detailed analysis of 28,005 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

28,005

Death-Related Reports

5,204

Hospitalization Reports

11,593

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 10,740 (43%)
Male 13,828 (56%)

Age Distribution

0–17 1,724
18–44 5,260
45–64 6,539
65–74 4,192
75+ 3,947

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 OFF LABEL USE 2,427
2 THROMBOCYTOPENIA 2,032
3 DRUG INEFFECTIVE 1,993
4 ANAEMIA 1,601
5 DRUG INTERACTION 1,381
6 NAUSEA 1,301
7 VOMITING 1,063
8 DIARRHOEA 1,003
9 PLATELET COUNT DECREASED 1,001
10 PYREXIA 981
11 LACTIC ACIDOSIS 938
12 NEUROPATHY PERIPHERAL 901
13 SEROTONIN SYNDROME 874
14 ACUTE KIDNEY INJURY 867
15 PANCYTOPENIA 853

Reactions in Death Reports

DEATH 760
DRUG INEFFECTIVE 725
OFF LABEL USE 458
SEPTIC SHOCK 427
RESPIRATORY FAILURE 410
MULTIPLE ORGAN DYSFUNCTION SYNDROME 382
SEPSIS 365
THROMBOCYTOPENIA 347
PNEUMONIA 336
ANAEMIA 285

Reactions in Hospitalization Reports

OFF LABEL USE 1,058
THROMBOCYTOPENIA 1,046
DRUG INEFFECTIVE 975
ANAEMIA 853
DRUG INTERACTION 653
PYREXIA 633
VOMITING 567
NAUSEA 556
ACUTE KIDNEY INJURY 553
PANCYTOPENIA 524

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Linezolid can cause several serious side effects. It can lower your blood cell counts, so your doctor will monitor your blood. It can also cause nerve problems, especially if you take it for more than 28 days. Tell your doctor right away if you have vision changes, numbness, or tingling. Linezolid can also interact with certain antidepressants and cause a dangerous condition called serotonin syndrome. Diarrhea can also occur.

Known Drug Interactions

Intervention Citalopram is contraindicated in patients taking MAOIs, including MAOIs such as linezolid or intravenous methylene blue [see Dosage and Administration (2.5) , Contraindications (4) , Warnings and Precautions (5.3) ] .

Mechanism: Linezolid acts like a special type of medicine called an MAO inhibitor, which can cause a dangerous buildup of a brain chemical called serotonin when mixed with citalopram.

What to do: You should not take these two medicines together.

Intervention: Escitalopram is contraindicated in patients taking MAOIs, including MAOIs such as linezolid or intravenous methylene blue [ see Dosage and Administration (2.7) , Contraindications (4) , and Warnings and Precautions (5.2) ] Pimozide Clinical Impact: Concomitant use of racemic citalopram with pimozide increases plasma concentrations of pimozide, a drug with a narrow therapeutic index, and may increase the risk of QT prolongation and/or ventricular arrhythmias compared to use of racemic citalopram alone [ see Clinical Pharmacology (12.3) ].

Mechanism: Linezolid acts as a special type of medicine that stops the body from clearing serotonin, which can cause a dangerous reaction when mixed with escitalopram.

What to do: This combination is not allowed and should be avoided to prevent serious health problems.

Intervention Mirtazapine is contraindicated in patients taking MAOIs, including MAOIs such as linezolid or intravenous methylene blue [see Dosage and Administration (2.4) , Contraindications (4) , Warnings and Precautions (5.3) ]. Examples selegiline, tranylcypromine, isocarboxazid, phenelzine, linezolid, methylene blue Other Serotonergic Drugs Clinical Impact The concomitant use of serotonergic drugs with mirtazapine increases the risk of serotonin syndrome.

Mechanism: Linezolid blocks the breakdown of a brain chemical called serotonin, and adding mirtazapine can cause levels to become dangerously high.

What to do: Do not take these two medications at the same time because the combination is considered unsafe and can cause a life-threatening reaction.

Intervention Paroxetine is contraindicated in patients taking MAOIs, including MAOIs such as linezolid or intravenous methylene blue [see Dosage and Administration ( 2.5 ), Contraindications ( 4 ), Warnings and Precautions ( 5.2 )] . Examples selegiline, tranylcypromine, isocarboxazid, phenelzine, linezolid, methylene blue Pimozide and Thioridazine Clinical Impact Increased plasma concentrations of pimozide and thioridazine, drugs with a narrow therapeutic index, may increase the risk of QTc prolongation and ventricular arrhythmias.

Mechanism: Linezolid acts like a specific brain chemical blocker that, when mixed with paroxetine, can cause a dangerous reaction in the nervous system. This can lead to serious side effects that affect your whole body.

What to do: This combination is not allowed and must be avoided. If you need to take linezolid, your doctor will have you stop taking paroxetine first.

7 DRUG INTERACTIONS Selective Serotonin Reuptake Inhibitors: Monitor patients for serotonin syndrome ( 7.3 ) Sympathomimetic Medications: Monitor patients for hypertension ( 7.5 ) Tyramine: Risk of severe hypertension ( 7.6 ) 7.1 MAO Inhibitors (MAOIs) XADAGO is contraindicated for use with other drugs in the MAOIs class or other drugs that are potent inhibitors of monoamine oxidase (e.g., linezolid, an oxazolidinone antibacterial, which also has reversible nonselective MAO inhibition activity).

Mechanism: Both drugs stop the body from breaking down certain chemicals, which can lead to a toxic buildup in your system.

What to do: This combination is not allowed and should be avoided.

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Common Questions

Can I take linezolid if I am allergic to it?
No, you should not take linezolid if you are allergic to it or any of its ingredients.
Can I take linezolid with antidepressants?
Linezolid can interact with certain antidepressants and cause serotonin syndrome. Talk to your doctor before taking linezolid if you are taking antidepressants.
How long can I take linezolid?
The safety and effectiveness of linezolid have not been studied for longer than 28 days.
Will linezolid affect my blood counts?
Yes, linezolid can lower your blood cell counts. Your doctor will monitor your blood regularly.
Can linezolid cause nerve damage?
Yes, linezolid can cause nerve damage, especially if you take it for more than 28 days. Tell your doctor if you have any numbness, tingling, or vision changes.
Does linezolid interact with food?
Linezolid can be taken with or without food.
What should I do if I get diarrhea while taking linezolid?
Tell your doctor if you get diarrhea while taking linezolid, as it could be a sign of a serious infection.
Can linezolid affect my blood pressure?
Linezolid may increase blood pressure in some people. Your doctor may monitor your blood pressure.
Is linezolid safe for people with kidney problems?
Tell your doctor if you have kidney problems, as your dose may need to be adjusted.
Can linezolid cause low blood sugar?
Linezolid can cause low blood sugar, especially in people with diabetes. Monitor your blood sugar levels closely.
What are the common side effects of linezolid?
The most commonly reported side effects of linezolid include Diarrhea, Vomiting, Headache, Nausea, Anemia. Based on 14,782 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does linezolid interact with other medications?
Yes, linezolid has 29 known drug interactions. Notable interactions include citalopram, escitalopram, mirtazapine. Always inform your doctor about all medications you are taking.
What drug class is linezolid?
linezolid belongs to the Oxazolidinone Antibiotic drug class. It requires a prescription (Rx). Linezolid treats pneumonia, skin infections, and infections caused by certain drug-resistant bacteria.
Is linezolid safe during pregnancy?
Tell your doctor if you are pregnant or plan to become pregnant. It is not known if linezolid will harm your unborn baby. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for linezolid

The FDA label for linezolid (sold under brand names such as Zyvox) classifies it as a prescription-only medication in the Oxazolidinone Antibiotic class. Linezolid treats pneumonia, skin infections, and infections caused by certain drug-resistant bacteria. Official labeling lists 5 commonly reported side effects, including Diarrhea, Vomiting, Headache.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 14,782 voluntary reports. The database also lists 29 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated major severity. NADAC pricing from CMS shows a generic unit cost of $1.95.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: January 30, 2025

All federal data sources used on this page