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Linezolid - Wikipedia

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id="toc-Medical_uses-sublist" class="vector-toc-list"> <li id="toc-Skin_and_soft_tissue_infections" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Skin_and_soft_tissue_infections"> <div class="vector-toc-text"> <span class="vector-toc-numb">1.1</span> <span>Skin and soft tissue infections</span> </div> </a> <ul id="toc-Skin_and_soft_tissue_infections-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Pneumonia" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Pneumonia"> <div class="vector-toc-text"> <span class="vector-toc-numb">1.2</span> <span>Pneumonia</span> </div> </a> <ul id="toc-Pneumonia-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Other" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Other"> <div class="vector-toc-text"> <span class="vector-toc-numb">1.3</span> <span>Other</span> </div> </a> <ul id="toc-Other-sublist" class="vector-toc-list"> <li id="toc-Infections_of_the_central_nervous_system" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Infections_of_the_central_nervous_system"> <div class="vector-toc-text"> <span class="vector-toc-numb">1.3.1</span> <span>Infections of the central nervous system</span> </div> </a> <ul id="toc-Infections_of_the_central_nervous_system-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Catheter-related_infections" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Catheter-related_infections"> <div class="vector-toc-text"> <span class="vector-toc-numb">1.3.2</span> <span>Catheter-related infections</span> </div> </a> <ul id="toc-Catheter-related_infections-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Specific_populations" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Specific_populations"> <div class="vector-toc-text"> <span class="vector-toc-numb">1.4</span> <span>Specific populations</span> </div> </a> <ul id="toc-Specific_populations-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Spectrum_of_activity" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Spectrum_of_activity"> <div class="vector-toc-text"> <span class="vector-toc-numb">1.5</span> <span>Spectrum of activity</span> </div> </a> <ul id="toc-Spectrum_of_activity-sublist" class="vector-toc-list"> <li id="toc-Gram-negative_bacteria" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Gram-negative_bacteria"> <div class="vector-toc-text"> <span class="vector-toc-numb">1.5.1</span> <span>Gram-negative bacteria</span> </div> </a> <ul id="toc-Gram-negative_bacteria-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Comparable_antibiotics" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Comparable_antibiotics"> <div class="vector-toc-text"> <span class="vector-toc-numb">1.5.2</span> <span>Comparable antibiotics</span> </div> </a> <ul id="toc-Comparable_antibiotics-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> </ul> </li> <li id="toc-Adverse_effects" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Adverse_effects"> <div class="vector-toc-text"> <span class="vector-toc-numb">2</span> <span>Adverse effects</span> </div> </a> <button aria-controls="toc-Adverse_effects-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Adverse effects subsection</span> </button> <ul id="toc-Adverse_effects-sublist" class="vector-toc-list"> <li id="toc-Long-term_use" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Long-term_use"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.1</span> <span>Long-term use</span> </div> </a> <ul id="toc-Long-term_use-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Interactions" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Interactions"> <div class="vector-toc-text"> <span class="vector-toc-numb">3</span> <span>Interactions</span> </div> </a> <ul id="toc-Interactions-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Pharmacology" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Pharmacology"> <div class="vector-toc-text"> <span class="vector-toc-numb">4</span> <span>Pharmacology</span> </div> </a> <button aria-controls="toc-Pharmacology-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Pharmacology subsection</span> </button> <ul id="toc-Pharmacology-sublist" class="vector-toc-list"> <li id="toc-Pharmacodynamics" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Pharmacodynamics"> <div class="vector-toc-text"> <span class="vector-toc-numb">4.1</span> <span>Pharmacodynamics</span> </div> </a> <ul id="toc-Pharmacodynamics-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Pharmacokinetics" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Pharmacokinetics"> <div class="vector-toc-text"> <span class="vector-toc-numb">4.2</span> <span>Pharmacokinetics</span> </div> </a> <ul id="toc-Pharmacokinetics-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Chemistry" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Chemistry"> <div class="vector-toc-text"> <span class="vector-toc-numb">5</span> <span>Chemistry</span> </div> </a> <button aria-controls="toc-Chemistry-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Chemistry subsection</span> </button> <ul id="toc-Chemistry-sublist" class="vector-toc-list"> <li id="toc-Synthesis" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Synthesis"> <div class="vector-toc-text"> <span class="vector-toc-numb">5.1</span> <span>Synthesis</span> </div> </a> <ul id="toc-Synthesis-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Resistance" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Resistance"> <div class="vector-toc-text"> <span class="vector-toc-numb">6</span> <span>Resistance</span> </div> </a> <button aria-controls="toc-Resistance-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Resistance subsection</span> </button> <ul id="toc-Resistance-sublist" class="vector-toc-list"> <li id="toc-Mechanism" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Mechanism"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.1</span> <span>Mechanism</span> </div> </a> <ul id="toc-Mechanism-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-History" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#History"> <div class="vector-toc-text"> <span class="vector-toc-numb">7</span> <span>History</span> </div> </a> <ul id="toc-History-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Society_and_culture" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Society_and_culture"> <div class="vector-toc-text"> <span class="vector-toc-numb">8</span> <span>Society and culture</span> </div> </a> <button aria-controls="toc-Society_and_culture-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Society and culture subsection</span> </button> <ul id="toc-Society_and_culture-sublist" class="vector-toc-list"> <li id="toc-Economics" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Economics"> <div class="vector-toc-text"> <span class="vector-toc-numb">8.1</span> <span>Economics</span> </div> </a> <ul id="toc-Economics-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Brand_names" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Brand_names"> <div class="vector-toc-text"> <span class="vector-toc-numb">8.2</span> <span>Brand names</span> </div> </a> <ul id="toc-Brand_names-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-References" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#References"> <div class="vector-toc-text"> <span class="vector-toc-numb">9</span> <span>References</span> </div> </a> <ul id="toc-References-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="Contents" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc vector-button-flush-left" title="Table of Contents" > <input type="checkbox" id="vector-page-titlebar-toc-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-page-titlebar-toc" class="vector-dropdown-checkbox " aria-label="Toggle the table of contents" > <label id="vector-page-titlebar-toc-label" for="vector-page-titlebar-toc-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" ><span class="vector-icon mw-ui-icon-listBullet mw-ui-icon-wikimedia-listBullet"></span> <span class="vector-dropdown-label-text">Toggle the table of contents</span> </label> <div class="vector-dropdown-content"> <div id="vector-page-titlebar-toc-unpinned-container" class="vector-unpinned-container"> </div> </div> </div> </nav> <h1 id="firstHeading" class="firstHeading mw-first-heading"><span class="mw-page-title-main">Linezolid</span></h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Go to an article in another language. Available in 32 languages" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-32" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">32 languages</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D9%84%D9%8A%D9%86%D9%8A%D8%B2%D9%88%D9%84%D9%8A%D8%AF" title="لينيزوليد – Arabic" lang="ar" hreflang="ar" data-title="لينيزوليد" data-language-autonym="العربية" data-language-local-name="Arabic" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-azb mw-list-item"><a href="https://azb.wikipedia.org/wiki/%D9%84%DB%8C%D9%86%D8%B2%D9%88%D9%84%DB%8C%D8%AF" title="لینزولید – South Azerbaijani" lang="azb" hreflang="azb" data-title="لینزولید" data-language-autonym="تۆرکجه" data-language-local-name="South Azerbaijani" class="interlanguage-link-target"><span>تۆرکجه</span></a></li><li class="interlanguage-link interwiki-cy mw-list-item"><a href="https://cy.wikipedia.org/wiki/Linesolid" title="Linesolid – Welsh" lang="cy" hreflang="cy" data-title="Linesolid" data-language-autonym="Cymraeg" data-language-local-name="Welsh" class="interlanguage-link-target"><span>Cymraeg</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Linezolid" title="Linezolid – German" lang="de" hreflang="de" data-title="Linezolid" data-language-autonym="Deutsch" data-language-local-name="German" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Linezolida" title="Linezolida – Spanish" lang="es" hreflang="es" data-title="Linezolida" data-language-autonym="Español" data-language-local-name="Spanish" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D9%84%DB%8C%D9%86%D8%B2%D9%88%D9%84%DB%8C%D8%AF" title="لینزولید – Persian" lang="fa" hreflang="fa" data-title="لینزولید" data-language-autonym="فارسی" data-language-local-name="Persian" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Lin%C3%A9zolide" title="Linézolide – French" lang="fr" hreflang="fr" data-title="Linézolide" data-language-autonym="Français" data-language-local-name="French" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-gl mw-list-item"><a href="https://gl.wikipedia.org/wiki/Linezolid" title="Linezolid – Galician" lang="gl" hreflang="gl" data-title="Linezolid" data-language-autonym="Galego" data-language-local-name="Galician" class="interlanguage-link-target"><span>Galego</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EB%A6%AC%EB%84%A4%EC%A1%B8%EB%A6%AC%EB%93%9C" title="리네졸리드 – Korean" lang="ko" hreflang="ko" data-title="리네졸리드" data-language-autonym="한국어" data-language-local-name="Korean" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-id mw-list-item"><a href="https://id.wikipedia.org/wiki/Linezolid" title="Linezolid – Indonesian" lang="id" hreflang="id" data-title="Linezolid" data-language-autonym="Bahasa Indonesia" data-language-local-name="Indonesian" class="interlanguage-link-target"><span>Bahasa Indonesia</span></a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Linezolid" title="Linezolid – Italian" lang="it" hreflang="it" data-title="Linezolid" data-language-autonym="Italiano" data-language-local-name="Italian" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-he mw-list-item"><a href="https://he.wikipedia.org/wiki/%D7%9C%D7%99%D7%A0%D7%96%D7%95%D7%9C%D7%99%D7%93" title="לינזוליד – Hebrew" lang="he" hreflang="he" data-title="לינזוליד" data-language-autonym="עברית" data-language-local-name="Hebrew" class="interlanguage-link-target"><span>עברית</span></a></li><li class="interlanguage-link interwiki-hu mw-list-item"><a href="https://hu.wikipedia.org/wiki/Linezolid" title="Linezolid – Hungarian" lang="hu" hreflang="hu" data-title="Linezolid" data-language-autonym="Magyar" data-language-local-name="Hungarian" class="interlanguage-link-target"><span>Magyar</span></a></li><li class="interlanguage-link interwiki-mk mw-list-item"><a href="https://mk.wikipedia.org/wiki/%D0%9B%D0%B8%D0%BD%D0%B5%D0%B7%D0%BE%D0%BB%D0%B8%D0%B4" title="Линезолид – Macedonian" lang="mk" hreflang="mk" data-title="Линезолид" data-language-autonym="Македонски" data-language-local-name="Macedonian" class="interlanguage-link-target"><span>Македонски</span></a></li><li class="interlanguage-link interwiki-ml mw-list-item"><a href="https://ml.wikipedia.org/wiki/%E0%B4%B2%E0%B5%88%E0%B5%BB%E0%B4%B8%E0%B5%8B%E0%B4%B3%E0%B4%BF%E0%B4%A1%E0%B5%8D" title="ലൈൻസോളിഡ് – Malayalam" lang="ml" hreflang="ml" data-title="ലൈൻസോളിഡ്" data-language-autonym="മലയാളം" data-language-local-name="Malayalam" class="interlanguage-link-target"><span>മലയാളം</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E3%83%AA%E3%83%8D%E3%82%BE%E3%83%AA%E3%83%89" title="リネゾリド – Japanese" lang="ja" hreflang="ja" data-title="リネゾリド" data-language-autonym="日本語" data-language-local-name="Japanese" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-or mw-list-item"><a href="https://or.wikipedia.org/wiki/%E0%AC%B2%E0%AC%BF%E0%AC%A8%E0%AD%87%E0%AC%9C%E0%AD%8B%E0%AC%B2%E0%AC%BF%E0%AC%A1" title="ଲିନେଜୋଲିଡ – Odia" lang="or" hreflang="or" data-title="ଲିନେଜୋଲିଡ" data-language-autonym="ଓଡ଼ିଆ" data-language-local-name="Odia" class="interlanguage-link-target"><span>ଓଡ଼ିଆ</span></a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Linezolid" title="Linezolid – Polish" lang="pl" hreflang="pl" data-title="Linezolid" data-language-autonym="Polski" data-language-local-name="Polish" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Linezolida" title="Linezolida – Portuguese" lang="pt" hreflang="pt" data-title="Linezolida" data-language-autonym="Português" data-language-local-name="Portuguese" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-ro mw-list-item"><a href="https://ro.wikipedia.org/wiki/Linezolid" title="Linezolid – Romanian" lang="ro" hreflang="ro" data-title="Linezolid" data-language-autonym="Română" data-language-local-name="Romanian" class="interlanguage-link-target"><span>Română</span></a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%9B%D0%B8%D0%BD%D0%B5%D0%B7%D0%BE%D0%BB%D0%B8%D0%B4" title="Линезолид – Russian" lang="ru" hreflang="ru" data-title="Линезолид" data-language-autonym="Русский" data-language-local-name="Russian" class="interlanguage-link-target"><span>Русский</span></a></li><li class="interlanguage-link interwiki-simple mw-list-item"><a href="https://simple.wikipedia.org/wiki/Linezolid" title="Linezolid – Simple English" lang="en-simple" hreflang="en-simple" data-title="Linezolid" data-language-autonym="Simple English" data-language-local-name="Simple English" class="interlanguage-link-target"><span>Simple English</span></a></li><li class="interlanguage-link interwiki-sl badge-Q17437796 badge-featuredarticle mw-list-item" title="featured article badge"><a href="https://sl.wikipedia.org/wiki/Linezolid" title="Linezolid – Slovenian" lang="sl" hreflang="sl" data-title="Linezolid" data-language-autonym="Slovenščina" data-language-local-name="Slovenian" class="interlanguage-link-target"><span>Slovenščina</span></a></li><li class="interlanguage-link interwiki-sr mw-list-item"><a href="https://sr.wikipedia.org/wiki/Linezolid" title="Linezolid – Serbian" lang="sr" hreflang="sr" data-title="Linezolid" data-language-autonym="Српски / srpski" data-language-local-name="Serbian" class="interlanguage-link-target"><span>Српски / srpski</span></a></li><li class="interlanguage-link interwiki-sh mw-list-item"><a href="https://sh.wikipedia.org/wiki/Linezolid" title="Linezolid – Serbo-Croatian" lang="sh" hreflang="sh" data-title="Linezolid" data-language-autonym="Srpskohrvatski / српскохрватски" data-language-local-name="Serbo-Croatian" class="interlanguage-link-target"><span>Srpskohrvatski / српскохрватски</span></a></li><li class="interlanguage-link interwiki-fi mw-list-item"><a href="https://fi.wikipedia.org/wiki/Linetsolidi" title="Linetsolidi – Finnish" lang="fi" hreflang="fi" data-title="Linetsolidi" data-language-autonym="Suomi" data-language-local-name="Finnish" class="interlanguage-link-target"><span>Suomi</span></a></li><li class="interlanguage-link interwiki-sv mw-list-item"><a href="https://sv.wikipedia.org/wiki/Linezolid" title="Linezolid – Swedish" lang="sv" hreflang="sv" data-title="Linezolid" data-language-autonym="Svenska" data-language-local-name="Swedish" class="interlanguage-link-target"><span>Svenska</span></a></li><li class="interlanguage-link interwiki-th mw-list-item"><a href="https://th.wikipedia.org/wiki/%E0%B9%84%E0%B8%A5%E0%B8%99%E0%B8%B4%E0%B9%82%E0%B8%8B%E0%B8%A5%E0%B8%B4%E0%B8%94" title="ไลนิโซลิด – Thai" lang="th" hreflang="th" data-title="ไลนิโซลิด" data-language-autonym="ไทย" data-language-local-name="Thai" class="interlanguage-link-target"><span>ไทย</span></a></li><li class="interlanguage-link interwiki-tr mw-list-item"><a href="https://tr.wikipedia.org/wiki/Linezolid" title="Linezolid – Turkish" lang="tr" hreflang="tr" data-title="Linezolid" data-language-autonym="Türkçe" data-language-local-name="Turkish" class="interlanguage-link-target"><span>Türkçe</span></a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%9B%D1%96%D0%BD%D0%B5%D0%B7%D0%BE%D0%BB%D1%96%D0%B4" title="Лінезолід – Ukrainian" lang="uk" hreflang="uk" data-title="Лінезолід" data-language-autonym="Українська" data-language-local-name="Ukrainian" class="interlanguage-link-target"><span>Українська</span></a></li><li class="interlanguage-link interwiki-vi mw-list-item"><a href="https://vi.wikipedia.org/wiki/Linezolid" title="Linezolid – Vietnamese" lang="vi" hreflang="vi" data-title="Linezolid" data-language-autonym="Tiếng Việt" data-language-local-name="Vietnamese" class="interlanguage-link-target"><span>Tiếng Việt</span></a></li><li class="interlanguage-link interwiki-zh mw-list-item"><a href="https://zh.wikipedia.org/wiki/%E5%88%A9%E5%A5%88%E5%94%91%E8%83%BA" title="利奈唑胺 – Chinese" lang="zh" hreflang="zh" data-title="利奈唑胺" data-language-autonym="中文" data-language-local-name="Chinese" class="interlanguage-link-target"><span>中文</span></a></li> </ul> <div class="after-portlet after-portlet-lang"><span class="wb-langlinks-edit wb-langlinks-link"><a href="https://www.wikidata.org/wiki/Special:EntityPage/Q411377#sitelinks-wikipedia" title="Edit interlanguage links" class="wbc-editpage">Edit links</a></span></div> </div> </div> </div> </header> <div class="vector-page-toolbar"> <div 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Click here for more information."><img alt="Featured article" src="//upload.wikimedia.org/wikipedia/en/thumb/e/e7/Cscr-featured.svg/20px-Cscr-featured.svg.png" decoding="async" width="20" height="19" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/e/e7/Cscr-featured.svg/30px-Cscr-featured.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/e/e7/Cscr-featured.svg/40px-Cscr-featured.svg.png 2x" data-file-width="466" data-file-height="443" /></a></span></div></div> </div> <div id="siteSub" class="noprint">From Wikipedia, the free encyclopedia</div> </div> <div id="contentSub"><div id="mw-content-subtitle"></div></div> <div id="mw-content-text" class="mw-body-content"><div class="mw-content-ltr mw-parser-output" lang="en" dir="ltr"><div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Antibiotic medication</div> <p class="mw-empty-elt"> </p> <div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Pharmaceutical compound</div> <style data-mw-deduplicate="TemplateStyles:r1269284339">@media screen{html.skin-theme-clientpref-night .mw-parser-output .dark_mode_safe img{background-color:var(--background-color-inverted,#f8f9fa)}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .dark_mode_safe img{background-color:var(--background-color-inverted,#f8f9fa)}}</style> <style data-mw-deduplicate="TemplateStyles:r1257001546">.mw-parser-output .infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox" style="border-spacing:2px;"><caption class="infobox-title"><span title="International nonproprietary name (INN): Linezolid">Linezolid</span></caption><tbody><tr><td colspan="2" class="infobox-image"><span class="mw-default-size skin-invert-image" typeof="mw:File/Frameless"><a href="/wiki/File:Linezolid.svg" class="mw-file-description"><img alt="Skeletal formula of linezolid" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Linezolid.svg/220px-Linezolid.svg.png" decoding="async" width="220" height="111" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Linezolid.svg/330px-Linezolid.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Linezolid.svg/440px-Linezolid.svg.png 2x" data-file-width="385" data-file-height="195" /></a></span></td></tr><tr><td colspan="2" class="infobox-image"><span class="mw-default-size dark_mode_safe" typeof="mw:File/Frameless"><a href="/wiki/File:Linezolid-from-xtal-2008-3D-balls.png" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/4/4f/Linezolid-from-xtal-2008-3D-balls.png/220px-Linezolid-from-xtal-2008-3D-balls.png" decoding="async" width="220" height="89" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/4/4f/Linezolid-from-xtal-2008-3D-balls.png/330px-Linezolid-from-xtal-2008-3D-balls.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/4/4f/Linezolid-from-xtal-2008-3D-balls.png/440px-Linezolid-from-xtal-2008-3D-balls.png 2x" data-file-width="1100" data-file-height="446" /></a></span></td></tr><tr><th colspan="2" class="infobox-header" style="background:#ddd;color:inherit;">Clinical data</th></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;">Pronunciation</th><td class="infobox-data"><span class="rt-commentedText nowrap"><span class="IPA nopopups noexcerpt" lang="en-fonipa"><a href="/wiki/Help:IPA/English" title="Help:IPA/English">/<span style="border-bottom:1px dotted"><span title="&#39;l&#39; in &#39;lie&#39;">l</span><span title="/ɪ/: &#39;i&#39; in &#39;kit&#39;">ɪ</span><span title="/ˈ/: primary stress follows">ˈ</span><span title="&#39;n&#39; in &#39;nigh&#39;">n</span><span title="/ɛ/: &#39;e&#39; in &#39;dress&#39;">ɛ</span><span title="&#39;z&#39; in &#39;zoom&#39;">z</span><span title="/əl/: &#39;le&#39; in &#39;bottle&#39;">əl</span><span title="/ɪ/: &#39;i&#39; in &#39;kit&#39;">ɪ</span><span title="&#39;d&#39; in &#39;dye&#39;">d</span></span>,<span class="wrap"> </span>-<span style="border-bottom:1px dotted"><span title="/ˈ/: primary stress follows">ˈ</span><span title="&#39;n&#39; in &#39;nigh&#39;">n</span><span title="/eɪ/: &#39;a&#39; in &#39;face&#39;">eɪ</span><span title="&#39;z&#39; in &#39;zoom&#39;">z</span></span>-/</a></span></span>&#x20;</td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Drug_nomenclature#Trade_names" title="Drug nomenclature">Trade names</a></th><td class="infobox-data">Zyvox, Zyvoxam, others</td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/American_Society_of_Health-System_Pharmacists" title="American Society of Health-System Pharmacists">AHFS</a>/<a href="/wiki/Drugs.com" title="Drugs.com">Drugs.com</a></th><td class="infobox-data"><span title="www.drugs.com"><a rel="nofollow" class="external text" href="https://www.drugs.com/monograph/linezolid.html">Monograph</a></span></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/MedlinePlus" title="MedlinePlus">MedlinePlus</a></th><td class="infobox-data"><span title="medlineplus.gov"><a rel="nofollow" class="external text" href="https://medlineplus.gov/druginfo/meds/a602004.html">a602004</a></span></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Regulation_of_therapeutic_goods" title="Regulation of therapeutic goods">License data</a></th><td class="infobox-data"><style data-mw-deduplicate="TemplateStyles:r1126788409">.mw-parser-output .plainlist ol,.mw-parser-output .plainlist ul{line-height:inherit;list-style:none;margin:0;padding:0}.mw-parser-output .plainlist ol li,.mw-parser-output .plainlist ul li{margin-bottom:0}</style><div class="plainlist"> <ul><li><small><abbr class="country-name" title="United States">US</abbr></small>&#160;<a href="/wiki/DailyMed" title="DailyMed">DailyMed</a>:&#160;<span title="dailymed.nlm.nih.gov"><a rel="nofollow" class="external text" href="https://dailymed.nlm.nih.gov/dailymed/search.cfm?labeltype=all&amp;query=Linezolid">Linezolid</a></span></li></ul></div> </td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Pregnancy_category" title="Pregnancy category">Pregnancy<br />category</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"> <ul><li><small><abbr class="country-name" title="Australia">AU</abbr>:</small>&#x20;B3<sup id="cite_ref-Drugs.com_pregnancy_1-0" class="reference"><a href="#cite_note-Drugs.com_pregnancy-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup></li> <li class="mw-empty-elt"></li></ul> </div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Route_of_administration" title="Route of administration">Routes of<br />administration</a></th><td class="infobox-data"><a href="/wiki/Intravenous_therapy" title="Intravenous therapy">Intravenous infusion</a>, <a href="/wiki/By_mouth" class="mw-redirect" title="By mouth">by mouth</a></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Drug_class" title="Drug class">Drug class</a></th><td class="infobox-data"><a href="/wiki/Oxazolidinone" title="Oxazolidinone">Oxazolidinone</a> antibiotic</td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Anatomical_Therapeutic_Chemical_Classification_System" title="Anatomical Therapeutic Chemical Classification System">ATC code</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><a href="/wiki/ATC_code_J01" title="ATC code J01">J01XX08</a>&#x20;(<span title="www.whocc.no"><a rel="nofollow" class="external text" href="https://www.whocc.no/atc_ddd_index/?code=J01XX08">WHO</a></span>)&#x20;</li></ul></div></td></tr><tr><th colspan="2" class="infobox-header" style="background:#ddd;color:inherit;">Legal status</th></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Regulation_of_therapeutic_goods" title="Regulation of therapeutic goods">Legal status</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"> <ul><li><small><abbr class="country-name" title="Australia">AU</abbr>:</small>&#x20;<a href="/wiki/Standard_for_the_Uniform_Scheduling_of_Medicines_and_Poisons#Schedule_4" title="Standard for the Uniform Scheduling of Medicines and Poisons">S4</a> (Prescription only)<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup></li> <li><small><abbr class="country-name" title="Canada">CA</abbr></small>:&#x20;<a href="/wiki/Prescription_drug" title="Prescription drug"> ℞-only</a><sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup></li> <li><small><abbr class="country-name" title="United Kingdom">UK</abbr>:</small>&#x20;<a href="/wiki/Prescription_drug" title="Prescription drug">POM</a> (Prescription only)<sup id="cite_ref-Zyvox_SPC_7-0" class="reference"><a href="#cite_note-Zyvox_SPC-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup></li> <li><small><abbr class="country-name" title="United States">US</abbr>:</small>&#x20;<a href="/wiki/Prescription_drug" title="Prescription drug">℞-only</a><sup id="cite_ref-Zyvox_FDA_label_8-0" class="reference"><a href="#cite_note-Zyvox_FDA_label-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup></li></ul></div> </td></tr><tr><th colspan="2" class="infobox-header" style="background:#ddd;color:inherit;"><a href="/wiki/Pharmacokinetics" title="Pharmacokinetics">Pharmacokinetic</a> data</th></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Bioavailability" title="Bioavailability">Bioavailability</a></th><td class="infobox-data">~100% (oral)</td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Plasma_protein_binding" title="Plasma protein binding">Protein binding</a></th><td class="infobox-data">Low (31%)</td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Drug_metabolism" title="Drug metabolism">Metabolism</a></th><td class="infobox-data"><a href="/wiki/Liver" title="Liver">Liver</a> (50–70%, <a href="/wiki/Cytochrome_P450" title="Cytochrome P450">CYP</a> not&#160;involved)</td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Biological_half-life" title="Biological half-life">Elimination <span class="nowrap">half-life</span></a></th><td class="infobox-data">3–7&#160;hours;<sup id="cite_ref-Roger2018_9-0" class="reference"><a href="#cite_note-Roger2018-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> longer half-life in <a href="/wiki/Cerebrospinal_fluid" title="Cerebrospinal fluid">CSF</a> than <a href="/wiki/Blood_plasma" title="Blood plasma">plasma</a><sup id="cite_ref-Roger2018_9-1" class="reference"><a href="#cite_note-Roger2018-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Excretion" title="Excretion">Excretion</a></th><td class="infobox-data">non-kidney, <a href="/wiki/Kidney" title="Kidney">kidney</a>, and fecal<sup id="cite_ref-AHFS2016_10-0" class="reference"><a href="#cite_note-AHFS2016-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup></td></tr><tr><th colspan="2" class="infobox-header" style="background:#ddd;color:inherit;">Identifiers</th></tr><tr><td colspan="2" class="infobox-full-data"><div class="collapsible-list mw-collapsible mw-collapsed" style="text-align: left;"> <div style="line-height: 1.6em; font-weight: bold;"><div><a href="/wiki/IUPAC_nomenclature_of_chemistry" title="IUPAC nomenclature of chemistry">IUPAC name</a></div></div> <ul class="mw-collapsible-content" style="margin-top: 0; margin-bottom: 0; line-height: inherit; list-style: none; margin-left: 0; word-break:break-all; text-align:left; padding-left:1.5em; text-indent:-1.5em;"><li style="line-height: inherit; margin: 0"><div style="font-size: 97%;">(<i>S</i>)-<i>N</i>-({3-[3-fluoro-4-(morpholin-4-yl)phenyl]-2-oxo-1,3-oxazolidin-5-yl}methyl)acetamide</div></li></ul> </div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/CAS_Registry_Number" title="CAS Registry Number">CAS Number</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="commonchemistry.cas.org"><a rel="nofollow" class="external text" href="https://commonchemistry.cas.org/detail?cas_rn=165800-03-3">165800-03-3</a></span><sup>&#160;<span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/PubChem#CID" title="PubChem">PubChem</a> <span style="font-weight:normal"><abbr title="Compound ID">CID</abbr></span></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="pubchem.ncbi.nlm.nih.gov"><a rel="nofollow" class="external text" href="https://pubchem.ncbi.nlm.nih.gov/compound/441401">441401</a></span></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/DrugBank" title="DrugBank">DrugBank</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.drugbank.ca"><a rel="nofollow" class="external text" href="https://www.drugbank.ca/drugs/DB00601">DB00601</a></span><sup>&#160;<span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/ChemSpider" title="ChemSpider">ChemSpider</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.chemspider.com"><a rel="nofollow" class="external text" href="https://www.chemspider.com/Chemical-Structure.390139.html">390139</a></span><sup>&#160;<span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Unique_Ingredient_Identifier" title="Unique Ingredient Identifier">UNII</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="precision.fda.gov"><a rel="nofollow" class="external text" href="https://precision.fda.gov/uniisearch/srs/unii/ISQ9I6J12J">ISQ9I6J12J</a></span></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/KEGG" title="KEGG">KEGG</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.kegg.jp"><a rel="nofollow" class="external text" href="https://www.kegg.jp/entry/D00947">D00947</a></span><sup>&#160;<span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/ChEBI" title="ChEBI">ChEBI</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.ebi.ac.uk"><a rel="nofollow" class="external text" href="https://www.ebi.ac.uk/chebi/searchId.do?chebiId=CHEBI:63607">CHEBI:63607</a></span></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/ChEMBL" title="ChEMBL">ChEMBL</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.ebi.ac.uk"><a rel="nofollow" class="external text" href="https://www.ebi.ac.uk/chembl/explore/compound/ChEMBL126">ChEMBL126</a></span><sup>&#160;<span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/NIAID_ChemDB" title="NIAID ChemDB">NIAID ChemDB</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="chemdb.niaid.nih.gov"><a rel="nofollow" class="external text" href="https://chemdb.niaid.nih.gov/CompoundDetails.aspx?AIDSNO=070944">070944</a></span></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Protein_Data_Bank" title="Protein Data Bank">PDB ligand</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li>ZLD (<span title="www.ebi.ac.uk"><a rel="nofollow" class="external text" href="https://www.ebi.ac.uk/pdbe-srv/PDBeXplore/ligand/?ligand=ZLD">PDBe</a></span>, <span title="www.rcsb.org"><a rel="nofollow" class="external text" href="https://www.rcsb.org/ligand/ZLD">RCSB&#160;PDB</a></span>)</li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/CompTox_Chemicals_Dashboard" title="CompTox Chemicals Dashboard">CompTox Dashboard</a> <span style="font-weight:normal">(<abbr title="U.S. Environmental Protection Agency">EPA</abbr>)</span></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="comptox.epa.gov"><a rel="nofollow" class="external text" href="https://comptox.epa.gov/dashboard/chemical/details/DTXSID5046489">DTXSID5046489</a> <span class="mw-valign-text-top noprint" typeof="mw:File/Frameless"><a href="https://www.wikidata.org/wiki/Q411377#P3117" title="Edit this at Wikidata"><img alt="Edit this at Wikidata" src="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/10px-OOjs_UI_icon_edit-ltr-progressive.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/15px-OOjs_UI_icon_edit-ltr-progressive.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/20px-OOjs_UI_icon_edit-ltr-progressive.svg.png 2x" data-file-width="20" data-file-height="20" /></a></span></span></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/ECHA_InfoCard" class="mw-redirect" title="ECHA InfoCard"><span title="echa.europa.eu">ECHA InfoCard</span></a></th><td class="infobox-data"><a rel="nofollow" class="external text" href="https://echa.europa.eu/substance-information/-/substanceinfo/100.121.520">100.121.520</a> <span class="mw-valign-text-top noprint" typeof="mw:File/Frameless"><a href="https://www.wikidata.org/wiki/Q411377#P2566" title="Edit this at Wikidata"><img alt="Edit this at Wikidata" src="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/10px-OOjs_UI_icon_edit-ltr-progressive.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/15px-OOjs_UI_icon_edit-ltr-progressive.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/20px-OOjs_UI_icon_edit-ltr-progressive.svg.png 2x" data-file-width="20" data-file-height="20" /></a></span></td></tr><tr><th colspan="2" class="infobox-header" style="background:#ddd;color:inherit;">Chemical and physical data</th></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Chemical_formula" title="Chemical formula">Formula</a></th><td class="infobox-data"><span title="Carbon">C</span><sub>16</sub><span title="Hydrogen">H</span><sub>20</sub><span title="Fluorine">F</span><span title="Nitrogen">N</span><sub>3</sub><span title="Oxygen">O</span><sub>4</sub></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Molar_mass" title="Molar mass">Molar mass</a></th><td class="infobox-data"><span class="nowrap"><span data-sort-value="7002337351000000000♠"></span>337.351</span>&#160;g·mol<sup>−1</sup></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;">3D model (<a href="/wiki/JSmol" class="mw-redirect" title="JSmol">JSmol</a>)</th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="chemapps.stolaf.edu (3D interactive model)"><a rel="nofollow" class="external text" href="https://chemapps.stolaf.edu/jmol/jmol.php?model=O%3DC1O%5BC%40%40H%5D%28CNC%28%3DO%29C%29CN1c3cc%28F%29c%28N2CCOCC2%29cc3">Interactive image</a></span></li></ul></div></td></tr><tr><td colspan="2" class="infobox-full-data"><div class="collapsible-list mw-collapsible mw-collapsed" style="text-align: left;"> <div style="line-height: 1.6em; font-weight: bold;"><div><a href="/wiki/Simplified_molecular-input_line-entry_system" class="mw-redirect" title="Simplified molecular-input line-entry system">SMILES</a></div></div> <ul class="mw-collapsible-content" style="margin-top: 0; margin-bottom: 0; line-height: inherit; list-style: none; margin-left: 0; word-break:break-all;"><li style="line-height: inherit; margin: 0"><div style="word-wrap:break-word; text-indent:-1.5em; text-align:left; padding-left:1.5em; font-size:97%; line-height:120%;">O=C1O[C@@H](CNC(=O)C)CN1c3cc(F)c(N2CCOCC2)cc3</div></li></ul> </div></td></tr><tr><td colspan="2" class="infobox-full-data"><div class="collapsible-list mw-collapsible mw-collapsed" style="text-align: left;"> <div style="line-height: 1.6em; font-weight: bold;"><div><a href="/wiki/International_Chemical_Identifier" title="International Chemical Identifier">InChI</a></div></div> <ul class="mw-collapsible-content" style="margin-top: 0; margin-bottom: 0; line-height: inherit; list-style: none; margin-left: 0; word-break:break-all;"><li style="line-height: inherit; margin: 0"><div style="word-wrap:break-word; text-indent:-1.5em; text-align:left; padding-left:1.5em; font-size:97%; line-height:120%;">InChI=1S/C16H20FN3O4/c1-11(21)18-9-13-10-20(16(22)24-13)12-2-3-15(14(17)8-12)19-4-6-23-7-5-19/h2-3,8,13H,4-7,9-10H2,1H3,(H,18,21)/t13-/m0/s1<sup>&#160;<span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></div></li><li style="line-height: inherit; margin: 0"><div style="word-wrap:break-word; text-indent:-1.5em; text-align:left; padding-left:1.5em; font-size:97%; line-height:120%;">Key:TYZROVQLWOKYKF-ZDUSSCGKSA-N<sup>&#160;<span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></div></li></ul> </div></td></tr><tr><td colspan="2" class="infobox-below"><style data-mw-deduplicate="TemplateStyles:r886047488">.mw-parser-output .nobold{font-weight:normal}</style><span class="nobold">&#160;&#160;<span class="reflink plainlinks nourlexpansion"><a class="external text" href="https://en.wikipedia.org/w/index.php?title=Special:ComparePages&amp;rev1=850189766&amp;page2=Linezolid">(verify)</a></span></span></td></tr></tbody></table> <p><b>Linezolid</b> is an <a href="/wiki/Antibiotic" title="Antibiotic">antibiotic</a> used for the treatment of <a href="/wiki/Infection" title="Infection">infections</a> caused by <a href="/wiki/Gram-positive_bacteria" title="Gram-positive bacteria">Gram-positive bacteria</a> that are <a href="/wiki/Antibiotic_resistance" class="mw-redirect" title="Antibiotic resistance">resistant</a> to other antibiotics.<sup id="cite_ref-Roger2018_9-2" class="reference"><a href="#cite_note-Roger2018-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-AHFS2016_10-1" class="reference"><a href="#cite_note-AHFS2016-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> Linezolid is active against most Gram-positive bacteria that cause disease, including <a href="/wiki/Streptococcus" title="Streptococcus">streptococci</a>, <a href="/wiki/Vancomycin-resistant_enterococcus" class="mw-redirect" title="Vancomycin-resistant enterococcus">vancomycin-resistant enterococci</a> (VRE), and <a href="/wiki/Methicillin-resistant_Staphylococcus_aureus" title="Methicillin-resistant Staphylococcus aureus">methicillin-resistant <i>Staphylococcus aureus</i></a> (MRSA).<sup id="cite_ref-Roger2018_9-3" class="reference"><a href="#cite_note-Roger2018-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Zyvox_FDA_label_8-1" class="reference"><a href="#cite_note-Zyvox_FDA_label-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> The main uses are infections of the <a href="/wiki/Skin" title="Skin">skin</a> and <a href="/wiki/Pneumonia" title="Pneumonia">pneumonia</a> although it may be used for a variety of other infections including <a href="/wiki/Drug-resistant_tuberculosis" class="mw-redirect" title="Drug-resistant tuberculosis">drug-resistant tuberculosis</a>.<sup id="cite_ref-AHFS2016_10-2" class="reference"><a href="#cite_note-AHFS2016-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-WHO2015Use_11-0" class="reference"><a href="#cite_note-WHO2015Use-11"><span class="cite-bracket">&#91;</span>11<span class="cite-bracket">&#93;</span></a></sup> It is used either by <a href="/wiki/Intravenous" class="mw-redirect" title="Intravenous">injection into a vein</a> or <a href="/wiki/By_mouth" class="mw-redirect" title="By mouth">by mouth</a>.<sup id="cite_ref-AHFS2016_10-3" class="reference"><a href="#cite_note-AHFS2016-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> </p><p>When given for short periods, linezolid is a relatively safe antibiotic.<sup id="cite_ref-Marino2007_12-0" class="reference"><a href="#cite_note-Marino2007-12"><span class="cite-bracket">&#91;</span>12<span class="cite-bracket">&#93;</span></a></sup> It can be used in people of all ages and in people with <a href="/wiki/Liver_disease" title="Liver disease">liver disease</a> or <a href="/wiki/Renal_failure" class="mw-redirect" title="Renal failure">poor kidney function</a>.<sup id="cite_ref-AHFS2016_10-4" class="reference"><a href="#cite_note-AHFS2016-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> Common side effects with short-term use include <a href="/wiki/Headache" title="Headache">headache</a>, <a href="/wiki/Diarrhea" title="Diarrhea">diarrhea</a>, rash, and <a href="/wiki/Nausea" title="Nausea">nausea</a>.<sup id="cite_ref-AHFS2016_10-5" class="reference"><a href="#cite_note-AHFS2016-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> Serious side effects may include <a href="/wiki/Serotonin_syndrome" title="Serotonin syndrome">serotonin syndrome</a>, <a href="/wiki/Bone_marrow_suppression" title="Bone marrow suppression">bone marrow suppression</a>, and <a href="/wiki/Lactic_acidosis" title="Lactic acidosis">high blood lactate levels</a>, particularly when used for more than two weeks.<sup id="cite_ref-AHFS2016_10-6" class="reference"><a href="#cite_note-AHFS2016-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-SFX2016_13-0" class="reference"><a href="#cite_note-SFX2016-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup> If used for longer periods it may cause <a href="/wiki/Chemotherapy-induced_peripheral_neuropathy" title="Chemotherapy-induced peripheral neuropathy">nerve damage</a>, including <a href="/wiki/Optic_neuropathy" title="Optic neuropathy">optic nerve damage</a>, which may be irreversible.<sup id="cite_ref-SFX2016_13-1" class="reference"><a href="#cite_note-SFX2016-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup> </p><p>As a <a href="/wiki/Protein_synthesis_inhibitor" title="Protein synthesis inhibitor">protein synthesis inhibitor</a>, linezolid works by suppressing <a href="/wiki/Bacterial_translation" title="Bacterial translation">bacterial protein production</a>.<sup id="cite_ref-Swaney1998_14-0" class="reference"><a href="#cite_note-Swaney1998-14"><span class="cite-bracket">&#91;</span>14<span class="cite-bracket">&#93;</span></a></sup> This either <a href="/wiki/Bacteriostatic" class="mw-redirect" title="Bacteriostatic">stops growth</a> or results in <a href="/wiki/Bactericidal" class="mw-redirect" title="Bactericidal">bacterial death</a>.<sup id="cite_ref-AHFS2016_10-7" class="reference"><a href="#cite_note-AHFS2016-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> Although many antibiotics work this way, the exact <a href="/wiki/Mechanism_of_action" title="Mechanism of action">mechanism of action</a> of linezolid appears to be unique in that it blocks the initiation of protein production, rather than one of the later steps.<sup id="cite_ref-Swaney1998_14-1" class="reference"><a href="#cite_note-Swaney1998-14"><span class="cite-bracket">&#91;</span>14<span class="cite-bracket">&#93;</span></a></sup> As of 2014, <a href="/wiki/Bacterial_resistance" class="mw-redirect" title="Bacterial resistance">bacterial resistance</a> to linezolid has remained low.<sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">&#91;</span>15<span class="cite-bracket">&#93;</span></a></sup> Linezolid is a member of the <a href="/wiki/2-Oxazolidone" class="mw-redirect" title="2-Oxazolidone">oxazolidinone</a> class of medications.<sup id="cite_ref-AHFS2016_10-8" class="reference"><a href="#cite_note-AHFS2016-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> </p><p>Linezolid was discovered in the mid-1990s, and was approved for commercial use in 2000.<sup id="cite_ref-16" class="reference"><a href="#cite_note-16"><span class="cite-bracket">&#91;</span>16<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-17" class="reference"><a href="#cite_note-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup> It is on the <a href="/wiki/WHO_Model_List_of_Essential_Medicines" title="WHO Model List of Essential Medicines">World Health Organization's List of Essential Medicines</a>.<sup id="cite_ref-WHO23rd_18-0" class="reference"><a href="#cite_note-WHO23rd-18"><span class="cite-bracket">&#91;</span>18<span class="cite-bracket">&#93;</span></a></sup> The World Health Organization classifies linezolid as critically important for human medicine.<sup id="cite_ref-19" class="reference"><a href="#cite_note-19"><span class="cite-bracket">&#91;</span>19<span class="cite-bracket">&#93;</span></a></sup> Linezolid is available as a <a href="/wiki/Generic_medication" class="mw-redirect" title="Generic medication">generic medication</a>.<sup id="cite_ref-AHFS2016_10-9" class="reference"><a href="#cite_note-AHFS2016-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> </p> <style data-mw-deduplicate="TemplateStyles:r886046785">.mw-parser-output .toclimit-2 .toclevel-1 ul,.mw-parser-output .toclimit-3 .toclevel-2 ul,.mw-parser-output .toclimit-4 .toclevel-3 ul,.mw-parser-output .toclimit-5 .toclevel-4 ul,.mw-parser-output .toclimit-6 .toclevel-5 ul,.mw-parser-output .toclimit-7 .toclevel-6 ul{display:none}</style><div class="toclimit-3"><meta property="mw:PageProp/toc" /></div> <div class="mw-heading mw-heading2"><h2 id="Medical_uses">Medical uses</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=1" title="Edit section: Medical uses"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The main use of linezolid is the treatment of severe infections caused by <a href="/wiki/Aerobic_organism" title="Aerobic organism">aerobic</a> <a href="/wiki/Gram-positive_bacteria" title="Gram-positive bacteria">Gram-positive bacteria</a> that are <a href="/wiki/Antibiotic_resistance" class="mw-redirect" title="Antibiotic resistance">resistant</a> to other antibiotics; it should not be used against bacteria that are sensitive to drugs with a narrower spectrum of activity, such as <a href="/wiki/Penicillin" title="Penicillin">penicillins</a> and <a href="/wiki/Cephalosporin" title="Cephalosporin">cephalosporins</a>. In both the popular press and the scientific literature, linezolid has been called a "reserve antibiotic"—one that should be used sparingly so that it will remain effective as a <a href="/wiki/Drug_of_last_resort" title="Drug of last resort">drug of last resort</a> against potentially intractable infections.<sup id="cite_ref-20" class="reference"><a href="#cite_note-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Wilson_21-0" class="reference"><a href="#cite_note-Wilson-21"><span class="cite-bracket">&#91;</span>21<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Bozdogan_22-0" class="reference"><a href="#cite_note-Bozdogan-22"><span class="cite-bracket">&#91;</span>22<span class="cite-bracket">&#93;</span></a></sup> </p><p>In the United States, the indications for linezolid use approved by the U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA) are the treatment of <a href="/wiki/Vancomycin-resistant_Enterococcus" title="Vancomycin-resistant Enterococcus">vancomycin-resistant <i>Enterococcus</i></a> <a href="/wiki/Enterococcus_faecium" title="Enterococcus faecium"><i>faecium</i></a> <a href="/wiki/Infections" class="mw-redirect" title="Infections">infections</a>, with or without <a href="/wiki/Bacteremia" class="mw-redirect" title="Bacteremia">bacterial invasion of the bloodstream</a>; <a href="/wiki/Nosocomial_pneumonia" class="mw-redirect" title="Nosocomial pneumonia">nosocomial pneumonia</a> (hospital-acquired) and <a href="/wiki/Community-acquired_pneumonia" title="Community-acquired pneumonia">community-acquired pneumonia</a> caused by <i>S. aureus</i> or <i>S. pneumoniae</i>; <a href="/wiki/Complicated_skin_and_skin_structure_infection" class="mw-redirect" title="Complicated skin and skin structure infection">complicated skin and skin structure infections</a> (cSSSI) caused by susceptible bacteria, including <a href="/wiki/Diabetic_foot" title="Diabetic foot">diabetic foot</a> infection, unless complicated by <a href="/wiki/Osteomyelitis" title="Osteomyelitis">osteomyelitis</a> (infection of the bone and bone marrow); and <i>uncomplicated</i> skin and soft tissue infections caused by <i>S. pyogenes</i> or <i>S. aureus</i>.<sup id="cite_ref-Zyvox_FDA_label_8-2" class="reference"><a href="#cite_note-Zyvox_FDA_label-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> The manufacturer advises against the use of linezolid for community-acquired pneumonia or <i>uncomplicated</i> skin and soft tissue infections caused by MRSA.<sup id="cite_ref-Zyvox_FDA_label_8-3" class="reference"><a href="#cite_note-Zyvox_FDA_label-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> In the United Kingdom, pneumonia and cSSSIs are the only indications noted in the product labeling.<sup id="cite_ref-Zyvox_SPC_7-1" class="reference"><a href="#cite_note-Zyvox_SPC-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup> </p><p>Linezolid appears to be as safe and effective for use in children and newborns as it is in adults.<sup id="cite_ref-Herrmann_23-0" class="reference"><a href="#cite_note-Herrmann-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Skin_and_soft_tissue_infections">Skin and soft tissue infections</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=2" title="Edit section: Skin and soft tissue infections"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>A large <a href="/wiki/Meta-analysis" title="Meta-analysis">meta-analysis</a> of randomized controlled trials found linezolid to be more effective than glycopeptide antibiotics (such as vancomycin and <a href="/wiki/Teicoplanin" title="Teicoplanin">teicoplanin</a>) and <a href="/wiki/Beta-lactam_antibiotic" class="mw-redirect" title="Beta-lactam antibiotic">beta-lactam antibiotics</a> in the treatment of skin and soft tissue infections (SSTIs) caused by Gram-positive bacteria,<sup id="cite_ref-Falagas2008_24-0" class="reference"><a href="#cite_note-Falagas2008-24"><span class="cite-bracket">&#91;</span>24<span class="cite-bracket">&#93;</span></a></sup> and smaller studies appear to confirm its superiority over teicoplanin in the treatment of all serious Gram-positive infections.<sup id="cite_ref-Tascini_25-0" class="reference"><a href="#cite_note-Tascini-25"><span class="cite-bracket">&#91;</span>25<span class="cite-bracket">&#93;</span></a></sup> </p><p>In the treatment of diabetic foot infections, linezolid appears to be cheaper and more effective than vancomycin.<sup id="cite_ref-Chow_26-0" class="reference"><a href="#cite_note-Chow-26"><span class="cite-bracket">&#91;</span>26<span class="cite-bracket">&#93;</span></a></sup> In a 2004 <a href="/wiki/Open-label_study" class="mw-redirect" title="Open-label study">open-label study</a>, it was as effective as <a href="/wiki/Ampicillin/sulbactam" title="Ampicillin/sulbactam">ampicillin/sulbactam</a> and <a href="/wiki/Amoxicillin/clavulanic_acid" title="Amoxicillin/clavulanic acid">amoxicillin/clavulanic acid</a>, and far superior in patients with foot ulcers and no <a href="/wiki/Osteomyelitis" title="Osteomyelitis">osteomyelitis</a>, but with significantly higher rates of adverse effects.<sup id="cite_ref-Lipsky_27-0" class="reference"><a href="#cite_note-Lipsky-27"><span class="cite-bracket">&#91;</span>27<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Pigrau_28-0" class="reference"><a href="#cite_note-Pigrau-28"><span class="cite-bracket">&#91;</span>28<span class="cite-bracket">&#93;</span></a></sup> A 2008 meta-analysis of 18 randomized controlled trials, however, found that linezolid treatment failed as often as other antibiotics, regardless of whether patients had osteomyelitis.<sup id="cite_ref-Vardakas_29-0" class="reference"><a href="#cite_note-Vardakas-29"><span class="cite-bracket">&#91;</span>29<span class="cite-bracket">&#93;</span></a></sup> </p><p>Some authors have recommended that combinations of cheaper or more cost-effective drugs (such as <a href="/wiki/Co-trimoxazole" class="mw-redirect" title="Co-trimoxazole">co-trimoxazole</a> with <a href="/wiki/Rifampicin" title="Rifampicin">rifampicin</a> or <a href="/wiki/Clindamycin" title="Clindamycin">clindamycin</a>) be tried before linezolid in the treatment of SSTIs when susceptibility of the causative organism allows it.<sup id="cite_ref-Pigrau_28-1" class="reference"><a href="#cite_note-Pigrau-28"><span class="cite-bracket">&#91;</span>28<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-30" class="reference"><a href="#cite_note-30"><span class="cite-bracket">&#91;</span>30<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Pneumonia">Pneumonia</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=3" title="Edit section: Pneumonia"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>No significant difference appears in treatment success rates between linezolid, glycopeptides, or appropriate beta-lactam antibiotics in the treatment of pneumonia.<sup id="cite_ref-Falagas2008_24-1" class="reference"><a href="#cite_note-Falagas2008-24"><span class="cite-bracket">&#91;</span>24<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Medical_guideline" title="Medical guideline">Clinical guidelines</a> for the treatment of community-acquired pneumonia developed by the <a href="/wiki/American_Thoracic_Society" title="American Thoracic Society">American Thoracic Society</a> and the <a href="/wiki/Infectious_Diseases_Society_of_America" title="Infectious Diseases Society of America">Infectious Diseases Society of America</a> recommend that linezolid be reserved for cases in which MRSA has been confirmed as the causative organism, or when MRSA infection is suspected based on the clinical presentation.<sup id="cite_ref-USCAPGuidelines_31-0" class="reference"><a href="#cite_note-USCAPGuidelines-31"><span class="cite-bracket">&#91;</span>31<span class="cite-bracket">&#93;</span></a></sup> The guidelines of the <a href="/wiki/British_Thoracic_Society" title="British Thoracic Society">British Thoracic Society</a> do not recommend it as first-line treatment, but rather as an alternative to vancomycin.<sup id="cite_ref-BTSCAPGuidelines_32-0" class="reference"><a href="#cite_note-BTSCAPGuidelines-32"><span class="cite-bracket">&#91;</span>32<span class="cite-bracket">&#93;</span></a></sup> Linezolid is also an acceptable second-line treatment for community-acquired pneumococcal pneumonia when penicillin resistance is present.<sup id="cite_ref-USCAPGuidelines_31-1" class="reference"><a href="#cite_note-USCAPGuidelines-31"><span class="cite-bracket">&#91;</span>31<span class="cite-bracket">&#93;</span></a></sup> </p><p>U.S. guidelines recommend either linezolid or vancomycin as the first-line treatment for hospital-acquired (nosocomial) MRSA pneumonia.<sup id="cite_ref-USHAPGuideline_33-0" class="reference"><a href="#cite_note-USHAPGuideline-33"><span class="cite-bracket">&#91;</span>33<span class="cite-bracket">&#93;</span></a></sup> Some studies have suggested that linezolid is better than vancomycin against nosocomial pneumonia, particularly <a href="/wiki/Ventilator-associated_pneumonia" title="Ventilator-associated pneumonia">ventilator-associated pneumonia</a> caused by MRSA, perhaps because the penetration of linezolid into bronchial fluids is much higher than that of vancomycin. Several issues in study design have been raised, however, calling into question results that suggest the superiority of linezolid.<sup id="cite_ref-Pigrau_28-2" class="reference"><a href="#cite_note-Pigrau-28"><span class="cite-bracket">&#91;</span>28<span class="cite-bracket">&#93;</span></a></sup> Regardless, linezolid's advantages include its high <a href="/wiki/Oral_bioavailability" class="mw-redirect" title="Oral bioavailability">oral bioavailability</a>—which allows easy switching to oral therapy—and the fact that poor kidney function is not an obstacle to use.<sup id="cite_ref-USHAPGuideline_33-1" class="reference"><a href="#cite_note-USHAPGuideline-33"><span class="cite-bracket">&#91;</span>33<span class="cite-bracket">&#93;</span></a></sup> In contrast, achieving the correct dosage of vancomycin in patients with <a href="/wiki/Kidney_failure" title="Kidney failure">kidney failure</a> is very difficult.<sup id="cite_ref-USHAPGuideline_33-2" class="reference"><a href="#cite_note-USHAPGuideline-33"><span class="cite-bracket">&#91;</span>33<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Other">Other</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=4" title="Edit section: Other"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Endocarditis_ultrasound.JPG" class="mw-file-description"><img alt="Side-by-side echocardiogram cross-sections of a human heart. In the second image a white arrow points at a mass on the tricuspid valve." src="//upload.wikimedia.org/wikipedia/commons/thumb/f/fb/Endocarditis_ultrasound.JPG/220px-Endocarditis_ultrasound.JPG" decoding="async" width="220" height="150" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/f/fb/Endocarditis_ultrasound.JPG/330px-Endocarditis_ultrasound.JPG 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/f/fb/Endocarditis_ultrasound.JPG/440px-Endocarditis_ultrasound.JPG 2x" data-file-width="2091" data-file-height="1425" /></a><figcaption>This <a href="/wiki/Echocardiography" title="Echocardiography">echocardiogram</a> shows vegetations on the <a href="/wiki/Tricuspid_valve" title="Tricuspid valve">tricuspid valve</a> (white arrow) caused by infective endocarditis. The patient received conventional treatment, with <a href="/wiki/Ampicillin" title="Ampicillin">ampicillin</a>, <a href="/wiki/Imipenem" title="Imipenem">imipenem</a>, and <a href="/wiki/Glucocorticoid" title="Glucocorticoid">glucocorticoids</a>, and recovered fully after heart surgery.<sup id="cite_ref-34" class="reference"><a href="#cite_note-34"><span class="cite-bracket">&#91;</span>34<span class="cite-bracket">&#93;</span></a></sup></figcaption></figure> <p>It is traditionally believed that so-called "deep" infections—such as osteomyelitis or <a href="/wiki/Infective_endocarditis" title="Infective endocarditis">infective endocarditis</a>—should be treated with bactericidal antibiotics, not bacteriostatic ones. Nevertheless, preclinical studies were conducted to assess the efficacy of linezolid for these infections,<sup id="cite_ref-Barbachyn_35-0" class="reference"><a href="#cite_note-Barbachyn-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup> and the drug has been used successfully to treat them in clinical practice. Linezolid appears to be a reasonable therapeutic option for infective endocarditis caused by multi-resistant Gram-positive bacteria, despite a lack of high-quality evidence to support this use.<sup id="cite_ref-36" class="reference"><a href="#cite_note-36"><span class="cite-bracket">&#91;</span>36<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Falagas_37-0" class="reference"><a href="#cite_note-Falagas-37"><span class="cite-bracket">&#91;</span>37<span class="cite-bracket">&#93;</span></a></sup> Results in the treatment of enterococcal endocarditis have varied, with some cases treated successfully and others not responding to therapy.<sup id="cite_ref-38" class="reference"><a href="#cite_note-38"><span class="cite-bracket">&#91;</span>38<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-39" class="reference"><a href="#cite_note-39"><span class="cite-bracket">&#91;</span>39<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-40" class="reference"><a href="#cite_note-40"><span class="cite-bracket">&#91;</span>40<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-41" class="reference"><a href="#cite_note-41"><span class="cite-bracket">&#91;</span>41<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-42" class="reference"><a href="#cite_note-42"><span class="cite-bracket">&#91;</span>42<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-43" class="reference"><a href="#cite_note-43"><span class="cite-bracket">&#91;</span>43<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Evidence-based_medicine#Assessing_the_quality_of_evidence" title="Evidence-based medicine">Low- to medium-quality evidence</a> is also mounting for its use in bone and joint infections, including chronic osteomyelitis, although adverse effects are a significant concern when long-term use is necessary.<sup id="cite_ref-44" class="reference"><a href="#cite_note-44"><span class="cite-bracket">&#91;</span>44<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-45" class="reference"><a href="#cite_note-45"><span class="cite-bracket">&#91;</span>45<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-46" class="reference"><a href="#cite_note-46"><span class="cite-bracket">&#91;</span>46<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-47" class="reference"><a href="#cite_note-47"><span class="cite-bracket">&#91;</span>47<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-48" class="reference"><a href="#cite_note-48"><span class="cite-bracket">&#91;</span>48<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-49" class="reference"><a href="#cite_note-49"><span class="cite-bracket">&#91;</span>49<span class="cite-bracket">&#93;</span></a></sup> </p><p>In combination with other drugs, linezolid has been used to <a href="/wiki/Tuberculosis_treatment" class="mw-redirect" title="Tuberculosis treatment">treat tuberculosis</a>.<sup id="cite_ref-Lippea2006_50-0" class="reference"><a href="#cite_note-Lippea2006-50"><span class="cite-bracket">&#91;</span>50<span class="cite-bracket">&#93;</span></a></sup> The optimal dose for this purpose has not been established. In adults, daily and twice-daily dosing have been used to good effect. Many months of treatment are often required, and the rate of adverse effects is high regardless of dosage.<sup id="cite_ref-Park2006_51-0" class="reference"><a href="#cite_note-Park2006-51"><span class="cite-bracket">&#91;</span>51<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-52" class="reference"><a href="#cite_note-52"><span class="cite-bracket">&#91;</span>52<span class="cite-bracket">&#93;</span></a></sup> There is not enough reliable evidence of efficacy and safety to support this indication as a routine use.<sup id="cite_ref-Herrmann_23-1" class="reference"><a href="#cite_note-Herrmann-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup> </p><p>Linezolid has been studied as an alternative to vancomycin in the treatment of <a href="/wiki/Febrile_neutropenia" title="Febrile neutropenia">febrile neutropenia</a> in cancer patients when Gram-positive infection is suspected.<sup id="cite_ref-53" class="reference"><a href="#cite_note-53"><span class="cite-bracket">&#91;</span>53<span class="cite-bracket">&#93;</span></a></sup> It is also one of few antibiotics that diffuse into the <a href="/wiki/Vitreous_humor" class="mw-redirect" title="Vitreous humor">vitreous humor</a>, and may therefore be effective in treating <a href="/wiki/Endophthalmitis" title="Endophthalmitis">endophthalmitis</a> (inflammation of the inner linings and cavities of the eye) caused by susceptible bacteria. Again, there is little evidence for its use in this setting, as infectious endophthalmitis is treated widely and effectively with vancomycin <a href="/wiki/Intravitreal_administration" title="Intravitreal administration">injected directly into the eye</a>.<sup id="cite_ref-Pigrau_28-3" class="reference"><a href="#cite_note-Pigrau-28"><span class="cite-bracket">&#91;</span>28<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Infections_of_the_central_nervous_system">Infections of the central nervous system</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=5" title="Edit section: Infections of the central nervous system"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In animal studies of <a href="/wiki/Meningitis" title="Meningitis">meningitis</a> caused by <i>Streptococcus pneumoniae</i>, linezolid was found to penetrate well into <a href="/wiki/Cerebrospinal_fluid" title="Cerebrospinal fluid">cerebrospinal fluid</a>, but its effectiveness was inferior to that of other antibiotics.<sup id="cite_ref-Moellering_54-0" class="reference"><a href="#cite_note-Moellering-54"><span class="cite-bracket">&#91;</span>54<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-55" class="reference"><a href="#cite_note-55"><span class="cite-bracket">&#91;</span>55<span class="cite-bracket">&#93;</span></a></sup> There does not appear to be enough high-quality evidence to support the routine use of linezolid to treat bacterial meningitis. Nonetheless, it has been used successfully in many cases of <a href="/wiki/Central_nervous_system" title="Central nervous system">central nervous system</a> infection—including meningitis—caused by susceptible bacteria, and has also been suggested as a reasonable choice for this indication when treatment options are limited or when other antibiotics have failed.<sup id="cite_ref-Sabbatani_56-0" class="reference"><a href="#cite_note-Sabbatani-56"><span class="cite-bracket">&#91;</span>56<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-57" class="reference"><a href="#cite_note-57"><span class="cite-bracket">&#91;</span>57<span class="cite-bracket">&#93;</span></a></sup> The guidelines of the Infectious Diseases Society of America recommend linezolid as the first-line drug of choice for VRE meningitis, and as an alternative to vancomycin for MRSA meningitis.<sup id="cite_ref-58" class="reference"><a href="#cite_note-58"><span class="cite-bracket">&#91;</span>58<span class="cite-bracket">&#93;</span></a></sup> Linezolid appears superior to vancomycin in treating community-acquired MRSA infections of the central nervous system, although very few cases of such infections have been published (as of 2009<sup class="plainlinks noexcerpt noprint asof-tag update" style="display:none;"><a class="external text" href="https://en.wikipedia.org/w/index.php?title=Linezolid&amp;action=edit">&#91;update&#93;</a></sup>).<sup id="cite_ref-Naesens_59-0" class="reference"><a href="#cite_note-Naesens-59"><span class="cite-bracket">&#91;</span>59<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Catheter-related_infections">Catheter-related infections</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=6" title="Edit section: Catheter-related infections"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In March 2007, the FDA reported the results of a <a href="/wiki/Randomized_controlled_trial" title="Randomized controlled trial">randomized</a>, <a href="/wiki/Open-label_trial" title="Open-label trial">open-label</a>, phase III clinical trial comparing linezolid to vancomycin in the treatment of <a href="/wiki/Central_venous_catheter#Infection" title="Central venous catheter">catheter-related bloodstream infections</a>. Patients treated with vancomycin could be switched to <a href="/wiki/Oxacillin" title="Oxacillin">oxacillin</a> or <a href="/wiki/Dicloxacillin" title="Dicloxacillin">dicloxacillin</a> if the bacteria that caused their infection was found to be susceptible, and patients in both groups (linezolid and vancomycin) could receive specific treatment against Gram-negative bacteria if necessary.<sup id="cite_ref-CRBSI_60-0" class="reference"><a href="#cite_note-CRBSI-60"><span class="cite-bracket">&#91;</span>60<span class="cite-bracket">&#93;</span></a></sup> The study itself was published in January 2009.<sup id="cite_ref-Wilcox_61-0" class="reference"><a href="#cite_note-Wilcox-61"><span class="cite-bracket">&#91;</span>61<span class="cite-bracket">&#93;</span></a></sup> </p><p>Linezolid was associated with <a href="/wiki/Statistical_significance" title="Statistical significance">significantly</a> greater mortality than the comparator antibiotics. When data from all participants were pooled, the study found that 21.5% of those given linezolid died, compared to 16% of those not receiving it. The difference was found to be due to the inferiority of linezolid in the treatment of Gram-negative infections alone or mixed Gram-negative/Gram-positive infections. In participants whose infection was due to Gram-positive bacteria alone, linezolid was as safe and effective as vancomycin.<sup id="cite_ref-CRBSI_60-1" class="reference"><a href="#cite_note-CRBSI-60"><span class="cite-bracket">&#91;</span>60<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Wilcox_61-1" class="reference"><a href="#cite_note-Wilcox-61"><span class="cite-bracket">&#91;</span>61<span class="cite-bracket">&#93;</span></a></sup> In light of these results, the FDA issued an alert reminding healthcare professionals that linezolid is not approved for the treatment of catheter-related infections or infections caused by Gram-negative organisms, and that more appropriate therapy should be instituted whenever a Gram-negative infection is confirmed or suspected.<sup id="cite_ref-CRBSI_60-2" class="reference"><a href="#cite_note-CRBSI-60"><span class="cite-bracket">&#91;</span>60<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Specific_populations">Specific populations</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=7" title="Edit section: Specific populations"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In adults and children over the age of 12, linezolid is usually given every 12 hours, whether orally or intravenously.<sup id="cite_ref-Moellering_54-1" class="reference"><a href="#cite_note-Moellering-54"><span class="cite-bracket">&#91;</span>54<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-American_Family_Physician_62-0" class="reference"><a href="#cite_note-American_Family_Physician-62"><span class="cite-bracket">&#91;</span>62<span class="cite-bracket">&#93;</span></a></sup> In younger children and infants, it is given every eight hours.<sup id="cite_ref-Buck_63-0" class="reference"><a href="#cite_note-Buck-63"><span class="cite-bracket">&#91;</span>63<span class="cite-bracket">&#93;</span></a></sup> No dosage adjustments are required in the elderly, in people with mild-to-moderate liver failure, or in those with impaired kidney function.<sup id="cite_ref-Lexi-Comp_64-0" class="reference"><a href="#cite_note-Lexi-Comp-64"><span class="cite-bracket">&#91;</span>64<span class="cite-bracket">&#93;</span></a></sup> In people requiring <a href="/wiki/Hemodialysis" title="Hemodialysis">hemodialysis</a>, care should be taken to give linezolid after a session, because dialysis removes 30–40% of a dose from the body; no dosage adjustments are needed in people undergoing <a href="/wiki/Hemofiltration" title="Hemofiltration">continuous hemofiltration</a>,<sup id="cite_ref-Lexi-Comp_64-1" class="reference"><a href="#cite_note-Lexi-Comp-64"><span class="cite-bracket">&#91;</span>64<span class="cite-bracket">&#93;</span></a></sup> although more frequent administration may be warranted in some cases.<sup id="cite_ref-Herrmann_23-2" class="reference"><a href="#cite_note-Herrmann-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup> According to one study, linezolid may need to be given more frequently than normal in people with <a href="/wiki/Burn" title="Burn">burns</a> affecting more than 20% of <a href="/wiki/Total_body_surface_area" title="Total body surface area">body area</a>, due to increased nonrenal clearance of the drug.<sup id="cite_ref-65" class="reference"><a href="#cite_note-65"><span class="cite-bracket">&#91;</span>65<span class="cite-bracket">&#93;</span></a></sup> </p><p>Linezolid is in U.S. <a href="/wiki/Pregnancy_category" title="Pregnancy category">pregnancy category</a> C, meaning there have been no adequate studies of its safety when used by pregnant women, and although animal studies have shown mild toxicity to the fetus, the benefits of using the drug may outweigh its risks.<sup id="cite_ref-Zyvox_FDA_label_8-4" class="reference"><a href="#cite_note-Zyvox_FDA_label-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> It also passes into <a href="/wiki/Breast_milk" title="Breast milk">breast milk</a>, although the clinical significance of this (if any) is unknown.<sup id="cite_ref-InfectiousDiseases_66-0" class="reference"><a href="#cite_note-InfectiousDiseases-66"><span class="cite-bracket">&#91;</span>66<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Spectrum_of_activity">Spectrum of activity</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=8" title="Edit section: Spectrum of activity"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1273380762/mw-parser-output/.tmulti">.mw-parser-output .tmulti .multiimageinner{display:flex;flex-direction:column}.mw-parser-output .tmulti .trow{display:flex;flex-direction:row;clear:left;flex-wrap:wrap;width:100%;box-sizing:border-box}.mw-parser-output .tmulti .tsingle{margin:1px;float:left}.mw-parser-output .tmulti .theader{clear:both;font-weight:bold;text-align:center;align-self:center;background-color:transparent;width:100%}.mw-parser-output .tmulti .thumbcaption{background-color:transparent}.mw-parser-output .tmulti .text-align-left{text-align:left}.mw-parser-output .tmulti .text-align-right{text-align:right}.mw-parser-output .tmulti .text-align-center{text-align:center}@media all and (max-width:720px){.mw-parser-output .tmulti .thumbinner{width:100%!important;box-sizing:border-box;max-width:none!important;align-items:center}.mw-parser-output .tmulti .trow{justify-content:center}.mw-parser-output .tmulti .tsingle{float:none!important;max-width:100%!important;box-sizing:border-box;text-align:center}.mw-parser-output .tmulti .tsingle .thumbcaption{text-align:left}.mw-parser-output .tmulti .trow>.thumbcaption{text-align:center}}@media screen{html.skin-theme-clientpref-night .mw-parser-output .tmulti .multiimageinner span:not(.skin-invert-image):not(.skin-invert):not(.bg-transparent) img{background-color:white}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .tmulti .multiimageinner span:not(.skin-invert-image):not(.skin-invert):not(.bg-transparent) img{background-color:white}}</style><div class="thumb tmulti tright"><div class="thumbinner multiimageinner" style="width:204px;max-width:204px"><div class="trow"><div class="tsingle" style="width:202px;max-width:202px"><div class="thumbimage"><span typeof="mw:File"><a href="/wiki/File:Vancomycin-Resistant_Enterococcus_01.jpg" class="mw-file-description"><img alt="Black and white micrograph: a band of sphere-shaped bacteria, clustered in pairs, extends across a gray field." src="//upload.wikimedia.org/wikipedia/commons/thumb/c/c1/Vancomycin-Resistant_Enterococcus_01.jpg/200px-Vancomycin-Resistant_Enterococcus_01.jpg" decoding="async" width="200" height="135" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/c/c1/Vancomycin-Resistant_Enterococcus_01.jpg/300px-Vancomycin-Resistant_Enterococcus_01.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/c/c1/Vancomycin-Resistant_Enterococcus_01.jpg/400px-Vancomycin-Resistant_Enterococcus_01.jpg 2x" data-file-width="2838" data-file-height="1910" /></a></span></div></div></div><div class="trow"><div class="tsingle" style="width:202px;max-width:202px"><div class="thumbimage"><span typeof="mw:File"><a href="/wiki/File:CDC-10046-MRSA.jpg" class="mw-file-description"><img alt="Colorized micrograph: sphere-shaped bacteria clustered in grape-like bunches." src="//upload.wikimedia.org/wikipedia/commons/thumb/b/b0/CDC-10046-MRSA.jpg/200px-CDC-10046-MRSA.jpg" decoding="async" width="200" height="136" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/b/b0/CDC-10046-MRSA.jpg/300px-CDC-10046-MRSA.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/b/b0/CDC-10046-MRSA.jpg/400px-CDC-10046-MRSA.jpg 2x" data-file-width="2835" data-file-height="1927" /></a></span></div></div></div><div class="trow" style="display:flex"><div class="thumbcaption"><a href="/wiki/Scanning_electron_microscopy" class="mw-redirect" title="Scanning electron microscopy">Scanning electron micrographs</a> of <a href="/wiki/Vancomycin-resistant_enterococcus" class="mw-redirect" title="Vancomycin-resistant enterococcus">vancomycin-resistant <i>Enterococcus</i></a> (top) and <a href="/wiki/Methicillin-resistant_Staphylococcus_aureus" title="Methicillin-resistant Staphylococcus aureus">methicillin-resistant <i>Staphylococcus aureus</i></a> (bottom; false colors)</div></div></div></div> <p>Linezolid is effective against all clinically important Gram-positive <a href="/wiki/Bacteria" title="Bacteria">bacteria</a>—those whose <a href="/wiki/Cell_wall" title="Cell wall">cell wall</a> contains a thick layer of <a href="/wiki/Peptidoglycan" title="Peptidoglycan">peptidoglycan</a> and no <a href="/wiki/Bacterial_outer_membrane" title="Bacterial outer membrane">outer membrane</a>—notably <i><a href="/wiki/Enterococcus_faecium" title="Enterococcus faecium">Enterococcus faecium</a></i> and <i><a href="/wiki/Enterococcus_faecalis" title="Enterococcus faecalis">Enterococcus faecalis</a></i> (including <a href="/wiki/Vancomycin-resistant_enterococcus" class="mw-redirect" title="Vancomycin-resistant enterococcus">vancomycin-resistant enterococci</a>), <i>Staphylococcus aureus</i> (including methicillin-resistant <i>Staphylococcus aureus</i>, MRSA), <i><a href="/wiki/Streptococcus_agalactiae" title="Streptococcus agalactiae">Streptococcus agalactiae</a></i>, <i><a href="/wiki/Streptococcus_pneumoniae" title="Streptococcus pneumoniae">Streptococcus pneumoniae</a></i>, <i><a href="/wiki/Streptococcus_pyogenes" title="Streptococcus pyogenes">Streptococcus pyogenes</a></i>, the <a href="/wiki/Streptococcus#Viridans_and_others" title="Streptococcus"><i>viridans</i> group streptococci</a>, <i><a href="/wiki/Listeria_monocytogenes" title="Listeria monocytogenes">Listeria monocytogenes</a></i>, and <i><a href="/wiki/Corynebacterium" title="Corynebacterium">Corynebacterium</a></i> species (the latter being among the most susceptible to linezolid, with <a href="/wiki/Minimum_inhibitory_concentration" title="Minimum inhibitory concentration">minimum inhibitory concentrations</a> routinely below 0.5&#160;mg/L).<sup id="cite_ref-Zyvox_FDA_label_8-5" class="reference"><a href="#cite_note-Zyvox_FDA_label-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Moellering_54-2" class="reference"><a href="#cite_note-Moellering-54"><span class="cite-bracket">&#91;</span>54<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Jones_67-0" class="reference"><a href="#cite_note-Jones-67"><span class="cite-bracket">&#91;</span>67<span class="cite-bracket">&#93;</span></a></sup> Linezolid is also highly active <i><a href="/wiki/In_vitro" title="In vitro">in vitro</a></i> against several <a href="/wiki/Mycobacterium" title="Mycobacterium">mycobacteria</a>.<sup id="cite_ref-Moellering_54-3" class="reference"><a href="#cite_note-Moellering-54"><span class="cite-bracket">&#91;</span>54<span class="cite-bracket">&#93;</span></a></sup> It appears to be very effective against <i><a href="/wiki/Nocardia" title="Nocardia">Nocardia</a></i>, but because of high cost and potentially serious adverse effects, authors have recommended that it be combined with other antibiotics or reserved for cases that have failed traditional treatment.<sup id="cite_ref-68" class="reference"><a href="#cite_note-68"><span class="cite-bracket">&#91;</span>68<span class="cite-bracket">&#93;</span></a></sup> </p><p>Linezolid is considered <a href="/wiki/Bacteriostatic_agent" title="Bacteriostatic agent">bacteriostatic</a> against most organisms—that is, it stops their growth and reproduction without actually killing them—but has some <a href="/wiki/Bactericide" title="Bactericide">bactericidal</a> (killing) activity against streptococci.<sup id="cite_ref-Zyvox_FDA_label_8-6" class="reference"><a href="#cite_note-Zyvox_FDA_label-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-DrugTherPerspect_69-0" class="reference"><a href="#cite_note-DrugTherPerspect-69"><span class="cite-bracket">&#91;</span>69<span class="cite-bracket">&#93;</span></a></sup> Some authors have noted that, despite its bacteriostatic effect <i>in vitro</i>, linezolid "behaves" as a bactericidal antibiotic <i>in vivo</i> because it inhibits the production of <a href="/wiki/Exotoxin" title="Exotoxin">toxins</a> by staphylococci and streptococci.<sup id="cite_ref-Barbachyn_35-1" class="reference"><a href="#cite_note-Barbachyn-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup> It also has a <a href="/wiki/Antimicrobial_pharmacodynamics" title="Antimicrobial pharmacodynamics">post-antibiotic effect</a> lasting one to four hours for most bacteria, meaning that bacterial growth is temporarily suppressed even after the drug is discontinued.<sup id="cite_ref-Herrmann_23-3" class="reference"><a href="#cite_note-Herrmann-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Gram-negative_bacteria">Gram-negative bacteria</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=9" title="Edit section: Gram-negative bacteria"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Linezolid has no clinically significant effect on most <a href="/wiki/Gram-negative_bacteria" title="Gram-negative bacteria">Gram-negative bacteria</a>. <i><a href="/wiki/Pseudomonas" title="Pseudomonas">Pseudomonas</a></i> and the <a href="/wiki/Enterobacteriaceae" title="Enterobacteriaceae">Enterobacteriaceae</a>, for instance, are not susceptible.<sup id="cite_ref-DrugTherPerspect_69-1" class="reference"><a href="#cite_note-DrugTherPerspect-69"><span class="cite-bracket">&#91;</span>69<span class="cite-bracket">&#93;</span></a></sup> <i>In vitro</i>, it is active against <i><a href="/wiki/Pasteurella_multocida" title="Pasteurella multocida">Pasteurella multocida</a></i>,<sup id="cite_ref-Zyvox_FDA_label_8-7" class="reference"><a href="#cite_note-Zyvox_FDA_label-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-70" class="reference"><a href="#cite_note-70"><span class="cite-bracket">&#91;</span>70<span class="cite-bracket">&#93;</span></a></sup> <i><a href="/wiki/Fusobacterium" title="Fusobacterium">Fusobacterium</a></i>, <i><a href="/wiki/Moraxella_catarrhalis" title="Moraxella catarrhalis">Moraxella catarrhalis</a></i>, <i><a href="/wiki/Legionella" title="Legionella">Legionella</a></i>, <i><a href="/wiki/Bordetella" title="Bordetella">Bordetella</a></i>, and <i><a href="/wiki/Elizabethkingia_meningoseptica" title="Elizabethkingia meningoseptica">Elizabethkingia meningoseptica</a></i>, and moderately active (having a minimum inhibitory concentration for 90% of strains of 8&#160;mg/L) against <i><a href="/wiki/Haemophilus_influenzae" title="Haemophilus influenzae">Haemophilus influenzae</a></i>.<sup id="cite_ref-InfectiousDiseases_66-1" class="reference"><a href="#cite_note-InfectiousDiseases-66"><span class="cite-bracket">&#91;</span>66<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-DrugTherPerspect_69-2" class="reference"><a href="#cite_note-DrugTherPerspect-69"><span class="cite-bracket">&#91;</span>69<span class="cite-bracket">&#93;</span></a></sup> It has also been used to great effect as a second-line treatment for <i><a href="/wiki/Capnocytophaga" title="Capnocytophaga">Capnocytophaga</a></i> infections.<sup id="cite_ref-Sabbatani_56-1" class="reference"><a href="#cite_note-Sabbatani-56"><span class="cite-bracket">&#91;</span>56<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-71" class="reference"><a href="#cite_note-71"><span class="cite-bracket">&#91;</span>71<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Comparable_antibiotics">Comparable antibiotics</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=10" title="Edit section: Comparable antibiotics"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Linezolid's spectrum of activity against Gram-positive bacteria is similar to that of the <a href="/wiki/Glycopeptide_antibiotic" title="Glycopeptide antibiotic">glycopeptide antibiotic</a> <a href="/wiki/Vancomycin" title="Vancomycin">vancomycin</a>, which has long been the standard for treatment of MRSA infections, and the two drugs are often compared.<sup id="cite_ref-Marino2007_12-1" class="reference"><a href="#cite_note-Marino2007-12"><span class="cite-bracket">&#91;</span>12<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Herrmann_23-4" class="reference"><a href="#cite_note-Herrmann-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup> Other comparable antibiotics include glycopeptide antibiotics such as <a href="/wiki/Teicoplanin" title="Teicoplanin">teicoplanin</a> (trade name Targocid), <a href="/wiki/Dalbavancin" title="Dalbavancin">dalbavancin</a> (Dalvance), <a href="/wiki/Oritavancin" title="Oritavancin">oritavancin</a> (Orbactiv), and <a href="/wiki/Telavancin" title="Telavancin">telavancin</a> (Vibativ); <a href="/wiki/Quinupristin/dalfopristin" title="Quinupristin/dalfopristin">quinupristin/dalfopristin</a> (Synercid, a combination of two <a href="/wiki/Streptogramin" title="Streptogramin">streptogramins</a>, not active against <i>E. faecalis</i>);<sup id="cite_ref-Livermore_72-0" class="reference"><a href="#cite_note-Livermore-72"><span class="cite-bracket">&#91;</span>72<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Daptomycin" title="Daptomycin">daptomycin</a> (Cubicin, a <a href="/wiki/Lipopeptide" title="Lipopeptide">lipopeptide</a>); and <a href="/wiki/Ceftobiprole" title="Ceftobiprole">ceftobiprole</a> (Zevtera, a 5th-generation <a href="/wiki/Cephalosporin" title="Cephalosporin">cephalosporin</a>). Linezolid is the only one that can be taken by mouth for the treatment of systemic infections.<sup id="cite_ref-Herrmann_23-5" class="reference"><a href="#cite_note-Herrmann-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Adverse_effects">Adverse effects</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=11" title="Edit section: Adverse effects"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>When used for short periods, linezolid is a relatively safe drug.<sup id="cite_ref-Marino2007_12-2" class="reference"><a href="#cite_note-Marino2007-12"><span class="cite-bracket">&#91;</span>12<span class="cite-bracket">&#93;</span></a></sup> Common <a href="/wiki/Adverse_drug_reaction" title="Adverse drug reaction">side effects</a> of linezolid use (those occurring in more than 1% of people taking linezolid) include diarrhea (reported by 3–11% of clinical trial participants), headache (1–11%), nausea (3–10%), vomiting (1–4%), rash (2%), constipation (2%), altered taste perception (1–2%), and discoloration of the tongue (0.2–1%).<sup id="cite_ref-Lexi-Comp_64-2" class="reference"><a href="#cite_note-Lexi-Comp-64"><span class="cite-bracket">&#91;</span>64<span class="cite-bracket">&#93;</span></a></sup> It has also been known to cause <a href="/wiki/Thrombocytopenia" title="Thrombocytopenia">thrombocytopenia</a>. Fungal infections such as <a href="/wiki/Oral_candidiasis" title="Oral candidiasis">thrush</a> and <a href="/wiki/Candidal_vulvovaginitis" class="mw-redirect" title="Candidal vulvovaginitis">vaginal candidiasis</a> may also occur as linezolid suppresses normal bacterial flora and opens a niche for fungi (so-called <a href="/wiki/Antibiotic_candidiasis" class="mw-redirect" title="Antibiotic candidiasis">antibiotic candidiasis</a>).<sup id="cite_ref-Lexi-Comp_64-3" class="reference"><a href="#cite_note-Lexi-Comp-64"><span class="cite-bracket">&#91;</span>64<span class="cite-bracket">&#93;</span></a></sup> Less common (and potentially more serious) adverse effects include allergic reactions, <a href="/wiki/Pancreatitis" title="Pancreatitis">pancreatitis</a>, and <a href="/wiki/Elevated_transaminases" title="Elevated transaminases">elevated transaminases</a>, which may be a sign of liver damage.<sup id="cite_ref-Lexi-Comp_64-4" class="reference"><a href="#cite_note-Lexi-Comp-64"><span class="cite-bracket">&#91;</span>64<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-French_73-0" class="reference"><a href="#cite_note-French-73"><span class="cite-bracket">&#91;</span>73<span class="cite-bracket">&#93;</span></a></sup> Unlike some antibiotics, such as <a href="/wiki/Erythromycin" title="Erythromycin">erythromycin</a> and the <a href="/wiki/Quinolone_antibiotic" title="Quinolone antibiotic">quinolones</a>, linezolid has no effect on the <a href="/wiki/QT_interval" title="QT interval">QT interval</a>, a measure of <a href="/wiki/Electrocardiography" title="Electrocardiography">cardiac electrical conduction</a>.<sup id="cite_ref-French_73-1" class="reference"><a href="#cite_note-French-73"><span class="cite-bracket">&#91;</span>73<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Metaxas_74-0" class="reference"><a href="#cite_note-Metaxas-74"><span class="cite-bracket">&#91;</span>74<span class="cite-bracket">&#93;</span></a></sup> Adverse effects in children are similar to those that occur in adults.<sup id="cite_ref-Metaxas_74-1" class="reference"><a href="#cite_note-Metaxas-74"><span class="cite-bracket">&#91;</span>74<span class="cite-bracket">&#93;</span></a></sup> </p><p>Like nearly all antibiotics, linezolid has been associated with <a href="/wiki/Clostridioides_difficile_infection" title="Clostridioides difficile infection"><i>Clostridioides difficile</i>-associated diarrhea</a> (CDAD) and <a href="/wiki/Pseudomembranous_colitis" class="mw-redirect" title="Pseudomembranous colitis">pseudomembranous colitis</a>, although the latter is uncommon, occurring in about one in two thousand patients in clinical trials.<sup id="cite_ref-Lexi-Comp_64-5" class="reference"><a href="#cite_note-Lexi-Comp-64"><span class="cite-bracket">&#91;</span>64<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-French_73-2" class="reference"><a href="#cite_note-French-73"><span class="cite-bracket">&#91;</span>73<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Metaxas_74-2" class="reference"><a href="#cite_note-Metaxas-74"><span class="cite-bracket">&#91;</span>74<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-75" class="reference"><a href="#cite_note-75"><span class="cite-bracket">&#91;</span>75<span class="cite-bracket">&#93;</span></a></sup> <i>C. difficile</i> appears to be susceptible to linezolid <i>in vitro</i>, and linezolid was even considered as a possible treatment for CDAD.<sup id="cite_ref-76" class="reference"><a href="#cite_note-76"><span class="cite-bracket">&#91;</span>76<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Long-term_use">Long-term use</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=12" title="Edit section: Long-term use"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a href="/wiki/Bone_marrow_suppression" title="Bone marrow suppression">Bone marrow suppression</a>, characterized particularly by <a href="/wiki/Thrombocytopenia" title="Thrombocytopenia">thrombocytopenia</a> (low platelet count), may occur during linezolid treatment; it appears to be the only adverse effect that occurs <a href="/wiki/Statistical_significance" title="Statistical significance">significantly</a> more frequently with linezolid than with glycopeptides or beta-lactams.<sup id="cite_ref-Falagas2008_24-2" class="reference"><a href="#cite_note-Falagas2008-24"><span class="cite-bracket">&#91;</span>24<span class="cite-bracket">&#93;</span></a></sup> It is uncommon in patients who receive the drug for 14 days or fewer, but occurs much more frequently in patients who receive longer courses or who have renal failure.<sup id="cite_ref-French_73-3" class="reference"><a href="#cite_note-French-73"><span class="cite-bracket">&#91;</span>73<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-77" class="reference"><a href="#cite_note-77"><span class="cite-bracket">&#91;</span>77<span class="cite-bracket">&#93;</span></a></sup> A 2004 <a href="/wiki/Case_report" title="Case report">case report</a> suggested that <a href="/wiki/Pyridoxine" title="Pyridoxine">pyridoxine</a> (a form of <a href="/wiki/Vitamin_B6" title="Vitamin B6">vitamin B<sub>6</sub></a>) could reverse the anemia and thrombocytopenia caused by linezolid,<sup id="cite_ref-78" class="reference"><a href="#cite_note-78"><span class="cite-bracket">&#91;</span>78<span class="cite-bracket">&#93;</span></a></sup> but a later, larger study found no protective effect.<sup id="cite_ref-79" class="reference"><a href="#cite_note-79"><span class="cite-bracket">&#91;</span>79<span class="cite-bracket">&#93;</span></a></sup> </p><p>Long-term use of linezolid has also been associated with <a href="/wiki/Chemotherapy-induced_peripheral_neuropathy" title="Chemotherapy-induced peripheral neuropathy">chemotherapy-induced peripheral neuropathy</a>, a progressive and enduring often irreversible tingling numbness, intense pain, and hypersensitivity to cold, beginning in the hands and feet and sometimes involving the arms and legs.<sup id="cite_ref-NCI_80-0" class="reference"><a href="#cite_note-NCI-80"><span class="cite-bracket">&#91;</span>80<span class="cite-bracket">&#93;</span></a></sup> Chemotherapy drugs associated with CIPN include <a href="/wiki/Thalidomide" title="Thalidomide">thalidomide</a>, the <a href="/wiki/Epothilone" title="Epothilone">epothilones</a> such as <a href="/wiki/Ixabepilone" title="Ixabepilone">ixabepilone</a>, the <a href="/wiki/Vinca_alkaloid" title="Vinca alkaloid"><i>vinca</i> alkaloids</a> <a href="/wiki/Vincristine" title="Vincristine">vincristine</a> and <a href="/wiki/Vinblastine" title="Vinblastine">vinblastine</a>,<sup id="cite_ref-81" class="reference"><a href="#cite_note-81"><span class="cite-bracket">&#91;</span>81<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-82" class="reference"><a href="#cite_note-82"><span class="cite-bracket">&#91;</span>82<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-83" class="reference"><a href="#cite_note-83"><span class="cite-bracket">&#91;</span>83<span class="cite-bracket">&#93;</span></a></sup> the <a href="/wiki/Taxane" title="Taxane">taxanes</a> <a href="/wiki/Paclitaxel" title="Paclitaxel">paclitaxel</a> and <a href="/wiki/Docetaxel" title="Docetaxel">docetaxel</a>, the <a href="/wiki/Proteasome_inhibitor" title="Proteasome inhibitor">proteasome inhibitors</a> such as <a href="/wiki/Bortezomib" title="Bortezomib">bortezomib</a>, and the platinum-based drugs <a href="/wiki/Cisplatin" title="Cisplatin">cisplatin</a>, <a href="/wiki/Oxaliplatin" title="Oxaliplatin">oxaliplatin</a> and <a href="/wiki/Carboplatin" title="Carboplatin">carboplatin</a>.<sup id="cite_ref-NCI_80-1" class="reference"><a href="#cite_note-NCI-80"><span class="cite-bracket">&#91;</span>80<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-84" class="reference"><a href="#cite_note-84"><span class="cite-bracket">&#91;</span>84<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-85" class="reference"><a href="#cite_note-85"><span class="cite-bracket">&#91;</span>85<span class="cite-bracket">&#93;</span></a></sup> and <a href="/wiki/Optic_neuropathy" title="Optic neuropathy">optic neuropathy</a>, which is most common after several months of treatment and may also be irreversible.<sup id="cite_ref-Narita_86-0" class="reference"><a href="#cite_note-Narita-86"><span class="cite-bracket">&#91;</span>86<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Bressler_87-0" class="reference"><a href="#cite_note-Bressler-87"><span class="cite-bracket">&#91;</span>87<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Brown_88-0" class="reference"><a href="#cite_note-Brown-88"><span class="cite-bracket">&#91;</span>88<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid17766431_89-0" class="reference"><a href="#cite_note-pmid17766431-89"><span class="cite-bracket">&#91;</span>89<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-90" class="reference"><a href="#cite_note-90"><span class="cite-bracket">&#91;</span>90<span class="cite-bracket">&#93;</span></a></sup> Although the mechanism of injury is still poorly understood, <a href="/wiki/Mitochondrial_toxicity" title="Mitochondrial toxicity">mitochondrial toxicity</a> has been proposed as a cause;<sup id="cite_ref-Barnhill_91-0" class="reference"><a href="#cite_note-Barnhill-91"><span class="cite-bracket">&#91;</span>91<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Javaheri_92-0" class="reference"><a href="#cite_note-Javaheri-92"><span class="cite-bracket">&#91;</span>92<span class="cite-bracket">&#93;</span></a></sup> linezolid is toxic to <a href="/wiki/Mitochondria" class="mw-redirect" title="Mitochondria">mitochondria</a>, probably because of the similarity between mitochondrial and bacterial <a href="/wiki/Ribosome" title="Ribosome">ribosomes</a>.<sup id="cite_ref-McKee_93-0" class="reference"><a href="#cite_note-McKee-93"><span class="cite-bracket">&#91;</span>93<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Lactic_acidosis" title="Lactic acidosis">Lactic acidosis</a>, a potentially life-threatening buildup of <a href="/wiki/Lactic_acid" title="Lactic acid">lactic acid</a> in the body, may also occur due to mitochondrial toxicity.<sup id="cite_ref-Barnhill_91-1" class="reference"><a href="#cite_note-Barnhill-91"><span class="cite-bracket">&#91;</span>91<span class="cite-bracket">&#93;</span></a></sup> Because of these long-term effects, the manufacturer recommends weekly <a href="/wiki/Complete_blood_count" title="Complete blood count">complete blood counts</a> during linezolid therapy to monitor for possible bone marrow suppression, and recommends that treatment last no more than 28 days.<sup id="cite_ref-Zyvox_FDA_label_8-8" class="reference"><a href="#cite_note-Zyvox_FDA_label-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-French_73-4" class="reference"><a href="#cite_note-French-73"><span class="cite-bracket">&#91;</span>73<span class="cite-bracket">&#93;</span></a></sup> A more extensive monitoring protocol for early detection of toxicity in seriously ill patients receiving linezolid has been developed and proposed by a team of researchers in Melbourne, Australia. The protocol includes twice-weekly blood tests and <a href="/wiki/Liver_function_tests" title="Liver function tests">liver function tests</a>; measurement of serum <a href="/wiki/Lactic_acid" title="Lactic acid">lactate</a> levels, for early detection of lactic acidosis; a review of all medications taken by the patient, interrupting the use of those that may <a href="/wiki/Drug_interaction" title="Drug interaction">interact</a> with linezolid; and periodic eye and neurological exams in patients set to receive linezolid for longer than four weeks.<sup id="cite_ref-94" class="reference"><a href="#cite_note-94"><span class="cite-bracket">&#91;</span>94<span class="cite-bracket">&#93;</span></a></sup> </p><p>The adverse effects of long-term linezolid therapy were first identified during postmarketing surveillance. Bone marrow suppression was not identified during Phase III trials, in which treatment did not exceed 21 days. Although some participants of early trials did experience thrombocytopenia, it was found to be reversible and did not occur significantly more frequently than in controls (participants not taking linezolid).<sup id="cite_ref-Moellering_54-4" class="reference"><a href="#cite_note-Moellering-54"><span class="cite-bracket">&#91;</span>54<span class="cite-bracket">&#93;</span></a></sup> There have also been postmarketing reports of <a href="/wiki/Seizure" title="Seizure">seizures</a>, and, as of 2009<sup class="plainlinks noexcerpt noprint asof-tag update" style="display:none;"><a class="external text" href="https://en.wikipedia.org/w/index.php?title=Linezolid&amp;action=edit">&#91;update&#93;</a></sup>, a single case each of <a href="/wiki/Bell%27s_palsy" title="Bell&#39;s palsy">Bell's palsy</a> (paralysis of the <a href="/wiki/Facial_nerve" title="Facial nerve">facial nerve</a>) and <a href="/wiki/Nephrotoxicity" title="Nephrotoxicity">kidney toxicity</a>.<sup id="cite_ref-Metaxas_74-3" class="reference"><a href="#cite_note-Metaxas-74"><span class="cite-bracket">&#91;</span>74<span class="cite-bracket">&#93;</span></a></sup> Evidence of protein synthesis inhibition in mammalian cells by linezolid has been published.<sup id="cite_ref-95" class="reference"><a href="#cite_note-95"><span class="cite-bracket">&#91;</span>95<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Interactions">Interactions</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=13" title="Edit section: Interactions"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Linezolid is a weak, non-selective, reversible <a href="/wiki/Monoamine_oxidase_inhibitor" title="Monoamine oxidase inhibitor">monoamine oxidase inhibitor</a> (MAOI), and should not be used concomitantly with other MAOIs, large amounts of <a href="/wiki/Tyramine" title="Tyramine">tyramine</a>-rich foods (such as pork, aged cheeses, alcoholic beverages, or smoked and pickled foods), or <a href="/wiki/Serotonin" title="Serotonin">serotonergic</a> drugs. There have been <a href="/wiki/Postmarketing_surveillance" title="Postmarketing surveillance">postmarketing reports</a> of <a href="/wiki/Serotonin_syndrome" title="Serotonin syndrome">serotonin syndrome</a> when linezolid was given with or soon after the discontinuation of serotonergic drugs, particularly <a href="/wiki/Selective_serotonin_reuptake_inhibitor" title="Selective serotonin reuptake inhibitor">selective serotonin reuptake inhibitors</a> (SSRIs) such as <a href="/wiki/Paroxetine" title="Paroxetine">paroxetine</a> and <a href="/wiki/Sertraline" title="Sertraline">sertraline</a>.<sup id="cite_ref-French_73-5" class="reference"><a href="#cite_note-French-73"><span class="cite-bracket">&#91;</span>73<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-96" class="reference"><a href="#cite_note-96"><span class="cite-bracket">&#91;</span>96<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Huang_97-0" class="reference"><a href="#cite_note-Huang-97"><span class="cite-bracket">&#91;</span>97<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-98" class="reference"><a href="#cite_note-98"><span class="cite-bracket">&#91;</span>98<span class="cite-bracket">&#93;</span></a></sup> It may also enhance the blood pressure-increasing effects of <a href="/wiki/Sympathomimetic_drug" title="Sympathomimetic drug">sympathomimetic drugs</a> such as <a href="/wiki/Pseudoephedrine" title="Pseudoephedrine">pseudoephedrine</a> or <a href="/wiki/Phenylpropanolamine" title="Phenylpropanolamine">phenylpropanolamine</a>.<sup id="cite_ref-Moellering_54-5" class="reference"><a href="#cite_note-Moellering-54"><span class="cite-bracket">&#91;</span>54<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Stalker_99-0" class="reference"><a href="#cite_note-Stalker-99"><span class="cite-bracket">&#91;</span>99<span class="cite-bracket">&#93;</span></a></sup> It should also not be given in combination with <a href="/wiki/Pethidine" title="Pethidine">pethidine</a> (<a href="/wiki/Meperidine" class="mw-redirect" title="Meperidine">meperidine</a>) under any circumstance due to the risk of <a href="/wiki/Serotonin_syndrome" title="Serotonin syndrome">serotonin syndrome</a>. </p><p>Linezolid does not <a href="/wiki/Enzyme_inhibitor" title="Enzyme inhibitor">inhibit</a> or <a href="/wiki/Regulation_of_gene_expression" title="Regulation of gene expression">induce</a> the <a href="/wiki/Cytochrome_P450" title="Cytochrome P450">cytochrome P450</a> (CYP) system, which is responsible for the metabolism of many commonly used drugs, and therefore does not have any CYP-related interactions.<sup id="cite_ref-Zyvox_FDA_label_8-9" class="reference"><a href="#cite_note-Zyvox_FDA_label-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Pharmacology">Pharmacology</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=14" title="Edit section: Pharmacology"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Pharmacodynamics">Pharmacodynamics</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=15" title="Edit section: Pharmacodynamics"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1236090951">.mw-parser-output .hatnote{font-style:italic}.mw-parser-output div.hatnote{padding-left:1.6em;margin-bottom:0.5em}.mw-parser-output .hatnote i{font-style:normal}.mw-parser-output .hatnote+link+.hatnote{margin-top:-0.5em}@media print{body.ns-0 .mw-parser-output .hatnote{display:none!important}}</style><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/Bacterial_translation" title="Bacterial translation">Bacterial translation</a> and <a href="/wiki/Translation_(genetics)#Basic_mechanisms" class="mw-redirect" title="Translation (genetics)">Translation (genetics) §&#160;Basic mechanisms</a></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Ribosome_mRNA_translation_en.svg" class="mw-file-description"><img alt="Diagram: A colored ribbon, representing messenger RNA (mRNA), passes through a cartoon diagram of an assembled ribosome. Cartoon representations of transfer RNA (tRNA) enter and exit the ribosome and occupy its A and P sites. A string of colored spheres, representing a newly formed protein, comes out of the top of the ribosome." src="//upload.wikimedia.org/wikipedia/commons/thumb/b/b1/Ribosome_mRNA_translation_en.svg/220px-Ribosome_mRNA_translation_en.svg.png" decoding="async" width="220" height="155" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/b/b1/Ribosome_mRNA_translation_en.svg/330px-Ribosome_mRNA_translation_en.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/b/b1/Ribosome_mRNA_translation_en.svg/440px-Ribosome_mRNA_translation_en.svg.png 2x" data-file-width="512" data-file-height="361" /></a><figcaption>Simplified schematic of mRNA translation. Linezolid occupies the A site (at center) and prevents tRNA from binding.</figcaption></figure> <p>Linezolid, like other <a href="/wiki/Oxazolidinones" class="mw-redirect" title="Oxazolidinones">oxazolidinones</a>, is a bacterial <a href="/wiki/Protein_synthesis_inhibitor" title="Protein synthesis inhibitor">protein synthesis inhibitor</a> and a weak, <a href="/wiki/Non-selective" class="mw-redirect" title="Non-selective">non-selective</a>, <a href="/wiki/Reversible_inhibitor" class="mw-redirect" title="Reversible inhibitor">reversible</a> <a href="/wiki/Monoamine_oxidase_inhibitor" title="Monoamine oxidase inhibitor">monoamine oxidase inhibitor</a>.<sup id="cite_ref-Roger2018_9-4" class="reference"><a href="#cite_note-Roger2018-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Oxazolidinones_MAOI_2010_review_100-0" class="reference"><a href="#cite_note-Oxazolidinones_MAOI_2010_review-100"><span class="cite-bracket">&#91;</span>100<span class="cite-bracket">&#93;</span></a></sup> As a protein synthesis inhibitor, linezolid stops the growth and reproduction of bacteria by disrupting <a href="/wiki/Bacterial_translation" title="Bacterial translation">translation</a> of <a href="/wiki/Messenger_RNA" title="Messenger RNA">messenger RNA</a> (mRNA) into <a href="/wiki/Protein" title="Protein">proteins</a> in bacterial <a href="/wiki/Ribosome" title="Ribosome">ribosomes</a>.<sup id="cite_ref-Roger2018_9-5" class="reference"><a href="#cite_note-Roger2018-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> Linezolid inhibits translation at the first step of protein synthesis, <i><a href="/wiki/MRNA-ribosome" class="mw-redirect" title="MRNA-ribosome">initiation</a></i>,<sup id="cite_ref-Roger2018_9-6" class="reference"><a href="#cite_note-Roger2018-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Tedizolid_and_oxazolidinones_2015_review_101-0" class="reference"><a href="#cite_note-Tedizolid_and_oxazolidinones_2015_review-101"><span class="cite-bracket">&#91;</span>101<span class="cite-bracket">&#93;</span></a></sup> unlike most other protein synthesis inhibitors, which inhibit <i><a href="/wiki/Bacterial_translation#Elongation" title="Bacterial translation">elongation</a></i>.<sup id="cite_ref-Swaney1998_14-2" class="reference"><a href="#cite_note-Swaney1998-14"><span class="cite-bracket">&#91;</span>14<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-American_Family_Physician_62-1" class="reference"><a href="#cite_note-American_Family_Physician-62"><span class="cite-bracket">&#91;</span>62<span class="cite-bracket">&#93;</span></a></sup> It does so by preventing the formation of the initiation complex, composed of the <a href="/wiki/30S" class="mw-redirect" title="30S">30S</a> and <a href="/wiki/50S" class="mw-redirect" title="50S">50S</a> subunits of the ribosome, <a href="/wiki/Transfer_RNA" title="Transfer RNA">tRNA</a>, and mRNA. Linezolid binds to the <a href="/wiki/23S_ribosomal_RNA" title="23S ribosomal RNA">23S</a> portion of the 50S subunit (the center of <a href="/wiki/Peptidyl_transferase" class="mw-redirect" title="Peptidyl transferase">peptidyl transferase</a> activity),<sup id="cite_ref-Roger2018_9-7" class="reference"><a href="#cite_note-Roger2018-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Tedizolid_and_oxazolidinones_2015_review_101-1" class="reference"><a href="#cite_note-Tedizolid_and_oxazolidinones_2015_review-101"><span class="cite-bracket">&#91;</span>101<span class="cite-bracket">&#93;</span></a></sup> close to the <a href="/wiki/Binding_site" title="Binding site">binding sites</a> of <a href="/wiki/Chloramphenicol" title="Chloramphenicol">chloramphenicol</a>, <a href="/wiki/Lincomycin" title="Lincomycin">lincomycin</a>, and other antibiotics. Due to this unique mechanism of action, <a href="/wiki/Cross-resistance" title="Cross-resistance">cross-resistance</a> between linezolid and other protein synthesis inhibitors is highly infrequent or nonexistent.<sup id="cite_ref-Herrmann_23-6" class="reference"><a href="#cite_note-Herrmann-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Moellering_54-6" class="reference"><a href="#cite_note-Moellering-54"><span class="cite-bracket">&#91;</span>54<span class="cite-bracket">&#93;</span></a></sup> </p><p>In 2008, the <a href="/wiki/Crystal_structure" title="Crystal structure">crystal structure</a> of linezolid bound to the 50S subunit of a ribosome from the <a href="/wiki/Archaea" title="Archaea">archaean</a> <i>Haloarcula marismortui</i> was elucidated by a team of scientists from <a href="/wiki/Yale_University" title="Yale University">Yale University</a> and deposited in the <a href="/wiki/Protein_Data_Bank" title="Protein Data Bank">Protein Data Bank</a>.<sup id="cite_ref-102" class="reference"><a href="#cite_note-102"><span class="cite-bracket">&#91;</span>102<span class="cite-bracket">&#93;</span></a></sup> Another team in 2008 determined the structure of linezolid bound to a 50S subunit of <i><a href="/wiki/Deinococcus_radiodurans" title="Deinococcus radiodurans">Deinococcus radiodurans</a></i>. The authors proposed a refined model for the mechanism of action of oxazolidinones, finding that linezolid occupies the <a href="/wiki/MRNA-ribosome" class="mw-redirect" title="MRNA-ribosome">A site</a> of the 50S ribosomal subunit, inducing a <a href="/wiki/Conformational_change" title="Conformational change">conformational change</a> that prevents tRNA from entering the site and ultimately forcing tRNA to separate from the ribosome.<sup id="cite_ref-103" class="reference"><a href="#cite_note-103"><span class="cite-bracket">&#91;</span>103<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Pharmacokinetics">Pharmacokinetics</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=16" title="Edit section: Pharmacokinetics"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size skin-invert-image" typeof="mw:File/Thumb"><a href="/wiki/File:Linezolid_metabolism.svg" class="mw-file-description"><img alt="Upper left: structural formula of the unaltered linezolid molecule, with the morpholino group highlighted in red. Lower left: main carboxylic acid metabolite, accounting for 10% of an excreted dose; the morpholine ring has been cleaved at the nitrogen atom. Lower right: structural formulae of two distinct molecules, a carboxylic acid and a lactone, with an equilibrium arrow between them; this metabolite accounts for 45% of a dose. Upper right: structure of a minor carboxylic acid metabolite, which accounts for aroune 3.3% of a dose." src="//upload.wikimedia.org/wikipedia/commons/thumb/9/99/Linezolid_metabolism.svg/220px-Linezolid_metabolism.svg.png" decoding="async" width="220" height="148" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/9/99/Linezolid_metabolism.svg/330px-Linezolid_metabolism.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/9/99/Linezolid_metabolism.svg/440px-Linezolid_metabolism.svg.png 2x" data-file-width="1207" data-file-height="810" /></a><figcaption>Major metabolites of linezolid</figcaption></figure> <p>One of the advantages of linezolid is that it has an <a href="/wiki/Absolute_bioavailability" class="mw-redirect" title="Absolute bioavailability">absolute oral bioavailability</a> of 100% due to its rapid and complete <a href="/wiki/Absorption_(pharmacology)" title="Absorption (pharmacology)">absorption</a> after <a href="/wiki/Oral_administration" title="Oral administration">oral administration</a>;<sup id="cite_ref-Roger2018_9-8" class="reference"><a href="#cite_note-Roger2018-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> in other words, the entire dose reaches the bloodstream, as if it had been given <a href="/wiki/Intravenous_therapy" title="Intravenous therapy">intravenously</a>.<sup id="cite_ref-Roger2018_9-9" class="reference"><a href="#cite_note-Roger2018-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> This means that people receiving intravenous linezolid may be switched to oral linezolid as soon as their condition allows it, whereas comparable antibiotics (such as vancomycin and quinupristin/dalfopristin) can only be given intravenously.<sup id="cite_ref-Roger2018_9-10" class="reference"><a href="#cite_note-Roger2018-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-American_Family_Physician_62-2" class="reference"><a href="#cite_note-American_Family_Physician-62"><span class="cite-bracket">&#91;</span>62<span class="cite-bracket">&#93;</span></a></sup> Taking linezolid with food somewhat slows its absorption, but the <a href="/wiki/Area_under_the_curve_(pharmacokinetics)" title="Area under the curve (pharmacokinetics)">area under the curve</a> is not affected.<sup id="cite_ref-Herrmann_23-7" class="reference"><a href="#cite_note-Herrmann-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup> </p><p>Linezolid's <a href="/wiki/Plasma_protein_binding" title="Plasma protein binding">plasma protein binding</a> is approximately 31% (range <span class="nowrap">4–32%</span>) and its <a href="/wiki/Volume_of_distribution" title="Volume of distribution">volume of distribution</a> at <a href="/wiki/Steady_state" title="Steady state">steady state</a> averages <span class="nowrap">36.1–47.3</span>&#160;liters in healthy adult volunteers.<sup id="cite_ref-Roger2018_9-11" class="reference"><a href="#cite_note-Roger2018-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Peak_plasma_concentration" class="mw-redirect" title="Peak plasma concentration">Peak plasma concentrations</a> (C<sub>max</sub>) are reached one to two hours after administration of the drug. Linezolid is readily distributed to all tissues in the body apart from <a href="/wiki/Bone" title="Bone">bone</a> matrix and <a href="/wiki/White_adipose_tissue" title="White adipose tissue">white adipose tissue</a>.<sup id="cite_ref-Barbachyn_35-2" class="reference"><a href="#cite_note-Barbachyn-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup> Notably, the concentration of linezolid in the epithelial lining fluid (ELF) of the <a href="/wiki/Lower_respiratory_tract" class="mw-redirect" title="Lower respiratory tract">lower respiratory tract</a> is at least equal to, and often higher than, that achieved in serum (some authors have reported <a href="/wiki/Bronchus" title="Bronchus">bronchial</a> fluid concentrations up to four times higher than serum concentrations), which may account for its <a href="/wiki/Efficacy" title="Efficacy">efficacy</a> in treating pneumonia. However, a meta-analysis of clinical trials found that linezolid was not superior to <a href="/wiki/Vancomycin" title="Vancomycin">vancomycin</a>, which achieves lower concentrations in the ELF.<sup id="cite_ref-Kalil_et_al_104-0" class="reference"><a href="#cite_note-Kalil_et_al-104"><span class="cite-bracket">&#91;</span>104<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Cerebrospinal_fluid" title="Cerebrospinal fluid">Cerebrospinal fluid</a> (CSF) concentrations vary; peak CSF concentrations are lower than serum ones, due to slow diffusion across the <a href="/wiki/Blood%E2%80%93brain_barrier" title="Blood–brain barrier">blood–brain barrier</a>, and trough concentrations in the CSF are higher for the same reason.<sup id="cite_ref-Herrmann_23-8" class="reference"><a href="#cite_note-Herrmann-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup> The average half-life is three hours in children, four hours in teenagers, and five hours in adults.<sup id="cite_ref-Zyvox_FDA_label_8-10" class="reference"><a href="#cite_note-Zyvox_FDA_label-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> </p><p>Linezolid is <a href="/wiki/Drug_metabolism" title="Drug metabolism">metabolized</a> in the <a href="/wiki/Liver" title="Liver">liver</a>, by <a href="/wiki/Redox" title="Redox">oxidation</a> of the <a href="/wiki/Morpholine" title="Morpholine">morpholine</a> ring, without involvement of the <a href="/wiki/Cytochrome_P450" title="Cytochrome P450">cytochrome P450</a> system. This metabolic pathway leads to two major inactive <a href="/wiki/Metabolite" title="Metabolite">metabolites</a> (which each account for around 45% and 10% of an excreted dose at steady state), one minor metabolite, and several trace metabolites, none of which accounts for more than 1% of an excreted dose.<sup id="cite_ref-Slatter_105-0" class="reference"><a href="#cite_note-Slatter-105"><span class="cite-bracket">&#91;</span>105<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Clearance_(medicine)" class="mw-redirect" title="Clearance (medicine)">Clearance</a> of linezolid varies with age and gender; it is fastest in children (which accounts for the shorter half-life), and appears to be 20% lower in women than in men.<sup id="cite_ref-Zyvox_FDA_label_8-11" class="reference"><a href="#cite_note-Zyvox_FDA_label-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Slatter_105-1" class="reference"><a href="#cite_note-Slatter-105"><span class="cite-bracket">&#91;</span>105<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Sisson_106-0" class="reference"><a href="#cite_note-Sisson-106"><span class="cite-bracket">&#91;</span>106<span class="cite-bracket">&#93;</span></a></sup> There is a strong correlation between linezolid clearance and creatinine clearance.<sup id="cite_ref-Bialvaei_107-0" class="reference"><a href="#cite_note-Bialvaei-107"><span class="cite-bracket">&#91;</span>107<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Chemistry">Chemistry</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=17" title="Edit section: Chemistry"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>At <a href="/wiki/PH#Living_systems" title="PH">physiological pH</a> (7.4), linezolid exists in an uncharged state. It is moderately water-soluble (approximately 3&#160;mg/mL), with a <a href="/wiki/Partition_coefficient" title="Partition coefficient">log<i>P</i></a> of 0.55.<sup id="cite_ref-Herrmann_23-9" class="reference"><a href="#cite_note-Herrmann-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup> </p> <figure class="mw-default-size mw-halign-right skin-invert-image" typeof="mw:File/Thumb"><a href="/wiki/File:Linezolid_showing_oxazolidinone_pharmacophore.svg" class="mw-file-description"><img alt="Skeletal formula of N-{[(5S)-3-[3-fluoro-4-(morpholin-4-yl)phenyl]-2-oxo-1,3-oxazolidin-5-yl]methyl}acetamide, highlighting the morpholino and fluoro groups in orange, with the rest in blue. The carbon atoms of the parent chain are numbered." src="//upload.wikimedia.org/wikipedia/commons/thumb/e/ea/Linezolid_showing_oxazolidinone_pharmacophore.svg/220px-Linezolid_showing_oxazolidinone_pharmacophore.svg.png" decoding="async" width="220" height="91" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/e/ea/Linezolid_showing_oxazolidinone_pharmacophore.svg/330px-Linezolid_showing_oxazolidinone_pharmacophore.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/e/ea/Linezolid_showing_oxazolidinone_pharmacophore.svg/440px-Linezolid_showing_oxazolidinone_pharmacophore.svg.png 2x" data-file-width="1633" data-file-height="676" /></a><figcaption>Numbered structure of linezolid, showing the <a href="/wiki/Pharmacophore" title="Pharmacophore">pharmacophore</a> required for good activity (in blue) and desirable structural features (in orange)</figcaption></figure> <p>The oxazolidinone <a href="/wiki/Pharmacophore" title="Pharmacophore">pharmacophore</a>—the chemical "template" essential for antimicrobial <a href="/wiki/Biological_activity" title="Biological activity">activity</a>—consists of a <a href="/wiki/2-Oxazolidone" class="mw-redirect" title="2-Oxazolidone">1,3-oxazolidin-2-one</a> <a href="/wiki/Functional_group" title="Functional group">moiety</a> with an <a href="/wiki/Aryl" class="mw-redirect" title="Aryl">aryl</a> group at position 3 and an <i>S</i>-<a href="/wiki/Methyl_group" title="Methyl group">methyl group</a>, with another <a href="/wiki/Substituent" title="Substituent">substituent</a> attached to it, at position 5 (the <i>R</i>-<a href="/wiki/Enantiomer" title="Enantiomer">enantiomers</a> of all oxazolidinones are devoid of antibiotic properties).<sup id="cite_ref-Brickner_108-0" class="reference"><a href="#cite_note-Brickner-108"><span class="cite-bracket">&#91;</span>108<span class="cite-bracket">&#93;</span></a></sup> In addition to this essential core, linezolid also contains several structural characteristics that improve its effectiveness and safety. An <a href="/wiki/Acetamide" title="Acetamide">acetamide</a> substituent on the 5-methyl group is the best choice in terms of antibacterial efficacy, and is used in all of the more active oxazolidinones developed thus far; in fact, straying too far from an acetamide group at this position makes the drug lose its antimicrobial power, although weak to moderate activity is maintained when some <a href="/wiki/Bioisostere" title="Bioisostere">isosteric</a> groups are used. A <a href="/wiki/Fluorine" title="Fluorine">fluorine</a> atom at the 3′ position practically doubles <i>in vitro</i> and <i>in vivo</i> activity, and the <a href="/wiki/Electron_donor" title="Electron donor">electron-donating</a> <a href="/wiki/Nitrogen" title="Nitrogen">nitrogen</a> atom in the <a href="/wiki/Morpholine" title="Morpholine">morpholine</a> ring helps maintain high antibiotic potency and an acceptable safety profile.<sup id="cite_ref-Barbachyn_35-3" class="reference"><a href="#cite_note-Barbachyn-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Brickner_108-1" class="reference"><a href="#cite_note-Brickner-108"><span class="cite-bracket">&#91;</span>108<span class="cite-bracket">&#93;</span></a></sup> </p><p>The <a href="/wiki/Anticoagulant" title="Anticoagulant">anticoagulant</a> <a href="/wiki/Rivaroxaban" title="Rivaroxaban">rivaroxaban</a> (Xarelto) bears a striking structural similarity to linezolid; both drugs share the oxazolidinone pharmacophore, differing in only three areas (an extra <a href="/wiki/Ketone" title="Ketone">ketone</a> and chloro<a href="/wiki/Thiophene" title="Thiophene">thiophene</a>, and missing the fluorine atom). However this similarity appears to carry no clinical significance.<sup id="cite_ref-109" class="reference"><a href="#cite_note-109"><span class="cite-bracket">&#91;</span>109<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Synthesis">Synthesis</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=18" title="Edit section: Synthesis"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Linezolid is a completely <a href="/wiki/Organic_synthesis" title="Organic synthesis">synthetic</a> drug: it does not occur in nature (unlike erythromycin and many other antibiotics) and was not developed by building upon a naturally occurring skeleton (unlike most <a href="/wiki/Beta-lactam_antibiotic" class="mw-redirect" title="Beta-lactam antibiotic">beta-lactams</a>, which are <a href="/wiki/Semisynthesis" title="Semisynthesis">semisynthetic</a>). Many approaches are available for oxazolidinone synthesis, and several routes for the synthesis of linezolid have been reported in the chemistry literature.<sup id="cite_ref-Brickner_108-2" class="reference"><a href="#cite_note-Brickner-108"><span class="cite-bracket">&#91;</span>108<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Xu_110-0" class="reference"><a href="#cite_note-Xu-110"><span class="cite-bracket">&#91;</span>110<span class="cite-bracket">&#93;</span></a></sup> Despite good <a href="/wiki/Yield_(chemistry)" title="Yield (chemistry)">yields</a>, the original method (developed by Upjohn for <a href="/wiki/Pilot_plant" title="Pilot plant">pilot plant</a>-scale production of linezolid and eperezolid) is lengthy, requires the use of expensive chemicals—such as <a href="/wiki/Palladium_on_carbon" title="Palladium on carbon">palladium on carbon</a> and the highly sensitive reagents <a href="/wiki/Methanesulfonyl_chloride" title="Methanesulfonyl chloride">methanesulfonyl chloride</a> and <a href="/wiki/N-Butyllithium" title="N-Butyllithium"><i>n</i>-butyllithium</a>—and needs low-temperature conditions.<sup id="cite_ref-Brickner_108-3" class="reference"><a href="#cite_note-Brickner-108"><span class="cite-bracket">&#91;</span>108<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Xu_110-1" class="reference"><a href="#cite_note-Xu-110"><span class="cite-bracket">&#91;</span>110<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Kaiser_111-0" class="reference"><a href="#cite_note-Kaiser-111"><span class="cite-bracket">&#91;</span>111<span class="cite-bracket">&#93;</span></a></sup> Much of the high cost of linezolid has been attributed to the expense of its synthesis.<sup id="cite_ref-Kaiser_111-1" class="reference"><a href="#cite_note-Kaiser-111"><span class="cite-bracket">&#91;</span>111<span class="cite-bracket">&#93;</span></a></sup> A somewhat more concise and cost-effective route better suited to large-scale production was patented by Upjohn in 1998.<sup id="cite_ref-Barbachyn_35-4" class="reference"><a href="#cite_note-Barbachyn-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-112" class="reference"><a href="#cite_note-112"><span class="cite-bracket">&#91;</span>112<span class="cite-bracket">&#93;</span></a></sup> </p><p>Later syntheses have included an "<a href="/wiki/Atom_economy" title="Atom economy">atom-economical</a>" method starting from <a href="/wiki/D-Mannitol" class="mw-redirect" title="D-Mannitol"><small>D</small>-mannitol</a>, developed by Indian pharmaceutical company <a href="/wiki/Dr._Reddy%27s_Laboratories" title="Dr. Reddy&#39;s Laboratories">Dr. Reddy's</a> and reported in 1999,<sup id="cite_ref-113" class="reference"><a href="#cite_note-113"><span class="cite-bracket">&#91;</span>113<span class="cite-bracket">&#93;</span></a></sup> and a route starting from (<i>S</i>)-glyceraldehyde acetonide (prepared from <a href="/wiki/Ascorbic_acid" class="mw-redirect" title="Ascorbic acid">ascorbic acid</a>), developed by a team of researchers from <a href="/wiki/Hunan_Normal_University" title="Hunan Normal University">Hunan Normal University</a> in <a href="/wiki/Changsha" title="Changsha">Changsha</a>, <a href="/wiki/Hunan" title="Hunan">Hunan</a>, China.<sup id="cite_ref-Xu_110-2" class="reference"><a href="#cite_note-Xu-110"><span class="cite-bracket">&#91;</span>110<span class="cite-bracket">&#93;</span></a></sup> On 25 June 2008, during the 12th Annual Green Chemistry and Engineering Conference in New York, Pfizer reported the development of their "second-generation" synthesis of linezolid: a <a href="/wiki/Convergent_synthesis" title="Convergent synthesis">convergent</a>, <a href="/wiki/Green_chemistry" title="Green chemistry">green</a> synthesis starting from (<i>S</i>)-<a href="/wiki/Epichlorohydrin" title="Epichlorohydrin">epichlorohydrin</a>, with higher yield and a 56% reduction in total waste.<sup id="cite_ref-114" class="reference"><a href="#cite_note-114"><span class="cite-bracket">&#91;</span>114<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Resistance">Resistance</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=19" title="Edit section: Resistance"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Acquired resistance to linezolid was reported as early as 1999, in two patients with severe, multidrug-resistant <i><a href="/wiki/Enterococcus_faecium" title="Enterococcus faecium">Enterococcus faecium</a></i> infection who received the drug through a <a href="/wiki/Expanded_access" title="Expanded access">compassionate use</a> program.<sup id="cite_ref-DrugTherPerspect_69-3" class="reference"><a href="#cite_note-DrugTherPerspect-69"><span class="cite-bracket">&#91;</span>69<span class="cite-bracket">&#93;</span></a></sup> Linezolid-resistant <i><a href="/wiki/Staphylococcus_aureus" title="Staphylococcus aureus">Staphylococcus aureus</a></i> was first isolated in 2001.<sup id="cite_ref-115" class="reference"><a href="#cite_note-115"><span class="cite-bracket">&#91;</span>115<span class="cite-bracket">&#93;</span></a></sup> </p><p>In the United States, resistance to linezolid has been monitored and tracked since 2004 through a program named LEADER, which (as of 2007<sup class="plainlinks noexcerpt noprint asof-tag update" style="display:none;"><a class="external text" href="https://en.wikipedia.org/w/index.php?title=Linezolid&amp;action=edit">&#91;update&#93;</a></sup>) was conducted in 60 medical institutions throughout the country. Resistance has remained stable and extremely low—less than one-half of one percent of <a href="https://en.wiktionary.org/wiki/isolate" class="extiw" title="wikt:isolate">isolates</a> overall, and less than one-tenth of one percent of <i>S. aureus</i> samples.<sup id="cite_ref-autogenerated1_116-0" class="reference"><a href="#cite_note-autogenerated1-116"><span class="cite-bracket">&#91;</span>116<span class="cite-bracket">&#93;</span></a></sup> A similar, worldwide program—the "Zyvox Annual Appraisal of Potency and Spectrum Study", or ZAAPS—has been conducted since 2002. As of 2007<sup class="plainlinks noexcerpt noprint asof-tag update" style="display:none;"><a class="external text" href="https://en.wikipedia.org/w/index.php?title=Linezolid&amp;action=edit">&#91;update&#93;</a></sup>, overall resistance to linezolid in 23 countries was less than 0.2%, and nonexistent among streptococci. Resistance was only found in Brazil, China, Ireland, and Italy, among <a href="/wiki/Staphylococcus#Coagulase-negative" title="Staphylococcus">coagulase-negative staphylococci</a> (0.28% of samples resistant), enterococci (0.11%), and <i>S. aureus</i> (0.03%).<sup id="cite_ref-ZAAPS2007_117-0" class="reference"><a href="#cite_note-ZAAPS2007-117"><span class="cite-bracket">&#91;</span>117<span class="cite-bracket">&#93;</span></a></sup> In the United Kingdom and Ireland, no resistance was found in staphylococci collected from <a href="/wiki/Bacteremia" class="mw-redirect" title="Bacteremia">bacteremia</a> cases between 2001 and 2006,<sup id="cite_ref-118" class="reference"><a href="#cite_note-118"><span class="cite-bracket">&#91;</span>118<span class="cite-bracket">&#93;</span></a></sup> although resistance in enterococci has been reported.<sup id="cite_ref-119" class="reference"><a href="#cite_note-119"><span class="cite-bracket">&#91;</span>119<span class="cite-bracket">&#93;</span></a></sup> Some authors have predicted that resistance in <i>E. faecium</i> will increase if linezolid use continues at current levels or increases.<sup id="cite_ref-Scheetz_120-0" class="reference"><a href="#cite_note-Scheetz-120"><span class="cite-bracket">&#91;</span>120<span class="cite-bracket">&#93;</span></a></sup> Nevertheless, linezolid continues to be an important antimicrobial agent with near-complete activity (0.05% resistance).<sup id="cite_ref-Bialvaei_107-1" class="reference"><a href="#cite_note-Bialvaei-107"><span class="cite-bracket">&#91;</span>107<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Mechanism">Mechanism</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=20" title="Edit section: Mechanism"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The <i>intrinsic</i> resistance of most Gram-negative bacteria to linezolid is due to the activity of <a href="/wiki/Efflux_(microbiology)" class="mw-redirect" title="Efflux (microbiology)">efflux pumps</a>, which <a href="/wiki/Active_transport" title="Active transport">actively</a> "pump" linezolid out of the cell faster than it can accumulate.<sup id="cite_ref-Barbachyn_35-5" class="reference"><a href="#cite_note-Barbachyn-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-121" class="reference"><a href="#cite_note-121"><span class="cite-bracket">&#91;</span>121<span class="cite-bracket">&#93;</span></a></sup> </p><p>Gram-positive bacteria usually develop resistance to linezolid as the result of a <a href="/wiki/Point_mutation" title="Point mutation">point mutation</a> known as <i>G2576T</i>, in which a <a href="/wiki/Guanine" title="Guanine">guanine</a> base is replaced with <a href="/wiki/Thymine" title="Thymine">thymine</a> in <a href="/wiki/Base_pair" title="Base pair">base pair</a> 2576 of the genes coding for 23S ribosomal RNA.<sup id="cite_ref-Saager_122-0" class="reference"><a href="#cite_note-Saager-122"><span class="cite-bracket">&#91;</span>122<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Besier_123-0" class="reference"><a href="#cite_note-Besier-123"><span class="cite-bracket">&#91;</span>123<span class="cite-bracket">&#93;</span></a></sup> This is the most common mechanism of resistance in staphylococci, and the only one known to date in isolates of <i>E. faecium</i>.<sup id="cite_ref-Scheetz_120-1" class="reference"><a href="#cite_note-Scheetz-120"><span class="cite-bracket">&#91;</span>120<span class="cite-bracket">&#93;</span></a></sup> Other mechanisms have been identified in <i><a href="/wiki/Streptococcus_pneumoniae" title="Streptococcus pneumoniae">Streptococcus pneumoniae</a></i> (including mutations in an RNA <a href="/wiki/Methyltransferase" title="Methyltransferase">methyltransferase</a> that methylates G2445 of the 23S rRNA and mutations causing increased <a href="/wiki/Gene_expression" title="Gene expression">expression</a> of <a href="/wiki/ATP-binding_cassette_transporter" class="mw-redirect" title="ATP-binding cassette transporter">ABC transporter</a> genes)<sup id="cite_ref-Feng2009_124-0" class="reference"><a href="#cite_note-Feng2009-124"><span class="cite-bracket">&#91;</span>124<span class="cite-bracket">&#93;</span></a></sup> and in <i><a href="/wiki/Staphylococcus_epidermidis" title="Staphylococcus epidermidis">Staphylococcus epidermidis</a></i>.<sup id="cite_ref-125" class="reference"><a href="#cite_note-125"><span class="cite-bracket">&#91;</span>125<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-126" class="reference"><a href="#cite_note-126"><span class="cite-bracket">&#91;</span>126<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="History">History</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=21" title="Edit section: History"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The <a href="/wiki/2-Oxazolidone" class="mw-redirect" title="2-Oxazolidone">oxazolidinones</a> have been known as <a href="/wiki/Monoamine_oxidase_inhibitor" title="Monoamine oxidase inhibitor">monoamine oxidase inhibitors</a> since the late 1950s. Their antimicrobial properties were discovered by researchers at <a href="/wiki/DuPont" title="DuPont">E.I. duPont de Nemours</a> in the 1970s.<sup id="cite_ref-Brickner_108-4" class="reference"><a href="#cite_note-Brickner-108"><span class="cite-bracket">&#91;</span>108<span class="cite-bracket">&#93;</span></a></sup> In 1978, DuPont <a href="/wiki/Patent" title="Patent">patented</a> a series of oxazolidinone derivatives as being effective in the treatment of <a href="/wiki/Bacteria" title="Bacteria">bacterial</a> and <a href="/wiki/Fungus" title="Fungus">fungal</a> <a href="/wiki/Plant_pathology" title="Plant pathology">plant diseases</a>, and in 1984, another patent described their usefulness in treating bacterial infections in <a href="/wiki/Mammal" title="Mammal">mammals</a>.<sup id="cite_ref-Moellering_54-7" class="reference"><a href="#cite_note-Moellering-54"><span class="cite-bracket">&#91;</span>54<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Brickner_108-5" class="reference"><a href="#cite_note-Brickner-108"><span class="cite-bracket">&#91;</span>108<span class="cite-bracket">&#93;</span></a></sup> In 1987, DuPont scientists presented a detailed description of the oxazolidinones as a new class of antibiotics with a novel <a href="/wiki/Mechanism_of_action" title="Mechanism of action">mechanism of action</a>.<sup id="cite_ref-Brickner_108-6" class="reference"><a href="#cite_note-Brickner-108"><span class="cite-bracket">&#91;</span>108<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Slee_127-0" class="reference"><a href="#cite_note-Slee-127"><span class="cite-bracket">&#91;</span>127<span class="cite-bracket">&#93;</span></a></sup> Early compounds were found to produce <a href="/wiki/Hepatotoxicity" title="Hepatotoxicity">liver toxicity</a>, however, and <a href="/wiki/Drug_development" title="Drug development">development</a> was discontinued.<sup id="cite_ref-Livermore_72-1" class="reference"><a href="#cite_note-Livermore-72"><span class="cite-bracket">&#91;</span>72<span class="cite-bracket">&#93;</span></a></sup> </p><p><a href="/wiki/Pharmacia" title="Pharmacia">Pharmacia &amp;</a> <a href="/wiki/Upjohn" title="Upjohn">Upjohn</a> (now part of Pfizer) started its own oxazolidinone research program in the 1990s. Studies of the compounds' <a href="/wiki/Structure%E2%80%93activity_relationship" title="Structure–activity relationship">structure–activity relationships</a> led to the development of several subclasses of oxazolidinone derivatives, with varying safety profiles and antimicrobial activity. Two compounds were considered drug candidates: <a href="/wiki/Eperezolid" title="Eperezolid">eperezolid</a> (codenamed <i>PNU-100592</i>) and linezolid (<i>PNU-100766</i>).<sup id="cite_ref-Barbachyn_35-6" class="reference"><a href="#cite_note-Barbachyn-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-French_73-6" class="reference"><a href="#cite_note-French-73"><span class="cite-bracket">&#91;</span>73<span class="cite-bracket">&#93;</span></a></sup> In the preclinical stages of development, they were similar in safety and antibacterial activity, so they were taken to <a href="/wiki/Phase_I_trial" class="mw-redirect" title="Phase I trial">Phase I</a> <a href="/wiki/Clinical_trial" title="Clinical trial">clinical trials</a> to identify any difference in <a href="/wiki/Pharmacokinetics" title="Pharmacokinetics">pharmacokinetics</a>.<sup id="cite_ref-Livermore_72-2" class="reference"><a href="#cite_note-Livermore-72"><span class="cite-bracket">&#91;</span>72<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Ford_128-0" class="reference"><a href="#cite_note-Ford-128"><span class="cite-bracket">&#91;</span>128<span class="cite-bracket">&#93;</span></a></sup> Linezolid was found to have a pharmacokinetic advantage—requiring only twice-daily dosage, while eperezolid needed to be given three times a day to achieve similar exposure—and therefore proceeded to further trials.<sup id="cite_ref-Barbachyn_35-7" class="reference"><a href="#cite_note-Barbachyn-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup> The <a href="/wiki/Food_and_Drug_Administration_(United_States)" class="mw-redirect" title="Food and Drug Administration (United States)">U.S. Food and Drug Administration</a> (FDA) approved linezolid on 18 April 2000.<sup id="cite_ref-129" class="reference"><a href="#cite_note-129"><span class="cite-bracket">&#91;</span>129<span class="cite-bracket">&#93;</span></a></sup> Approval followed in Brazil (June 2000),<sup id="cite_ref-130" class="reference"><a href="#cite_note-130"><span class="cite-bracket">&#91;</span>130<span class="cite-bracket">&#93;</span></a></sup> the United Kingdom (January 2001),<sup id="cite_ref-Zyvox_SPC_7-2" class="reference"><a href="#cite_note-Zyvox_SPC-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-French_73-7" class="reference"><a href="#cite_note-French-73"><span class="cite-bracket">&#91;</span>73<span class="cite-bracket">&#93;</span></a></sup> Japan and Canada (April 2001),<sup id="cite_ref-131" class="reference"><a href="#cite_note-131"><span class="cite-bracket">&#91;</span>131<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-CanadaApproval_132-0" class="reference"><a href="#cite_note-CanadaApproval-132"><span class="cite-bracket">&#91;</span>132<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-133" class="reference"><a href="#cite_note-133"><span class="cite-bracket">&#91;</span>133<span class="cite-bracket">&#93;</span></a></sup> Europe (throughout 2001),<sup id="cite_ref-134" class="reference"><a href="#cite_note-134"><span class="cite-bracket">&#91;</span>134<span class="cite-bracket">&#93;</span></a></sup> and other countries in Latin America and Asia.<sup id="cite_ref-CanadaApproval_132-1" class="reference"><a href="#cite_note-CanadaApproval-132"><span class="cite-bracket">&#91;</span>132<span class="cite-bracket">&#93;</span></a></sup> </p><p>As of 2009<sup class="plainlinks noexcerpt noprint asof-tag update" style="display:none;"><a class="external text" href="https://en.wikipedia.org/w/index.php?title=Linezolid&amp;action=edit">&#91;update&#93;</a></sup>, linezolid was the only oxazolidinone antibiotic available.<sup id="cite_ref-Livermore2009_135-0" class="reference"><a href="#cite_note-Livermore2009-135"><span class="cite-bracket">&#91;</span>135<span class="cite-bracket">&#93;</span></a></sup> Other members of this class have entered development, such as <a href="/wiki/Posizolid" title="Posizolid">posizolid</a> (AZD2563),<sup id="cite_ref-136" class="reference"><a href="#cite_note-136"><span class="cite-bracket">&#91;</span>136<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Ranbezolid" title="Ranbezolid">ranbezolid</a> (RBx 7644),<sup id="cite_ref-137" class="reference"><a href="#cite_note-137"><span class="cite-bracket">&#91;</span>137<span class="cite-bracket">&#93;</span></a></sup> and <a href="/wiki/Radezolid" title="Radezolid">radezolid</a> (RX-1741).<sup id="cite_ref-138" class="reference"><a href="#cite_note-138"><span class="cite-bracket">&#91;</span>138<span class="cite-bracket">&#93;</span></a></sup> In 2014, the FDA approved <a href="/wiki/Tedizolid" title="Tedizolid">tedizolid phosphate</a>, a second-generation oxazolidinone derivative, for acute bacterial skin and skin structure infection.<sup id="cite_ref-139" class="reference"><a href="#cite_note-139"><span class="cite-bracket">&#91;</span>139<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-140" class="reference"><a href="#cite_note-140"><span class="cite-bracket">&#91;</span>140<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Society_and_culture">Society and culture</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=22" title="Edit section: Society and culture"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Economics">Economics</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=23" title="Edit section: Economics"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/Pharmacoeconomics" title="Pharmacoeconomics">Pharmacoeconomics</a> and <a href="/wiki/Disease_burden" title="Disease burden">Disease burden</a></div> <p>Linezolid was quite expensive in 2009; a course of treatment may cost one or two thousand U.S. dollars for the drug alone,<sup id="cite_ref-Lexi-Comp_64-6" class="reference"><a href="#cite_note-Lexi-Comp-64"><span class="cite-bracket">&#91;</span>64<span class="cite-bracket">&#93;</span></a></sup> not to mention other costs (such as those associated with hospital stay). With the medication becoming generic the price has decreased. In India as of 2015 a month of linezolid, as would be used to treat tuberculosis cost about US$60.<sup id="cite_ref-WHO2015Use_11-1" class="reference"><a href="#cite_note-WHO2015Use-11"><span class="cite-bracket">&#91;</span>11<span class="cite-bracket">&#93;</span></a></sup> </p><p>However, because intravenous linezolid may be switched to an oral formulation (tablets or oral solution) without jeopardizing efficacy, people may be discharged from hospital relatively early and continue treatment at home, whereas home treatment with injectable antibiotics may be impractical.<sup id="cite_ref-Grau2008_141-0" class="reference"><a href="#cite_note-Grau2008-141"><span class="cite-bracket">&#91;</span>141<span class="cite-bracket">&#93;</span></a></sup> Reducing the <a href="/wiki/Length_of_stay" title="Length of stay">length of hospital stay</a> reduces the overall cost of treatment, even though linezolid may have a higher acquisition cost—that is, it may be more expensive—than comparable antibiotics. </p><p>Studies have been conducted in several countries with different <a href="/wiki/Health_care_system" class="mw-redirect" title="Health care system">health care system</a> models to assess the <a href="/wiki/Cost-effectiveness_analysis#CEA_in_pharmacoeconomics" title="Cost-effectiveness analysis">cost-effectiveness</a> of linezolid compared to glycopeptides such as vancomycin or teicoplanin. In most countries, linezolid was more cost-effective than comparable antibiotics for the treatment of hospital-acquired pneumonia and complicated skin and skin structure infections, either due to higher cure and survival rates or lower overall treatment costs.<sup id="cite_ref-Grau2008_141-1" class="reference"><a href="#cite_note-Grau2008-141"><span class="cite-bracket">&#91;</span>141<span class="cite-bracket">&#93;</span></a></sup> </p><p>In 2009, Pfizer paid $2.3&#160;billion and entered a <a href="/wiki/Corporate_integrity_agreement" title="Corporate integrity agreement">corporate integrity agreement</a> to settle charges that it had misbranded and illegally promoted four drugs, and caused false claims to be submitted to government healthcare programs for uses that had not been approved by the United States Food and Drug Administration.<sup id="cite_ref-142" class="reference"><a href="#cite_note-142"><span class="cite-bracket">&#91;</span>142<span class="cite-bracket">&#93;</span></a></sup> $1.3&#160;billion was paid to settle criminal charges of illegally marketing the anti-inflammatory <a href="/wiki/Valdecoxib" title="Valdecoxib">valdecoxib</a>, while $1&#160;billion was paid in civil fines regarding illegal marketing of three other drugs, including Zyvox.<sup id="cite_ref-143" class="reference"><a href="#cite_note-143"><span class="cite-bracket">&#91;</span>143<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Brand_names">Brand names</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=24" title="Edit section: Brand names"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <table class="wikitable mw-collapsible mw-collapsed" style="width:100%"> <caption>List of <a href="/wiki/Trade_name" title="Trade name">trade names</a> for linezolid<sup id="cite_ref-Name2018Int_144-0" class="reference"><a href="#cite_note-Name2018Int-144"><span class="cite-bracket">&#91;</span>144<span class="cite-bracket">&#93;</span></a></sup> </caption> <tbody><tr> <td>A</td> <td>Amizole 500 (Kenya), Anozilad (Poland), Antizolid (Greece), Arlid (India), Arlin (Bangladesh), Averozolid &amp; Debacozoline (Egypt) </td></tr> <tr> <td>B</td> <td> </td></tr> <tr> <td>C</td> <td> </td></tr> <tr> <td>D</td> <td>Dilizolen (Poland, Slovakia, Netherlands, Bulgaria) </td></tr> <tr> <td>E</td> <td>Entavar (India) </td></tr> <tr> <td>F</td> <td> </td></tr> <tr> <td>G</td> <td>Grampolid (Netherlands), Grampolyve (Netherlands), Gramposimide (Poland, Netherlands), Grampoxid (Netherlands) </td></tr> <tr> <td>H</td> <td> </td></tr> <tr> <td>I</td> <td> </td></tr> <tr> <td>J</td> <td> </td></tr> <tr> <td>K</td> <td> </td></tr> <tr> <td>L</td> <td>Linzolid (Bangladesh), Lidobact (Netherlands), Linez (Bangladesh, Egypt), Linezolid Accord (Netherlands), Linezolid Amneal (Netherlands), Linezolid Betapharm (Netherlands), Linezolid Farmaprojects (Netherlands), Linezolid Fresenius Kabi (Netherlands), Linezolid GNP (Egypt), Linezolid Hetero (Netherlands), Linezolid Kabi (Croatia, Poland), Linezolid Mylan (Netherlands), Linezolid Pfizer (Netherlands), Linezolid Pliva (Croatia), Linezolid Polpharma (Netherlands, Poland), Linezolid Richet (Argentina), Linezolid Sandoz (Belgium, Switzerland, Netherlands, Slovakia, Estonia, Croatia, Poland), Linezolid Teva (Netherlands, Romania), Linezolid Zentiva (Poland), Linezolida Teva (Portugal), Linezone (Turkey), Linid (India), Linosept (India), Linozid (Bangladesh), Linxyd (Netherlands), Linzowin (India), Litrecan (Argentina), Livegramide (Netherlands), Lizbid (India), Lizemox (India), Lizolid (India, Vietnam), Lizoliden (Netherlands), Lizomac (India), Lizomed (India), Lizorex (India), Lizox (Netherlands), Lorezogram (Netherlands), Lynvox (Netherlands), Lynz (Croatia) </td></tr> <tr> <td>M</td> <td> </td></tr> <tr> <td>N</td> <td>Natlinez (Netherlands) </td></tr> <tr> <td>O</td> <td> </td></tr> <tr> <td>P</td> <td>Pneumolid (Croatia, Netherlands, Poland, Romania, Bulgaria) </td></tr> <tr> <td>Q</td> <td> </td></tr> <tr> <td>R</td> <td>Ralinz (India), Respenzo (Egypt) </td></tr> <tr> <td>S</td> <td>Synzolid (Netherlands) </td></tr> <tr> <td>T</td> <td> </td></tr> <tr> <td>U</td> <td> </td></tr> <tr> <td>V</td> <td>Voxazoldin (Egypt) </td></tr> <tr> <td>W</td> <td> </td></tr> <tr> <td>X</td> <td> </td></tr> <tr> <td>Y</td> <td> </td></tr> <tr> <td>Z</td> <td>Zenix (Bosnia and Herzegovina, Serbia), Zizolid (Turkey), Zodlin (India), Zolinid (Bulgaria), Zyvox (Georgia, Chile, Argentina, Australia, China, Ecuador, Egypt, United Kingdom, Hong Kong, Indonesia, Ireland, South Korea, Malta, Malaysia, New Zealand, Philippines, Singapore, Thailand, Taiwan, Japan, United States), Zyvoxam (Canada), Zyvoxid (Israel, Austria, Belgium, Bulgaria, Switzerland, Czech Republic, Denmark, Estonia, Spain, Finland, France, Greece, Germany, Croatia, Iceland, Lithuania, Latvia, Netherlands, Norway, Portugal, Romania, Sweden, Slovakia, Tunisia, Turkey, South Africa, Poland, Italy, Bosnia and Herzegovina) </td></tr> </tbody></table> <table class="wikitable mw-collapsible mw-collapsed" style="width:100%"> <caption>List of <a href="/wiki/Trade_name" title="Trade name">trade names</a> for linezolid-containing products<sup id="cite_ref-Name2018Int_144-1" class="reference"><a href="#cite_note-Name2018Int-144"><span class="cite-bracket">&#91;</span>144<span class="cite-bracket">&#93;</span></a></sup> </caption> <tbody><tr> <th scope="col">Generic Combination </th> <th scope="col">Brand Name </th></tr> <tr> <td>linezolid and cefixime</td> <td>Zifi-Turbo (India) </td></tr></tbody></table> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Linezolid&amp;action=edit&amp;section=25" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-Drugs.com_pregnancy-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-Drugs.com_pregnancy_1-0">^</a></b></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.drugs.com/pregnancy/linezolid.html">"Linezolid (Zyvox) Use During Pregnancy"</a>. <i>Drugs.com</i>. 16 April 2018. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200317065515/https://www.drugs.com/pregnancy/linezolid.html">Archived</a> from the original on 17 March 2020<span class="reference-accessdate">. Retrieved <span class="nowrap">17 March</span> 2020</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=Drugs.com&amp;rft.atitle=Linezolid+%28Zyvox%29+Use+During+Pregnancy&amp;rft.date=2018-04-16&amp;rft_id=https%3A%2F%2Fwww.drugs.com%2Fpregnancy%2Flinezolid.html&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-2"><span class="mw-cite-backlink"><b><a href="#cite_ref-2">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.pbs.gov.au/info/industry/listing/elements/pbac-meetings/psd/2013-07/linezolid">"Linezolid, injection, 600 mg per 300 mL, tablet, 600 mg and powder for oral suspension, 20 mg per mL, Zyvox®"</a>. Australian Government Department of Health and Aged Care. 24 September 2001. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20221118203806/https://www.pbs.gov.au/info/industry/listing/elements/pbac-meetings/psd/2013-07/linezolid">Archived</a> from the original on 18 November 2022<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2024</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=unknown&amp;rft.btitle=Linezolid%2C+injection%2C+600+mg+per+300+mL%2C+tablet%2C+600+mg+and+powder+for+oral+suspension%2C+20+mg+per+mL%2C+Zyvox%C2%AE&amp;rft.pub=Australian+Government+Department+of+Health+and+Aged+Care&amp;rft.date=2001-09-24&amp;rft_id=https%3A%2F%2Fwww.pbs.gov.au%2Finfo%2Findustry%2Flisting%2Felements%2Fpbac-meetings%2Fpsd%2F2013-07%2Flinezolid&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-3"><span class="mw-cite-backlink"><b><a href="#cite_ref-3">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.ebs.tga.gov.au/servlet/xmlmillr6?dbid=ebs/PublicHTML/pdfStore.nsf&amp;docid=277696&amp;agid=(PrintDetailsPublic)&amp;actionid=1">"Public Summary"</a> <span class="cs1-format">(PDF)</span><span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2024</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=unknown&amp;rft.btitle=Public+Summary&amp;rft_id=https%3A%2F%2Fwww.ebs.tga.gov.au%2Fservlet%2Fxmlmillr6%3Fdbid%3Debs%2FPublicHTML%2FpdfStore.nsf%26docid%3D277696%26agid%3D%28PrintDetailsPublic%29%26actionid%3D1&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-4"><span class="mw-cite-backlink"><b><a href="#cite_ref-4">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.tga.gov.au/resources/publication/publications/prescription-medicines-registration-new-generic-medicines-and-biosimilar-medicines-2017">"Prescription medicines: registration of new generic medicines and biosimilar medicines, 2017"</a>. <i>Therapeutic Goods Administration (TGA)</i>. 21 June 2022. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20230706023149/https://www.tga.gov.au/resources/publication/publications/prescription-medicines-registration-new-generic-medicines-and-biosimilar-medicines-2017">Archived</a> from the original on 6 July 2023<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2024</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=Therapeutic+Goods+Administration+%28TGA%29&amp;rft.atitle=Prescription+medicines%3A+registration+of+new+generic+medicines+and+biosimilar+medicines%2C+2017&amp;rft.date=2022-06-21&amp;rft_id=https%3A%2F%2Fwww.tga.gov.au%2Fresources%2Fpublication%2Fpublications%2Fprescription-medicines-registration-new-generic-medicines-and-biosimilar-medicines-2017&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-5"><span class="mw-cite-backlink"><b><a href="#cite_ref-5">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://health-products.canada.ca/dpd-bdpp/info?lang=eng&amp;code=67614">"Product information"</a>. <i>health-products.canada.ca</i>. 31 July 2020. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20240329202900/https://health-products.canada.ca/dpd-bdpp/info?lang=eng&amp;code=67614">Archived</a> from the original on 29 March 2024<span class="reference-accessdate">. Retrieved <span class="nowrap">29 March</span> 2024</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=health-products.canada.ca&amp;rft.atitle=Product+information&amp;rft.date=2020-07-31&amp;rft_id=https%3A%2F%2Fhealth-products.canada.ca%2Fdpd-bdpp%2Finfo%3Flang%3Deng%26code%3D67614&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-6"><span class="mw-cite-backlink"><b><a href="#cite_ref-6">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://health-products.canada.ca/dpd-bdpp/info?lang=eng&amp;code=67615">"Product information"</a>. <i>health-products.canada.ca</i>. 7 February 2006. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20240329203402/https://health-products.canada.ca/dpd-bdpp/info?lang=eng&amp;code=67615">Archived</a> from the original on 29 March 2024<span class="reference-accessdate">. Retrieved <span class="nowrap">29 March</span> 2024</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=health-products.canada.ca&amp;rft.atitle=Product+information&amp;rft.date=2006-02-07&amp;rft_id=https%3A%2F%2Fhealth-products.canada.ca%2Fdpd-bdpp%2Finfo%3Flang%3Deng%26code%3D67615&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Zyvox_SPC-7"><span class="mw-cite-backlink">^ <a href="#cite_ref-Zyvox_SPC_7-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Zyvox_SPC_7-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-Zyvox_SPC_7-2"><sup><i><b>c</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://web.archive.org/web/20120806161920/http://www.medicines.org.uk/emc/medicine/9857">"Zyvox 600 mg Film-Coated Tablets, 100 mg/5 ml Granules for Oral Suspension, 2 mg/ml Solution for Infusion&#160;– Summary of Product Characteristics (SPC)"</a>. electronic Medicines Compendium. 24 June 2009. Archived from <a rel="nofollow" class="external text" href="http://emc.medicines.org.uk/medicine/9857">the original</a> on 6 August 2012<span class="reference-accessdate">. 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The American Society of Health-System Pharmacists. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20161220231329/https://www.drugs.com/monograph/linezolid.html">Archived</a> from the original on 20 December 2016<span class="reference-accessdate">. Retrieved <span class="nowrap">8 December</span> 2016</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=unknown&amp;rft.btitle=Linezolid&amp;rft.pub=The+American+Society+of+Health-System+Pharmacists&amp;rft_id=https%3A%2F%2Fwww.drugs.com%2Fmonograph%2Flinezolid.html&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-WHO2015Use-11"><span class="mw-cite-backlink">^ <a href="#cite_ref-WHO2015Use_11-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-WHO2015Use_11-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFWorld_Health_Organization2015" class="citation book cs1"><a href="/wiki/World_Health_Organization" title="World Health Organization">World Health Organization</a> (2015). <i>The selection and use of essential medicines. 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It is still uncertain whether the occurrences of such isolates are becoming more prevalent.</q></cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Drug+Resistance+Updates&amp;rft.atitle=Linezolid+update%3A+stable+in+vitro+activity+following+more+than+a+decade+of+clinical+use+and+summary+of+associated+resistance+mechanisms&amp;rft.volume=17&amp;rft.issue=%3Cspan+class%3D%22nowrap%22%3E1%E2%80%93%3C%2Fspan%3E2&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E1-%3C%2Fspan%3E12&amp;rft.date=2014-04&amp;rft_id=info%3Adoi%2F10.1016%2Fj.drup.2014.04.002&amp;rft_id=info%3Apmid%2F24880801&amp;rft.aulast=Mendes&amp;rft.aufirst=RE&amp;rft.au=Deshpande%2C+LM&amp;rft.au=Jones%2C+RN&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-16"><span class="mw-cite-backlink"><b><a href="#cite_ref-16">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFLiCorey2013" class="citation book cs1">Li JJ, Corey EJ (2013). <a rel="nofollow" class="external text" href="https://books.google.com/books?id=mIyxO5cLEAcC&amp;pg=PA6"><i>Drug Discovery: Practices, Processes, and Perspectives</i></a>. John Wiley &amp; Sons. p.&#160;6. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a>&#160;<a href="/wiki/Special:BookSources/978-1-118-35446-9" title="Special:BookSources/978-1-118-35446-9"><bdi>978-1-118-35446-9</bdi></a>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20170910172617/https://books.google.com/books?id=mIyxO5cLEAcC&amp;pg=PA6">Archived</a> from the original on 10 September 2017.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=book&amp;rft.btitle=Drug+Discovery%3A+Practices%2C+Processes%2C+and+Perspectives&amp;rft.pages=6&amp;rft.pub=John+Wiley+%26+Sons&amp;rft.date=2013&amp;rft.isbn=978-1-118-35446-9&amp;rft.aulast=Li&amp;rft.aufirst=JJ&amp;rft.au=Corey%2C+EJ&amp;rft_id=https%3A%2F%2Fbooks.google.com%2Fbooks%3Fid%3DmIyxO5cLEAcC%26pg%3DPA6&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-17"><span class="mw-cite-backlink"><b><a href="#cite_ref-17">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFTorokMoranCooke2009" class="citation book cs1">Torok E, Moran E, Cooke F (2009). <a rel="nofollow" class="external text" href="https://books.google.com/books?id=5W-WBQAAQBAJ&amp;pg=PT56">"Chapter 2 Antimicrobials"</a>. <i>Oxford Handbook of Infectious Diseases and Microbiology</i>. OUP Oxford. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a>&#160;<a href="/wiki/Special:BookSources/978-0-19-103962-1" title="Special:BookSources/978-0-19-103962-1"><bdi>978-0-19-103962-1</bdi></a>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20170908143257/https://books.google.com/books?id=5W-WBQAAQBAJ&amp;pg=PT56">Archived</a> from the original on 8 September 2017.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=bookitem&amp;rft.atitle=Chapter+2+Antimicrobials&amp;rft.btitle=Oxford+Handbook+of+Infectious+Diseases+and+Microbiology&amp;rft.pub=OUP+Oxford&amp;rft.date=2009&amp;rft.isbn=978-0-19-103962-1&amp;rft.aulast=Torok&amp;rft.aufirst=E&amp;rft.au=Moran%2C+E&amp;rft.au=Cooke%2C+F&amp;rft_id=https%3A%2F%2Fbooks.google.com%2Fbooks%3Fid%3D5W-WBQAAQBAJ%26pg%3DPT56&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-WHO23rd-18"><span class="mw-cite-backlink"><b><a href="#cite_ref-WHO23rd_18-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFWorld_Health_Organization2023" class="citation book cs1"><a href="/wiki/World_Health_Organization" title="World Health Organization">World Health Organization</a> (2023). <i>The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023)</i>. 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WHO/MHP/HPS/EML/2023.02.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=book&amp;rft.btitle=The+selection+and+use+of+essential+medicines+2023%3A+web+annex+A%3A+World+Health+Organization+model+list+of+essential+medicines%3A+23rd+list+%282023%29&amp;rft.place=Geneva&amp;rft.pub=World+Health+Organization&amp;rft.date=2023&amp;rft_id=info%3Ahdl%2F10665%2F371090&amp;rft.au=World+Health+Organization&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-19"><span class="mw-cite-backlink"><b><a href="#cite_ref-19">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFWorld_Health_Organization2019" class="citation book cs1"><a href="/wiki/World_Health_Organization" title="World Health Organization">World Health Organization</a> (2019). <i>Critically important antimicrobials for human medicine</i> (6th revision&#160;ed.). 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Retrieved <span class="nowrap">16 May</span> 2009</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=The+Age&amp;rft.atitle=An+antibiotic+to+fight+immune+bugs&amp;rft.date=2002-02-28&amp;rft.aulast=Wroe&amp;rft.aufirst=D&amp;rft_id=http%3A%2F%2Fwww.theage.com.au%2Farticles%2F2002%2F02%2F27%2F1014704966995.html&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Wilson-21"><span class="mw-cite-backlink"><b><a href="#cite_ref-Wilson_21-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFWilsonCepedaHaymanWhitehouse2006" class="citation journal cs1">Wilson AP, Cepeda JA, Hayman S, Whitehouse T, Singer M, Bellingan G (August 2006). <a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjac%2Fdkl233">"In vitro susceptibility of Gram-positive pathogens to linezolid and teicoplanin and effect on outcome in critically ill patients"</a>. <i>The Journal of Antimicrobial Chemotherapy</i>. <b>58</b> (2): <span class="nowrap">470–</span>3. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjac%2Fdkl233">10.1093/jac/dkl233</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/16735420">16735420</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=The+Journal+of+Antimicrobial+Chemotherapy&amp;rft.atitle=In+vitro+susceptibility+of+Gram-positive+pathogens+to+linezolid+and+teicoplanin+and+effect+on+outcome+in+critically+ill+patients&amp;rft.volume=58&amp;rft.issue=2&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E470-%3C%2Fspan%3E3&amp;rft.date=2006-08&amp;rft_id=info%3Adoi%2F10.1093%2Fjac%2Fdkl233&amp;rft_id=info%3Apmid%2F16735420&amp;rft.aulast=Wilson&amp;rft.aufirst=AP&amp;rft.au=Cepeda%2C+JA&amp;rft.au=Hayman%2C+S&amp;rft.au=Whitehouse%2C+T&amp;rft.au=Singer%2C+M&amp;rft.au=Bellingan%2C+G&amp;rft_id=https%3A%2F%2Fdoi.org%2F10.1093%252Fjac%252Fdkl233&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Bozdogan-22"><span class="mw-cite-backlink"><b><a href="#cite_ref-Bozdogan_22-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFBozdoganAppelbaum2004" class="citation journal cs1">Bozdogan B, Appelbaum PC (February 2004). "Oxazolidinones: activity, mode of action, and mechanism of resistance". <i>International Journal of Antimicrobial Agents</i>. <b>23</b> (2): <span class="nowrap">113–</span>9. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.ijantimicag.2003.11.003">10.1016/j.ijantimicag.2003.11.003</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/15013035">15013035</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=International+Journal+of+Antimicrobial+Agents&amp;rft.atitle=Oxazolidinones%3A+activity%2C+mode+of+action%2C+and+mechanism+of+resistance&amp;rft.volume=23&amp;rft.issue=2&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E113-%3C%2Fspan%3E9&amp;rft.date=2004-02&amp;rft_id=info%3Adoi%2F10.1016%2Fj.ijantimicag.2003.11.003&amp;rft_id=info%3Apmid%2F15013035&amp;rft.aulast=Bozdogan&amp;rft.aufirst=B&amp;rft.au=Appelbaum%2C+PC&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Herrmann-23"><span class="mw-cite-backlink">^ <a href="#cite_ref-Herrmann_23-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Herrmann_23-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-Herrmann_23-2"><sup><i><b>c</b></i></sup></a> <a href="#cite_ref-Herrmann_23-3"><sup><i><b>d</b></i></sup></a> <a href="#cite_ref-Herrmann_23-4"><sup><i><b>e</b></i></sup></a> <a href="#cite_ref-Herrmann_23-5"><sup><i><b>f</b></i></sup></a> <a href="#cite_ref-Herrmann_23-6"><sup><i><b>g</b></i></sup></a> <a href="#cite_ref-Herrmann_23-7"><sup><i><b>h</b></i></sup></a> <a href="#cite_ref-Herrmann_23-8"><sup><i><b>i</b></i></sup></a> <a href="#cite_ref-Herrmann_23-9"><sup><i><b>j</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFHerrmannPeppardLedeboerTheesfeld2008" class="citation journal cs1">Herrmann DJ, Peppard WJ, Ledeboer NA, Theesfeld ML, Weigelt JA, Buechel BJ (December 2008). "Linezolid for the treatment of drug-resistant infections". <i>Expert Review of Anti-infective Therapy</i>. <b>6</b> (6): <span class="nowrap">825–</span>48. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1586%2F14787210.6.6.825">10.1586/14787210.6.6.825</a>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a>&#160;<a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/1478-7210">1478-7210</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/19053895">19053895</a>. <a href="/wiki/S2CID_(identifier)" class="mw-redirect" title="S2CID (identifier)">S2CID</a>&#160;<a rel="nofollow" class="external text" href="https://api.semanticscholar.org/CorpusID:8791647">8791647</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Expert+Review+of+Anti-infective+Therapy&amp;rft.atitle=Linezolid+for+the+treatment+of+drug-resistant+infections&amp;rft.volume=6&amp;rft.issue=6&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E825-%3C%2Fspan%3E48&amp;rft.date=2008-12&amp;rft.issn=1478-7210&amp;rft_id=https%3A%2F%2Fapi.semanticscholar.org%2FCorpusID%3A8791647%23id-name%3DS2CID&amp;rft_id=info%3Apmid%2F19053895&amp;rft_id=info%3Adoi%2F10.1586%2F14787210.6.6.825&amp;rft.aulast=Herrmann&amp;rft.aufirst=DJ&amp;rft.au=Peppard%2C+WJ&amp;rft.au=Ledeboer%2C+NA&amp;rft.au=Theesfeld%2C+ML&amp;rft.au=Weigelt%2C+JA&amp;rft.au=Buechel%2C+BJ&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Falagas2008-24"><span class="mw-cite-backlink">^ <a href="#cite_ref-Falagas2008_24-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Falagas2008_24-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-Falagas2008_24-2"><sup><i><b>c</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFFalagasSiemposVardakas2008" class="citation journal cs1">Falagas ME, Siempos II, Vardakas KZ (January 2008). 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"Efficacy and safety of linezolid in multidrug resistant tuberculosis (MDR-TB)--a report of ten cases". <i>The Journal of Infection</i>. <b>52</b> (2): <span class="nowrap">92–</span>6. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.jinf.2005.04.007">10.1016/j.jinf.2005.04.007</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/15907341">15907341</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=The+Journal+of+Infection&amp;rft.atitle=Efficacy+and+safety+of+linezolid+in+multidrug+resistant+tuberculosis+%28MDR-TB%29--a+report+of+ten+cases&amp;rft.volume=52&amp;rft.issue=2&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E92-%3C%2Fspan%3E6&amp;rft.date=2006-02&amp;rft_id=info%3Adoi%2F10.1016%2Fj.jinf.2005.04.007&amp;rft_id=info%3Apmid%2F15907341&amp;rft.aulast=von+der+Lippe&amp;rft.aufirst=B&amp;rft.au=Sandven%2C+P&amp;rft.au=Brubakk%2C+O&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Park2006-51"><span class="mw-cite-backlink"><b><a href="#cite_ref-Park2006_51-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFParkHongOhKim2006" class="citation journal cs1">Park IN, Hong SB, Oh YM, Kim MN, Lim CM, Lee SD, et&#160;al. (September 2006). <a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjac%2Fdkl298">"Efficacy and tolerability of daily-half dose linezolid in patients with intractable multidrug-resistant tuberculosis"</a>. <i>The Journal of Antimicrobial Chemotherapy</i>. <b>58</b> (3): <span class="nowrap">701–</span>4. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjac%2Fdkl298">10.1093/jac/dkl298</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/16857689">16857689</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=The+Journal+of+Antimicrobial+Chemotherapy&amp;rft.atitle=Efficacy+and+tolerability+of+daily-half+dose+linezolid+in+patients+with+intractable+multidrug-resistant+tuberculosis&amp;rft.volume=58&amp;rft.issue=3&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E701-%3C%2Fspan%3E4&amp;rft.date=2006-09&amp;rft_id=info%3Adoi%2F10.1093%2Fjac%2Fdkl298&amp;rft_id=info%3Apmid%2F16857689&amp;rft.aulast=Park&amp;rft.aufirst=IN&amp;rft.au=Hong%2C+SB&amp;rft.au=Oh%2C+YM&amp;rft.au=Kim%2C+MN&amp;rft.au=Lim%2C+CM&amp;rft.au=Lee%2C+SD&amp;rft.au=Koh%2C+Y&amp;rft.au=Kim%2C+WS&amp;rft.au=Kim%2C+DS&amp;rft.au=Kim%2C+WD&amp;rft.au=Shim%2C+TS&amp;rft_id=https%3A%2F%2Fdoi.org%2F10.1093%252Fjac%252Fdkl298&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-52"><span class="mw-cite-backlink"><b><a href="#cite_ref-52">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFFortúnMartín-DávilaNavasPérez-Elías2005" class="citation journal cs1">Fortún J, Martín-Dávila P, Navas E, Pérez-Elías MJ, Cobo J, Tato M, et&#160;al. (July 2005). <a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjac%2Fdki148">"Linezolid for the treatment of multidrug-resistant tuberculosis"</a>. <i>The Journal of Antimicrobial Chemotherapy</i>. <b>56</b> (1): <span class="nowrap">180–</span>5. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjac%2Fdki148">10.1093/jac/dki148</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/15911549">15911549</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=The+Journal+of+Antimicrobial+Chemotherapy&amp;rft.atitle=Linezolid+for+the+treatment+of+multidrug-resistant+tuberculosis&amp;rft.volume=56&amp;rft.issue=1&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E180-%3C%2Fspan%3E5&amp;rft.date=2005-07&amp;rft_id=info%3Adoi%2F10.1093%2Fjac%2Fdki148&amp;rft_id=info%3Apmid%2F15911549&amp;rft.aulast=Fort%C3%BAn&amp;rft.aufirst=J&amp;rft.au=Mart%C3%ADn-D%C3%A1vila%2C+P&amp;rft.au=Navas%2C+E&amp;rft.au=P%C3%A9rez-El%C3%ADas%2C+MJ&amp;rft.au=Cobo%2C+J&amp;rft.au=Tato%2C+M&amp;rft.au=De+la+Pedrosa%2C+EG&amp;rft.au=G%C3%B3mez-Mampaso%2C+E&amp;rft.au=Moreno%2C+S&amp;rft_id=https%3A%2F%2Fdoi.org%2F10.1093%252Fjac%252Fdki148&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-53"><span class="mw-cite-backlink"><b><a href="#cite_ref-53">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFJaksicMartinelliPerez-OteyzaHartman2006" class="citation journal cs1">Jaksic B, Martinelli G, Perez-Oteyza J, Hartman CS, Leonard LB, Tack KJ (March 2006). <a rel="nofollow" class="external text" href="https://doi.org/10.1086%2F500139">"Efficacy and safety of linezolid compared with vancomycin in a randomized, double-blind study of febrile neutropenic patients with cancer"</a>. <i>Clinical Infectious Diseases</i>. <b>42</b> (5): <span class="nowrap">597–</span>607. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1086%2F500139">10.1086/500139</a></span>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a>&#160;<a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/1058-4838">1058-4838</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/16447103">16447103</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Clinical+Infectious+Diseases&amp;rft.atitle=Efficacy+and+safety+of+linezolid+compared+with+vancomycin+in+a+randomized%2C+double-blind+study+of+febrile+neutropenic+patients+with+cancer&amp;rft.volume=42&amp;rft.issue=5&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E597-%3C%2Fspan%3E607&amp;rft.date=2006-03&amp;rft.issn=1058-4838&amp;rft_id=info%3Apmid%2F16447103&amp;rft_id=info%3Adoi%2F10.1086%2F500139&amp;rft.aulast=Jaksic&amp;rft.aufirst=B&amp;rft.au=Martinelli%2C+G&amp;rft.au=Perez-Oteyza%2C+J&amp;rft.au=Hartman%2C+CS&amp;rft.au=Leonard%2C+LB&amp;rft.au=Tack%2C+KJ&amp;rft_id=https%3A%2F%2Fdoi.org%2F10.1086%252F500139&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span> Criticism in <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1086%2F504431">10.1086/504431</a>; author reply in <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1086%2F504437">10.1086/504437</a>.</span> </li> <li id="cite_note-Moellering-54"><span class="mw-cite-backlink">^ <a href="#cite_ref-Moellering_54-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Moellering_54-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-Moellering_54-2"><sup><i><b>c</b></i></sup></a> <a href="#cite_ref-Moellering_54-3"><sup><i><b>d</b></i></sup></a> <a href="#cite_ref-Moellering_54-4"><sup><i><b>e</b></i></sup></a> <a href="#cite_ref-Moellering_54-5"><sup><i><b>f</b></i></sup></a> <a href="#cite_ref-Moellering_54-6"><sup><i><b>g</b></i></sup></a> <a href="#cite_ref-Moellering_54-7"><sup><i><b>h</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFMoellering2003" class="citation journal cs1">Moellering RC (January 2003). <a rel="nofollow" class="external text" href="http://memberfiles.freewebs.com/53/35/75763553/documents/Linezolid%20The%20First%20Oxazolidinone%20Antimicrobial.pdf">"Linezolid: the first oxazolidinone antimicrobial"</a> <span class="cs1-format">(PDF)</span>. <i><a href="/wiki/Annals_of_Internal_Medicine" title="Annals of Internal Medicine">Annals of Internal Medicine</a></i>. <b>138</b> (2): <span class="nowrap">135–</span>42. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.7326%2F0003-4819-138-2-200301210-00015">10.7326/0003-4819-138-2-200301210-00015</a>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a>&#160;<a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/0003-4819">0003-4819</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/12529096">12529096</a>. <a href="/wiki/S2CID_(identifier)" class="mw-redirect" title="S2CID (identifier)">S2CID</a>&#160;<a rel="nofollow" class="external text" href="https://api.semanticscholar.org/CorpusID:23689046">23689046</a>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200314075925/https://memberfiles.freewebs.com/53/35/75763553/documents/Linezolid%20The%20First%20Oxazolidinone%20Antimicrobial.pdf">Archived</a> <span class="cs1-format">(PDF)</span> from the original on 14 March 2020<span class="reference-accessdate">. Retrieved <span class="nowrap">25 September</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Annals+of+Internal+Medicine&amp;rft.atitle=Linezolid%3A+the+first+oxazolidinone+antimicrobial&amp;rft.volume=138&amp;rft.issue=2&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E135-%3C%2Fspan%3E42&amp;rft.date=2003-01&amp;rft.issn=0003-4819&amp;rft_id=https%3A%2F%2Fapi.semanticscholar.org%2FCorpusID%3A23689046%23id-name%3DS2CID&amp;rft_id=info%3Apmid%2F12529096&amp;rft_id=info%3Adoi%2F10.7326%2F0003-4819-138-2-200301210-00015&amp;rft.aulast=Moellering&amp;rft.aufirst=RC&amp;rft_id=http%3A%2F%2Fmemberfiles.freewebs.com%2F53%2F35%2F75763553%2Fdocuments%2FLinezolid%2520The%2520First%2520Oxazolidinone%2520Antimicrobial.pdf&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-55"><span class="mw-cite-backlink"><b><a href="#cite_ref-55">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFCottagnoudGerberAcostaCottagnoud2000" class="citation journal cs1">Cottagnoud P, Gerber CM, Acosta F, Cottagnoud M, Neftel K, Täuber MG (December 2000). <a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjac%2F46.6.981">"Linezolid against penicillin-sensitive and -resistant pneumococci in the rabbit meningitis model"</a>. <i>Journal of Antimicrobial Chemotherapy</i>. <b>46</b> (6): <span class="nowrap">981–</span>5. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjac%2F46.6.981">10.1093/jac/46.6.981</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/11102418">11102418</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Journal+of+Antimicrobial+Chemotherapy&amp;rft.atitle=Linezolid+against+penicillin-sensitive+and+-resistant+pneumococci+in+the+rabbit+meningitis+model&amp;rft.volume=46&amp;rft.issue=6&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E981-%3C%2Fspan%3E5&amp;rft.date=2000-12&amp;rft_id=info%3Adoi%2F10.1093%2Fjac%2F46.6.981&amp;rft_id=info%3Apmid%2F11102418&amp;rft.aulast=Cottagnoud&amp;rft.aufirst=P&amp;rft.au=Gerber%2C+CM&amp;rft.au=Acosta%2C+F&amp;rft.au=Cottagnoud%2C+M&amp;rft.au=Neftel%2C+K&amp;rft.au=T%C3%A4uber%2C+MG&amp;rft_id=https%3A%2F%2Fdoi.org%2F10.1093%252Fjac%252F46.6.981&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Sabbatani-56"><span class="mw-cite-backlink">^ <a href="#cite_ref-Sabbatani_56-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Sabbatani_56-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFSabbataniManfrediFrankChiodo2005" class="citation journal cs1">Sabbatani S, Manfredi R, Frank G, Chiodo F (June 2005). <a rel="nofollow" class="external text" href="https://web.archive.org/web/20110722035501/http://www.infezmed.it/VisualizzaUnArticolo.aspx?Anno=2005&amp;numero=2&amp;ArticoloDaVisualizzare=Vol_13_2_2005_8">"Linezolid in the treatment of severe central nervous system infections resistant to recommended antimicrobial compounds"</a>. <i>Le Infezioni in Medicina</i>. <b>13</b> (2): <span class="nowrap">112–</span>9. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a>&#160;<a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/1124-9390">1124-9390</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/16220032">16220032</a>. Archived from <a rel="nofollow" class="external text" href="http://www.infezmed.it/VisualizzaUnArticolo.aspx?Anno=2005&amp;numero=2&amp;ArticoloDaVisualizzare=Vol_13_2_2005_8">the original</a> on 22 July 2011.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Le+Infezioni+in+Medicina&amp;rft.atitle=Linezolid+in+the+treatment+of+severe+central+nervous+system+infections+resistant+to+recommended+antimicrobial+compounds&amp;rft.volume=13&amp;rft.issue=2&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E112-%3C%2Fspan%3E9&amp;rft.date=2005-06&amp;rft_id=info%3Apmid%2F16220032&amp;rft.issn=1124-9390&amp;rft.aulast=Sabbatani&amp;rft.aufirst=S&amp;rft.au=Manfredi%2C+R&amp;rft.au=Frank%2C+G&amp;rft.au=Chiodo%2C+F&amp;rft_id=http%3A%2F%2Fwww.infezmed.it%2FVisualizzaUnArticolo.aspx%3FAnno%3D2005%26numero%3D2%26ArticoloDaVisualizzare%3DVol_13_2_2005_8&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-57"><span class="mw-cite-backlink"><b><a href="#cite_ref-57">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFNtzioraFalagas2007" class="citation journal cs1">Ntziora F, Falagas ME (February 2007). "Linezolid for the treatment of patients with central nervous system infection". <i>Annals of Pharmacotherapy</i>. <b>41</b> (2): <span class="nowrap">296–</span>308. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1345%2Faph.1H307">10.1345/aph.1H307</a>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a>&#160;<a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/1060-0280">1060-0280</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/17284501">17284501</a>. <a href="/wiki/S2CID_(identifier)" class="mw-redirect" title="S2CID (identifier)">S2CID</a>&#160;<a rel="nofollow" class="external text" href="https://api.semanticscholar.org/CorpusID:33514115">33514115</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Annals+of+Pharmacotherapy&amp;rft.atitle=Linezolid+for+the+treatment+of+patients+with+central+nervous+system+infection&amp;rft.volume=41&amp;rft.issue=2&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E296-%3C%2Fspan%3E308&amp;rft.date=2007-02&amp;rft.issn=1060-0280&amp;rft_id=https%3A%2F%2Fapi.semanticscholar.org%2FCorpusID%3A33514115%23id-name%3DS2CID&amp;rft_id=info%3Apmid%2F17284501&amp;rft_id=info%3Adoi%2F10.1345%2Faph.1H307&amp;rft.aulast=Ntziora&amp;rft.aufirst=F&amp;rft.au=Falagas%2C+ME&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span> Structured abstract with quality assessment available at <a rel="nofollow" class="external text" href="http://www.crd.york.ac.uk/CRDWeb/ShowRecord.asp?ID=12007005296">DARE</a> <a rel="nofollow" class="external text" href="https://web.archive.org/web/20110902114025/http://www.crd.york.ac.uk/CRDWeb/ShowRecord.asp?ID=12007005296">Archived</a> 2 September 2011 at the <a href="/wiki/Wayback_Machine" title="Wayback Machine">Wayback Machine</a>.</span> </li> <li id="cite_note-58"><span class="mw-cite-backlink"><b><a href="#cite_ref-58">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFTunkelHartmanKaplan2004" class="citation journal cs1">Tunkel AR, Hartman BJ, Kaplan SL, et&#160;al. (November 2004). <a rel="nofollow" class="external text" href="https://doi.org/10.1086%2F425368">"Practice guidelines for the management of bacterial meningitis"</a>. <i>Clinical Infectious Diseases</i>. <b>39</b> (9): <span class="nowrap">1267–</span>84. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1086%2F425368">10.1086/425368</a></span>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a>&#160;<a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/1058-4838">1058-4838</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/15494903">15494903</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Clinical+Infectious+Diseases&amp;rft.atitle=Practice+guidelines+for+the+management+of+bacterial+meningitis&amp;rft.volume=39&amp;rft.issue=9&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E1267-%3C%2Fspan%3E84&amp;rft.date=2004-11&amp;rft.issn=1058-4838&amp;rft_id=info%3Apmid%2F15494903&amp;rft_id=info%3Adoi%2F10.1086%2F425368&amp;rft.aulast=Tunkel&amp;rft.aufirst=AR&amp;rft.au=Hartman%2C+BJ&amp;rft.au=Kaplan%2C+SL&amp;rft_id=https%3A%2F%2Fdoi.org%2F10.1086%252F425368&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Naesens-59"><span class="mw-cite-backlink"><b><a href="#cite_ref-Naesens_59-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFNaesensRonsynDruwéDenis2009" class="citation journal cs1">Naesens R, Ronsyn M, Druwé P, Denis O, Ieven M, Jeurissen A (June 2009). "Central nervous system invasion by community-acquired methicillin-resistant <i>Staphylococcus aureus</i>: case report and review of the literature". <i><a href="/wiki/Journal_of_Medical_Microbiology" title="Journal of Medical Microbiology">Journal of Medical Microbiology</a></i>. <b>58</b> (Pt 9): <span class="nowrap">1247–</span>51. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1099%2Fjmm.0.011130-0">10.1099/jmm.0.011130-0</a>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a>&#160;<a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/0022-2615">0022-2615</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/19528145">19528145</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Journal+of+Medical+Microbiology&amp;rft.atitle=Central+nervous+system+invasion+by+community-acquired+methicillin-resistant+Staphylococcus+aureus%3A+case+report+and+review+of+the+literature&amp;rft.volume=58&amp;rft.issue=Pt+9&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E1247-%3C%2Fspan%3E51&amp;rft.date=2009-06&amp;rft.issn=0022-2615&amp;rft_id=info%3Apmid%2F19528145&amp;rft_id=info%3Adoi%2F10.1099%2Fjmm.0.011130-0&amp;rft.aulast=Naesens&amp;rft.aufirst=R&amp;rft.au=Ronsyn%2C+M&amp;rft.au=Druw%C3%A9%2C+P&amp;rft.au=Denis%2C+O&amp;rft.au=Ieven%2C+M&amp;rft.au=Jeurissen%2C+A&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-CRBSI-60"><span class="mw-cite-backlink">^ <a href="#cite_ref-CRBSI_60-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-CRBSI_60-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-CRBSI_60-2"><sup><i><b>c</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREF&#91;No_authors_listed&#93;2007" class="citation web cs1">[No authors listed] (16 March 2007). <a rel="nofollow" class="external text" href="https://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/DrugSafetyInformationforHeathcareProfessionals/ucm085249.htm">"Information for Healthcare Professionals: Linezolid (marketed as Zyvox)"</a>. <a href="/wiki/Food_and_Drug_Administration_(United_States)" class="mw-redirect" title="Food and Drug Administration (United States)">U.S. Food and Drug Administration</a> (FDA). <a rel="nofollow" class="external text" href="https://web.archive.org/web/20101019044734/https://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/DrugSafetyInformationforHeathcareProfessionals/ucm085249.htm">Archived</a> from the original on 19 October 2010<span class="reference-accessdate">. Retrieved <span class="nowrap">15 September</span> 2010</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=unknown&amp;rft.btitle=Information+for+Healthcare+Professionals%3A+Linezolid+%28marketed+as+Zyvox%29&amp;rft.pub=U.S.+Food+and+Drug+Administration+%28FDA%29&amp;rft.date=2007-03-16&amp;rft.au=%5BNo+authors+listed%5D&amp;rft_id=https%3A%2F%2Fwww.fda.gov%2FDrugs%2FDrugSafety%2FPostmarketDrugSafetyInformationforPatientsandProviders%2FDrugSafetyInformationforHeathcareProfessionals%2Fucm085249.htm&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Wilcox-61"><span class="mw-cite-backlink">^ <a href="#cite_ref-Wilcox_61-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Wilcox_61-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFWilcoxTackBouza2009" class="citation journal cs1">Wilcox MH, Tack KJ, Bouza E, et&#160;al. (January 2009). <a rel="nofollow" class="external text" href="https://doi.org/10.1086%2F595686">"Complicated skin and skin-structure infections and catheter-related bloodstream infections: noninferiority of linezolid in a phase 3 study"</a>. <i>Clinical Infectious Diseases</i>. <b>48</b> (2): <span class="nowrap">203–</span>12. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1086%2F595686">10.1086/595686</a></span>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a>&#160;<a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/1058-4838">1058-4838</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/19072714">19072714</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Clinical+Infectious+Diseases&amp;rft.atitle=Complicated+skin+and+skin-structure+infections+and+catheter-related+bloodstream+infections%3A+noninferiority+of+linezolid+in+a+phase+3+study&amp;rft.volume=48&amp;rft.issue=2&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E203-%3C%2Fspan%3E12&amp;rft.date=2009-01&amp;rft.issn=1058-4838&amp;rft_id=info%3Apmid%2F19072714&amp;rft_id=info%3Adoi%2F10.1086%2F595686&amp;rft.aulast=Wilcox&amp;rft.aufirst=MH&amp;rft.au=Tack%2C+KJ&amp;rft.au=Bouza%2C+E&amp;rft_id=https%3A%2F%2Fdoi.org%2F10.1086%252F595686&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-American_Family_Physician-62"><span class="mw-cite-backlink">^ <a href="#cite_ref-American_Family_Physician_62-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-American_Family_Physician_62-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-American_Family_Physician_62-2"><sup><i><b>c</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFAmentJamshedHorne2002" class="citation journal cs1">Ament PW, Jamshed N, Horne JP (February 2002). <a rel="nofollow" class="external text" href="http://www.aafp.org/afp/20020215/663.html">"Linezolid: its role in the treatment of gram-positive, drug-resistant bacterial infections"</a>. <i><a href="/wiki/American_Family_Physician" title="American Family Physician">American Family Physician</a></i>. <b>65</b> (4): <span class="nowrap">663–</span>70. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a>&#160;<a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/0002-838X">0002-838X</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/11871684">11871684</a>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20080724045942/http://www.aafp.org/afp/20020215/663.html">Archived</a> from the original on 24 July 2008.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=American+Family+Physician&amp;rft.atitle=Linezolid%3A+its+role+in+the+treatment+of+gram-positive%2C+drug-resistant+bacterial+infections&amp;rft.volume=65&amp;rft.issue=4&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E663-%3C%2Fspan%3E70&amp;rft.date=2002-02&amp;rft_id=info%3Apmid%2F11871684&amp;rft.issn=0002-838X&amp;rft.aulast=Ament&amp;rft.aufirst=PW&amp;rft.au=Jamshed%2C+N&amp;rft.au=Horne%2C+JP&amp;rft_id=http%3A%2F%2Fwww.aafp.org%2Fafp%2F20020215%2F663.html&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Buck-63"><span class="mw-cite-backlink"><b><a href="#cite_ref-Buck_63-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFBuck2003" class="citation journal cs1">Buck ML (June 2003). <a rel="nofollow" class="external text" href="https://web.archive.org/web/20110605115607/http://www.healthsystem.virginia.edu/alive/pediatrics/PharmNews/200306.pdf">"Linezolid use for resistant Gram-positive infections in children"</a> <span class="cs1-format">(PDF)</span>. <i>Pediatric Pharmacotherapy</i>. <b>9</b> (6). Archived from <a rel="nofollow" class="external text" href="http://www.healthsystem.virginia.edu/alive/pediatrics/PharmNews/200306.pdf">the original</a> <span class="cs1-format">(PDF)</span> on 5 June 2011<span class="reference-accessdate">. Retrieved <span class="nowrap">8 June</span> 2009</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Pediatric+Pharmacotherapy&amp;rft.atitle=Linezolid+use+for+resistant+Gram-positive+infections+in+children&amp;rft.volume=9&amp;rft.issue=6&amp;rft.date=2003-06&amp;rft.aulast=Buck&amp;rft.aufirst=ML&amp;rft_id=http%3A%2F%2Fwww.healthsystem.virginia.edu%2Falive%2Fpediatrics%2FPharmNews%2F200306.pdf&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Lexi-Comp-64"><span class="mw-cite-backlink">^ <a href="#cite_ref-Lexi-Comp_64-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Lexi-Comp_64-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-Lexi-Comp_64-2"><sup><i><b>c</b></i></sup></a> <a href="#cite_ref-Lexi-Comp_64-3"><sup><i><b>d</b></i></sup></a> <a href="#cite_ref-Lexi-Comp_64-4"><sup><i><b>e</b></i></sup></a> <a href="#cite_ref-Lexi-Comp_64-5"><sup><i><b>f</b></i></sup></a> <a href="#cite_ref-Lexi-Comp_64-6"><sup><i><b>g</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFLexi-Comp2008" class="citation web cs1">Lexi-Comp (August 2008). <a rel="nofollow" class="external text" href="http://www.merck.com/mmpe/lexicomp/linezolid.html">"Linezolid"</a>. <i><a href="/wiki/Merck_Manual_of_Diagnosis_and_Therapy" title="Merck Manual of Diagnosis and Therapy">The Merck Manual Professional</a></i>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20090426220140/http://www.merck.com/mmpe/lexicomp/linezolid.html">Archived</a> from the original on 26 April 2009.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=The+Merck+Manual+Professional&amp;rft.atitle=Linezolid&amp;rft.date=2008-08&amp;rft.au=Lexi-Comp&amp;rft_id=http%3A%2F%2Fwww.merck.com%2Fmmpe%2Flexicomp%2Flinezolid.html&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span> Retrieved on 14 May 2009.</span> </li> <li id="cite_note-65"><span class="mw-cite-backlink"><b><a href="#cite_ref-65">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFLoveringLe_FlochHovsepian2009" class="citation journal cs1">Lovering AM, Le Floch R, Hovsepian L, et&#160;al. (March 2009). <a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjac%2Fdkn541">"Pharmacokinetic evaluation of linezolid in patients with major thermal injuries"</a>. <i>Journal of Antimicrobial Chemotherapy</i>. <b>63</b> (3): <span class="nowrap">553–</span>9. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjac%2Fdkn541">10.1093/jac/dkn541</a></span>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a>&#160;<a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/0305-7453">0305-7453</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/19153078">19153078</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Journal+of+Antimicrobial+Chemotherapy&amp;rft.atitle=Pharmacokinetic+evaluation+of+linezolid+in+patients+with+major+thermal+injuries&amp;rft.volume=63&amp;rft.issue=3&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E553-%3C%2Fspan%3E9&amp;rft.date=2009-03&amp;rft.issn=0305-7453&amp;rft_id=info%3Apmid%2F19153078&amp;rft_id=info%3Adoi%2F10.1093%2Fjac%2Fdkn541&amp;rft.aulast=Lovering&amp;rft.aufirst=AM&amp;rft.au=Le+Floch%2C+R&amp;rft.au=Hovsepian%2C+L&amp;rft_id=https%3A%2F%2Fdoi.org%2F10.1093%252Fjac%252Fdkn541&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-InfectiousDiseases-66"><span class="mw-cite-backlink">^ <a href="#cite_ref-InfectiousDiseases_66-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-InfectiousDiseases_66-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFDavaroGlewDaly2004" class="citation book cs1">Davaro RE, Glew RH, Daly JS (2004). <a rel="nofollow" class="external text" href="https://books.google.com/books?id=91altE1evAsC&amp;pg=PP241">"Oxazolidinones, quinupristin-dalfopristin, and daptomycin"</a>. In <a href="/wiki/Sherwood_Gorbach" title="Sherwood Gorbach">Gorbach SL</a>, Bartlett JG, Blacklow NR (eds.). <i>Infectious diseases</i>. Hagerstown, MD: Lippincott Williams &amp; Wilkins. pp.&#160;<span class="nowrap">241–</span>3. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a>&#160;<a href="/wiki/Special:BookSources/978-0-7817-3371-7" title="Special:BookSources/978-0-7817-3371-7"><bdi>978-0-7817-3371-7</bdi></a><span class="reference-accessdate">. Retrieved <span class="nowrap">20 June</span> 2009</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=bookitem&amp;rft.atitle=Oxazolidinones%2C+quinupristin-dalfopristin%2C+and+daptomycin&amp;rft.btitle=Infectious+diseases&amp;rft.place=Hagerstown%2C+MD&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E241-%3C%2Fspan%3E3&amp;rft.pub=Lippincott+Williams+%26+Wilkins&amp;rft.date=2004&amp;rft.isbn=978-0-7817-3371-7&amp;rft.aulast=Davaro&amp;rft.aufirst=RE&amp;rft.au=Glew%2C+RH&amp;rft.au=Daly%2C+JS&amp;rft_id=https%3A%2F%2Fbooks.google.com%2Fbooks%3Fid%3D91altE1evAsC%26pg%3DPP241&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Jones-67"><span class="mw-cite-backlink"><b><a href="#cite_ref-Jones_67-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFJonesStilwellHoganSheehan2007" class="citation journal cs1">Jones RN, Stilwell MG, Hogan PA, Sheehan DJ (April 2007). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1855453">"Activity of Linezolid against 3,251 Strains of Uncommonly Isolated Gram-Positive Organisms: Report from the SENTRY Antimicrobial Surveillance Program"</a>. <i>Antimicrobial Agents and Chemotherapy</i>. <b>51</b> (4): <span class="nowrap">1491–</span>3. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1128%2FAAC.01496-06">10.1128/AAC.01496-06</a>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1855453">1855453</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/17210770">17210770</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Antimicrobial+Agents+and+Chemotherapy&amp;rft.atitle=Activity+of+Linezolid+against+3%2C251+Strains+of+Uncommonly+Isolated+Gram-Positive+Organisms%3A+Report+from+the+SENTRY+Antimicrobial+Surveillance+Program&amp;rft.volume=51&amp;rft.issue=4&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E1491-%3C%2Fspan%3E3&amp;rft.date=2007-04&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC1855453%23id-name%3DPMC&amp;rft_id=info%3Apmid%2F17210770&amp;rft_id=info%3Adoi%2F10.1128%2FAAC.01496-06&amp;rft.aulast=Jones&amp;rft.aufirst=RN&amp;rft.au=Stilwell%2C+MG&amp;rft.au=Hogan%2C+PA&amp;rft.au=Sheehan%2C+DJ&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC1855453&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-68"><span class="mw-cite-backlink"><b><a href="#cite_ref-68">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFJodlowskiMelnychukConry2007" class="citation journal cs1">Jodlowski TZ, Melnychuk I, Conry J (October 2007). "Linezolid for the treatment of <i>Nocardia</i> spp. infections". <i><a href="/wiki/Annals_of_Pharmacotherapy" title="Annals of Pharmacotherapy">Annals of Pharmacotherapy</a></i>. <b>41</b> (10): <span class="nowrap">1694–</span>9. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1345%2Faph.1K196">10.1345/aph.1K196</a>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a>&#160;<a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/1060-0280">1060-0280</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/17785610">17785610</a>. <a href="/wiki/S2CID_(identifier)" class="mw-redirect" title="S2CID (identifier)">S2CID</a>&#160;<a rel="nofollow" class="external text" href="https://api.semanticscholar.org/CorpusID:33975237">33975237</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Annals+of+Pharmacotherapy&amp;rft.atitle=Linezolid+for+the+treatment+of+Nocardia+spp.+infections&amp;rft.volume=41&amp;rft.issue=10&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E1694-%3C%2Fspan%3E9&amp;rft.date=2007-10&amp;rft.issn=1060-0280&amp;rft_id=https%3A%2F%2Fapi.semanticscholar.org%2FCorpusID%3A33975237%23id-name%3DS2CID&amp;rft_id=info%3Apmid%2F17785610&amp;rft_id=info%3Adoi%2F10.1345%2Faph.1K196&amp;rft.aulast=Jodlowski&amp;rft.aufirst=TZ&amp;rft.au=Melnychuk%2C+I&amp;rft.au=Conry%2C+J&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-DrugTherPerspect-69"><span class="mw-cite-backlink">^ <a href="#cite_ref-DrugTherPerspect_69-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-DrugTherPerspect_69-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-DrugTherPerspect_69-2"><sup><i><b>c</b></i></sup></a> <a href="#cite_ref-DrugTherPerspect_69-3"><sup><i><b>d</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREF&#91;No_authors_listed&#93;2001" class="citation journal cs1">[No authors listed] (2001). <a rel="nofollow" class="external text" href="http://www.medscape.com/viewarticle/406493">"Linezolid: First of a New Drug Class for Gram-Positive Infections"</a>. <i>Drugs &amp; Therapy Perspectives</i>. <b>17</b> (9): <span class="nowrap">1–</span>6. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.2165%2F00042310-200117090-00001">10.2165/00042310-200117090-00001</a>. <a href="/wiki/S2CID_(identifier)" class="mw-redirect" title="S2CID (identifier)">S2CID</a>&#160;<a rel="nofollow" class="external text" href="https://api.semanticscholar.org/CorpusID:195232060">195232060</a>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20130521043752/http://www.medscape.com/viewarticle/406493">Archived</a> from the original on 21 May 2013.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Drugs+%26+Therapy+Perspectives&amp;rft.atitle=Linezolid%3A+First+of+a+New+Drug+Class+for+Gram-Positive+Infections&amp;rft.volume=17&amp;rft.issue=9&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E1-%3C%2Fspan%3E6&amp;rft.date=2001&amp;rft_id=info%3Adoi%2F10.2165%2F00042310-200117090-00001&amp;rft_id=https%3A%2F%2Fapi.semanticscholar.org%2FCorpusID%3A195232060%23id-name%3DS2CID&amp;rft.au=%5BNo+authors+listed%5D&amp;rft_id=http%3A%2F%2Fwww.medscape.com%2Fviewarticle%2F406493&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span> Free full text with registration at <a href="/wiki/Medscape" title="Medscape">Medscape</a>.</span> </li> <li id="cite_note-70"><span class="mw-cite-backlink"><b><a href="#cite_ref-70">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREF&#91;No_authors_listed&#93;2008" class="citation web cs1">[No authors listed] (5 August 2008). <a rel="nofollow" class="external text" href="https://web.archive.org/web/20100126195237/http://www.hpa.org.uk/webw/HPAweb%26HPAwebStandard/HPAweb_C/1195733833519?p=1203409654995">"Animal Bites and <i>Pasteurella multocida</i>: Information for Healthcare Staff"</a>. <a href="/wiki/Health_Protection_Agency" title="Health Protection Agency">Health Protection Agency</a>. Archived from <a rel="nofollow" class="external text" href="http://www.hpa.org.uk/webw/HPAweb&amp;HPAwebStandard/HPAweb_C/1195733833519?p=1203409654995">the original</a> on 26 January 2010.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=unknown&amp;rft.btitle=Animal+Bites+and+Pasteurella+multocida%3A+Information+for+Healthcare+Staff&amp;rft.pub=Health+Protection+Agency&amp;rft.date=2008-08-05&amp;rft.au=%5BNo+authors+listed%5D&amp;rft_id=http%3A%2F%2Fwww.hpa.org.uk%2Fwebw%2FHPAweb%26HPAwebStandard%2FHPAweb_C%2F1195733833519%3Fp%3D1203409654995&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span> Retrieved on 15 May 2009.</span> </li> <li id="cite_note-71"><span class="mw-cite-backlink"><b><a href="#cite_ref-71">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFGeislerMalhotraStamm2001" class="citation journal cs1">Geisler WM, Malhotra U, Stamm WE (December 2001). "Pneumonia and sepsis due to fluoroquinolone-resistant <i>Capnocytophaga gingivalis</i> after autologous stem cell transplantation". <i>Bone Marrow Transplantation</i>. <b>28</b> (12): <span class="nowrap">1171–</span>3. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1038%2Fsj.bmt.1703288">10.1038/sj.bmt.1703288</a>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a>&#160;<a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/0268-3369">0268-3369</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/11803363">11803363</a>. <a href="/wiki/S2CID_(identifier)" class="mw-redirect" title="S2CID (identifier)">S2CID</a>&#160;<a rel="nofollow" class="external text" href="https://api.semanticscholar.org/CorpusID:34825943">34825943</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Bone+Marrow+Transplantation&amp;rft.atitle=Pneumonia+and+sepsis+due+to+fluoroquinolone-resistant+Capnocytophaga+gingivalis+after+autologous+stem+cell+transplantation&amp;rft.volume=28&amp;rft.issue=12&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E1171-%3C%2Fspan%3E3&amp;rft.date=2001-12&amp;rft.issn=0268-3369&amp;rft_id=https%3A%2F%2Fapi.semanticscholar.org%2FCorpusID%3A34825943%23id-name%3DS2CID&amp;rft_id=info%3Apmid%2F11803363&amp;rft_id=info%3Adoi%2F10.1038%2Fsj.bmt.1703288&amp;rft.aulast=Geisler&amp;rft.aufirst=WM&amp;rft.au=Malhotra%2C+U&amp;rft.au=Stamm%2C+WE&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Livermore-72"><span class="mw-cite-backlink">^ <a href="#cite_ref-Livermore_72-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Livermore_72-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-Livermore_72-2"><sup><i><b>c</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFLivermore2000" class="citation journal cs1">Livermore DM (September 2000). <a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjac%2F46.3.347">"Quinupristin/dalfopristin and linezolid: where, when, which and whether to use?"</a>. <i>Journal of Antimicrobial Chemotherapy</i>. <b>46</b> (3): <span class="nowrap">347–</span>50. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjac%2F46.3.347">10.1093/jac/46.3.347</a></span>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a>&#160;<a rel="nofollow" class="external 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class="mw-cite-backlink">^ <a href="#cite_ref-French_73-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-French_73-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-French_73-2"><sup><i><b>c</b></i></sup></a> <a href="#cite_ref-French_73-3"><sup><i><b>d</b></i></sup></a> <a href="#cite_ref-French_73-4"><sup><i><b>e</b></i></sup></a> <a href="#cite_ref-French_73-5"><sup><i><b>f</b></i></sup></a> <a href="#cite_ref-French_73-6"><sup><i><b>g</b></i></sup></a> <a href="#cite_ref-French_73-7"><sup><i><b>h</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFFrench2003" class="citation journal cs1">French G (May 2003). <a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjac%2Fdkg253">"Safety and tolerability of linezolid"</a>. <i>The Journal of Antimicrobial Chemotherapy</i>. <b>51</b> (Suppl 2): ii45–53. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjac%2Fdkg253">10.1093/jac/dkg253</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/12730142">12730142</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=The+Journal+of+Antimicrobial+Chemotherapy&amp;rft.atitle=Safety+and+tolerability+of+linezolid&amp;rft.volume=51&amp;rft.issue=Suppl+2&amp;rft.pages=ii45-53&amp;rft.date=2003-05&amp;rft_id=info%3Adoi%2F10.1093%2Fjac%2Fdkg253&amp;rft_id=info%3Apmid%2F12730142&amp;rft.aulast=French&amp;rft.aufirst=G&amp;rft_id=https%3A%2F%2Fdoi.org%2F10.1093%252Fjac%252Fdkg253&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span> Review. 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"Linezolid-induced optic neuropathy". <i>American Journal of Ophthalmology</i>. <b>139</b> (6): <span class="nowrap">1114–</span>6. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.ajo.2004.11.047">10.1016/j.ajo.2004.11.047</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/15953450">15953450</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=American+Journal+of+Ophthalmology&amp;rft.atitle=Linezolid-induced+optic+neuropathy&amp;rft.volume=139&amp;rft.issue=6&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E1114-%3C%2Fspan%3E6&amp;rft.date=2005-06&amp;rft_id=info%3Adoi%2F10.1016%2Fj.ajo.2004.11.047&amp;rft_id=info%3Apmid%2F15953450&amp;rft.aulast=Saijo&amp;rft.aufirst=T&amp;rft.au=Hayashi%2C+K&amp;rft.au=Yamada%2C+H&amp;rft.au=Wakakura%2C+M&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Barnhill-91"><span class="mw-cite-backlink">^ <a href="#cite_ref-Barnhill_91-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Barnhill_91-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFBarnhillBrewerCarlson2012" class="citation journal cs1">Barnhill AE, Brewer MT, Carlson SA (August 2012). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3421593">"Adverse effects of antimicrobials via predictable or idiosyncratic inhibition of host mitochondrial components"</a>. <i>Antimicrobial Agents and Chemotherapy</i>. <b>56</b> (8): <span class="nowrap">4046–</span>51. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1128%2FAAC.00678-12">10.1128/AAC.00678-12</a>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3421593">3421593</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/22615289">22615289</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Antimicrobial+Agents+and+Chemotherapy&amp;rft.atitle=Adverse+effects+of+antimicrobials+via+predictable+or+idiosyncratic+inhibition+of+host+mitochondrial+components&amp;rft.volume=56&amp;rft.issue=8&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E4046-%3C%2Fspan%3E51&amp;rft.date=2012-08&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3421593%23id-name%3DPMC&amp;rft_id=info%3Apmid%2F22615289&amp;rft_id=info%3Adoi%2F10.1128%2FAAC.00678-12&amp;rft.aulast=Barnhill&amp;rft.aufirst=AE&amp;rft.au=Brewer%2C+MT&amp;rft.au=Carlson%2C+SA&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3421593&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span> Review. For the original case series, see <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFSorianoMiróMensa2005" class="citation journal cs1">Soriano A, Miró O, Mensa J (November 2005). <a rel="nofollow" class="external text" href="https://doi.org/10.1056%2FNEJM200511243532123">"Mitochondrial toxicity associated with linezolid"</a>. <i>The New England Journal of Medicine</i>. <b>353</b> (21): <span class="nowrap">2305–</span>6. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1056%2FNEJM200511243532123">10.1056/NEJM200511243532123</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/16306535">16306535</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=The+New+England+Journal+of+Medicine&amp;rft.atitle=Mitochondrial+toxicity+associated+with+linezolid&amp;rft.volume=353&amp;rft.issue=21&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E2305-%3C%2Fspan%3E6&amp;rft.date=2005-11&amp;rft_id=info%3Adoi%2F10.1056%2FNEJM200511243532123&amp;rft_id=info%3Apmid%2F16306535&amp;rft.aulast=Soriano&amp;rft.aufirst=A&amp;rft.au=Mir%C3%B3%2C+O&amp;rft.au=Mensa%2C+J&amp;rft_id=https%3A%2F%2Fdoi.org%2F10.1056%252FNEJM200511243532123&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-Javaheri-92"><span class="mw-cite-backlink"><b><a href="#cite_ref-Javaheri_92-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFJavaheriKhuranaO&#39;hearnLai2007" class="citation journal cs1">Javaheri M, 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class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/16723564">16723564</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Antimicrobial+Agents+and+Chemotherapy&amp;rft.atitle=Inhibition+of+mammalian+mitochondrial+protein+synthesis+by+oxazolidinones&amp;rft.volume=50&amp;rft.issue=6&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E2042-%3C%2Fspan%3E9&amp;rft.date=2006-06&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC1479116%23id-name%3DPMC&amp;rft_id=info%3Apmid%2F16723564&amp;rft_id=info%3Adoi%2F10.1128%2FAAC.01411-05&amp;rft.aulast=McKee&amp;rft.aufirst=EE&amp;rft.au=Ferguson%2C+M&amp;rft.au=Bentley%2C+AT&amp;rft.au=Marks%2C+TA&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC1479116&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ALinezolid" class="Z3988"></span></span> </li> <li id="cite_note-94"><span class="mw-cite-backlink"><b><a href="#cite_ref-94">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFBishopMelvaniHowdenCharles2006" class="citation journal cs1">Bishop E, Melvani S, Howden BP, Charles PG, Grayson ML (April 2006). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1426936">"Good clinical outcomes but high rates of adverse reactions during linezolid therapy for serious infections: a proposed protocol for monitoring therapy in complex patients"</a>. <i>Antimicrobial Agents and Chemotherapy</i>. <b>50</b> (4): <span class="nowrap">1599–</span>602. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1128%2FAAC.50.4.1599-1602.2006">10.1128/AAC.50.4.1599-1602.2006</a>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1426936">1426936</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/16569895">16569895</a>.</cite><span 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title="Corbomycin">Corbomycin</a></li> <li><a href="/wiki/Dalbavancin" title="Dalbavancin">Dalbavancin</a></li> <li><a href="/wiki/Oritavancin" title="Oritavancin">Oritavancin</a></li> <li><a href="/wiki/Ristocetin" title="Ristocetin">Ristocetin</a></li> <li><a href="/wiki/Teicoplanin" title="Teicoplanin">Teicoplanin</a></li> <li><a href="/wiki/Telavancin" title="Telavancin">Telavancin</a></li> <li><a href="/wiki/Vancomycin" title="Vancomycin">Vancomycin</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Polymyxin" title="Polymyxin">Polymyxins</a></th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Colistin" title="Colistin">Colistin</a></li> <li><a href="/wiki/Polymyxin_B" title="Polymyxin B">Polymyxin B</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Steroid" title="Steroid">Steroid</a> antibacterials</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Fusidic_acid" title="Fusidic acid">Fusidic acid</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Imidazole" title="Imidazole">Imidazole</a> derivatives</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Metronidazole" title="Metronidazole">Metronidazole</a></li> <li><a href="/wiki/Ornidazole" title="Ornidazole">Ornidazole</a></li> <li><a href="/wiki/Tinidazole" title="Tinidazole">Tinidazole</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Pleuromutilin" title="Pleuromutilin">Pleuromutilins</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Azamulin" title="Azamulin">Azamulin</a></li> <li><a href="/wiki/Lefamulin" title="Lefamulin">Lefamulin</a></li> <li><a href="/wiki/Retapamulin" title="Retapamulin">Retapamulin</a></li> <li><a href="/wiki/Tiamulin" title="Tiamulin">Tiamulin</a></li> <li><a href="/wiki/Valnemulin" title="Valnemulin">Valnemulin</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Nitrofuran" title="Nitrofuran">Nitrofuran</a> derivatives</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Furazolidone" title="Furazolidone">Furazolidone</a></li> <li><a href="/wiki/Nifuroxazide" title="Nifuroxazide">Nifuroxazide</a></li> <li><a href="/wiki/Nifurtoinol" title="Nifurtoinol">Nifurtoinol</a></li> <li><a href="/wiki/Nifurzide" title="Nifurzide">Nifurzide</a></li> <li><a href="/wiki/Nitrofurantoin" title="Nitrofurantoin">Nitrofurantoin</a></li> <li><a href="/wiki/Nitrofurazone" title="Nitrofurazone">Nitrofurazone</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other antibacterials</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Bacitracin" title="Bacitracin">Bacitracin</a></li> <li><a href="/wiki/Clofoctol" title="Clofoctol">Clofoctol</a></li> <li><a href="/wiki/Daptomycin" title="Daptomycin">Daptomycin</a></li> <li><a href="/wiki/Fosfomycin" title="Fosfomycin">Fosfomycin</a></li> <li><a href="/wiki/Furaltadone" title="Furaltadone">Furaltadone</a></li> <li><a href="/wiki/Lefamulin" title="Lefamulin">Lefamulin</a></li> <li><a class="mw-selflink selflink">Linezolid</a></li> <li><a href="/wiki/Mandelic_acid" title="Mandelic acid">Mandelic acid</a></li> <li><a href="/wiki/Hexamethylenetetramine" title="Hexamethylenetetramine">Methenamine</a></li> <li><a href="/wiki/Nitroxoline" title="Nitroxoline">Nitroxoline</a></li> <li><a href="/wiki/Novobiocin" title="Novobiocin">Novobiocin</a></li> <li><a href="/wiki/Spectinomycin" title="Spectinomycin">Spectinomycin</a></li> <li><a href="/wiki/Tedizolid" title="Tedizolid">Tedizolid</a></li> <li><a href="/wiki/Xibornol" title="Xibornol">Xibornol</a></li></ul> </div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"></div><div role="navigation" class="navbox" aria-labelledby="Monoamine_metabolism_modulators806" style="padding:3px"><table class="nowraplinks mw-collapsible mw-collapsed navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1239400231"><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Monoamine_metabolism_modulators" title="Template:Monoamine metabolism modulators"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Monoamine_metabolism_modulators" title="Template talk:Monoamine metabolism modulators"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Monoamine_metabolism_modulators" title="Special:EditPage/Template:Monoamine metabolism modulators"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Monoamine_metabolism_modulators806" style="font-size:114%;margin:0 4em"><a href="/wiki/Monoamine_neurotransmitter" title="Monoamine neurotransmitter">Monoamine</a> <a href="/wiki/Metabolism" title="Metabolism">metabolism</a> <a href="/wiki/Enzyme_modulator" title="Enzyme modulator">modulators</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align:center;">Non-specific</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:4em;;text-align:center;"><a href="/wiki/Aromatic_L-amino_acid_decarboxylase" title="Aromatic L-amino acid decarboxylase"><abbr title="Aromatic L-amino acid decarboxylase">AAAD</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Aromatic L-amino acid decarboxylase</span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="padding:0"><div style="padding:0 0.25em"> <ul><li><b>Substrates→Products:</b> <a href="/wiki/L-DOPA" title="L-DOPA"><small>L</small>-DOPA (levodopa)</a>→<a href="/wiki/Dopamine" title="Dopamine">Dopamine</a></li> <li><a href="/wiki/5-HTP" class="mw-redirect" title="5-HTP">5-HTP</a>→<a href="/wiki/Serotonin" title="Serotonin">Serotonin</a></li> <li><a href="/wiki/L-Histidine" class="mw-redirect" title="L-Histidine"><small>L</small>-Histidine</a>→<a href="/wiki/Histamine" title="Histamine">Histamine</a></li> <li><a href="/wiki/Phenylalanine" title="Phenylalanine">Phenylalanine</a>→<a href="/wiki/Phenethylamine" title="Phenethylamine">Phenethylamine</a></li> <li><a href="/wiki/L-Tyrosine" class="mw-redirect" title="L-Tyrosine"><small>L</small>-Tyrosine</a>→<a href="/wiki/Tyramine" title="Tyramine">Tyramine</a></li> <li><a href="/wiki/Tryptophan" title="Tryptophan">Tryptophan</a>→<a href="/wiki/Tryptamine" title="Tryptamine">Tryptamine</a></li></ul> <ul><li><b>Inhibitors:</b> <a href="/wiki/Benserazide" title="Benserazide">Benserazide</a></li> <li><a href="/wiki/Carbidopa" title="Carbidopa">Carbidopa</a></li> <li><a href="/wiki/Alpha-Difluoromethyl-DOPA" class="mw-redirect" title="Alpha-Difluoromethyl-DOPA">DFMD</a></li> <li><a href="/wiki/Genistein" title="Genistein">Genistein</a></li> <li><a href="/wiki/Methyldopa" title="Methyldopa">Methyldopa</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:4em;;text-align:center;"><a href="/wiki/Monoamine_oxidase" title="Monoamine oxidase"><abbr title="Monoamine oxidase">MAO</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Monoamine oxidase</span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><td colspan="2" class="navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><b>Substrates→Products (with <a href="/wiki/Aldehyde_dehydrogenase" title="Aldehyde dehydrogenase"><abbr title="Aldehyde dehydrogenase">ALDH</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Aldehyde dehydrogenase</span>/<a href="/wiki/Aldehyde_reductase" class="mw-redirect" title="Aldehyde reductase"><abbr title="Aldehyde reductase">ALR</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip ALR</span>):</b> <a href="/wiki/Epinephrine" class="mw-redirect" title="Epinephrine">Epinephrine (adrenaline)</a>→<a href="/wiki/3,4-Dihydroxymandelic_acid" title="3,4-Dihydroxymandelic acid">DHMA</a></li> <li><a href="/wiki/Metanephrine" title="Metanephrine">Metanephrine</a>→<a href="/wiki/3-Methoxy-4-hydroxyphenylglycol" title="3-Methoxy-4-hydroxyphenylglycol">MHPG</a>/<a href="/wiki/Vanillylmandelic_acid" title="Vanillylmandelic acid">VMA</a></li> <li><a href="/wiki/Norepinephrine" title="Norepinephrine">Norepinephrine (noradrenaline)</a>→<a href="/wiki/3,4-Dihydroxymandelic_acid" title="3,4-Dihydroxymandelic acid">DHMA</a></li> <li><a href="/wiki/Normetanephrine" title="Normetanephrine">Normetanephrine</a>→<a href="/wiki/3-Methoxy-4-hydroxyphenylglycol" title="3-Methoxy-4-hydroxyphenylglycol">MHPG</a>/<a href="/wiki/Vanillylmandelic_acid" title="Vanillylmandelic acid">VMA</a></li> <li><a href="/wiki/Dopamine" title="Dopamine">Dopamine</a>→<a href="/wiki/3,4-Dihydroxyphenylacetic_acid" title="3,4-Dihydroxyphenylacetic acid">DOPAC</a></li> <li><a href="/wiki/3-Methoxytyramine" title="3-Methoxytyramine">3-Methoxytyramine</a>→<a href="/wiki/Homovanillic_acid" title="Homovanillic acid">HVA</a></li> <li><a href="/wiki/Serotonin" title="Serotonin">Serotonin</a>→<a href="/wiki/5-Hydroxyindoleacetic_acid" title="5-Hydroxyindoleacetic acid">5-HIAA</a></li></ul> <ul><li><b>Inhibitors:</b> <i>Non-selective:</i> <a href="/wiki/Benmoxin" title="Benmoxin">Benmoxin</a></li> <li><a href="/wiki/Caroxazone" title="Caroxazone">Caroxazone</a></li> <li><a href="/wiki/Echinopsidine" title="Echinopsidine">Echinopsidine</a></li> <li><a href="/wiki/Furazolidone" title="Furazolidone">Furazolidone</a></li> <li><a href="/wiki/Guineesine" title="Guineesine">Guineesine</a></li> <li><a href="/wiki/Hydralazine" title="Hydralazine">Hydralazine</a></li> <li><a href="/wiki/Indantadol" title="Indantadol">Indantadol</a></li> <li><a href="/wiki/Iproclozide" title="Iproclozide">Iproclozide</a></li> <li><a href="/wiki/Iproniazid" title="Iproniazid">Iproniazid</a></li> <li><a href="/wiki/Isocarboxazid" title="Isocarboxazid">Isocarboxazid</a></li> <li><a href="/wiki/Isoniazid" title="Isoniazid">Isoniazid</a></li> <li><a class="mw-selflink selflink">Linezolid</a></li> <li><a href="/wiki/Mebanazine" title="Mebanazine">Mebanazine</a></li> <li><a href="/wiki/Metfendrazine" title="Metfendrazine">Metfendrazine</a></li> <li><a href="/wiki/Nialamide" title="Nialamide">Nialamide</a></li> <li><a href="/wiki/Octamoxin" title="Octamoxin">Octamoxin</a></li> <li><a href="/wiki/Paraxazone" title="Paraxazone">Paraxazone</a></li> <li><a href="/wiki/Phenelzine" title="Phenelzine">Phenelzine</a></li> <li><a href="/wiki/Pheniprazine" title="Pheniprazine">Pheniprazine</a></li> <li><a href="/wiki/Phenoxypropazine" title="Phenoxypropazine">Phenoxypropazine</a></li> <li><a href="/wiki/Pivhydrazine" title="Pivhydrazine">Pivhydrazine</a></li> <li><a href="/wiki/Procarbazine" title="Procarbazine">Procarbazine</a></li> <li><a href="/wiki/Safrazine" title="Safrazine">Safrazine</a></li> <li><a href="/wiki/Tranylcypromine" title="Tranylcypromine">Tranylcypromine</a></li></ul> </div></td></tr><tr><td colspan="2" class="navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><b>Inhibitors:</b> <i>MAO-A-selective:</i> <a href="/wiki/Amiflamine" title="Amiflamine">Amiflamine</a></li> <li><a href="/wiki/Bazinaprine" title="Bazinaprine">Bazinaprine</a></li> <li><a href="/wiki/Befloxatone" title="Befloxatone">Befloxatone</a></li> <li><a href="/wiki/Brofaromine" title="Brofaromine">Brofaromine</a></li> <li><a href="/wiki/Cimoxatone" title="Cimoxatone">Cimoxatone</a></li> <li><a href="/wiki/Clorgiline" title="Clorgiline">Clorgiline</a></li> <li><a href="/wiki/CX157" title="CX157">CX157 (Tyrima)</a></li> <li><a href="/wiki/Eprobemide" title="Eprobemide">Eprobemide</a></li> <li><a href="/wiki/Esuprone" title="Esuprone">Esuprone</a></li> <li><a href="/wiki/Harmala_alkaloid" title="Harmala alkaloid">Harmala alkaloids</a> (e.g., <a href="/wiki/Harmine" title="Harmine">harmine</a>, <a href="/wiki/Harmaline" title="Harmaline">harmaline</a>, <a href="/wiki/Harmane" title="Harmane">harman</a>, <a href="/wiki/Norharman" class="mw-redirect" title="Norharman">norharman</a>, <a href="/wiki/Tetrahydroharmine" title="Tetrahydroharmine">tetrahydroharmine</a>)</li> <li><a href="/wiki/Methylene_blue" title="Methylene blue">Methylene blue</a></li> <li><a href="/wiki/Metralindole" title="Metralindole">Metralindole</a></li> <li><a href="/wiki/Minaprine" title="Minaprine">Minaprine</a></li> <li><a href="/wiki/Moclobemide" title="Moclobemide">Moclobemide</a></li> <li><a href="/wiki/Pirlindole" title="Pirlindole">Pirlindole</a></li> <li><a href="/wiki/Sercloremine" title="Sercloremine">Sercloremine</a></li> <li><a href="/wiki/Tetrindole" title="Tetrindole">Tetrindole</a></li> <li><a href="/wiki/Toloxatone" title="Toloxatone">Toloxatone</a></li></ul> </div></td></tr><tr><td colspan="2" class="navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><b>Inhibitors:</b> <i>MAO-B selective:</i> <a href="/w/index.php?title=Adarigiline&amp;action=edit&amp;redlink=1" class="new" title="Adarigiline (page does not exist)">Adarigiline</a></li> <li><a href="/wiki/Almoxatone" title="Almoxatone">Almoxatone</a></li> <li><a href="/wiki/D-Deprenyl" title="D-Deprenyl"><small>D</small>-Deprenyl</a></li> <li><a href="/wiki/Desmethylselegiline" title="Desmethylselegiline">Desmethylselegiline</a></li> <li><a href="/wiki/Ethanol" title="Ethanol">Ethanol</a></li> <li><a href="/wiki/Ladostigil" title="Ladostigil">Ladostigil</a></li> <li><a href="/wiki/Lazabemide" title="Lazabemide">Lazabemide</a></li> <li><a href="/wiki/Milacemide" title="Milacemide">Milacemide</a></li> <li><a href="/wiki/Mofegiline" title="Mofegiline">Mofegiline</a></li> <li><a href="/wiki/Nicotine" title="Nicotine">Nicotine</a></li> <li><a href="/wiki/Pargyline" title="Pargyline">Pargyline</a><sup>‡</sup></li> <li><a href="/wiki/Rasagiline" title="Rasagiline">Rasagiline</a></li> <li><a href="/wiki/Safinamide" title="Safinamide">Safinamide</a></li> <li><a href="/wiki/Selegiline" title="Selegiline">Selegiline (<small>L</small>-Deprenyl)</a></li> <li><a href="/w/index.php?title=Sembragiline&amp;action=edit&amp;redlink=1" class="new" title="Sembragiline (page does not exist)">Sembragiline</a></li> <li><a href="/w/index.php?title=Tisolagiline&amp;action=edit&amp;redlink=1" class="new" title="Tisolagiline (page does not exist)">Tisolagiline</a></li> <li><a href="/wiki/Vafidemstat" title="Vafidemstat">Vafidemstat</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align:center;"><a href="/wiki/Substituted_phenethylamine" title="Substituted phenethylamine">Phenethylamines</a><br /><small>(<a href="/wiki/Dopamine" title="Dopamine">dopamine</a>, <a href="/wiki/Epinephrine" class="mw-redirect" title="Epinephrine">epinephrine</a>,<br /><a href="/wiki/Norepinephrine" title="Norepinephrine">norepinephrine</a>)</small></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:4em;;text-align:center;"><a href="/wiki/Phenylalanine_hydroxylase" title="Phenylalanine hydroxylase"><abbr title="Phenylalanine hydroxylase">PAH</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Phenylalanine hydroxylase</span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="padding:0"><div style="padding:0 0.25em"> <ul><li><b>Substrates→Products:</b> <a href="/wiki/Phenylalanine" title="Phenylalanine">Phenylalanine</a>→<a href="/wiki/Tyrosine" title="Tyrosine">Tyrosine</a></li></ul> <ul><li><b>Inhibitors:</b> <a href="/wiki/3,4-Dihydroxystyrene" title="3,4-Dihydroxystyrene">3,4-Dihydroxystyrene</a></li> <li><a href="/wiki/%CE%91-Methylphenylalanine" title="Α-Methylphenylalanine">α-Methylphenylalanine</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:4em;;text-align:center;"><a href="/wiki/Tyrosine_hydroxylase" title="Tyrosine hydroxylase"><abbr title="Tyrosine hydroxylase">TH</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Tyrosine hydroxylase</span></th><td class="navbox-list-with-group navbox-list navbox-even" style="padding:0"><div style="padding:0 0.25em"> <ul><li><b>Substrates→Products:</b> <a href="/wiki/Tyrosine" title="Tyrosine">Tyrosine</a>→<a href="/wiki/L-DOPA" title="L-DOPA"><small>L</small>-DOPA (levodopa)</a></li></ul> <ul><li><b>Inhibitors:</b> <a href="/wiki/2-Hydroxyestradiol" title="2-Hydroxyestradiol">2-Hydroxyestradiol</a></li> <li><a href="/wiki/2-Hydroxyestrone" title="2-Hydroxyestrone">2-Hydroxyestrone</a></li> <li><a href="/wiki/3-Iodotyrosine" title="3-Iodotyrosine">3-Iodotyrosine</a></li> <li><a href="/wiki/%CE%91-Methyl-5-hydroxytryptophan" title="Α-Methyl-5-hydroxytryptophan">α-Methyl-5-hydroxytryptophan (α-Me-5-HTP)</a></li> <li><a href="/wiki/%CE%91-Methylphenylalanine" title="Α-Methylphenylalanine">α-Methylphenylalanine</a></li> <li><a href="/wiki/Aquayamycin" title="Aquayamycin">Aquayamycin</a></li> <li><a href="/wiki/Bulbocapnine" title="Bulbocapnine">Bulbocapnine</a></li> <li><a href="/wiki/Methyldopa" title="Methyldopa">Methyldopa (α-methyl-<small>L</small>-DOPA)</a></li> <li><a href="/wiki/Metirosine" class="mw-redirect" title="Metirosine">Metirosine (α-methyl-<i>p</i>-tyrosine)</a></li> <li><a href="/wiki/Oudenone" title="Oudenone">Oudenone</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:4em;;text-align:center;"><a href="/wiki/Dopamine_beta-hydroxylase" title="Dopamine beta-hydroxylase"><abbr title="Dopamine beta-hydroxylase">DBH</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Dopamine beta-hydroxylase</span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="padding:0"><div style="padding:0 0.25em"> <ul><li><b>Substrates→Products:</b> <a href="/wiki/Dopamine" title="Dopamine">Dopamine</a>→<a href="/wiki/Norepinephrine" title="Norepinephrine">Norepinephrine (Noradrenaline)</a></li></ul> <ul><li><b>Inhibitors:</b> <a href="/wiki/Bupicomide" title="Bupicomide">Bupicomide</a></li> <li><a href="/wiki/Disulfiram" title="Disulfiram">Disulfiram</a></li> <li><a href="/wiki/Dopastin" title="Dopastin">Dopastin</a></li> <li><a href="/wiki/Etamicastat" title="Etamicastat">Etamicastat</a></li> <li><a href="/wiki/Fusaric_acid" title="Fusaric acid">Fusaric acid</a></li> <li><a href="/wiki/Nepicastat" title="Nepicastat">Nepicastat</a></li> <li><a href="/wiki/Phenopicolinic_acid" title="Phenopicolinic acid">Phenopicolinic acid</a></li> <li><a href="/wiki/Tropolone" title="Tropolone">Tropolone</a></li> <li><a href="/wiki/Zamicastat" title="Zamicastat">Zamicastat</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:4em;;text-align:center;"><a href="/wiki/Phenylethanolamine_N-methyltransferase" title="Phenylethanolamine N-methyltransferase"><abbr title="Phenylethanolamine N-methyltransferase">PNMT</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Phenylethanolamine N-methyltransferase</span></th><td class="navbox-list-with-group navbox-list navbox-even" style="padding:0"><div style="padding:0 0.25em"> <ul><li><b>Substrates→Products:</b> <a href="/wiki/Norepinephrine" title="Norepinephrine">Norepinephrine (noradrenaline)</a>→<a href="/wiki/Epinephrine" class="mw-redirect" title="Epinephrine">Epinephrine (adrenaline)</a></li></ul> <ul><li><b>Inhibitors:</b> <a href="/w/index.php?title=CGS-19281A&amp;action=edit&amp;redlink=1" class="new" title="CGS-19281A (page does not exist)">CGS-19281A</a></li> <li><a href="/w/index.php?title=SKF-64139&amp;action=edit&amp;redlink=1" class="new" title="SKF-64139 (page does not exist)">SKF-64139</a></li> <li><a href="/w/index.php?title=SKF-7698&amp;action=edit&amp;redlink=1" class="new" title="SKF-7698 (page does not exist)">SKF-7698</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:4em;;text-align:center;"><a href="/wiki/Catechol-O-methyl_transferase" class="mw-redirect" title="Catechol-O-methyl transferase"><abbr title="Catechol-O-methyl transferase">COMT</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Catechol-O-methyl transferase</span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="padding:0"><div style="padding:0 0.25em"> <ul><li><b>Substrates→Products:</b> <a href="/wiki/Dopamine" title="Dopamine">Dopamine</a>→<a href="/wiki/3-Methoxytyramine" title="3-Methoxytyramine">3-Methoxytyramine</a></li> <li><a href="/wiki/DOPAC" class="mw-redirect" title="DOPAC">DOPAC</a>→<a href="/wiki/Homovanillic_acid" title="Homovanillic acid">Homovanillic acid</a></li> <li><a href="/wiki/Norepinephrine" title="Norepinephrine">Norepinephrine</a>→<a href="/wiki/Normetanephrine" title="Normetanephrine">Normetanephrine</a></li> <li><a href="/wiki/Epinephrine" class="mw-redirect" title="Epinephrine">Epinephrine</a>→<a href="/wiki/Metanephrine" title="Metanephrine">Metanephrine</a></li> <li><a href="/wiki/Dihydroxyphenylethylene_glycol" title="Dihydroxyphenylethylene glycol">DOPEG</a>→<a href="/wiki/Methoxyhydroxyphenylglycol" class="mw-redirect" title="Methoxyhydroxyphenylglycol">MOPEG</a></li> <li><a href="/wiki/3,4-Dihydroxymandelic_acid" title="3,4-Dihydroxymandelic acid">DOMA</a>→<a href="/wiki/Vanillylmandelic_acid" title="Vanillylmandelic acid">VMA</a></li> <li><a href="/wiki/2-Hydroxyestradiol" title="2-Hydroxyestradiol">2-Hydroxyestradiol</a>→<a href="/wiki/2-Methoxyestradiol" title="2-Methoxyestradiol">2-Methoxyestradiol</a></li> <li><a href="/wiki/2-Hydroxyestrone" title="2-Hydroxyestrone">2-Hydroxyestrone</a>→<a href="/wiki/2-Methoxyestrone" title="2-Methoxyestrone">2-Methoxyestrone</a></li> <li><a href="/wiki/4-Hydroxyestradiol" title="4-Hydroxyestradiol">4-Hydroxyestradiol</a>→<a href="/wiki/4-Methoxyestradiol" title="4-Methoxyestradiol">4-Methoxyestradiol</a></li> <li><a href="/wiki/4-Hydroxyestrone" title="4-Hydroxyestrone">4-Hydroxyestrone</a>→<a href="/wiki/4-Methoxyestrone" title="4-Methoxyestrone">4-Methoxyestrone</a></li></ul> <ul><li><b>Inhibitors:</b> <a href="/wiki/2-Hydroxyestradiol" title="2-Hydroxyestradiol">2-Hydroxyestradiol</a></li> <li><a href="/wiki/2-Hydroxyestrone" title="2-Hydroxyestrone">2-Hydroxyestrone</a></li> <li><a href="/wiki/Entacapone" title="Entacapone">Entacapone</a></li> <li><a href="/wiki/Nebicapone" title="Nebicapone">Nebicapone</a></li> <li><a href="/wiki/Neluxicapone" title="Neluxicapone">Neluxicapone</a></li> <li><a href="/wiki/Nitecapone" title="Nitecapone">Nitecapone</a></li> <li><a href="/wiki/Opicapone" title="Opicapone">Opicapone</a></li> <li><a href="/wiki/Quinalizarin" title="Quinalizarin">Quinalizarin</a></li> <li><a href="/wiki/Tolcapone" title="Tolcapone">Tolcapone</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align:center;"><a href="/wiki/Substituted_tryptamine" title="Substituted tryptamine">Tryptamines</a><br /><small>(<a href="/wiki/Serotonin" title="Serotonin">serotonin</a>, <a href="/wiki/Melatonin" title="Melatonin">melatonin</a>)</small></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:4em;;text-align:center;"><a href="/wiki/Tryptophan_hydroxylase" title="Tryptophan hydroxylase"><abbr title="Tryptophan hydroxylase">TPH</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Tryptophan hydroxylase</span></th><td class="navbox-list-with-group navbox-list navbox-even" style="padding:0"><div style="padding:0 0.25em"> <ul><li><b>Substrates→Products:</b> <a href="/wiki/Tryptophan" title="Tryptophan">Tryptophan</a>→<a href="/wiki/5-HTP" class="mw-redirect" title="5-HTP">5-HTP</a></li></ul> <ul><li><b>Inhibitors:</b> <a href="/wiki/AGN-2979" title="AGN-2979">AGN-2979</a></li> <li><a href="/wiki/Fenclonine" title="Fenclonine">Fenclonine (PCPA)</a></li> <li><a href="/wiki/Telotristat_ethyl" title="Telotristat ethyl">Telotristat ethyl</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:4em;;text-align:center;"><a href="/wiki/Serotonin_N-acetyl_transferase" class="mw-redirect" title="Serotonin N-acetyl transferase"><abbr title="Serotonin N-acetyl transferase">AANAT</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Serotonin N-acetyl transferase</span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="padding:0"><div style="padding:0 0.25em"> <ul><li><b>Substrates→Products:</b> <a href="/wiki/Serotonin" title="Serotonin">Serotonin</a>→<a href="/wiki/N-Acetylserotonin" title="N-Acetylserotonin">N-Acetylserotonin</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:4em;;text-align:center;"><a href="/wiki/Acetylserotonin_O-methyltransferase" title="Acetylserotonin O-methyltransferase"><abbr title="Acetylserotonin O-methyltransferase">ASMT</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Acetylserotonin O-methyltransferase</span></th><td class="navbox-list-with-group navbox-list navbox-even" style="padding:0"><div style="padding:0 0.25em"> <ul><li><b>Substrates→Products:</b> <a href="/wiki/N-Acetylserotonin" title="N-Acetylserotonin">N-Acetylserotonin</a>→<a href="/wiki/Melatonin" title="Melatonin">Melatonin</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align:center;"><a href="/wiki/Histamine" title="Histamine">Histamine</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:4em;;text-align:center;"><a href="/wiki/Histidine_decarboxylase" title="Histidine decarboxylase"><abbr title="Histidine decarboxylase">HDC</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Histidine decarboxylase</span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="padding:0"><div style="padding:0 0.25em"> <ul><li><b>Substrates→Products:</b> <a href="/wiki/L-Histidine" class="mw-redirect" title="L-Histidine"><small>L</small>-Histidine</a>→<a href="/wiki/Histamine" title="Histamine">Histamine</a></li></ul> <ul><li><b>Inhibitors:</b> <a href="/wiki/(%2B)-Catechin" class="mw-redirect" title="(+)-Catechin">Catechin</a></li> <li><a href="/wiki/Alpha-Fluoromethylhistidine" class="mw-redirect" title="Alpha-Fluoromethylhistidine">Alpha-Fluoromethylhistidine</a></li> <li><a href="/wiki/Histidine_methyl_ester" title="Histidine methyl ester">Histidine methyl ester</a></li> <li><a href="/wiki/Meciadanol" title="Meciadanol">Meciadanol</a></li> <li><a href="/wiki/Naringenin" title="Naringenin">Naringenin</a></li> <li><a href="/wiki/Tritoqualine" title="Tritoqualine">Tritoqualine</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:4em;;text-align:center;"><a href="/wiki/Histamine_N-methyltransferase" title="Histamine N-methyltransferase"><abbr title="Histamine N-methyltransferase">HNMT</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Histamine N-methyltransferase</span></th><td class="navbox-list-with-group navbox-list navbox-even" style="padding:0"><div style="padding:0 0.25em"> <ul><li><b>Substrates→Products:</b> <a href="/wiki/Histamine" title="Histamine">Histamine</a>→<a href="/w/index.php?title=N-Methylhistamine&amp;action=edit&amp;redlink=1" class="new" title="N-Methylhistamine (page does not exist)">N-Methylhistamine</a></li></ul> <ul><li><b>Inhibitors:</b> <a href="/wiki/Amodiaquine" title="Amodiaquine">Amodiaquine</a></li> <li><a href="/wiki/Diphenhydramine" title="Diphenhydramine">Diphenhydramine</a></li> <li><a href="/wiki/Harmaline" title="Harmaline">Harmaline</a></li> <li><a href="/w/index.php?title=Metoprine&amp;action=edit&amp;redlink=1" class="new" title="Metoprine (page does not exist)">Metoprine</a></li> <li><a href="/wiki/Quinacrine" class="mw-redirect" title="Quinacrine">Quinacrine</a></li> <li><a href="/wiki/SKF-91488" title="SKF-91488">SKF-91488</a></li> <li><a href="/wiki/Tacrine" title="Tacrine">Tacrine</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:4em;;text-align:center;"><a href="/wiki/Diamine_oxidase" title="Diamine oxidase"><abbr title="Diamine oxidase">DAO</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Diamine oxidase</span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="padding:0"><div style="padding:0 0.25em"> <ul><li><b>Substrates→Products:</b> <a href="/wiki/Histamine" title="Histamine">Histamine</a>→<a href="/w/index.php?title=Imidazole_acetic_acid&amp;action=edit&amp;redlink=1" class="new" title="Imidazole acetic acid (page does not exist)">Imidazole acetic acid</a></li></ul> <ul><li><b>Inhibitors:</b> <a href="/wiki/Pimagedine" title="Pimagedine">Pimagedine (aminoguanidine)</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><td class="navbox-abovebelow" colspan="2"><div><small><i><b>See also:</b> <a href="/wiki/Template:Receptor_modulators" title="Template:Receptor modulators">Receptor/signaling modulators</a> • <a href="/wiki/Template:Adrenergics" class="mw-redirect" title="Template:Adrenergics">Adrenergics</a> • <a href="/wiki/Template:Dopaminergics" class="mw-redirect" title="Template:Dopaminergics">Dopaminergics</a> • <a href="/wiki/Template:Melatonergics" class="mw-redirect" title="Template:Melatonergics">Melatonergics</a> • <a href="/wiki/Template:Serotonergics" class="mw-redirect" title="Template:Serotonergics">Serotonergics</a> • <a href="/wiki/Template:Monoamine_reuptake_inhibitors" title="Template:Monoamine reuptake inhibitors">Monoamine reuptake inhibitors</a> • <a href="/wiki/Template:Monoamine_releasing_agents" title="Template:Monoamine releasing agents">Monoamine releasing agents</a> • <a href="/wiki/Template:Monoamine_neurotoxins" class="mw-redirect" title="Template:Monoamine neurotoxins">Monoamine neurotoxins</a></i></small></div></td></tr></tbody></table></div> <style data-mw-deduplicate="TemplateStyles:r1130092004">.mw-parser-output .portal-bar{font-size:88%;font-weight:bold;display:flex;justify-content:center;align-items:baseline}.mw-parser-output .portal-bar-bordered{padding:0 2em;background-color:#fdfdfd;border:1px solid #a2a9b1;clear:both;margin:1em auto 0}.mw-parser-output .portal-bar-related{font-size:100%;justify-content:flex-start}.mw-parser-output .portal-bar-unbordered{padding:0 1.7em;margin-left:0}.mw-parser-output .portal-bar-header{margin:0 1em 0 0.5em;flex:0 0 auto;min-height:24px}.mw-parser-output .portal-bar-content{display:flex;flex-flow:row wrap;flex:0 1 auto;padding:0.15em 0;column-gap:1em;align-items:baseline;margin:0;list-style:none}.mw-parser-output .portal-bar-content-related{margin:0;list-style:none}.mw-parser-output .portal-bar-item{display:inline-block;margin:0.15em 0.2em;min-height:24px;line-height:24px}@media screen and (max-width:768px){.mw-parser-output .portal-bar{font-size:88%;font-weight:bold;display:flex;flex-flow:column wrap;align-items:baseline}.mw-parser-output .portal-bar-header{text-align:center;flex:0;padding-left:0.5em;margin:0 auto}.mw-parser-output .portal-bar-related{font-size:100%;align-items:flex-start}.mw-parser-output .portal-bar-content{display:flex;flex-flow:row wrap;align-items:center;flex:0;column-gap:1em;border-top:1px solid #a2a9b1;margin:0 auto;list-style:none}.mw-parser-output .portal-bar-content-related{border-top:none;margin:0;list-style:none}}.mw-parser-output .navbox+link+.portal-bar,.mw-parser-output .navbox+style+.portal-bar,.mw-parser-output .navbox+link+.portal-bar-bordered,.mw-parser-output .navbox+style+.portal-bar-bordered,.mw-parser-output .sister-bar+link+.portal-bar,.mw-parser-output .sister-bar+style+.portal-bar,.mw-parser-output .portal-bar+.navbox-styles+.navbox,.mw-parser-output .portal-bar+.navbox-styles+.sister-bar{margin-top:-1px}</style><div class="portal-bar noprint metadata noviewer portal-bar-bordered" role="navigation" aria-label="Portals"><span class="portal-bar-header"><a href="/wiki/Wikipedia:Contents/Portals" title="Wikipedia:Contents/Portals">Portal</a>:</span><ul class="portal-bar-content"><li class="portal-bar-item"><span class="nowrap"><span typeof="mw:File"><span><img alt="icon" src="//upload.wikimedia.org/wikipedia/commons/thumb/d/d6/WHO_Rod.svg/8px-WHO_Rod.svg.png" decoding="async" width="8" height="19" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/d/d6/WHO_Rod.svg/12px-WHO_Rod.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/d/d6/WHO_Rod.svg/16px-WHO_Rod.svg.png 2x" data-file-width="107" data-file-height="250" /></span></span> </span><a href="/wiki/Portal:Medicine" title="Portal:Medicine">Medicine</a></li></ul></div> <!-- NewPP limit report Parsed by mw‐web.codfw.main‐65b64b4b74‐vmpw9 Cached time: 20250219122751 Cache expiry: 41536 Reduced expiry: true Complications: [vary‐revision‐sha1, show‐toc] CPU time usage: 2.080 seconds Real time usage: 2.343 seconds Preprocessor visited node count: 16230/1000000 Post‐expand include size: 578880/2097152 bytes Template argument size: 15227/2097152 bytes Highest expansion depth: 25/100 Expensive parser function count: 11/500 Unstrip 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