Contraindications
Hypersensitivity
Cautions
Pseudomembranous colitis has been reported; may range from mild to life-threatening
Use cautiously in patients with peripheral neuropathies and myopathy; consider discontinuation
Discontinue with symptoms of myopathy and CPK >1000 U/L (>5x ULN), or no symptoms and CPK >2000 U/L (>10x ULN)
CPK elevations more prevalent if dosed more frequently than q24hr
Consider suspending statins during daptomycin therapy; theoretical risk of additive myopathy
Monitor INR closely for several days if on warfarin
May cause eosinophilic pneumonia characterized by fever, cough, shortness of breath, and difficulty breathing; may result in progressive respiratory failure and is potentially fatal
Prolonged use may result in fungal or bacterial superinfection
Perform susceptibility testing and rule out sequestered foci of infection if persisting or relapsing S. aureus bacteremia/endocarditis occurs
Evaluate patients for Clostridium difficile if diarrhea occurs
Avoid use in pediatric patients