No effect of pyridoxine on the incidence of myelosuppression during prolonged linezolid treatment

Clin Infect Dis. 2006 Nov 1;43(9):e89-91. doi: 10.1086/508280. Epub 2006 Sep 27.

Abstract

Complications of long-term linezolid administration include anemia and thrombocytopenia. A recent report has suggested that pyridoxine may prevent myelosuppression. Pyridoxine was administered to 24 patients with bone infections who were being treated with linezolid. Thrombocytopenia occurred in 11 patients (45.8%), and anemia occurred in 6 (25%). We concluded that treatment wtih pyridoxine is unlikely to benefit patients who have been receiving linezolid for >2 weeks.

Publication types

  • Controlled Clinical Trial

MeSH terms

  • Acetamides / adverse effects*
  • Anemia / chemically induced
  • Anemia / drug therapy*
  • Anemia / epidemiology
  • Anti-Bacterial Agents / adverse effects*
  • Female
  • Humans
  • Incidence
  • Linezolid
  • Male
  • Middle Aged
  • Oxazolidinones / adverse effects*
  • Pyridoxine / therapeutic use*
  • Thrombocytopenia / chemically induced
  • Thrombocytopenia / drug therapy*
  • Thrombocytopenia / epidemiology

Substances

  • Acetamides
  • Anti-Bacterial Agents
  • Oxazolidinones
  • Linezolid
  • Pyridoxine