Table 5.
Adverse events possibly or probably related to daptomycina
Age range (yr), sex | Wt (kg) | Underlying disease(s)b | DAP dosec | Adverse event | Onset of event/total DAP duration (days) | DAP DC | Outcome |
---|---|---|---|---|---|---|---|
31–50, M | 141 | CLCR of 30 to <50, OM, DM, HTN, GI disease (no statin) | 6 mg/kg q24h | CPK increase | 8/13 | Yes | Resolved |
51–65, F | 71 | CLCR of 30 to <50, HTN, COPD, anemia/hematologic disease, acute renal failure, solid organ cancer (no statin) | 6 mg/kg q24h | CPK increase | 7/11 | Yes | Resolved |
51–65, F | 85 | CLCR of <30 | 4 mg/kg q48h | Vaginal candidiasis | 8/unknownd | No | Unknown |
66–80, M | 80 | CLCR of <30 ml/min, IE, cardiac arrhythmias, HTN, COPD, renal disease | 6 mg/kg q48h | Anemia | 1/7 | No | Resolved with residual effects |
None of the reported adverse events were serious. Abbreviations: CHF, congestive heart failure; COPD, chronic obstructive pulmonary disease; CLCR, creatinine clearance; CPK, creatine phosphokinase; DAP, daptomycin; DC, discontinued; GI, gastrointestinal; CV, cardiovascular; HTN, hypertension; PVD, peripheral vascular disease; IE, infective endocarditis; OM, osteomyelitis; DM, diabetes mellitus; M, male; F, female.
Start-of-treatment and end-of-treatment CLCR groups did not change for the 4 patients during daptomycin therapy.
Initial and final daptomycin doses did not change for the 4 patients.
The patient was monitored for 19 days after the onset of the adverse event; nothing about the vaginal candidiasis outcome was documented.