Orbactiv

— THERAPEUTIC CATEGORIES —
  • Bacterial infections

Orbactiv Generic Name & Formulations

General Description

Oritavancin 400mg; per vial; lyophilized pwd for IV infusion after reconstitution and dilution; contains mannitol; preservative-free.

Pharmacological Class

Lipoglycopeptide.

How Supplied

Single-dose vials—3

Manufacturer

Generic Availability

NO

Orbactiv Indications

Indications

Susceptible acute bacterial skin and skin structure infections (ABSSSI).

Orbactiv Dosage and Administration

Adult

Give by IV infusion over 3hrs. ≥18yrs: 1200mg as a single dose.

Children

<18yrs: not established.

Orbactiv Contraindications

Contraindications

Use of IV unfractionated heparin sodium for 120hrs (5 days) after oritavancin administration.

Orbactiv Boxed Warnings

Not Applicable

Orbactiv Warnings/Precautions

Warnings/Precautions

History of glycopeptide allergy. Discontinue immediately if acute hypersensitivity reaction occurs. Stop or slow the infusion if infusion-related reactions occur. Evaluate if Clostridioides difficile-associated diarrhea is suspected or confirmed. Monitor for osteomyelitis; use alternative therapy if suspected or diagnosed. Severe hepatic or renal impairment: not studied. Pregnancy. Nursing mothers.

Orbactiv Pharmacokinetics

See Literature

Orbactiv Interactions

Interactions

Increased risk of bleeding with concomitant warfarin; may prolong aPTT for up to 120hrs, PT/INR for up to 12hrs, and ACT for up to 24hrs; monitor for bleeding. Avoid concomitant with drugs that are predominantly metabolized by one of the affected CYP450 enzymes. May increase concentrations of CYP2C9/CYP2C19 substrates. May decrease concentrations of CYP3A4/CYP2D6 substrates. May prolong certain lab coagulation tests; consider non-phospholipid dependent test (eg, Factor Xa assay) or alternative anticoagulant not requiring aPTT monitoring.

Orbactiv Adverse Reactions

Adverse Reactions

Headache, nausea, vomiting, limb and subcutaneous abscesses, diarrhea; infusion-related reactions.

Orbactiv Clinical Trials

See Literature

Orbactiv Note

Not Applicable

Orbactiv Patient Counseling

See Literature

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