Advice

Following a full submission

daptomycin (Cubicin®) is accepted for restricted use within NHS Scotland for the treatment of Staphylococcus aureus bacteraemia (SAB) when associated with right-sided infective endocarditis (RIE) or with complicated skin and soft-tissue infections in adults.

Daptomycin should be restricted to use in patients with known or suspected methicillinresistant S. aureus (MRSA) infection and on the advice of local microbiologists or specialists in infectious disease. Daptomycin has been shown to be as effective as standard therapy in patients with S. aureus bacteraemia with or without endocarditis, though data on the subgroup of patients with RIE due to MRSA are very limited.

Daptomycin has a higher acquisition cost than some alternative treatments; it does not, however, require therapeutic drug monitoring.

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Medicine details

Medicine name:
daptomycin (Cubicin)
SMC ID:
449/08
Indication:
treatment of staphylococcus aureus bacteraemia (SAB) when associated with right-sided infective endocarditis or with complicated skin and soft-tissue infection in adults
Pharmaceutical company
Novartis Pharmaceuticals UK Ltd
BNF chapter
Infections
Submission type
Full
Status
Restricted
Date advice published
10 March 2008