Quinupristin and Dalfopristin

ByBrian J. Werth, PharmD, University of Washington School of Pharmacy
Reviewed/Revised May 2024
VIEW PROFESSIONAL VERSION

Quinupristin and dalfopristin belong to a class of antibiotics called streptogramins. These antibiotics are given together as a combination (dalfopristin/quinupristin). They are used to treat serious infections (especially skin infections), including those caused by bacteria resistant to other antibiotics.

Dalfopristin/quinupristin (D/Q) works by preventing bacteria from producing proteins they need to grow and multiply.

D/Q is given intravenously, usually through a tube (catheter) inserted into a large central vein, such as one in the neck. This is called a central catheter. D/Q can also be given intravenously into a vein in the upper arm and threaded to a large central vein. This is called a peripherally inserted central catheter, or a PICC.

Table

(See also Overview of Antibiotics.)

Use of Dalfopristin/Quinupristin During Pregnancy and Breastfeeding

Dalfopristin/quinupristin should be used during pregnancy only when the benefits of treatment outweigh the risks. (See also Safety of Medications During Pregnancy.)

Whether use of these antibiotics during breastfeeding is safe is not known. (See also Medication and Substance Use During Breastfeeding.)

quizzes_lightbulb_red
Test your KnowledgeTake a Quiz!
Download the free Merck Manual App iOS ANDROID
Download the free Merck Manual App iOS ANDROID
Download the free Merck Manual App iOS ANDROID