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Back to the 8 October 2026 edition

Regulatory · 03 of 05

FDA supplemental approval for premixed daptomycin in sodium chloride

This is a supplement to an existing approval, not a new indication; daptomycin monitoring and limits are unchanged.

The FDA recorded a supplemental approval on 24 September 2026 for Baxter's daptomycin in 0.9% sodium chloride (NDA 213645), a ready-to-use premixed formulation.

The FDA record lists the supplement but does not state what it changes; supplements to an existing application commonly cover labelling, manufacturing or presentation rather than a new indication. Nothing in the record suggests a new safety finding.

For prescribers and pharmacists, the relevant points about daptomycin are unchanged: it is inactivated by pulmonary surfactant and should not be used for pneumonia, creatine kinase should be checked weekly, and statins are usually paused during treatment.

  • Do not use daptomycin for pneumonia; surfactant inactivates it.
  • Check creatine kinase at baseline and weekly during treatment.
  • Consider pausing statins while a patient is on daptomycin.
  • Adjust the dosing interval for creatinine clearance below 30 mL/min.

Why it matters

Premixed bags reduce compounding steps on wards that use daptomycin for staphylococcal bacteraemia.

Don't overread it

A licence supplement is not a new indication or a safety finding.

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