Linezolid
Antibiotic (oxazolidinone)
Brand names: Zyvox
Oral health effects
Tongue discoloration / serotonin interaction
Reversible tongue discoloration and oral candidiasis; also a weak MAO inhibitor (serotonergic-interaction caution).
Clinical management: Reassure on tongue color; review serotonergic drug interactions.
Taste alteration (dysgeusia)
Taste alteration was reported in about 1-2% of adults in comparator-controlled trials (1.8% at 400 mg and 1.0% at 600 mg every 12 hours).
Clinical management: Reassure the patient that it resolves after therapy. Suggest sugar-free gum or lozenges and water, and avoid sugary sweets used to mask the taste.
Sources
- A review and guide to drug-associated oral adverse effects-Dental, salivary and neurosensory reactions. Part 1. Teoh L, Moses G, McCullough MJ. Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 2019.
- Adverse drug events in the oral cavity. Yuan A, Woo SB. Oral surgery, oral medicine, oral pathology and oral radiology, 2015.
- Linezolid prescribing information (FDA label) A-S Medication Solutions / DailyMed, 2026.