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chloramphenicol

chloramphenicol
Brand names: Chloromycetin
Form Strength
POWDER FOR INJECTION, INJECTABLE 1000 mg

Display Chloramphenicol Class: 081208

Medication comments:
Per policy, these hazardous drugs have special waste requirements. 
Generic (Brand) Waste Requirements
chloramphenicol (Chloromycetin) Hazardous Waste ⇒  BLACK BUCKET 
USP <800> Hazardous Drugs 
Per Policy, these drugs have special handling requirements (any drug with an "AOR" is exempt from these requirements under normal circumstances).
generic (Brand) Route Relative Risk Level AOR? NIOSH 2024 Table MSHI? Warnings
 chloramphenicol (Chloromycetin) IV Highest N/A 1A No IARC‑2ANTP‑2
NIOSH Supplemental information (2016): N/A FDA Pregancy Category C: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks;
Pediatric Pharmacy Association 2025 KIDs List of Key Potentially Inappropriate Drugs in Pediatrics 
Medication: chloramphenicol (Chloromycetin)
Key Potentially Inappropriate Drugs in Pediatrics (KIDs) List: Second Edition (Table 1)
Drug chloramphenicol
Risk/Rationale Gray baby syndrome
Recommendation Avoid in younger than 1 mo unless serum concentration monitoring is used
 Quality of evidence: High, Strength of Recommendation: Strong

Last updated: Sep. 25, 2025
  • Hazard.Drug Handling(USP 800) USP<800> Hazardous Drug
  • Hazardous Waste BLACK BUCKET
  • Black Box Warnings Fatal blood dyscrasias



Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556



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