Ampicillin/Sulbactam
Revision as of 23:58, 17 April 2014 by Rossdonaldson1 (talk | contribs) (→MeningitisRed Book, 2009)
General
- Type: Amino-Penicillins
- Dosage Forms:
- Common Trade Names: Unasyn
Adult Dosing
General
- 1.5-3g IV/IM q6 hours
- Max: 12g/day
Bite (for Pasteurella multocida Coverage)
- 1.5-3g IM/IV q6 hours
Orbital Cellulitis
- 3g IM/IV q6 hours
Diabetic Foot Osteomyelitis[1]
- 3g IM/IV q6 hours
PID
- 3g IM/IV q6 hours + doxycycline
Pneumonia
- Aspiration or CAP
- 1.5-3g IM/IV q6 hours
- Hospital-acquired: 3g IM/IV q6 hours
UTI, Pyelonephritis
- 3g IM/IV q6 hours x 14 days
Pediatric Dosing (<40kg)
Unasyn (ampicillin/sulbactam) is formulated at a 2:1 ratio (3g vial = 2g ampicillin + 1g sulbactam)
General[2]
- Mild-moderate
- 100-200mg ampicillin/kg/day IM/IV divided q6 hours
- Max: 1000mg ampicillin
- Severe:
- 200mg ampicillin/kg/day divided q6 hours
- Meningitis: 400mg ampicillin/kg/day
- Max: 2000mg
- Mild-moderate
Endocarditis
- 200mg ampicillin/kg/day IM/IV divided q4-6 hours +/- gentamicin x 4-6 weeks
Meningitis[3]
- 200-400mg ampicillin/kg/day IV divided q6 hours
SSTI
- 200mg ampicillin/kg/day IM/IV divided q6 hours
Special Populations
- Pregnancy:
- Lactation:
- Renal Dosing
- Adult
- Pediatric
- Hepatic Dosing
- Adult
- Pediatric
Contraindications
- Allergy to class/drug
Adverse Reactions
Serious
Common
Pharmacology
- Half-life:
- Metabolism:
- Excretion:
- Mechanism of Action: