Penicillin G Benzathine: Difference between revisions
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==Special Populations== | ==Special Populations== | ||
*Pregnancy: | *Pregnancy: B | ||
*Lactation: | *Lactation: Safe | ||
*Renal Dosing | *Renal Dosing | ||
**Adult | **Adult | ||
***CrCl 10-50: decrease dose 25% | |||
***CrCl <10: decrease dose 50-80% | |||
***Hemodialysis: give after dialysis without supplement | |||
***Peritoneal Dialysis: decrease dose 50-80% | |||
**Pediatric | **Pediatric | ||
* | ***CrCl 10-50: decrease dose 25% | ||
**Adult | ***CrCl <10: decrease dose 50-80% | ||
** | ***Hemodialysis: give supplement | ||
*Hepatic Dosing (Adult & Pediatric) | |||
**No data | |||
==Contraindications== | ==Contraindications== |
Revision as of 12:45, 27 March 2014
General
- Type: Penicillin, a type of Penicillin G
- Dosage Forms: IM
- Common Trade Names: Bicillin L-A
Adult Dosing
Strep Pharyngitis
- 1.2 million units IM x 1
Syphilis
- Primary, secondary, or latent <1yr
- 2.4 million units IM x 1
- Latent >1yr or unknown duration, or tertiary
- 2.4 million units IM qWeek x 3 weeks
Rheumatic Fever Prophylaxis, Secondary
- 1.2 million units IM ever 4 weeks
Pediatric Dosing
Strep Pharyngitis
- <27kg: 0.6 million units IM x 1
- >27kg: 1.2 million units IM x 1
Syphilis
- Congenital (<1mo)
- 50,000 units/kg IM x 1
- Max: 2.4 million units/dose
- Info: For asymptomatic disease only
- Acquired
- Primary, secondary, or latent <1yr
- 50,000 units/kg IM x 1
- Max: 2.4 million units/dose
- Latent >1yr or unknown duration
- 50,000 units/kg IM qWeek x 3 weeks
- Max: 2.4 million units/dose
- Primary, secondary, or latent <1yr
Rheumatic Fever Prophylaxis, Secondary
- <27kg: 0.6 million units IM every 4 weeks
- >27kg: 1.2 million units IM every 4 weeks
Special Populations
- Pregnancy: B
- Lactation: Safe
- Renal Dosing
- Adult
- CrCl 10-50: decrease dose 25%
- CrCl <10: decrease dose 50-80%
- Hemodialysis: give after dialysis without supplement
- Peritoneal Dialysis: decrease dose 50-80%
- Pediatric
- CrCl 10-50: decrease dose 25%
- CrCl <10: decrease dose 50-80%
- Hemodialysis: give supplement
- Adult
- Hepatic Dosing (Adult & Pediatric)
- No data
Contraindications
- Allergy to class/drug
Adverse Reactions
Serious
Common
Pharmacology
- Half-life:
- Metabolism:
- Excretion:
- Mechanism of Action: