REMS
Streptococcal pneumoniae
septicemia in children with sickle-cell disease.Spectrum:
Absorption: Variably absorbed from the GI tract. Benzathine penicillin G: IM absorption is delayed and prolonged and results in sustained therapeutic blood levels. IV administration results in complete bioavailability.
Distribution: Widely distributed, although CNS penetration is poor in the presence of normal (non-inflamed) meninges.
Half-Life: 3060 min.
(plasma concentrations)
ROUTE | ONSET | PEAK | DURATION |
---|---|---|---|
Penicillin G IM | rapid | 0.250.5 hr | 46 hr |
Benzathine penicillin IM | delayed | 1224 hr | 3 wk |
Penicillin G IV | rapid | end of infusion | 46 hr |
Contraindicated in:
Use Cautiously in:
Derm: rash, urticaria, ACUTE GENERALIZED EXANTHEMATOUS PUSTULOSIS, DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS (DRESS), STEVENS-JOHNSON SYNDROME, TOXIC EPIDERMAL NECROLYSIS
GI: diarrhea, epigastric distress, nausea, vomiting, CLOSTRIDIOIDES DIFFICILE-ASSOCIATED DIARRHEA (CDAD)
GU: interstitial nephritis
Hemat: eosinophilia, leukopenia
Local: pain at IM site, phlebitis at IV site
Neuro: SEIZURES
Misc: HYPERSENSITIVITY REACTIONS (INCLUDING ANAPHYLAXIS AND SERUM SICKNESS), superinfection
Drug-drug:
Penicillin G Aqueous
Penicillin G Benzathine
Penicillin G Potassium Aqueous
Penicillin G Sodium Aqueous
Penicillin G Benzathine
Lab Test Considerations:
Y-Site Incompatibility:
Incompatible with aminoglycosides; do not admix.
Y-Site Incompatibility:
Incompatible with aminoglycosides; do not admix.
Penicillin G Potassium
Penicillin G Sodium
IV Administration: