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Indications

REMS

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

Derm: rash, urticaria.

GI: diarrhea, epigastric distress, nausea, vomiting, ↑ liver enzymes, CLOSTRIDIOIDES DIFFICILE-ASSOCIATED DIARRHEA (CDAD).

GU: acute kidney injury, hematuria, interstitial nephritis, proteinuria.

Hemat: eosinophilia, leukopenia.

Local: pain at IM site, phlebitis at IV site.

Neuro: SEIZURES.

Misc: HYPERSENSITIVITY REACTIONS (INCLUDING ANAPHYLAXIS AND SERUM SICKNESS), superinfection.

Interactions

Drug-Drug:

Availability

(Generic available)

Route/Dosage

see Calculator

US Brand Names

Nallpen

Action

Therapeutic Effects:

Spectrum:

Classifications

Therapeutic Classification: anti-infectives

Pharmacologic Classification: penicillinase resistant penicillins

Pharmacokinetics

Absorption: Completely absorbed following IV administration; well absorbed from IM sites.

Distribution: Widely distributed; penetration into CSF is minimal but sufficient in the presence of inflamed meninges; cross the placenta and enter breast milk.

Protein Binding: 90% to albumin.

Metabolism/Excretion: Partially metabolized by the liver (60%), partially excreted unchanged by the kidneys.

Half-life: Neonates: 1–5 hr; Children 1 mo – 14 yr: 0.75–1.9 hr; Adults: 0.5–1.5 hr (increased in renal impairment).

Time/Action Profile

ROUTEONSETPEAKDURATION
Nafcillin IM30 min60–120 min4–6 hr
Nafcillin IVrapidend of infusion4–6 hr

Patient/Family Teaching

Pronunciation

naf-SILL-in audio

Code

NDC Code*