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Indications

REMS

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CNS: SEIZURES.

GI: diarrhea, epigastric distress, nausea, vomiting, Clostridium difficile-associated diarrhea (CDAD).

GU: interstitial nephritis.

Derm: rash, urticaria.

Hemat: eosinophilia, leukopenia.

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

Misc: ALLERGIC REACTIONS INCLUDING ANAPHYLAXIS AND SERUM SICKNESS, superinfection.

Interactions

Drug-Drug:

Availability

(Generic available)

Route/Dosage

see Calculator

US Brand Names

Bactocill

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: 94% to albumin.

Metabolism/Excretion: Partially metabolized by the liver (9%), partially excreted unchanged by the kidneys.

Half-life: Neonates: 1.6 hr; Children up to 2 yr: 0.9–1.8 hr; Adults: 0.3–0.8 hr ( in severe hepatic impairment).

Time/Action Profile

ROUTEONSETPEAKDURATION
Oxacillin IMrapid30 min4–6 hr
Oxacillin IVrapidend of infusion4–6 hr

Patient/Family Teaching

Pronunciation

ox-a-SILL-in audio

Code

NDC Code*