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Indication & Dosage
 
 
Parenteral
PSEUDOMONAL LUNG INFECTIONS IN CYSTIC FIBROSIS
Adult: 90-150 mg/kg/day in 3 divided doses via IM or IV inj or IV infusion, up to 9 g/day. Doses >1 g should be given via IV route.
Max Dosage:  9 g daily. Doses >1 g should be administered IV.
 
Parenteral
PROPHYLAXIS FOR SURGICAL INFECTION IN PATIENTS UNDERGOING PROSTATE SURGERY
Adult: 1 g at induction of anesth repeated if necessary upon removal of catheter.
 
Parenteral
ENDOPHTHALMITIS
Adult: 1-6 g daily in divided doses every 8 or 12 hr as deep IM, slow IV Inj over 3-5 min or infusion for up to 30 min.
 
Parenteral
ENDOPHTHALMITIS
Child: 30-100 mg/kg/day in 2 or 3 divided doses increased up to 150 mg/kg daily in severe cases. Neonates and infants ≤2 mth: 25-60 mg/kg/day in 2 divided doses. Max dose: 6 g daily in divided doses. Elderly: Max dose: 3 g daily
 
Parenteral
UPPER RESP TRACT INFECTIONS
Adult: 1-6 g daily in divided doses every 8 or 12 hr as deep IM, slow IV Inj over 3-5 min or infusion for up to 30 min.
 
Parenteral
UPPER RESP TRACT INFECTIONS
Child: 30-100 mg/kg/day in 2 or 3 divided doses increased up to 150 mg/kg daily in severe cases. Neonates and infants ≤2 mth: 25-60 mg/kg/day in 2 divided doses. Max dose: 6 g daily in divided doses. Elderly: Max dose: 3 g daily
 
Parenteral
UTI
Adult: 1-6 g daily in divided doses every 8 or 12 hr as deep IM, slow IV Inj over 3-5 min or infusion for up to 30 min.
 
Parenteral
UTI
Child: 30-100 mg/kg/day in 2 or 3 divided doses increased up to 150 mg/kg daily in severe cases. Neonates and infants ≤2 mth: 25-60 mg/kg/day in 2 divided doses. Max dose: 6 g daily in divided doses. Elderly: Max dose: 3 g daily
 
Parenteral
MELIOIDOSIS
Adult: 1-6 g daily in divided doses every 8 or 12 hr as deep IM, slow IV Inj over 3-5 min or infusion for up to 30 min.
 
Parenteral
MELIOIDOSIS
Child: 30-100 mg/kg/day in 2 or 3 divided doses increased up to 150 mg/kg daily in severe cases. Neonates and infants ≤2 mth: 25-60 mg/kg/day in 2 divided doses. Max dose: 6 g daily in divided doses. Elderly: Max dose: 3 g daily
 
Parenteral
PERITONITIS
Adult: 1-6 g daily in divided doses every 8 or 12 hr as deep IM, slow IV Inj over 3-5 min or infusion for up to 30 min.
 
Parenteral
PERITONITIS
Child: 30-100 mg/kg/day in 2 or 3 divided doses increased up to 150 mg/kg daily in severe cases. Neonates and infants ≤2 mth: 25-60 mg/kg/day in 2 divided doses. Max dose: 6 g daily in divided doses. Elderly: Max dose: 3 g daily
 
Parenteral
PNEUMONIA
Adult: 1-6 g daily in divided doses every 8 or 12 hr as deep IM, slow IV Inj over 3-5 min or infusion for up to 30 min.
 
Parenteral
PNEUMONIA
Child: 30-100 mg/kg/day in 2 or 3 divided doses increased up to 150 mg/kg daily in severe cases. Neonates and infants ≤2 mth: 25-60 mg/kg/day in 2 divided doses. Max dose: 6 g daily in divided doses. Elderly: Max dose: 3 g daily
 
Parenteral
SKIN INFECTIONS
Adult: 1-6 g daily in divided doses every 8 or 12 hr as deep IM, slow IV Inj over 3-5 min or infusion for up to 30 min.
 
Parenteral
SKIN INFECTIONS
Child: 30-100 mg/kg/day in 2 or 3 divided doses increased up to 150 mg/kg daily in severe cases. Neonates and infants ≤2 mth: 25-60 mg/kg/day in 2 divided doses. Max dose: 6 g daily in divided doses. Elderly: Max dose: 3 g daily
 
Parenteral
BONE AND JOINT INFECTIONS
Adult: 1-6 g daily in divided doses every 8 or 12 hr as deep IM, slow IV Inj over 3-5 min or infusion for up to 30 min.
 
Parenteral
BONE AND JOINT INFECTIONS
Child: 30-100 mg/kg/day in 2 or 3 divided doses increased up to 150 mg/kg daily in severe cases. Neonates and infants ≤2 mth: 25-60 mg/kg/day in 2 divided doses. Max dose: 6 g daily in divided doses. Elderly: Max dose: 3 g daily30-100 mg/kg/day in 2 or 3 divided doses increased up to 150 mg/kg daily in severe cases. Neonates and infants ≤2 mth: 25-60 mg/kg/day in 2 divided doses. Max dose: 6 g daily in divided doses. Elderly: Max dose: 3 g daily
 
Parenteral
INFECTIONS IN IMMUNOCOMPROMISED PATIENTS
Adult: 1-6 g daily in divided doses every 8 or 12 hr as deep IM, slow IV Inj over 3-5 min or infusion for up to 30 min.
 
Parenteral
INFECTIONS IN IMMUNOCOMPROMISED PATIENTS
Child: 30-100 mg/kg/day in 2 or 3 divided doses increased up to 150 mg/kg daily in severe cases. Neonates and infants ≤2 mth: 25-60 mg/kg/day in 2 divided doses. Max dose: 6 g daily in divided doses. Elderly: Max dose: 3 g daily
 
Parenteral
MENINGITIS
Adult: 1-6 g daily in divided doses every 8 or 12 hr as deep IM, slow IV Inj over 3-5 min or infusion for up to 30 min.
 
Parenteral
MENINGITIS
Child: 30-100 mg/kg/day in 2 or 3 divided doses increased up to 150 mg/kg daily in severe cases. Neonates and infants ≤2 mth: 25-60 mg/kg/day in 2 divided doses. Max dose: 6 g daily in divided doses. Elderly: Max dose: 3 g daily
 
Parenteral
BILIARY TRACT INFECTIONS
Adult: 1-6 g daily in divided doses every 8 or 12 hr as deep IM, slow IV Inj over 3-5 min or infusion for up to 30 min.
 
Parenteral
BILIARY TRACT INFECTIONS
Child: 30-100 mg/kg/day in 2 or 3 divided doses increased up to 150 mg/kg daily in severe cases. Neonates and infants ≤2 mth: 25-60 mg/kg/day in 2 divided doses. Max dose: 6 g daily in divided doses. Elderly: Max dose: 3 g daily
   
Precautions History of penicillin allergy; severe renal impairment; pregnancy, lactation.
   
Potentially Life-threatening 
Adverse Drug Reactions
Hypersensitivity, dizziness, diarrhoea, nausea, vomiting, renal impairment, rash, erythema multiforme, thrombocytopaenia, superinfection, phloebitis and thrombophloebitis at the site of injection.
   
Adverse Drug Reactions

Anaphylactic reactions, nephrotoxicity, pseudomembranous colitis.

   
Interactions Furosemide and aminoglycosides may increase nephrotoxicity.
   
   
 

 

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