How to Use

Penicillins - except bacampicillin tablets, amoxicillin, penicillin V, pivampicillin and pivmecillinam are best taken with a full glass - 8 ounces of water on an empty stomach - either 1 hour before or 2 hours after meals unless otherwise directed by your family doctor.

For diseaseds taking amoxicillin, penicillin V, pivampicillin, and pivmecillinam :

• Amoxicillin, penicillin V, pivampicillin and pivmecillinam may be taken on a full or empty stomach.
• The liquid form of amoxicillin may also be taken by itself or mixed with formulas, milk, fruit juice, water, ginger ale, or other cold drinks. If mixed with other liquids, take immediately after mixing. Be sure to drink all the liquid to get the full dose of drug.

For diseaseds taking bacampicillin :

• The liquid form of this drug is best taken with a full glass - 8 ounces of water on an empty stomach - either 1 hour before or 2 hours after meals unless otherwise directed by your family doctor.
• The tablet form of this drug may be taken on a full or empty stomach.

For diseaseds taking penicillin G by mouth :

• Do not drink acidic fruit juices - for example, orange or grapefruit juice or other acidic beverages within 1 hour of taking penicillin G since this may keep the drug from help you.

For diseaseds taking the oral liquid form of penicillins :

• This drug is to be taken by mouth even if it comes in a dropper bottle. If this drug does not come in a dropper bottle, use a specially marked measuring spoon or other device to measure each dose accurately. The average household teaspoon may not hold the right amount of liquid.
• Do not use after the expiration date on the label. The drug may not work properly after that date. If you have any questions about this, check with your pharmacist.

For diseaseds taking the chewable tablet form of amoxicillin :

• Tablets must be chewed or crushed before they are swallowed.

To help clear up your infection completely, keep taking this drug for the full time of treat , even if you begin to feel better after a few days If you have a “strep” infection, you must keep taking this drug for at least 10 days. This is especially important in “strep” infections. Serious heart problems could develop later if your infection is not cleared up completely. Always if you stop taking this drug too soon, your symptoms may return.

This drug works best when there is a constant amount in the blood or urine To help keep the amount constant, do not miss any doses. Always it is best to take the doses at evenly spaced times, day and night . For example, if you are to take four doses a day, the doses must be spaced about 6 hours apart. If this interferes with your sleep or other daily activities, or if you need help in planning the best times to take your drug, check with your health care professional.

Dosage

The number of tablets or teaspoonfuls of suspension that you take depends on the strength of the drug. Always the number of doses you take each day, the time allowed between doses and the length of time you take the drug depend on the medical problem for which you are taking a penicillin .

For amoxicillin
• For bacterial infections:
  • For oral dosage forms - capsules, oral suspension, tablets and chewable tablets:
    • Adults, teenagers and children weighing more than 40 kilograms - kg - 88 pounds 250 to 500 milligrams - mg every eight hours or 500 to 875 mg every twelve hours, depending on the type and severity of the infection.
    • Neonates and infants up to 3 months of age Dose is based on body weight and must be determined by your family doctor. The usual dose is 15 mg per kg - 6.8 mg per pound of body weight or less every twelve hours.
    • Infants 3 months of age and older and children weighing up to 40 kg - 88 lbs. Dose is based on body weight and must be determined by your family doctor. The usual dose is 6.7 to 13.3 mg per kg - 3 to 6 mg per pound of body weight every eight hours or 12.5 to 22.5 mg per kg - 5.7 to 10.2 mg per pound of body weight every twelve hours.
• For duodenal ulcers - associated with Helicobacter pylori bacterial infection:
  • For oral dosage forms - capsules, oral suspension, tablets and chewable tablets:
    • For triple drug therapy
      • Adults: 1000 mg twice a day every twelve hours for fourteen days, along with the two other medication, clarithromycin and lansoprazole, as directed by your family doctor.
      • Teenagers and children: Use and dose must be determined by your family doctor.
    • For dual drug therapy
      • Adults: 1000 mg three times a day every eight hours for fourteen days, along with the other drug, lansoprazole, as directed by your family doctor.
      • Teenagers and children: Use and dose must be determined by your family doctor.

For ampicillin
• For bacterial infections:
  • For oral dosage forms - capsules and oral suspension:
    • Adults, teenagers and children weighing more than 20 kilograms - kg - 44 pounds 250 to 500 milligrams - mg every six hours.
    • Infants and children weighing up to 20 kg - 44 pounds Dose is based on body weight and must be determined by your family doctor. The usual dose is 12.5 to 25 mg per kg - 5.7 to 11.4 mg per pound of body weight every six hours; or 16.7 to 33.3 mg per kg - 7.6 to 15 mg per pound of body weight every eight hours.
  • For injection dosage form:
    • Adults, teenagers and children weighing more than 20 kg - 44 pounds 250 to 500 mg, injected into a vein or muscle every three to six hours.
    • Infants and children weighing up to 20 kg - 44 pounds Dose is based on body weight and must be determined by your family doctor. The usual dose is 12.5 mg per kg - 5.7 mg per pound of body weight, injected into a vein or muscle every six hours.

For bacampicillin
• For bacterial infections:
  • For oral dosage forms - oral suspension and tablets:
    • Adults, teenagers and children weighing more than 25 kilograms - kg - 55 pounds 400 to 800 milligrams - mg every twelve hours.
    • Children weighing up to 25 kg - 55 pounds Bacampicillin tablets are not recommended for use in child weighing up to 25 kg - 55 pounds. The dose of the oral suspension is based on body weight and must be determined by your family doctor. The usual dose is 12.5 to 25 mg per kg - 5.7 to 11.4 mg per pound of body weight every twelve hours.

For carbenicillin
• For bacterial infections:
  • For oral dosage form - tablets:
    • Adults and teenagers 500 milligrams - mg to 1 gram every six hours.
    • Children Dose must be determined by your family doctor.
  • For injection dosage form:
    • Adults and teenagers Dose is based on body weight and must be determined by your family doctor. The usual dose is 50 to 83.3 mg per kilogram - kg - 22.8 to 37.9 mg per pound of body weight, injected into a vein or muscle every four hours.
    • Older infants and children Dose is based on body weight and must be determined by your family doctor. The usual dose is 16.7 to 75 mg per kg - 7.6 to 34 mg per pound of body weight, injected into a vein or muscle every four to six hours.

For cloxacillin
• For bacterial infections:
  • For oral dosage form - capsules and oral solution:
    • Adults, teenagers and children weighing more than 20 kilograms - kg - 44 pounds 250 to 500 milligrams - mg every six hours.
    • Infants and children weighing up to 20 kg - 44 pounds Dose is based on body weight and must be determined by your family doctor. The usual dose is 6.25 to 12.5 mg per kg - 2.8 to 5.7 mg per pound of body weight every six hours.
  • For injection dosage form:
    • Adults, teenagers and children weighing more than 20 kg 250 to 500 mg, injected into a vein every six hours.
    • Infants and children weighing up to 20 kg - 44 pounds Dose is based on body weight and must be determined by your family doctor. The usual dose is 6.25 to 12.5 mg per kg - 2.8 to 5.7 mg per pound of body weight, injected into a vein every six hours.

For dicloxacillin
• For bacterial infections:
  • For oral dosage form - capsules and oral suspension:
    • Adults, teenagers and children weighing more than 40 kilograms - kg - 88 pounds 125 to 250 milligrams - mg every six hours.
    • Infants and children weighing up to 40 kg - 88 pounds Dose is based on body weight and must be determined by your family doctor. The usual dose is 3.1 to 6.2 mg per kg - 1.4 to 2.8 mg per pound of body weight every six hours.

For flucloxacillin
• For bacterial infections:
  • For oral dosage form - capsules and oral suspension:
    • Adults, teenagers and children more than 12 years of age and weighing more than 40 kilograms - kg - 88 pounds 250 to 500 milligrams - mg every six hours.
    • Children less than 12 years of age and weighing up to 40 kg - 88 pounds 125 to 250 mg every six hours; or 6.25 to 12.5 mg per kg - 2.8 to 5.7 mg per pound of body weight every six hours.
    • Infants up to 6 months of age Dose is based on body weight and must be determined by your family doctor. The usual dose is 6.25 mg per kg - 2.8 mg per pound of body weight every six hours.

For methicillin
• For bacterial infections:
  • For injection dosage form:
    • Adults, teenagers and children weighing more than 40 kilograms - kg - 88 pounds 1 gram injected into a muscle every four to six hours; or 1 gram injected into a vein every six hours.
    • Children weighing up to 40 kg - 88 pounds Dose is based on body weight and must be determined by your family doctor. The usual dose is 25 milligrams - mg per kg - 11.4 mg per pound of body weight, injected into a vein or muscle every six hours.

For mezlocillin
• For bacterial infections:
  • For injection dosage form:
    • Adults and teenagers Dose is based on body weight and must be determined by your family doctor. The usual dose is 33.3 to 87.5 milligrams - mg per kilogram - kg - 15.1 to 39.8 mg per pound of body weight, injected into a vein or muscle every four to six hours; or 3 to 4 grams every four to six hours.
    • Infants over 1 month of age and children up to 12 years of age Dose is based on body weight and must be determined by your family doctor. The usual dose is 50 mg per kg - 22.7 mg per pound of body weight, injected into a vein or muscle every four hours.

For nafcillin
• For bacterial infections:
  • For oral dosage form - capsules and tablets:
    • Adults and teenagers 250 milligrams - mg to 1 gram every four to six hours.
    • Older infants and children Dose is based on body weight and must be determined by your family doctor. The usual dose is 6.25 to 12.5 mg per kilogram - kg - 2.8 to 5.7 mg per pound of body weight every six hours.
    • Newborns Dose is based on body weight and must be determined by your family doctor. The usual dose is 10 mg per kg - 4.5 mg per pound of body weight every six to eight hours.
  • For injection dosage form:
    • Adults and teenagers 500 mg to 2 grams injected into a vein or muscle every four to six hours.
    • Infants and children Dose is based on body weight and must be determined by your family doctor. The usual dose is 10 to 25 mg per kg - 4.5 to 11.4 mg per pound of body weight, injected into a muscle every twelve hours; or 10 to 40 mg per kg - 4.5 to 18.2 mg per pound of body weight, injected into a vein every four to eight hours.

For oxacillin
• For bacterial infections:
  • For oral dosage form - capsules and oral solution:
    • Adults, teenagers and children weighing more than 40 kilograms - kg - 88 pounds 500 milligrams - mg to 1 gram every four to six hours.
    • Children weighing up to 40 kg - 88 pounds Dose is based on body weight and must be determined by your family doctor. The usual dose is 12.5 to 25 mg per kg - 5.7 to 11.4 mg per pound of body weight every six hours.
  • For injection dosage form:
    • Adults, teenagers and children weighing more than 40 kg - 88 pounds 250 mg to 1 gram injected into a vein or muscle every four to six hours.
    • Children weighing up to 40 kg - 88 pounds Dose is based on body weight and must be determined by your family doctor. The usual dose is 12.5 to 25 mg per kg - 5.7 to 11.4 mg per pound of body weight, injected into a vein or muscle every four to six hours.
    • Premature infants and newborns Dose is based on body weight and must be determined by your family doctor. The usual dose is 6.25 mg per kg - 2.8 mg per pound of body weight, injected into a vein or muscle every six hours.

For penicillin G
• For bacterial infections:
  • For oral dosage form - oral solution, oral suspension and tablets:
    • Adults and teenagers 200,000 to 500,000 Units - 125 to 312 milligrams "mg " every four to six hours.
    • Infants and children less than 12 years of age Dose is based on body weight and must be determined by your family doctor. The usual dose is 4167 to 30,000 Units per kilogram - kg - 189 to 13,636 Units per pound of body weight every four to eight hours.
  • For benzathine injection dosage form:
    • Adults and teenagers 1,200,000 to 2,400,000 Units injected into a muscle as a single dose.
    • Infants and children 300,000 to 1,200,000 Units injected into a muscle as a single dose; or 50,000 Units per kg - 22,727 Units per pound of body weight injected into a muscle as a single dose.
  • For injection dosage forms - potassium and sodium salts:
    • Adults and teenagers 1,000,000 to 5,000,000 Units, injected into a vein or muscle every four to six hours.
    • Older infants and children Dose is based on body weight and must be determined by your family doctor. The usual dose is 8333 to 25,000 Units per kg - 3788 to 11,363 Units per pound of body weight, injected into a vein or muscle every four to six hours.
    • Premature infants and newborns Dose is based on body weight and must be determined by your family doctor. The usual dose is 30,000 Units per kg - 13,636 Units per pound of body weight, injected into a vein or muscle every twelve hours.
  • For procaine injection dosage form:
    • Adults and teenagers 600,000 to 1,200,000 Units injected into a muscle once a day.
    • Children Dose is based on body weight and must be determined by your family doctor. The usual dose is 50,000 Units per kg - 22,727 Units per pound of body weight, injected into a muscle once a day.

For penicillin V
• For bacterial infections:
  • For the benzathine salt oral dosage form - oral solution:
    • Adults and teenagers 200,000 to 500,000 Units every six to eight hours.
    • Children 100,000 to 250,000 Units every six to eight hours.
  • For the potassium salt oral dosage forms - oral solution, oral suspension and tablets:
    • Adults and teenagers 125 to 500 milligrams - mg every six to eight hours.
    • Children Dose is based on body weight and must be determined by your family doctor. The usual dose is 2.5 to 16.7 mg per kilogram - kg - 1.1 to 7.6 mg per pound of body weight every four to eight hours.

For piperacillin
• For bacterial infections:
  • For injection dosage form:
    • Adults and teenagers 3 to 4 grams, injected into a vein or muscle every four to six hours.
    • Infants and children Dose must be determined by your family doctor.

For pivampicillin
• For bacterial infections:
  • For oral dosage form - oral suspension:
    • Adults, teenagers and children 10 years of age and older 525 to 1050 milligrams - mg two times a day.
    • Children 7 to 10 years of age 350 mg two times a day.
    • Children 4 to 6 years of age 262.5 mg two times a day.
    • Children 1 to 3 years of age 175 mg two times a day.
    • Infants 3 to 12 months of age Dose is based on body weight and must be determined by your family doctor. The usual dose is 20 to 30 mg per kilogram - kg - 9.1 to 13.6 mg per pound of body weight two times a day.
  • For oral dosage form - tablets:
    • Adults, teenagers and children 10 years of age and older 500 mg to 1 gram two times a day.
    • Children up to 10 years of age Dose must be determined by your family doctor.

For pivmecillinam
• For bacterial infections:
  • For oral dosage form - tablets:
    • Adults, teenagers and children weighing more than 40 kilograms - kg - 88 pounds 200 milligrams - mg two to four times a day for three days.
    • Children up to 40 kg - 88 pounds Dose must be determined by your family doctor.

For ticarcillin
• For bacterial infections:
  • For injection dosage form:
    • Adults, teenagers and children weighing more than 40 kilograms - kg - 88 pounds 3 grams injected into a vein every four hours; or 4 grams injected into a vein every six hours.
    • Children up to 40 kg - 88 pounds Dose is based on body weight and must be determined by your family doctor. The usual dose is 33.3 to 75 milligrams - mg per kg - 15 to 34 mg per pound of body weight, injected into a vein every four to six hours.

Missed dose If you miss a dose of this drug, take it as soon as possible. This will help to keep a constant amount of drug in the blood or urine. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage To store this drug:

• Keep out of the reach of children.
• Store away from heat and direct light.
• Do not store the capsule or tablet form of penicillins in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the drug to break down.
• Store the oral liquid form of penicillins in the refrigerator because heat will cause this drug to break down. However, keep the drug from freezing. Follow the directions on the label.
• Do not keep outdated drug or drug no longer needed. Be sure that any discarded drug is out of the reach of children.