Dosing
CrCl > 80: 1.5 - 3.0 g q 6-8 h.
CrCl 80-50: 1.5 - 3.0 g q 6-8.
CrCl 50-10: 1.5 - 3.0 g q 8-12 h.
CrCl < 10: 1.5 - 3.0 g q 24 h.
Hemodialysis:
Peritoneal dialysis:
Important side effects
Important drug interactions
Rants and Screeds
What is really moronic is how often people give this for streptococcal infections. Streptococci doesn't make a beta-lactamase, so all you add is cost without benefit. Where I practice, 30% of E. coli are resistant, so I do not suggest it for intra-abdominal infections. Not bad for anaerobes.
Pearls
Treatment of choice
Use for
I have never found a use for this drug. I suppose one exists, e-mail me if you find one. For Dr. Gicking, as I forgot to put this in the first several drafts: I spell it Uni Sin.
Some use it for Animal bites, Carbuncles, Cellulitis, Chancroid, Diverticulosis/itis, Gonorrhea, lymphadenitis, Mastitis, mycetoma (but not yourcetoma. So selfish.), Nocardia, Otitis media, periodontitis, Pharyngitis, Pneumonia, tonsillitis, UTI.
Don't use for
Class
Penicillin/beta-lactamase inhibitor combination.