Dosing
CrCl > 80: 250-500 mg q 8 h po.
There is an 875 bid formulation.
CrCl 80-50: 250-500 mg q 8 h po.
CrCl 50-10: q 8-12 h po.
CrCl < 10: q 12-16 h po.
Hemodialysis: 250 mg after HD.
Peritoneal dialysis: Important side effects
Pearls
Rash, when given for acute mononucleosis, is probably more sensitive than a monospot, but less specific.
Treatment of choice
Enterococcus.Use for
Any Streptococci (all). Actinomyces, Anthrax, bacterial Endocarditis prophylaxis, Borrelia burgdorferi infection (Lyme), bronchiectasis, Bronchitis, Chancroid, Chlamydia infections, COPD exacerbation, Endocarditis, endodontic therapy, prophylaxis, Enteric fever, Neisseria, Haemophilus influenzae, Helicobacter pylori, Leptospira infections, Lyme Disease, Meningitis, Otitis media, periodontal disease, Pharyngitis, Pneumonia, Shigella, Sinusitis acute, Cellulitis, Typhoid fever, UTI, Whipples disease.
Class
Penicillin.
Curious Cases
Relevant links to my Medscape blog
Last Update: 04/08/19.