12-24 million units/day IV in 6 divided doses
eGFR 0 - 10eGFR 10 - 50eGFR > 500.5-4MU IV q12h0.5-4MU IV q8h0.5-4MU IV q4h
Up to 2 million units IV q4h.
Administer after dialysis on HD days.
Pharmacist review recommended.
2 million units IV q4h
Therapy of Streptococcal and other documented susceptible infections.
Allergy/rash (immediate or delayed)
Seizures
Cytopenias
Eosinophilia
Interstitial nephritis
Abnormal liver enzymes
Serum sickness
Antimicrobial class: Penicillin
Pregnancy category: B
Average serum half life: 1 hour
Urine penetration: Therapeutic
Lung penetration: Therapeutic
CSF penetration: Moderate
Biliary penetration: Therapeutic