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Kerala State Drug Formulary.pdf

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Pencillins<br />

Phenoxymethyl penicillin (Penicillin V)<br />

Dose: 500 mg every 6 hours orally,increase upto 750 mg in<br />

severe infections.<br />

Cost: 250 mg (10) Rs:13.50/-<br />

Beta lactamase resistant penicillins<br />

Cloxacillin<br />

I: Infections due to penicillinase resistant staphylococci<br />

C/I: P/C: A/E: D/I: Similar to that of Benzyl penicillin<br />

P/A: Capsules 250 mg, 500 mg, Injection 250 mg, 500<br />

mg(Powder for reconstitution) Combination<br />

preparations (tablet, injection, syrup) with ampicillin<br />

in different ratios are available.<br />

Dose: 250-500 mg orally 4 times daily half an hour before<br />

food;250 mg IM every 4-6 hours;500 mg slow IV every<br />

4-6 hours.<br />

Cost: Caps 500 mg (10) Rs. 63.00; Injection 250 mg (1 vial)<br />

Rs. 6.00 -10.00<br />

Broad spectrum penicillins<br />

Spectrum of Penicillin G + activity against g –ve bacteria<br />

Ampicillin<br />

I: Urinary tract infection, respiratory tract<br />

infections,otitis media,sinusitis,chronic bronchitis,<br />

invasive salmonellosis and gonorrhea.<br />

C/l: Penicillin hypersensitivity<br />

P/C: D/I: As for of benzyl penicillin.<br />

A/E: As for of benzyl penicillin;nausea,diarrhoea,rashes<br />

P/A: Capsules 250 mg, 500 mg<br />

Injection 500 mg/vial (Powder for reconstitution)<br />

Dose : 250 mg-1 g 6 hourly atleast 30 minutes before or 2<br />

hours after food;500 mg IM/slow IV every 4-6 hours<br />

Cost: Caps 250mg (10) Rs. 32.00 - 36.00<br />

Injection 500 mg (vial) Rs.10.00 - 23.00<br />

Ampicillin + Sulbactam<br />

I: Infections caused by beta lactamase producing<br />

organisms<br />

P/A: Injection Ampicillin1g + Sulbactam 0.5g<br />

Dose: 1.5 – 3 g IV/deep IM 6-8 hourly<br />

Cost: Injection Ampicillin1g + Sulbactam 0.5g vial<br />

Rs. 78.00 – 110.00<br />

63

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