User Tools

Site Tools


dicloxacillin

dicloxacillin

see also:

  • avoid prolonged courses, particularly in the elderly as risk of cholestatic jaundice, even though risk is half that for flucloxacillin
  • not for use in neonates - see PI

introduction

  • dicloxacillin is a narrow spectrum penicillin active against Gram +ves including St. aureus
  • not active against Gram negative bacilli, methicillin resistant Staphylococcus, nor Streptococcus faecalis.
  • category B1 in pregnancy
  • is excreted in breast milk in trace amounts. An alternative feeding method is recommended to avoid any possible sensitisation of the newborn.
  • avoid in neonates - see PI

contraindications

adverse reactions

  • HS reaction including anaphylaxis
  • cholestatic jaundice - usually after several weeks of Rx, but lower risk than with flucloxacillin
  • reduces binding of bilirubin to albumin thus avoid in jaundiced neonates or premature neonates
  • sodium load in renally impaired patients
  • high doses (2 to 4 g/day) of dicloxacillin administered prophylactically to geriatric patients undergoing arthroplasties have been reported to be associated with elevations of serum creatinine and nephrotoxicity. Renal function should be assessed prior to starting dicloxacillin and doses appropriately reduced in the presence of kidney dysfunction when high doses are being considered.

dosage

oral dose

  • adults 500mg qid
  • children 6.25 to 12.5 mg/kg qid
  • avoid in neonates

iv dose

To reduce thrombophlebitis risk, administer over a period of three to five minutes for the 500 mg dose and at least five minutes for the 1 g dose.
  • adult dose 500mg - 1g 6hrly
  • children: 6.25 to 12.5 mg/kg every six hours (25mg/kg every 6hrs can be given for severe infections)
  • avoid in neonates
dicloxacillin.txt · Last modified: 2012/01/09 04:01 by 127.0.0.1

Donate Powered by PHP Valid HTML5 Valid CSS Driven by DokuWiki