๐Ÿ‘จโ€โš•๏ธ Clinically Reviewed by: PakistaniBano Medical Editorial Board (Pharm.D Panel)
๐Ÿ“… Reviewed: November 2026 โ€ข ๐Ÿ” Authority: DRAP / WHO ATC
๐Ÿ“ฆ Formulations, Pack Sizes & Retail Prices Currency: Rs.
Dosage Form Reg. No Pack Size Trade Price (TP) Maximum Retail Price (MRP)
Cap 250 mg 020208 10 Rs.70.55 Rs.83.00
Cap 500 mg 020209 10 Rs.120.70 Rs.142.00
Inj 1 gm 042440 1 Vial Rs.62.05 Rs.73.00
Inj 250 mg 042438 1 Vial Rs.25.50 Rs.30.00
Inj 500 mg 042439 1 Vial โ€” โ€”

๐Ÿ“‹ Indications & Clinical Dosage

*Lower Respiratory tract Infection, Pneumonia:* Adults: 500 mg every 6 hr or 1 gm every 12 hr. Children 9 month: 25-50 mg/ kg/day given every 6 hr or every 12 hr (up to adult dose). *Otitis Media:* Children 9 month: 75-100 mg/kg/day given every 6 hr or every 12 hr. Max: 4 gm/day. *Upper Respiratory Infection, Tonsillitis, Pharyngitis:* Adults: 250 mg every 6 hr or 500 mg every 12 hr. Children 9 month: 25-50 mg/kg/day given every 6 hr or every 12 hr. *Skin Infection:* Adults: 250 mg every 6 hr or 500 mg every 12 hr. Children 9 month: 25-50 mg/kg/day given every 6 hr or every 12 hr (up to adult dose). *Urinary Tract Infection:* Adults: 500 mg every 12 hr; serious infection; 500 mg every 6 hr or 1 gm every 12 hr. Children 9 month: 25-50 mg/kg/day given every 6 hr or every 12 hr (up to adult dose) BY IM OR IV INF: Adults: 2-4 gm daily in divided doses. Children: 50-100 mg/kg daily in divided doses.

๐Ÿ’Š Mode of Administration

Reconstitute for IM with sterile water for injection 2 ml in 500 mg and 4 ml in 1 gm vial. The preparation is single use only. Reconstitute for IV infusion with sterile water for injection 5 ml in 500 mg vial shake to make solution. Transfer the entire contents to the IV infusion diluent. Protect from light.

โš ๏ธ Precautions & Warnings

Penicillin hypersensitivity, renal impairment.

๐Ÿ”„ Drug Interactions

Probenecid, anticoagulants, aminoglycosides.

โš ๏ธ Adverse Reactions / Side Effects

Abdominal discomfort, agranulocytosis, allergic reactions, anaphylaxis, aplastic anaemia, blood disorders, confusion, disturbances in liver enzymes, dizziness, eosinophilia, haemolytic anaemia, hallucinations, headache, hypertonia, leucopenia, nervousness, pruritus, rashes, fever and arthralgia, sleep disturbances, urticaria, GI disturbances, Rare: Stevens-Johnson syndrome, thrombocytopenia, toxic epidermal necrolysis, transient cholestatic jaundice, transient hepatitis

๐Ÿงช Compatibility & Storage Stability

Compatibility: Dextrose 5% or 10 %, NaCI 0.9%.

Stability & Storage: 13 hours at room temperature and 12 hours when stored in refrigerator.

๐Ÿ“š Official Regulatory & Clinical References

  • Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
  • World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
  • Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.

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