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▶ Manufacturer advises monitor blood counts, urinalysis,

hepatic and renal function periodically in all patients;

monitor leucocyte count regularly in patients receiving

long-term vancomycin or if given concurrently with other

drugs that may cause neutropenia or agranulocytosis.

▶ Manufacturer advises monitor vestibular and auditory

function during and after treatment in the elderly; avoid

concurrent or sequential use of other ototoxic drugs.

▶ With oral use Manufacturer advises monitoring serumvancomycin concentration in inflammatory intestinal

disorders.

▶ Manufacturer advises serial tests of auditory function may

be helpful to minimise the risk of ototoxicity in patients

with an underlying hearing loss, or who are receiving

concomitant therapy with other ototoxic drugs.

l DIRECTIONS FOR ADMINISTRATION

▶ With intravenous use Avoid rapid infusion (risk of

anaphylactoid reactions) and rotate infusion sites.

For intravenous infusion, give intermittently in Glucose 5%

or Sodium chloride 0.9%; reconstitute each 500 mg with

10 mL water for injections and dilute with infusion fluid to

a concentration of up to 5 mg/mL (10 mg/mL in fluid

restriction but increased risk of infusion-related effects);

give over at least 60 minutes (rate not to exceed

10 mg/minute for doses over 500 mg); use continuous

infusion only if intermittent not feasible.

▶ With oral use Injection can be used to prepare solution for

oral administration—consult product literature.

l MEDICINAL FORMS There can be variation in the licensing of

different medicines containing the same drug. Forms available

from special-order manufacturers include: oral suspension, oral

solution, solution for injection, infusion

Powder for solution for infusion

▶ Vancomycin (Non-proprietary)

Vancomycin (as Vancomycin hydrochloride) 500 mg Vancomycin

500mg powder for solution for infusion vials | 1 vial P £7.25 DT =

£5.49 | 10 vial P £62.50 DT = £62.50

Vancomycin 500mg powder for concentrate for solution for infusion

vials | 1 vial P £5.49–£8.50 DT = £5.49 (Hospital only) | 10 vial P £62.50 DT = £62.50 (Hospital only) | 10 vial P £62.50–£72.50 DT = £62.50

Vancomycin (as Vancomycin hydrochloride) 1 gram Vancomycin

1g powder for solution for infusion vials | 1 vial P £14.50 DT =

£11.25 | 10 vial P £125.00 DT = £125.00

Vancomycin 1g powder for concentrate for solution for infusion vials

| 1 vial P £11.25–£17.25 DT = £11.25 (Hospital only) | 10 vial P £125.00 DT = £125.00 (Hospital only) | 10 vial P £125.00 DT = £125.00

▶ Vancocin (Flynn Pharma Ltd)

Vancomycin (as Vancomycin hydrochloride) 500 mg Vancocin

500mg powder for solution for infusion vials | 1 vial P £6.25 DT =

£5.49

Vancomycin (as Vancomycin hydrochloride) 1 gram Vancocin 1g

powder for solution for infusion vials | 1 vial P £12.50 DT =

£11.25

Capsule

CAUTIONARY AND ADVISORY LABELS 9

▶ Vancomycin (Non-proprietary)

Vancomycin (as Vancomycin hydrochloride) 125 mg Vancomycin

125mg capsules | 28 capsule P £132.47 DT = £132.47

Vancomycin (as Vancomycin hydrochloride) 250 mg Vancomycin

250mg capsules | 28 capsule P £146.38 DT = £146.34

▶ Vancocin Matrigel (Flynn Pharma Ltd)

Vancomycin (as Vancomycin hydrochloride) 125 mg Vancocin

Matrigel 125mg capsules | 28 capsule P £88.31 DT = £132.47

ANTIBACTERIALS › LINCOSAMIDES

Clindamycin 12-Feb-2019

l DRUG ACTION Clindamycin is active against Gram-positive

cocci, including streptococci and penicillin-resistant

staphylococci, and also against many anaerobes, especially

Bacteroides fragilis. It is well concentrated in bone and

excreted in bile and urine.

l INDICATIONS AND DOSE

Staphylococcal bone and joint infections such as

osteomyelitis | Peritonitis | Intra-abdominal sepsis |

Meticillin-resistant Staphylococcus aureus (MRSA) in

bronchiectasis, bone and joint infections, and skin and

soft-tissue infections | Erysipelas or cellulitis in

penicillin-allergic patients (alternative to macrolides)

▶ BY MOUTH

▶ Child: 3–6 mg/kg 4 times a day (max. per dose 450 mg)

▶ Adult: 150–300 mg every 6 hours; increased if

necessary up to 450 mg every 6 hours if required,

increased dose used in severe infection

▶ BY DEEP INTRAMUSCULAR INJECTION, OR BY INTRAVENOUS

INFUSION

▶ Adult: 0.6–2.7 g daily in 2–4 divided doses; increased if

necessary up to 4.8 g daily, increased dose used in lifethreatening infection, single doses above 600 mg to be

administered by intravenous infusion only, single

doses by intravenous infusion not to exceed 1.2 g

Treatment of mild to moderate pneumocystis pneumonia

(in combination with primaquine)

▶ BY MOUTH

▶ Adult: 600 mg every 8 hours

Treatment of falciparum malaria (to be given with or

following quinine)

▶ BY MOUTH

▶ Child: 7–13 mg/kg every 8 hours (max. per dose

450 mg) for 7 days

▶ Adult: 450 mg every 8 hours for 7 days

l UNLICENSED USE Not licensed for treatment of mild to

moderate pneumocystis infection. Not licensed for

treatment of falciparum malaria.

l CONTRA-INDICATIONS Diarrhoeal states

l CAUTIONS Avoid in Acute porphyrias p. 1058 . middleaged and elderly women, especially after an operation

(antibiotic-associated colitis more common)

l INTERACTIONS → Appendix 1: clindamycin

l SIDE-EFFECTS

GENERAL SIDE-EFFECTS

▶ Common or very common Skin reactions

SPECIFIC SIDE-EFFECTS

▶ Common or very common

▶ With oral use Abdominal pain . antibiotic associated colitis . diarrhoea (discontinue)

▶ Uncommon

▶ With oral use Nausea . vomiting

▶ Frequency not known

▶ With oral use Agranulocytosis . angioedema . eosinophilia . gastrointestinal disorders . jaundice . leucopenia . neutropenia . severe cutaneous adverse reactions (SCARs). taste altered .thrombocytopenia . vulvovaginal infection

▶ With parenteral use Abdominal pain . agranulocytosis . antibiotic associated colitis . cardiac arrest. diarrhoea

(discontinue). eosinophilia . hypotension . jaundice . leucopenia . nausea . neutropenia . severe cutaneous

adverse reactions (SCARs).taste altered . thrombocytopenia .thrombophlebitis . vomiting . vulvovaginal infection

SIDE-EFFECTS, FURTHER INFORMATION Antibioticassociated colitis Clindamycin has been associated with

antibiotic-associated colitis, which may be fatal. Although

antibiotic-associated colitis can occur with most

antibacterials, it occurs more frequently with clindamycin.

If C difficile infection is suspected or confirmed,

discontinue the antibiotic if appropriate. Seek specialist

advice if the antibiotic cannot be stopped and the

diarrhoea is severe.

BNF 78 Bacterial infection 535

Infection

5

l PREGNANCY Manufacturer advises not known to be

harmful in the second and third trimesters; use with

caution in the first trimester—limited data.

l BREAST FEEDING g Specialist sources indicate use with

caution—present in milk. Monitor infant for effects on the

gastrointestinal flora such as diarrhoea, candidiasis, or

rarely, blood in the stool indicating possible antibioticassociated colitis. k

l MONITORING REQUIREMENTS Monitor liver and renal

function if treatment exceeds 10 days.

▶ In children Monitor liver and renal function in neonates

and infants.

l DIRECTIONS FOR ADMINISTRATION

▶ With intravenous use Avoid rapid intravenous

administration.

For intravenous infusion (Dalacin ® C Phosphate), give

continuously or intermittently in Glucose 5% or Sodium

Chloride 0.9%; dilute to not more than 18 mg/mL and give

over 10–60 minutes at a rate not exceeding 30 mg/minute

(1.2 g over at least 60 minutes; higher doses by continuous

infusion).

l PATIENT AND CARER ADVICE Patients and their carers

should be advised to discontinue and contact a doctor

immediately if severe, prolonged or bloody diarrhoea

develops.

▶ With oral use Capsules should be swallowed with a glass of

water.

l PROFESSION SPECIFIC INFORMATION

Dental practitioners’ formulary

▶ With oral use Clindamycin capsules may be prescribed.

l MEDICINAL FORMS There can be variation in the licensing of

different medicines containing the same drug. Forms available

from special-order manufacturers include: oral suspension, oral

solution

Solution for injection

EXCIPIENTS: May contain Benzyl alcohol

▶ Clindamycin (Non-proprietary)

Clindamycin (as Clindamycin phosphate) 150 mg per

1 ml Clindamycin 600mg/4ml solution for injection ampoules | 5 ampoule P £59.00 (Hospital only) | 5 ampoule P £61.75

Clindamycin 300mg/2ml solution for injection ampoules | 5 ampoule P £29.50 (Hospital only) | 5 ampoule P £31.01

▶ Dalacin C (Pfizer Ltd)

Clindamycin (as Clindamycin phosphate) 150 mg per 1 ml Dalacin

C Phosphate 300mg/2ml solution for injection ampoules | 5 ampoule P £31.01 (Hospital only)

Dalacin C Phosphate 600mg/4ml solution for injection ampoules | 5 ampoule P £61.75 (Hospital only)

Capsule

CAUTIONARY AND ADVISORY LABELS 9, 27

▶ Clindamycin (Non-proprietary)

Clindamycin (as Clindamycin hydrochloride) 75 mg Clindamycin

75mg capsules | 24 capsule P £7.45 DT = £7.45

Clindamycin (as Clindamycin hydrochloride) 150 mg Clindamycin

150mg capsules | 24 capsule P £13.72 DT = £3.08 |

100 capsule P £12.83–£55.08

Clindamycin (as Clindamycin hydrochloride) 300 mg Clindamycin

300mg capsules | 30 capsule P £42.00 DT = £38.26

▶ Dalacin C (Pfizer Ltd)

Clindamycin (as Clindamycin hydrochloride) 75 mg Dalacin C

75mg capsules | 24 capsule P £7.45 DT = £7.45

Clindamycin (as Clindamycin hydrochloride) 150 mg Dalacin C

150mg capsules | 24 capsule P £13.72 DT = £3.08 | 100 capsule P £55.08

ANTIBACTERIALS › MACROLIDES

Macrolides 18-Jun-2018

Overview

The macrolides have an antibacterial spectrum that is similar

but not identical to that of penicillin; they are thus an

alternative in penicillin-allergic patients. They are active

against many-penicillin-resistant staphylococci, but some

are now also resistant to the macrolides.

Indications for the macrolides include campylobacter

enteritis, respiratory infections (including pneumonia,

whooping cough, Legionella, chlamydia, and mycoplasma

infection), and skin infections.

Erythromycin p. 539 is also used in the treatment of early

syphilis, uncomplicated genital chlamydial infection, and

non-gonococcal urethritis. Erythromycin has poor activity

against Haemophilus influenzae. Erythromycin causes nausea,

vomiting, and diarrhoea in some patients; in mild to

moderate infections this can be avoided by giving a lower

dose, but if a more serious infection, such as Legionella

pneumonia, is suspected higher doses are needed.

Azithromycin below is a macrolide with slightly less

activity than erythromycin against Gram-positive bacteria,

but enhanced activity against some Gram-negative

organisms including H. influenzae. Plasma concentrations

are very low, but tissue concentrations are much higher. It

has a long tissue half-life and once daily dosage is

recommended. Azithromycin is also used in the treatment of

uncomplicated genital chlamydial infection, non-gonococcal

urethritis, uncomplicated gonorrhoea, typhoid [unlicensed

indication], trachoma [unlicensed indication], and Lyme

disease [unlicensed indication].

Clarithromycin p. 538 is an erythromycin derivative with

slightly greater activity than the parent compound. Tissue

concentrations are higher than with erythromycin.

Clarithromycin is also used in regimens for Helicobacter

pylori eradication.

Spiramycin is also a macrolide which is used for the

treatment of toxoplasmosis.

Macrolides f

l CAUTIONS

▶ With intravenous use or oral use electrolyte disturbances

(predisposition to QT interval prolongation). may

aggravate myasthenia gravis . predisposition to QT interval

prolongation

l SIDE-EFFECTS

▶ Common or very common Appetite decreased . diarrhoea . dizziness . gastrointestinal discomfort. gastrointestinal

disorders . headache . hearing impairment. insomnia . nausea . pancreatitis . paraesthesia . skin reactions .taste

altered . vasodilation . vision disorders . vomiting

▶ Uncommon Angioedema . anxiety . arrhythmias . candida

infection . chest pain . constipation . drowsiness . eosinophilia . hepatic disorders . leucopenia . neutropenia . palpitations . QT interval prolongation . severe cutaneous

adverse reactions (SCARs).tinnitus . vertigo

▶ Rare or very rare Antibiotic associated colitis . myasthenia

gravis . nephritis tubulointerstitial

▶ Frequency not known Hallucination . hypotension . seizure . smell altered .thrombocytopenia .tongue discolouration

eiii F abovei

Azithromycin 11-Jul-2018

l INDICATIONS AND DOSE

Prevention of secondary case of invasive group A

streptococcal infection in patients who are allergic to

penicillin

▶ BY MOUTH

▶ Child 6 months–11 years: 12 mg/kg once daily (max. per

dose 500 mg) for 5 days

▶ Child 12–17 years: 500 mg once daily for 5 days

▶ Adult: 500 mg once daily for 5 days

536 Bacterial infection BNF 78

Infection

5

Respiratory-tract infections, otitis media, skin and softtissue infections

▶ BY MOUTH

▶ Child 6 months–17 years: 10 mg/kg once daily (max. per

dose 500 mg) for 3 days

▶ Child 6 months–17 years (body-weight 15–25 kg): 200 mg

once daily for 3 days

▶ Child 6 months–17 years (body-weight 26–35 kg): 300 mg

once daily for 3 days

▶ Child 6 months–17 years (body-weight 36–45 kg): 400 mg

once daily for 3 days

▶ Child 6 months–17 years (body-weight 46 kg and above):

500 mg once daily for 3 days

▶ Adult: 500 mg once daily for 3 days, alternatively

initially 500 mg once daily for 1 day, then 250 mg once

daily for 4 days

Uncomplicated genital chlamydial infections | Nongonococcal urethritis

▶ BY MOUTH

▶ Child 12–17 years: 1 g for 1 dose

▶ Adult: 1 g for 1 dose

Uncomplicated gonorrhoea

▶ BY MOUTH

▶ Adult: 1 g for 1 dose

Lyme disease [erythema migrans and/or non-focal

symptoms]

▶ BY MOUTH

▶ Adult: 500 mg daily for 17 days

Mild to moderate typhoid due to multiple-antibacterial

resistant organisms

▶ BY MOUTH

▶ Adult: 500 mg once daily for 7 days

Community-acquired pneumonia, low to moderate

severity

▶ BY MOUTH

▶ Adult: 500 mg once daily for 3 days, alternatively

initially 500 mg once daily for 1 day, then 250 mg once

daily for 4 days

Community-acquired pneumonia, high severity

▶ INITIALLY BY INTRAVENOUS INFUSION

▶ Adult: Initially 500 mg once daily for at least 2 days,

then (by mouth) 500 mg once daily for a total duration

of 7–10 days

Antibacterial prophylaxis for insertion of intra-uterine

device

▶ BY MOUTH

▶ Adult: 1 g for 1 dose

l UNLICENSED USE

▶ In children Not licensed for prevention of group A

streptococcal infection.

▶ With oral use in adults Azithromycin may be used as detailed

below, although these situations are considered outside

the scope of its licence:

. prevention of group A streptococcal infection;

. uncomplicated gonorrhoea;

. gLyme diseaseh;

. mild to moderate typhoid due to multiple-antibacterial

resistant organisms;

. community-acquired pneumonia (high severity) when

oral treatment continues for more than 3 days.

l INTERACTIONS → Appendix 1: macrolides

l SIDE-EFFECTS

▶ Common or very common

▶ With oral use Arthralgia

▶ Uncommon

▶ With oral use Numbness . oedema . photosensitivity

reaction

▶ With parenteral use Numbness . oedema . photosensitivity

reaction

▶ Frequency not known

▶ With oral use Acute kidney injury . aggression . akathisia . haemolytic anaemia . syncope

▶ With parenteral use Acute kidney injury . aggression . akathisia . haemolytic anaemia . syncope

l PREGNANCY Manufacturers advise use only if adequate

alternatives not available.

l BREAST FEEDING Present in milk; use only if no suitable

alternatives.

l HEPATIC IMPAIRMENT Manufacturer advises caution;

consider avoiding in severe impairment (no information

available).

l RENAL IMPAIRMENT

▶ In adults Use with caution if eGFR less than

10 mL/minute/1.73 m2

.

▶ With oral use in children Use with caution if estimated

glomerular filtration rate less than 10 mL/minute/1.73 m2

.

l DIRECTIONS FOR ADMINISTRATION

▶ With intravenous use in adults For intravenous infusion

(Zedbac ®), give intermittently in Glucose 5% or Sodium

Chloride 0.9%. Reconstitute 500 mg with 4.8 mL water for

injections to produce a 100 mg/mL solution, then dilute

5 mL of solution with infusion fluid to a final

concentration of 1 or 2 mg/mL; give the 1 mg/mL solution

over 3 hours or give the 2 mg/mL solution over 1 hour.

l PRESCRIBING AND DISPENSING INFORMATION

▶ With oral use See Lyme disease p. 577 for place in therapy

and further information on treatment. Flavours of oral

liquid formulations may include cherry or banana.

l PATIENT AND CARER ADVICE

Medicines for Children leaflet: Azithromycin for bacterial infections

www.medicinesforchildren.org.uk/azithromycin-bacterialinfections-0

l PROFESSION SPECIFIC INFORMATION

Dental practitioners’ formulary

▶ With oral use Azithromycin Capsules may be prescribed.

Azithromycin Tablets may be prescribed.

Azithromycin Oral Suspension 200 mg/5 mL may be

prescribed.

l EXCEPTIONS TO LEGAL CATEGORY

▶ With oral use Azithromycin tablets can be sold to the public

for the treatment of confirmed, asymptomatic Chlamydia

trachomatis genital infection in those over 16 years of age,

and for the epidemiological treatment of their sexual

partners, subject to maximum single dose of 1 g, maximum

daily dose 1 g, and a pack size of 1 g.

l MEDICINAL FORMS There can be variation in the licensing of

different medicines containing the same drug. Forms available

from special-order manufacturers include: oral suspension

Tablet

CAUTIONARY AND ADVISORY LABELS 5, 9

▶ Azithromycin (Non-proprietary)

Azithromycin 250 mg Azithromycin 250mg tablets | 4 tablet P £10.11 DT = £1.24 | 6 tablet P £2.01–£14.46

Azithromycin 500 mg Azithromycin 500mg tablets | 3 tablet P £9.80 DT = £1.09

Oral suspension

CAUTIONARY AND ADVISORY LABELS 5, 9

▶ Azithromycin (Non-proprietary)

Azithromycin 40 mg per 1 ml Azithromycin 200mg/5ml oral

suspension | 15 ml P £6.18 DT = £4.06 | 30 ml P £11.04 DT =

£11.04

▶ Zithromax (Pfizer Ltd)

Azithromycin 40 mg per 1 ml Zithromax 200mg/5ml oral

suspension | 15 ml P £4.06 DT = £4.06 | 22.5 ml P £6.10 DT =

£6.10 | 30 ml P £11.04 DT = £11.04

Powder for solution for infusion

ELECTROLYTES: May contain Sodium

▶ Zedbac (Aspire Pharma Ltd)

Azithromycin (as Azithromycin dihydrate) 500 mg Zedbac 500mg

powder for solution for infusion vials | 1 vial P £9.50 (Hospital

only)

BNF 78 Bacterial infection 537

Infection

5

Capsule

CAUTIONARY AND ADVISORY LABELS 5, 9, 23

▶ Azithromycin (Non-proprietary)

Azithromycin (as Azithromycin dihydrate) 250 mg Azithromycin

250mg capsules | 4 capsule P £2.44–£10.10 | 6 capsule P £15.15 DT = £3.02

▶ Zithromax (Pfizer Ltd)

Azithromycin (as Azithromycin dihydrate) 250 mg Zithromax

250mg capsules | 4 capsule P £7.16 | 6 capsule P £10.74 DT

= £3.02

eiiiF 536i

Clarithromycin 01-May-2019

l INDICATIONS AND DOSE

Respiratory-tract infections | Mild to moderate skin and

soft-tissue infections

▶ BY MOUTH USING IMMEDIATE-RELEASE MEDICINES

▶ Child 1 month–11 years (body-weight up to 8 kg): 7.5 mg/kg

twice daily

▶ Child 1 month–11 years (body-weight 8–11 kg): 62.5 mg

twice daily

▶ Child 1 month–11 years (body-weight 12–19 kg): 125 mg

twice daily

▶ Child 1 month–11 years (body-weight 20–29 kg): 187.5 mg

twice daily

▶ Child 1 month–11 years (body-weight 30–40 kg): 250 mg

twice daily

▶ Child 12–17 years: 250 mg twice daily usually for

7–14 days, increased to 500 mg twice daily, if required

in severe infections (e.g. pneumonia)

▶ Adult: 250 mg twice daily usually for 7–14 days,

increased to 500 mg twice daily, if required in severe

infections (e.g. pneumonia)

▶ BY MOUTH USING MODIFIED-RELEASE MEDICINES

▶ Child 12–17 years: 500 mg once daily usually for

7–14 days, increased to 1 g once daily, if required in

severe infections (e.g. pneumonia)

▶ Adult: 500 mg once daily usually for 7–14 days,

increased to 1 g once daily, if required in severe

infections (e.g. pneumonia)

▶ BY INTRAVENOUS INFUSION

▶ Adult: 500 mg every 12 hours maximum duration

5 days, switch to oral route when appropriate, to be

administered into a large proximal vein

Acute exacerbation of chronic obstructive pulmonary

disease

▶ BY MOUTH USING IMMEDIATE-RELEASE MEDICINES

▶ Adult: 500 mg twice daily for 5 days

▶ BY INTRAVENOUS INFUSION

▶ Adult: 500 mg every 12 hours, to be administered into a

large proximal vein

Acute exacerbation of bronchiectasis

▶ BY MOUTH USING IMMEDIATE-RELEASE MEDICINES

▶ Child 1 month–11 years (body-weight up to 8 kg): 7.5 mg/kg

twice daily for 7–14 days

▶ Child 1 month–11 years (body-weight 8–11 kg): 62.5 mg

twice daily for 7–14 days

▶ Child 1 month–11 years (body-weight 12–19 kg): 125 mg

twice daily for 7–14 days

▶ Child 1 month–11 years (body-weight 20–29 kg): 187.5 mg

twice daily for 7–14 days

▶ Child 1 month–11 years (body-weight 30–40 kg): 250 mg

twice daily for 7–14 days

▶ Child 12–17 years: 250–500 mg twice daily for 7–14 days

▶ Adult: 500 mg twice daily for 7–14 days

Acute cough [if systemically very unwell or at higher risk

of complications]

▶ BY MOUTH USING IMMEDIATE-RELEASE MEDICINES

▶ Child 1 month–11 years (body-weight up to 8 kg): 7.5 mg/kg

twice daily for 5 days

▶ Child 1 month–11 years (body-weight 8–11 kg): 62.5 mg

twice daily for 5 days

▶ Child 1 month–11 years (body-weight 12–19 kg): 125 mg

twice daily for 5 days

▶ Child 1 month–11 years (body-weight 20–29 kg): 187.5 mg

twice daily for 5 days

▶ Child 1 month–11 years (body-weight 30–40 kg): 250 mg

twice daily for 5 days

▶ Child 12–17 years: 250–500 mg twice daily for 5 days

▶ Adult: 250–500 mg twice daily for 5 days

Acute otitis media

▶ BY MOUTH USING IMMEDIATE-RELEASE MEDICINES

▶ Child 1 month–11 years (body-weight up to 8 kg): 7.5 mg/kg

twice daily for 5–7 days

▶ Child 1 month–11 years (body-weight 8–11 kg): 62.5 mg

twice daily for 5–7 days

▶ Child 1 month–11 years (body-weight 12–19 kg): 125 mg

twice daily for 5–7 days

▶ Child 1 month–11 years (body-weight 20–29 kg): 187.5 mg

twice daily for 5–7 days

▶ Child 1 month–11 years (body-weight 30–40 kg): 250 mg

twice daily for 5–7 days

▶ Child 12–17 years: 250–500 mg twice daily for 5–7 days

▶ Adult: 250 mg twice daily usually for 7–14 days,

increased to 500 mg twice daily, if required in severe

infections

▶ BY INTRAVENOUS INFUSION

▶ Adult: 500 mg every 12 hours maximum duration

5 days, switch to oral route when appropriate, to be

administered into a large proximal vein

Prevention of pertussis

▶ BY MOUTH USING IMMEDIATE-RELEASE MEDICINES

▶ Child 1 month–11 years (body-weight up to 8 kg): 7.5 mg/kg

twice daily for 7 days

▶ Child 1 month–11 years (body-weight 8–11 kg): 62.5 mg

twice daily for 7 days

▶ Child 1 month–11 years (body-weight 12–19 kg): 125 mg

twice daily for 7 days

▶ Child 1 month–11 years (body-weight 20–29 kg): 187.5 mg

twice daily for 7 days

▶ Child 1 month–11 years (body-weight 30–40 kg): 250 mg

twice daily for 7 days

▶ Child 12–17 years: 500 mg twice daily for 7 days

▶ Adult: 500 mg twice daily for 7 days

Helicobacter pylori eradication in combination with a

proton pump inhibitor and amoxicillin

▶ BY MOUTH

▶ Adult: 500 mg twice daily

Helicobacter pylori eradication in combination with a

proton pump inhibitor and metronidazole

▶ BY MOUTH

▶ Adult: 250 mg twice daily

Acute sinusitis

▶ BY MOUTH USING IMMEDIATE-RELEASE MEDICINES

▶ Child 1 month–11 years (body-weight up to 8 kg): 7.5 mg/kg

twice daily for 5 days

▶ Child 1 month–11 years (body-weight 8–11 kg): 62.5 mg

twice daily for 5 days

▶ Child 1 month–11 years (body-weight 12–19 kg): 125 mg

twice daily for 5 days

▶ Child 1 month–11 years (body-weight 20–29 kg): 187.5 mg

twice daily for 5 days

▶ Child 1 month–11 years (body-weight 30–40 kg): 250 mg

twice daily for 5 days

▶ Child 12–17 years: 250 mg twice daily for 5 days,

alternatively 500 mg twice daily for 5 days

▶ Adult: 500 mg twice daily for 5 days

l UNLICENSED USE g Duration of treatment for acute

sinusitis differs from product literature and adheres to

538 Bacterial infection BNF 78

Infection

5

national guidelines. hSee Sinusitis (acute) p. 1203 for

further information.

▶ With oral use in children g Duration of treatment for

acute otitis media differs from product literature and

adheres to national guidelines. hSee Ear infections,

antibacterial therapy p. 511 for further information.

Tablets not licensed for use in children under 12 years; oral

suspension not licensed for use in infants under 6 months.

l INTERACTIONS → Appendix 1: macrolides

l SIDE-EFFECTS

GENERAL SIDE-EFFECTS

▶ Uncommon Burping . dry mouth . muscle complaints . oral

disorders .thrombocytosis .tremor

▶ Frequency not known Abnormal dreams . agranulocytosis . depersonalisation . depression . mania . myopathy . psychotic disorder.renal failure .tooth discolouration . urine discolouration

SPECIFIC SIDE-EFFECTS

▶ Uncommon

▶ With oral use Epistaxis

▶ With parenteral use Cardiac arrest. dyskinesia . haemorrhage . loss of consciousness . pulmonary embolism

l PREGNANCY Manufacturer advises avoid, particularly in

the first trimester, unless potential benefit outweighs risk.

l BREAST FEEDING Manufacturer advises avoid unless

potential benefit outweighs risk—present in milk.

l HEPATIC IMPAIRMENT Manufacturer advises caution in

mild-to-moderate impairment; avoid in severe failure if

renal impairment also present.

l RENAL IMPAIRMENT Avoid if severe hepatic impairment

also present.

▶ With oral use in adults Avoid Klaricid XL ® or clarithromycin

m/r preparations if eGFR less than 30 mL/minute/1.73 m2

.

▶ With oral use in children Avoid Klaricid XL ® or clarithromyin

m/r preparations if estimated glomerular filtration rate

less than 30 mL/minute/1.73 m2

.

Dose adjustments ▶ In adults Use half normal dose if eGFR

less than 30 mL/minute/1.73 m2

, max. duration 14 days.

▶ In children Use half normal dose if estimated glomerular

filtration rate less than 30 mL/minute/1.73 m2

, max.

duration 14 days.

l DIRECTIONS FOR ADMINISTRATION

▶ With intravenous use in adults For intravenous infusion

(Klaricid ® I.V.), give intermittently in Glucose 5% or

Sodium Chloride 0.9%; dissolve initially in water for

injections (500 mg in 10 mL) then dilute to a concentration

of 2 mg/mL; give over 60 minutes.

l PATIENT AND CARER ADVICE

Medicines for Children leaflet: Clarithromycin for bacterial

infections www.medicinesforchildren.org.uk/clarithromycinbacterial-infections

l PROFESSION SPECIFIC INFORMATION

Dental practitioners’ formulary

Clarithromycin Tablets may be prescribed.

Clarithromycin Oral Suspension may be prescribed.

l MEDICINAL FORMS There can be variation in the licensing of

different medicines containing the same drug. Forms available

from special-order manufacturers include: infusion

Modified-release tablet

CAUTIONARY AND ADVISORY LABELS 9, 21, 25

▶ Clarie XL (Teva UK Ltd)

Clarithromycin 500 mg Clarie XL 500mg tablets | 7 tablet P £6.72 DT = £6.72 | 14 tablet P £13.23

▶ Klaricid XL (Mylan)

Clarithromycin 500 mg Klaricid XL 500mg tablets | 7 tablet P £6.72 DT = £6.72 | 14 tablet P £13.23

▶ Xetinin XL (Morningside Healthcare Ltd)

Clarithromycin 500 mg Xetinin XL 500mg tablets | 7 tablet P £6.72 DT = £6.72 | 14 tablet P £13.23

Granules

CAUTIONARY AND ADVISORY LABELS 9, 13

▶ Klaricid (Mylan)

Clarithromycin 250 mg Klaricid Adult 250mg granules sachets | 14 sachet P £11.68

Tablet

CAUTIONARY AND ADVISORY LABELS 9

▶ Clarithromycin (Non-proprietary)

Clarithromycin 250 mg Clarithromycin 250mg tablets | 14 tablet P £10.50 DT = £1.29

Clarithromycin 500 mg Clarithromycin 500mg tablets | 14 tablet P £21.50 DT = £2.10

Oral suspension

CAUTIONARY AND ADVISORY LABELS 9

▶ Clarithromycin (Non-proprietary)

Clarithromycin 25 mg per 1 ml Clarithromycin 125mg/5ml oral

suspension | 70 ml P £3.75 DT = £3.36

Clarithromycin 50 mg per 1 ml Clarithromycin 250mg/5ml oral

suspension | 70 ml P £5.25 DT = £4.46

▶ Klaricid (Mylan)

Clarithromycin 25 mg per 1 ml Klaricid Paediatric 125mg/5ml oral

suspension | 70 ml P £5.26 DT = £3.36 | 100 ml P £9.04

Clarithromycin 50 mg per 1 ml Klaricid Paediatric 250mg/5ml oral

suspension | 70 ml P £10.51 DT = £4.46

Powder for solution for infusion

ELECTROLYTES: May contain Sodium

▶ Clarithromycin (Non-proprietary)

Clarithromycin 500 mg Clarithromycin 500mg powder for solution

for infusion vials | 1 vial P £11.25 DT = £9.45 (Hospital only)

Clarithromycin 500mg powder for concentrate for solution for infusion

vials | 1 vial P £11.15 DT = £9.45 | 10 vial P £111.50

▶ Klaricid (Mylan)

Clarithromycin 500 mg Klaricid IV 500mg powder for solution for

infusion vials | 1 vial P £9.45 DT = £9.45

eiiiF 536i

Erythromycin

l INDICATIONS AND DOSE

Susceptible infections in patients with penicillin

hypersensitivity (e.g. respiratory-tract infections

(including Legionella infection), skin and oral infections,

and campylobacter enteritis)

▶ BY MOUTH

▶ Child 1–23 months: 125 mg 4 times a day, total daily dose

may alternatively be given in two divided doses,

increased to 250 mg 4 times a day, dose increase may

be used in severe infections

▶ Child 2–7 years: 250 mg 4 times a day, total daily dose

may alternatively be given in two divided doses,

increased to 500 mg 4 times a day, dose increase may

be used in severe infections

▶ Child 8–17 years: 250–500 mg 4 times a day, total daily

dose may alternatively be given in two divided doses,

increased to 500–1000 mg 4 times a day, dose increase

may be used in severe infections

▶ Adult: 250–500 mg 4 times a day, total daily dose may

alternatively be given in two divided doses, increased

to 500–1000 mg 4 times a day, dose increase may be

used in severe infections

▶ BY INTRAVENOUS INFUSION

▶ Child: 12.5 mg/kg every 6 hours (max. per dose 1 g)

▶ Adult: 6.25 mg/kg every 6 hours, for mild infections

when oral treatment not possible, increased to

12.5 mg/kg every 6 hours, dose increase may be used in

severe infections

Acute cough [if systemically very unwell or at higher risk

of complications]

▶ BY MOUTH

▶ Child 1–23 months: 125 mg 4 times a day for 5 days,

alternatively 250 mg twice daily for 5 days

▶ Child 2–7 years: 250 mg 4 times a day for 5 days,

alternatively 500 mg twice daily for 5 days continued→

BNF 78 Bacterial infection 539

Infection

5

▶ Child 8–17 years: 250–500 mg 4 times a day for 5 days,

alternatively 500–1000 mg twice daily for 5 days

▶ Adult: 250–500 mg 4 times a day for 5 days,

alternatively 500–1000 mg twice daily for 5 days

Acute otitis media

▶ BY MOUTH

▶ Child 1–23 months: 125 mg 4 times a day for 5–7 days,

alternatively 250 mg twice daily for 5–7 days

▶ Child 2–7 years: 250 mg 4 times a day for 5–7 days,

alternatively 500 mg twice daily for 5–7 days

▶ Child 8–17 years: 250–500 mg 4 times a day for

5–7 days, alternatively 500–1000 mg twice daily for

5–7 days

Early syphilis

▶ BY MOUTH

▶ Adult: 500 mg 4 times a day for 14 days

Uncomplicated genital chlamydia | Non-gonococcal

urethritis

▶ BY MOUTH

▶ Adult: 500 mg twice daily for 14 days

Chronic prostatitis

▶ BY MOUTH

▶ Adult: 250–500 mg 4 times a day, total daily dose may

alternatively be given in two divided doses, increased

to 4 g daily in divided doses, dose increase may be used

in severe infections

▶ BY INTRAVENOUS INFUSION

▶ Adult: 6.25 mg/kg every 6 hours, for mild infections

when oral treatment is not possible, increased to

12.5 mg/kg every 6 hours, dose increase may be used in

severe infections

Prevention and treatment of pertussis

▶ BY MOUTH

▶ Child 1–23 months: 125 mg 4 times a day, total daily dose

may alternatively be given in two divided doses,

increased to 250 mg 4 times a day, dose increase may

be used in severe infections

▶ Child 2–7 years: 250 mg 4 times a day, total daily dose

may alternatively be given in two divided doses,

increased to 500 mg 4 times a day, dose increase may

be used in severe infections

▶ Child 8–17 years: 250–500 mg 4 times a day, total daily

dose may alternatively be given in two divided doses,

increased to 500–1000 mg 4 times a day, dose increase

may be used in severe infections

▶ Adult: (consult local protocol)

Prevention of secondary case of diphtheria in nonimmune patient

▶ BY MOUTH

▶ Adult: 500 mg every 6 hours for 7 days, treat for further

10 days if nasopharyngeal swabs positive after first

7 days’ treatment

Prevention of secondary case of invasive group A

streptococcal infection in penicillin allergic patients

▶ BY MOUTH

▶ Adult: 250–500 mg every 6 hours for 10 days

Prevention of pneumococcal infection in asplenia or in

patients with sickle-cell disease (if penicillin-allergic)

▶ BY MOUTH

▶ Adult: 500 mg twice daily, antibiotic prophylaxis is not

fully reliable. It may be discontinued in those with

sickle-cell disease who have received pneumococcal

immunisation and who do not have a history of severe

pneumococcal infection

Rosacea

▶ BY MOUTH

▶ Adult: 500 mg twice daily courses usually last

6–12 weeks and are repeated intermittently

Acne

▶ BY MOUTH

▶ Adult: 500 mg twice daily

Gastro-intestinal stasis

▶ BY MOUTH

▶ Adult: 250–500 mg 3 times a day for up to 4 weeks, to

be taken before food

▶ BY INTRAVENOUS INFUSION

▶ Adult: 3 mg/kg 3 times a day

l UNLICENSED USE g Duration of treatment for acute

otitis media differs from product literature and adheres to

national guidelines. hSee Ear infections, antibacterial

therapy p. 511 for further information.

▶ In adults g Erythromycin may be used for gastrointestinal stasis, lbut it is not licensed for this

indication.

l CAUTIONS Avoid in Acute porphyrias p. 1058

l INTERACTIONS → Appendix 1: macrolides

l SIDE-EFFECTS

GENERAL SIDE-EFFECTS

▶ Rare or very rare Hearing loss (can occur after large doses)

SPECIFIC SIDE-EFFECTS

▶ With oral use Cerebral impairment

▶ With parenteral use Atrioventricular block

l PREGNANCY Not known to be harmful.

l BREAST FEEDING Only small amounts in milk—not known

to be harmful.

l HEPATIC IMPAIRMENT May cause idiosyncratic

hepatotoxicity.

l RENAL IMPAIRMENT

Dose adjustments ▶ In adults Max. 1.5 g daily in severe

renal impairment (ototoxicity).

▶ In children Reduce dose in severe renal impairment

(ototoxicity).

l DIRECTIONS FOR ADMINISTRATION

▶ With intravenous use in children Dilute reconstituted solution

further in glucose 5% (neutralised with Sodium

bicarbonate) or sodium chloride 0.9% to a concentration of

1–5 mg/mL; give over 20–60 minutes. Concentration of up

to 10 mg/mL may be used in fluid-restriction if

administered via a central venous catheter.

▶ With intravenous use in adults For intravenous infusion (as

lactobionate), give intermittently in Glucose 5%

(neutralised with sodium bicarbonate) or Sodium chloride

0.9%; dissolve initially in water for injections (1 g in 20 mL)

then dilute to a concentration of 1–5 mg/mL; give over

20–60 minutes.

l PRESCRIBING AND DISPENSING INFORMATION Flavours of

oral liquid formulations may include banana.

l PATIENT AND CARER ADVICE

Medicines for Children leaflet: Erythromycin for bacterial infections

www.medicinesforchildren.org.uk/erythromycin-bacterialinfections

l PROFESSION SPECIFIC INFORMATION

Dental practitioners’ formulary

▶ With oral use Erythromycin tablets e/c may be prescribed.

Erythromycin ethyl succinate oral suspension may be

prescribed. Erythromycin stearate tablets may be

prescribed. Erythromycin ethyl succinate tablets may be

prescribed.

l MEDICINAL FORMS There can be variation in the licensing of

different medicines containing the same drug.

Gastro-resistant tablet

CAUTIONARY AND ADVISORY LABELS 5, 9, 25

▶ Erythromycin (Non-proprietary)

Erythromycin 250 mg Erythromycin 250mg gastro-resistant tablets

| 28 tablet P £4.59 DT = £1.40 | 500 tablet P £25.00

540 Bacterial infection BNF 78

Infection

5

Tablet

CAUTIONARY AND ADVISORY LABELS 9

▶ Erythromycin (Non-proprietary)

Erythromycin (as Erythromycin ethyl succinate)

500 mg Erythromycin ethyl succinate 500mg tablets | 28 tablet P £15.95 DT = £10.78

▶ Erythrocin (Advanz Pharma)

Erythromycin (as Erythromycin stearate) 250 mg Erythrocin

250 tablets | 100 tablet P £18.20 DT = £18.20

Erythromycin (as Erythromycin stearate) 500 mg Erythrocin

500 tablets | 100 tablet P £36.40 DT = £36.40

▶ Erythrolar (Ennogen Pharma Ltd)

Erythromycin (as Erythromycin stearate) 250 mg Erythrolar

250mg tablets | 100 tablet P £22.80 DT = £18.20

Erythromycin (as Erythromycin stearate) 500 mg Erythrolar

500mg tablets | 100 tablet P £45.60 DT = £36.40

▶ Erythroped A (Advanz Pharma)

Erythromycin (as Erythromycin ethyl succinate)

500 mg Erythroped A 500mg tablets | 28 tablet P £10.78 DT =

£10.78

Oral suspension

CAUTIONARY AND ADVISORY LABELS 9

▶ Erythromycin (Non-proprietary)

Erythromycin (as Erythromycin ethyl succinate) 25 mg per

1 ml Erythromycin ethyl succinate 125mg/5ml oral suspension | 100 ml P £4.95 DT = £4.95

Erythromycin ethyl succinate 125mg/5ml oral suspension sugar free

sugar-free | 100 ml P £4.95 DT = £4.88

Erythromycin (as Erythromycin ethyl succinate) 50 mg per

1 ml Erythromycin ethyl succinate 250mg/5ml oral suspension | 100 ml P £8.48 DT = £8.48

Erythromycin ethyl succinate 250mg/5ml oral suspension sugar free

sugar-free | 100 ml P £8.48 DT = £8.35

Erythromycin (as Erythromycin ethyl succinate) 100 mg per

1 ml Erythromycin ethyl succinate 500mg/5ml oral suspension | 100 ml P £14.99 DT = £14.99

Erythromycin ethyl succinate 500mg/5ml oral suspension sugar free

sugar-free | 100 ml P s

▶ Erythroped (Advanz Pharma)

Erythromycin (as Erythromycin ethyl succinate) 25 mg per

1 ml Erythroped PI SF 125mg/5ml oral suspension sugar-free | 140 ml P £3.06

Erythromycin (as Erythromycin ethyl succinate) 50 mg per

1 ml Erythroped SF 250mg/5ml oral suspension sugar-free | 140 ml P £5.95

Erythromycin (as Erythromycin ethyl succinate) 100 mg per

1 ml Erythroped Forte SF 500mg/5ml oral suspension sugar-free |

140 ml P £10.56 DT = £10.56

Powder for solution for infusion

▶ Erythromycin (Non-proprietary)

Erythromycin (as Erythromycin lactobionate)

1 gram Erythromycin 1g powder for solution for infusion vials |

1 vial P £18.45–£22.92

ANTIBACTERIALS › MONOBACTAMS

Aztreonam 27-Apr-2019

l DRUG ACTION Aztreonam is a monocyclic beta-lactam

(‘monobactam’) antibiotic with an antibacterial spectrum

limited to Gram-negative aerobic bacteria including

Pseudomonas aeruginosa, Neisseria meningitidis, and

Haemophilus influenzae; it should not be used alone for

‘blind’ treatment since it is not active against Grampositive organisms. Aztreonam is also effective against

Neisseria gonorrhoeae (but not against concurrent

chlamydial infection).

l INDICATIONS AND DOSE

Gram-negative infections including Pseudomonas

aeruginosa, Haemophilus influenzae, and Neisseria

meningitidis

▶ BY DEEP INTRAMUSCULAR INJECTION, OR BY INTRAVENOUS

INFUSION, OR BY INTRAVENOUS INJECTION

▶ Adult: 1 g every 8 hours, alternatively 2 g every

12 hours, single doses over 1 g intravenous route only

Severe gram-negative infections including Pseudomonas

aeruginosa, Haemophilus influenzae, Neisseria

meningitidis, and lung infections in cystic fibrosis

▶ BY INTRAVENOUS INFUSION, OR BY INTRAVENOUS INJECTION

▶ Adult: 2 g every 6–8 hours

Gonorrhoea | Cystitis

▶ BY INTRAMUSCULAR INJECTION

▶ Adult: 1 g for 1 single dose

Urinary-tract infections

▶ BY DEEP INTRAMUSCULAR INJECTION, OR BY INTRAVENOUS

INFUSION, OR BY INTRAVENOUS INJECTION

▶ Adult: 0.5–1 g every 8–12 hours

Chronic pulmonary Pseudomonas aeruginosa infection in

patients with cystic fibrosis

▶ BY INHALATION OF NEBULISED SOLUTION

▶ Adult: 75 mg 3 times a day for 28 days, doses to be

administered at least 4 hours apart, subsequent courses

repeated after 28-day interval without aztreonam

nebuliser solution

l CAUTIONS

▶ When used by inhalation Haemoptysis— risk of further

haemorrhage

l SIDE-EFFECTS

GENERAL SIDE-EFFECTS

▶ Common or very common Dyspnoea .respiratory disorders

SPECIFIC SIDE-EFFECTS

▶ Common or very common

▶ When used by inhalation Cough . haemoptysis . joint

disorders . laryngeal pain . nasal complaints .rash

▶ Rare or very rare

▶ With parenteral use Anaemia . asthenia . breast tenderness . chest pain . confusion . diplopia . dizziness . eosinophilia . haemorrhage . headache . hepatic disorders . hypotension . insomnia . leucocytosis . myalgia . nasal congestion . neutropenia . oral disorders . pancytopenia . paraesthesia . pseudomembranous enterocolitis . seizure . thrombocytopenia .thrombocytosis .tinnitus . vertigo . vulvovaginal candidiasis

▶ Frequency not known

▶ With parenteral use Abdominal pain . angioedema . diarrhoea . nausea . skin reactions .taste altered .toxic

epidermal necrolysis . vomiting

l ALLERGY AND CROSS-SENSITIVITY Contra-indicated in

aztreonam hypersensitivity.

Use with caution in patients with hypersensitivity to

other beta-lactam antibiotics (although aztreonam may be

less likely than other beta-lactams to cause

hypersensitivity in penicillin-sensitive patients).

l PREGNANCY

▶ With systemic use No information available; manufacturer

of injection advises avoid.

▶ When used by inhalation No information available;

manufacturer of powder for nebuliser solution advises

avoid unless essential.

l BREAST FEEDING Amount in milk probably too small to be

harmful.

l HEPATIC IMPAIRMENT

▶ With systemic use Manufacturer advises caution in chronic

impairment with cirrhosis.

Dose adjustments ▶ With systemic use Manufacturer advises

dose reduction of 20—25% for long term treatment of

patients with chronic impairment with cirrhosis, especially

in alcoholic cirrhosis and concomitant renal impairment.

l RENAL IMPAIRMENT

Dose adjustments ▶ With systemic use If eGFR

10–30 mL/minute/1.73 m2

, usual initial dose of injection,

then half normal dose. If eGFR less than

10 mL/minute/1.73 m2

, usual initial dose of injection, then

one-quarter normal dose.

BNF 78 Bacterial infection 541

Infection

5

l MONITORING REQUIREMENTS

▶ When used by inhalation Measure lung function before and

after initial dose of aztreonam and monitor for

bronchospasm.

l DIRECTIONS FOR ADMINISTRATION

▶ With intravenous use For intravenous injection, give over

3–5 minutes. For intravenous infusion (Azactam®), give

intermittently in Glucose 5% or Sodium chloride 0.9%.

Dissolve initially in water for injections (1 g per 3 mL) then

dilute to a concentration of less than 20 mg/mL; to be

given over 20–60 minutes.

▶ When used by inhalation Other inhaled drugs should be

administered before aztreonam; a bronchodilator should

be administered before each dose.

l NATIONAL FUNDING/ACCESS DECISIONS

Scottish Medicines Consortium (SMC) decisions

SMC No. 753/12

The Scottish Medicines Consortium has advised (January

2015) that aztreonam powder for nebuliser solution

(Cayston ®) is accepted for restricted use within NHS

Scotland when inhaled colistimethate sodium and inhaled

tobramycin are not tolerated or are not providing

satisfactory therapeutic benefit (measured as 2% decline

in forced expiratory volume in 1 second). This advice is

contingent upon the continuing availability of the Patient

Access Scheme in NHS Scotland or a list price that is

equivalent or lower.

l MEDICINAL FORMS There can be variation in the licensing of

different medicines containing the same drug.

Powder and solvent for nebuliser solution

▶ Cayston (Gilead Sciences International Ltd)

Aztreonam (as Aztreonam lysine) 75 mg Cayston 75mg powder

and solvent for nebuliser solution vials with Altera Nebuliser Handset

| 84 vial P £2,181.53 DT = £2,181.53

Powder for solution for injection

▶ Azactam (Bristol-Myers Squibb Pharmaceuticals Ltd)

Aztreonam 1 gram Azactam 1g powder for solution for injection vials

| 1 vial P £9.40 (Hospital only)

Aztreonam 2 gram Azactam 2g powder for solution for injection vials

| 1 vial P £18.82 (Hospital only)

ANTIBACTERIALS › NITROIMIDAZOLE

DERIVATIVES

Metronidazole

l DRUG ACTION Metronidazole is an antimicrobial drug with

high activity against anaerobic bacteria and protozoa.

l INDICATIONS AND DOSE

Anaerobic infections

▶ BY MOUTH

▶ Child 1 month: 7.5 mg/kg every 12 hours usually treated

for 7 days (for 10–14 days in Clostridium difficile

infection)

▶ Child 2 months–11 years: 7.5 mg/kg every 8 hours (max.

per dose 400 mg) usually treated for 7 days (for

10–14 days in Clostridium difficile infection)

▶ Child 12–17 years: 400 mg every 8 hours usually treated

for 7 days (for 10–14 days in Clostridium difficile

infection)

▶ Adult: 400 mg every 8 hours, alternatively 500 mg every

8 hours usually treated for 7 days (for 10–14 days in

Clostridium difficile infection)

▶ BY RECTUM

▶ Child 1–11 months: 125 mg 3 times a day for 3 days, then

125 mg twice daily, for usual total treatment duration

of 7 days

▶ Child 1–4 years: 250 mg 3 times a day for 3 days, then

250 mg twice daily, for usual total treatment duration

of 7 days

▶ Child 5–9 years: 500 mg 3 times a day for 3 days, then

500 mg twice daily, for usual total treatment duration

of 7 days

▶ Child 10–17 years: 1 g 3 times a day for 3 days, then 1 g

twice daily, for usual total treatment duration of 7 days

▶ Adult: 1 g 3 times a day for 3 days, then 1 g twice daily,

for usual total treatment duration of 7 days

▶ BY INTRAVENOUS INFUSION

▶ Adult: 500 mg every 8 hours usually treated for 7 days

(for 10–14 days in Clostridium difficile infection), to be

given over 20 minutes

Helicobacter pylori eradication; in combination with

clarithromycin and esomeprazole; or in combination

with clarithromycin and lansoprazole; or in combination

with amoxicillin and lansoprazole; or in combination

with clarithromycin and omeprazole; or in combination

with clarithromycin and pantoprazole; or in combination

with clarithromycin and rabeprazole

▶ BY MOUTH

▶ Adult: 400 mg twice daily

Helicobacter pylori eradication; in combination with

amoxicillin and omeprazole

▶ BY MOUTH

▶ Adult: 400 mg 3 times a day

Fistulating Crohn’s disease

▶ BY MOUTH

▶ Adult: 10–20 mg/kg daily in divided doses, usual dose

400–500 mg 3 times a day usually given for 1 month

but no longer than 3 months because of concerns about

peripheral neuropathy

Leg ulcers and pressure sores

▶ BY MOUTH

▶ Adult: 400 mg every 8 hours for 7 days

Bacterial vaginosis (notably Gardnerella vaginalis

infection)

▶ BY MOUTH

▶ Adult: 400–500 mg twice daily for 5–7 days,

alternatively 2 g for 1 dose

Bacterial vaginosis

▶ BY VAGINA USING VAGINAL GEL

▶ Adult: 1 applicatorful daily for 5 days, dose to be

administered at night

DOSE EQUIVALENCE AND CONVERSION

▶ 1 applicatorful of vaginal gel delivers a 5 g dose of

metronidazole 0.75%

Pelvic inflammatory disease

▶ BY MOUTH

▶ Adult: 400 mg twice daily for 14 days

Acute ulcerative gingivitis

▶ BY MOUTH

▶ Child 1–2 years: 50 mg every 8 hours for 3 days

▶ Child 3–6 years: 100 mg every 12 hours for 3 days

▶ Child 7–9 years: 100 mg every 8 hours for 3 days

▶ Child 10–17 years: 200–250 mg every 8 hours for 3 days

▶ Adult: 400 mg every 8 hours for 3 days

Acute oral infections

▶ BY MOUTH

▶ Child 1–2 years: 50 mg every 8 hours for 3–7 days

▶ Child 3–6 years: 100 mg every 12 hours for 3–7 days

▶ Child 7–9 years: 100 mg every 8 hours for 3–7 days

▶ Child 10–17 years: 200–250 mg every 8 hours for

3–7 days

▶ Adult: 400 mg every 8 hours for 3–7 days

Surgical prophylaxis

▶ BY MOUTH

▶ Adult: 400–500 mg, to be administered 2 hours before

surgery, then 400–500 mg every 8 hours if required for

up to 3 doses (in high-risk procedures)

542 Bacterial infection BNF 78

Infection

5

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