Indications for BICILLIN L-A:

Susceptible infections, including mild to moderate upper respiratory strep infections, syphilis. Follow-up prophylaxis of rheumatic heart disease, acute glomerulonephritis.

Adult:

Give by deep IM inj into upper outer quadrant of buttock; rotate inj sites. Upper respiratory Group A strep: 1.2 million units once. Syphilis (primary, secondary, latent): 2.4 million units once; (tertiary and neurosyphilis): 2.4 million units every 7 days for 3 doses. Rheumatic heart disease, acute glomerulonephritis: 1.2 million units once per month, or 600,000 units every 2 weeks.

Children:

Give by deep IM inj into upper outer quadrant of buttock or midlateral thigh; rotate inj sites. Upper respiratory Group A strep (<60 lbs): 300,000 to 600,000 units once; (>60 lbs): 900,000 units once. Congenital syphilis (<2 years): 50,000 units/kg once; (≥2 years): individualize.

Pharmacological Class:

Penicillinase-sensitive penicillin.

Contraindications:

Avoid intraarterial, intravascular, or intraneural injection.

Warnings/Precautions:

Cephalosporin, imipenem, or other allergy: not recommended. Asthma. Monitor renal and hematopoietic function in prolonged use. Pregnancy (Cat.B). Nursing mothers.

Interactions:

Potentiated by probenecid. May cause false (+) glucose test with Clinitest.

Adverse Reactions:

Rash, serum sickness, anaphylaxis, blood dyscrasias, neuropathy, nephropathy, inj site reactions.

How Supplied:

Tubex 600,000 or 1.2 million units/syr (1 mL, 2 mL)—10 (w. 1 or 1.25 inch needles)
Disposable syringe 2.4million units/syr (4 mL)—10 (w. 2 inch needles)