Piperacillin is a broad-spectrum penicillin antibiotic used for the treatment of bacterial infections. Here is some information on piperacillin according to Medscape and UpToDate:
Dosage:
Adult dose: The usual recommended adult dose of piperacillin is 3 to 4 grams every 4 to 6 hours, given intravenously (IV).
Children's dose: The usual recommended pediatric dose of piperacillin is 100 to 200 mg/kg/day, divided every 6 to 8 hours, given intravenously (IV).
Dosage in liver and renal impairment:
In patients with renal impairment, the dosage of piperacillin needs to be adjusted based on the patient's creatinine clearance. In patients with hepatic impairment, no dosage adjustment is necessary.
Pregnancy and lactation:
Piperacillin is classified as a pregnancy category B drug. It is generally considered safe for use during pregnancy and lactation. However, as with all medications, it is important to consult with a healthcare provider before using piperacillin during pregnancy or while breastfeeding.
Indications:
Piperacillin is indicated for the treatment of bacterial infections, including infections of the respiratory tract, urinary tract, skin and soft tissue, and intra-abdominal infections.
Advice to patient:
Patients should take piperacillin exactly as prescribed by their healthcare provider.
It is important to complete the entire course of treatment, even if symptoms improve before the medication is finished.
Patients should inform their healthcare provider if they experience any side effects or if symptoms do not improve.
Administration:
Piperacillin is given intravenously (IV) and should be administered over a period of at least 30 minutes.
Pharmacokinetics:
Piperacillin is rapidly and completely absorbed when given intravenously. It has a half-life of approximately one hour and is eliminated primarily by the kidneys.
Interactions:
Piperacillin may interact with other medications, including probenecid and methotrexate. It is important to inform healthcare providers of all medications being taken, including over-the-counter medications and supplements.
Adverse effects:
The most common side effects of piperacillin include diarrhea, nausea, vomiting, and rash. Less common side effects include fever, chills, and chest pain. Rarely, severe allergic reactions, such as anaphylaxis, may occur.
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