Drug ClassBroad spectrum bactericidal penicillin
MechanismInhibits bacterial cell wall synthesis by preventing cross-linking between peptidoglycan chains
Typical Dose500mg TDS
Indications* Gram +ve bacterial infections (strep, stap) * Gram -ve bacterial infections (H. influenzae) * Helicobacter pylori eradication * Infective Endocarditis prophylaxis prior to dental surgery
Contra-indicationsPenicillin hypersensitivity
Side-effectsSkin rash, diarrhoea, N&V, candida vaginitis
InteractionsOCP: decreased effectiveness of OCP
Elimination
Additional NotesCertain strains of bacteria produce β-lactamase - Co-amoxiclav required