{"id":3689,"date":"2025-03-31T18:11:47","date_gmt":"2025-03-31T18:11:47","guid":{"rendered":"https:\/\/kidneydiseaseclinic.net\/kdc\/ampicillin2-txt\/"},"modified":"2025-03-31T18:11:47","modified_gmt":"2025-03-31T18:11:47","slug":"ampicillin2-txt","status":"publish","type":"post","link":"https:\/\/kidneydiseaseclinic.net\/kdc\/ampicillin2-txt\/","title":{"rendered":"Ampicillin2.txt"},"content":{"rendered":"<h1>Ampicillin<\/h1>\n<p><H3>  CLINICAL USE <\/H3><br \/>\nAntibacterial agent<br \/>\n<H3> DOSE IN NORMAL RENAL FUNCTION  <\/H3><br \/>\nOral: 250 mg \u2013 1 g every 6 hours<br \/>\nIM\/IV: 500 mg \u2013 2 g every 4\u20136 hours<br \/>\n<H3>  PHARMACOKINETICS    <\/H3><br \/>\n<LI> Molecular weight &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp :<br \/>\n349.4  <\/div>\n<\/li>\n<li>  %Protein binding  &amp;nbsp &amp;nbsp &amp;nbsp  &amp;nbsp  &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp :<br \/>\n20\n<\/li>\n<li>  %Excreted unchanged in urine &amp;nbsp &amp;nbsp :<br \/>\nOral: 20\u201360;<br \/>\nParenteral: 60\u201380\n<\/li>\n<p><LI> Volume of distribution (L\/kg) &amp;nbsp &amp;nbsp &amp;nbsp :<br \/>\n0.17\u20130.31\n<\/li>\n<p><LI>half-life \u2013 normal\/ESRD (hrs)&amp;nbsp &amp;nbsp &amp;nbsp :<br \/>\n1\u20131.5\/7\u201320<br \/>\n<H3>  DOSE IN RENAL IMPAIRMENT <\/H3><br \/>\n<H4>GFR (mL\/MIN)<\/H4><br \/>\n<LI> 20 to 50  &amp;nbsp &amp;nbsp : Dose as in normal renal function<br \/>\n<LI> 10 to 20  &amp;nbsp &amp;nbsp : 250 mg \u2013 2 g every 6 hours<br \/>\n<LI> &lt;10 &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp :<br \/>\n250 mg \u20131 g every 6 hours<br \/>\n<H3> DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES  <\/H3><br \/>\n<LI> CAPD  &amp;nbsp &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp:<br \/>\nNot dialysed. Dose as in<br \/>\nGFR &lt;10 mL\/min<\/p>\n<li> HD &amp;nbsp  &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp :<br \/>\nDialysed. Dose as in GFR<LI> &lt;10 &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp : mL\/<br \/>\nmin<br \/>\n<LI>HDF\/high flux  &amp;nbsp :<br \/>\nDialysed. Dose as in GFR<LI> &lt;10 &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp : mL\/<br \/>\nmin<br \/>\n<LI>CAV\/VVHD  &amp;nbsp &amp;nbsp &amp;nbsp:<br \/>\nDialysed. Dose as in GFR=10\u2013<br \/>\n20 mL\/min<br \/>\n<H3> IMPORTANT DRUG INTERACTIONS  <\/H3><br \/>\nPotentially hazardous interactions with other drugs<br \/>\nCiclosporin: may increase ciclosporin <\/p>\n<p>levels<br \/>\nReduces excretion of methotrexate <\/p>\n<p>(increased risk of toxicity)<br \/>\n<H3> ADMINISTRATION  <\/H3><br \/>\n<H4> Reconstition<\/H4><br \/>\nUse water for injection: 5 mL for each <\/p>\n<p>250 mg (1.5 mL for 250 mg or 500 mg for<br \/>\nIM administration)<br \/>\n<H4>  Route  <\/H4><br \/>\nOral, IV, IM<\/p>\n<p><H4>  Rate of Administration  <\/H4><br \/>\nSlow IV bolus over 3\u20134 minutes. Doses <\/p>\n<p>greater than 500 mg should be given by<br \/>\ninfusion<br \/>\n<H4>Comments<\/H4><br \/>\nCan be diluted in glucose 5% or sodium <\/p>\n<p>chloride 0.9%<br \/>\n<H4>  OTHER INFORMATION  <\/H4><\/p>\n<li>Rashes more common in patients with\n<p>renal impairment<\/p>\n<li>Can cause nephrotoxicity if dose not\n<p>reduced in renal impairment<\/p>\n<li>Sodium content of injection\n<p>1.47 mmol\/500 mg vial<\/p>\n<li>Ampicillin may be used in peritoneal\n<p>dialysis fluids for treatment of peritonitis<br \/>\nDo not mix with aminoglycosides<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ampicillin CLINICAL USE Antibacterial agent DOSE IN NORMAL RENAL FUNCTION<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[7],"class_list":["post-3689","post","type-post","status-publish","format-standard","hentry","category-blog","tag-post-by-auto-php"],"_links":{"self":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/posts\/3689","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/comments?post=3689"}],"version-history":[{"count":0,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/posts\/3689\/revisions"}],"wp:attachment":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/media?parent=3689"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/categories?post=3689"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/tags?post=3689"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}