Penicillin: Risk Groups

Pregnant women:
Can be given. Penicillin is considered the safest antibiotic during pregnancy.

Nursing mothers:
Can be given. Concentrations in breast milk are relatively low. The risk of an alteration of the child's intestinal flora or of a hypersensitization cannot be excluded.

Children:
Intravenously for severe infections: 0.2 to 0.5 million U/kg/day in 4 to 6 doses. Oral (penicillin V): 100,000 U/kg/day in two doses (a maximum of 1.5 million U/day).

Elderly people:
No dose reduction is necessary if renal functions are normal.

Renal failure:
Creatinine clearance less than 50 ml/min: reduce dose by 25 to 50%; clearance less than 10 ml/min: reduce dose by 50-75%.

Liver insufficiency:
No dose adjustment necessary.

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