Childn 1.5-3 mg/kg twice daily, may be increased up to 6 mg/kg twice daily for severe conditions. Patient w/ renal impairment CrCl 21-60 mL/min or receiving hemodialysis 300 mg daily, CrCl <20 mL/min or receiving peritoneal dialysis & outpatient care 200 mg daily.
Hypersensitivity to penicillin. Discontinue use if symptoms of shock occur (eg, dysphoria, discomfort in the digestive cavity, stridor, headache, abnormal desire for defecation, tinnitus or diaphoresis). Not to be used in patients receiving other antibiotic treatment. Patients w/ hereditary problems eg, bronchial asthma, reddish skin & urticaria; who lack oral nutritional intake, who receive parenteral nutrition. Monitor closely for symptoms of vit K deficiency. Hypersensitivity & shock reactions may occur. Serious kidney dysfunction. Pregnancy & lactation. Elderly or debilitated patients.
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