PIPERACILLIN

Normal Dose|Renal Impairment|Hemodialysis

Index

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Normal Dose

 

Indication Dose Frequency Cost
Uncomplicated urinary tract infections 6-8 grams/day divide dose Q6-12 hours $42.88/day
Complicated urinary tract infections 8-16 grams/day divide dose Q6-8 hours $85.76/day
Community acquired pneumonia 6-8 grams/day divide dose Q6-12 hours $42.88/day
Septicemia 12-18 grams/day divide dose Q4-6 hours $96.48/day
Nosocomial pneumonia 12-18 grams/day divide dose Q4-6 hours $96.48/day
Intra-abdominal infections 12-18 grams/day divide dose Q4-6 hours $96.48/day
Aerobic and anaerobic gynecologic infections 12-18 grams/day divide dose Q4-6 hours $96.48/day
Skin and skin structure infections 12-18 grams/day divide dose Q4-6 hours $96.48/day
Febrile granulocytopenic -empiric therapy 250-300 mg/kg/day given in 4 or 6 divided doses  
Acute exacerbations of bronchopulmonary Ps.aeruginosa infections in cystic fibrosis 300-600 mg/kg/day divide dose Q4-6 hours with an aminoglycoside  


Renal Impairment

 

Indication Creatinine Clearance Creatinine Clearance
  20-40 ml/min <20 ml/min
Uncomplicated urinary tract infections no adjustment needed 3 grams Q12 hours
Complicated urinary tract infections 3 grams Q8 hours 3 grams Q12 hours
Serious systemic infections 4 grams Q8 hours 4 grams Q12 hours


Hemodialysis

 

Dose Frequency
2 grams Q8 hours during hemodialysis and 1 gram additional dose should be given after each dialysis

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