GENITOURINARY - UTI - Adult - Pyelonephritis - Uncomplicated

 

Amoxicillin/clavulanate

Augmentin®

Pregnancy: B; Lactation: Consider Alt

Q12H Formulations:

Tabs: 1000mg /65.3 mg

Chewable Tabs:

200 mg/28.5 mg, 400 mg/57 mg

Oral Susp:

125 mg/31.25 mg/5 mL

250 mg/62.5 mg/5ml

600 mg/42.9 mg/5ml

200 mg/28.5 mg/5ml

400 mg/57 mg/5ml

 

Q8H Formulations:

Tabs: 250, 500, 875 /125

Oral Susp: 125 mg/31.25 mg/5 mL

250 mg/62.5 mg/5 mL

Dosing: Based on Amoxicillin Component

 

Children ≥40 mg to Adult:

500-875 mg twice daily for 14 days

 

Augmentin ES-600 powder for oral suspension with increased ratio amoxicillin to clavulanic acid for treatment of pediatric patients with recurrent or persistent acute otitis media due to S. pneumoniae, H. influenzae, or M. catarrhalis.

Food: Advise taking with food. May administer with or without meals, however GI intolerance and diarrhea may be reduced if taken with meals.

Side effects: Diarrhea (common), nausea, vomiting, rash, agitation, seizures, bleeding abnormalities, decreased WBC count, drug fever, superinfection.

Caution: May cause nonallergic maculopapular rash, especially in patients with viral infection, mononucleosis, or acute lymphocytic leukemia.

Use with caution in hepatic disease.

 

Reduce dose in renal disease:

CrCl 10-30 mL/min use a Q8H formulation Q12H

CrCl <10 mL/min use a Q8H formulation Q24H

Note: Q8H and Q12H formulations are not interchangeable due to different ratio of clavulanic acid. Two 250 mg/125 mg tablets are not equivalent to one 500 mg/125 mg tablet. 250 mg tablet is not equivalent to 250-mg chewable tablet. 200-mg and 400-mg suspensions and tablets contain phenylalanine and should be avoided in phenylketonurics.

 

Ciprofloxacin

(Cipro®)

Pregnancy: C; Lactation: Unsafe

 

Tabs: 100 mg, 250 mg, 500 mg   

 

18 and Adult:

Young women: 100-250 mg twice daily for 3 days.

 

Young men and older men without evidence of prostatitis: 250-500 mg twice daily for 7-14 days.

 

Food: Take on empty stomach 1 hour before or 2 hours after a meal. May take with food if it causes GI upset, but avoid large amounts of dairy products.

May take 2 hours before or 6 hours after sucralfate, antacids, aluminum, magnesium, calcium, zinc, iron, sucralfate, vitamins, or mineral supplements.

 

 

 

Important side effects: Photosensitivity, dizziness.

 

 

Reduce dose in renal disease (CrCl <50 mL/min).

 

 

Levofloxacin

(Levaquin®)

Pregnancy: C; Lactation: Unsafe

 

Tabs: 250 mg, 500 mg     

 

≥18 and Adult:

Young women: 250 mg daily for 3 days.

 

Young men and older men without evidence of prostatitis: 250 mg daily for 7-14 days.

 

Food: May take with or without meals.

Do not take within 2 hours of antacids, magnesium, calcium supplements, zinc, aluminum, sucralfate, vitamins, or minerals (iron or zinc).

 

 

 

Important side effects: Photosensitivity, dizziness.

 

 

 

 

Reduce dose in renal disease (CrCl <50 mL/min).

 

 

Trimethoprim/Sulfamethoxazole

(Bactrim®, Septra®)

Generics available

Pregnancy: C; Lactation: Unsafe

 

Single strength (SS) Tabs:

80 mg/400 mg

 

Double Strength (DS) Tabs:

160 mg/800 mg

Oral Susp: 40 mg/200 mg/5 mL

 

*E. coli resistance may be 15-20% and may require alternative therapy in many locales.

 

 

Young women: 1 DS tablet twice daily for 3 days.

 

Young men and older men without evidence of prostatitis: 1 DS tablet twice daily for 7-14 days.

Food: May take without regard to food. Encourage fluids.

 

Important side effects: Photosensitivity, rash.

 

Reduce dose in renal disease

(CrCl <30 mL/min).