Antibiotic Chart
Antibiotic Chart
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ANTIBIOTIC CHART
TOP
ACRONYMS Acronyms
CEPHALOSPORINS AAP - American Academy of
Pediatrics recommendation
Cefadroxil (Duricef®) 1st
ACG - American College of
Cephalexin (Keflex®) 1st
Gastroenterology recommendation
Cefaclor (Ceclor®) 2nd
ADA - American Dental Association
Cefprozil (Cefzil®) 2nd
AHA - American Heart Association
Cefuroxime (Ceftin®) 2nd
recommendation
Cefdinir (Omnicef®) 3rd
CDC - Centers for Disease Control
Cefditoren (Spectracef®) 3rd
recommendation
Cefixime (Suprax®) 3rd
CTE - dosing based on clinical
Cefpodoxime (Vantin®) 3rd trial(s) and/or expert opinion
Ceftibuten (Cedax®) 3rd IDSA - Infectious Disease Society of
Ceftriaxone (Rocephin®) 3rd America recommendation
Ceph generations (IV&PO) IM - Intramuscular
CLINDAMYCIN (CLEOCIN®) MRSA - Methicillin-resistant
FOSFOMYCIN (MONUROL®) Staphylococcus aureus
LEFAMULIN (XENLETA®) PI - Manufacturer's prescribing
information
OXAZOLIDINONES
TMP - Trimethoprim
MACROLIDES
NITAZOXANIDE (ALINIA®)
NITROFURANTOIN (MACROBID®) Cefadroxil
NITROIMIDAZOLES Duricef®
PENICILLINS
Dosage forms
QUINOLONES
Capsule
RIFAMYCINS
500 mg ($)
SULFONAMIDES
TETRACYCLINES Tablet
OPHTHALMIC ANTIBIOTIC TABLE 1000 mg ($)
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Dosing
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Pediatric
ANTIBIOTIC CHART Impetigo - 30 mg/kg/day (max
1000 mg/day) given once daily
TOP
or divided into 2 doses (PI)
ACRONYMS Skin infections - 30 mg/kg/day
CEPHALOSPORINS (max 1000 mg/day) given in 2
Cefadroxil (Duricef®) 1st divided doses (PI)
Cephalexin (Keflex®) 1st Strep throat - 30 mg/kg once
Cefaclor (Ceclor®) 2nd daily (max 1000 mg/day) for 10
Cefprozil (Cefzil®) 2nd days (IDSA)
Cefuroxime (Ceftin®) 2nd Urinary tract infection - 30
Cefdinir (Omnicef®) 3rd mg/kg/day (max 1000 mg/day)
Cefditoren (Spectracef®) 3rd given in 2 divided doses (PI)
Cefixime (Suprax®) 3rd
Adults
Cefpodoxime (Vantin®) 3rd
Skin infections - 1000 mg/day
Ceftibuten (Cedax®) 3rd
given once daily or divided into
Ceftriaxone (Rocephin®) 3rd
2 doses (PI)
Ceph generations (IV&PO)
Strep throat - 1000 mg/day
CLINDAMYCIN (CLEOCIN®)
given once daily or divided into
FOSFOMYCIN (MONUROL®) 2 doses for 10 days (IDSA)
LEFAMULIN (XENLETA®) Urinary tract infection 1000 -
OXAZOLIDINONES 2000 mg/day given once daily
or divided into 2 doses for 3 - 7
MACROLIDES
days (IDSA, PI)
NITAZOXANIDE (ALINIA®)
NITROFURANTOIN (MACROBID®) Other
NITROIMIDAZOLES
Cefadroxil is a first generation
PENICILLINS
cephalosporin
QUINOLONES May take without regard to food
RIFAMYCINS Kidney disease (adults)
CrCl < 50 ml/min: dose
SULFONAMIDES
adjustment recommended;
TETRACYCLINES see cefadroxil PI
OPHTHALMIC ANTIBIOTIC TABLE
OTIC ANTIBIOTIC TABLE
Cephalexin
Keflex®
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Dosage forms
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Capsule
ANTIBIOTIC CHART 250 mg ($)
500 mg ($)
TOP
750 mg ($$$-$$$$)
ACRONYMS
CEPHALOSPORINS Tablet
Cefadroxil (Duricef®) 1st 250 mg ($-$$)
Cephalexin (Keflex®) 1st 500 mg ($-$$)
Cefaclor (Ceclor®) 2nd
Cefprozil (Cefzil®) 2nd Suspension
Cefuroxime (Ceftin®) 2nd 125 mg/5 ml ($)
Cefdinir (Omnicef®) 3rd 250 mg/5 ml ($)
Cefditoren (Spectracef®) 3rd
Cefixime (Suprax®) 3rd Dosing
Cefpodoxime (Vantin®) 3rd
Ceftibuten (Cedax®) 3rd Pediatric
Cellulitis (non-MRSA) - 25 - 50
Ceftriaxone (Rocephin®) 3rd
mg/kg/day (max 2000 mg/day)
Ceph generations (IV&PO)
given in 4 divided doses for 5 -
CLINDAMYCIN (CLEOCIN®)
10 days (IDSA)
FOSFOMYCIN (MONUROL®) Endocarditis prophylaxis - 50
LEFAMULIN (XENLETA®) mg/kg (max 2000 mg) 30 - 60
OXAZOLIDINONES minutes before procedure
(penicillin allergic without
MACROLIDES
severe reaction) (AHA)
NITAZOXANIDE (ALINIA®)
Impetigo - 25 - 50 mg/kg/day
NITROFURANTOIN (MACROBID®) (max 1000 mg/day) given in 3 –
NITROIMIDAZOLES 4 divided doses for 7 days
PENICILLINS (IDSA)
Otitis media - 75 - 100
QUINOLONES
mg/kg/day given in 4 divided
RIFAMYCINS doses for 5 - 10 days (PI)
SULFONAMIDES Strep throat - 40 mg/kg/day
(max 1000 mg/day) given in 2
TETRACYCLINES
divided doses for 10 days
OPHTHALMIC ANTIBIOTIC TABLE (IDSA)
OTIC ANTIBIOTIC TABLE Urinary tract infection - 50 - 100
mg/kg/day (max 2000 mg/day)
given in 4 divided doses for 7 -
14 days (CTE)
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Suspension
125 mg/5 ml ($)
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Dosing
ANTIBIOTIC CHART
TOP Pediatric (6 months - 12 years)
Cellulitis - 20 mg/kg/day (max
ACRONYMS
1000 mg/day) given once daily
CEPHALOSPORINS
for 10 days (PI)
Cefadroxil (Duricef®) 1st Otitis media - 30 mg/kg/day
Cephalexin (Keflex®) 1st (max 1000 mg/day) given in 2
Cefaclor (Ceclor®) 2nd divided doses for 10 days (PI)
Cefprozil (Cefzil®) 2nd Pneumonia, community-
Cefuroxime (Ceftin®) 2nd acquired - 30 mg/kg/day (max
Cefdinir (Omnicef®) 3rd 1000 mg/day) given in 2
Cefditoren (Spectracef®) 3rd divided doses for 7 - 10 days
Cefixime (Suprax®) 3rd (IDSA)
Cefpodoxime (Vantin®) 3rd Sinusitis - 15 - 30 mg/kg/day
Ceftibuten (Cedax®) 3rd (max 1000 mg/day) given in 2
Ceftriaxone (Rocephin®) 3rd divided doses for 10 days (PI)
Ceph generations (IV&PO) Strep throat - 15 mg/kg/day
(max 500 mg/day) given in 2
CLINDAMYCIN (CLEOCIN®)
divided doses for 10 days (PI)
FOSFOMYCIN (MONUROL®)
LEFAMULIN (XENLETA®) Adolescents and Adults (age 12
OXAZOLIDINONES years and older)
MACROLIDES Cellulitis - 250 - 500 mg twice a
day or 500 mg once daily for 10
NITAZOXANIDE (ALINIA®)
days (PI)
NITROFURANTOIN (MACROBID®)
Sinusitis - 250 - 500 mg twice a
NITROIMIDAZOLES day for 10 days (PI)
PENICILLINS Strep throat - 500 mg once
daily for 10 days (PI)
QUINOLONES
RIFAMYCINS
Other
SULFONAMIDES
Cefprozil is a second
TETRACYCLINES
generation cephalosporin
OPHTHALMIC ANTIBIOTIC TABLE May take without regard to food
OTIC ANTIBIOTIC TABLE Liver disease - no dose
adjustment necessary
Kidney disease
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ANTIBIOTIC CHART
TOP
ACRONYMS Cefuroxime
CEPHALOSPORINS Ceftin®
Cefadroxil (Duricef®) 1st
Cephalexin (Keflex®) 1st Dosage forms
Cefaclor (Ceclor®) 2nd
Tablet
Cefprozil (Cefzil®) 2nd
125 mg (?)
Cefuroxime (Ceftin®) 2nd
250 mg ($)
Cefdinir (Omnicef®) 3rd
500 mg ($)
Cefditoren (Spectracef®) 3rd
Cefixime (Suprax®) 3rd
Suspension
Cefpodoxime (Vantin®) 3rd
125 mg/5 ml ($$$$)
Ceftibuten (Cedax®) 3rd 250 mg/5 ml ($$$$)
Ceftriaxone (Rocephin®) 3rd
Ceph generations (IV&PO)
Dosing
CLINDAMYCIN (CLEOCIN®)
FOSFOMYCIN (MONUROL®) Pediatric (3 months to 12 years)
LEFAMULIN (XENLETA®) NOTE: Pediatric dosing is for
suspension only. Suspension
OXAZOLIDINONES
and tablet are not bioequivalent
MACROLIDES on a mg-to-mg basis.
NITAZOXANIDE (ALINIA®) Impetigo - 30 mg/kg/day (max
NITROFURANTOIN (MACROBID®) 1000 mg/day) given in 2
NITROIMIDAZOLES divided doses for 10 days (PI)
Otitis media - 30 mg/kg/day
PENICILLINS
(max 1000 mg/day) given in 2
QUINOLONES divided doses for 5 - 10 days
RIFAMYCINS (AAP)
SULFONAMIDES Pneumonia, community-
acquired - 30 mg/kg/day (max
TETRACYCLINES
1000 mg/day) given in 2
OPHTHALMIC ANTIBIOTIC TABLE divided doses for 7 - 10 days
OTIC ANTIBIOTIC TABLE (IDSA)
Sinusitis - 30 mg/kg/day (max
1000 mg/day) given in 2
divided doses for a minimum of
10 days (AAP)
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CLINDAMYCIN (CLEOCIN®)
Other
FOSFOMYCIN (MONUROL®)
LEFAMULIN (XENLETA®) Cefdinir is a third generation
OXAZOLIDINONES cephalosporin
May take without regard to food
MACROLIDES
Iron supplements and antacids
NITAZOXANIDE (ALINIA®)
reduce cefdinir absorption. Do
NITROFURANTOIN (MACROBID®) not take within 2 hours of each
NITROIMIDAZOLES other.
PENICILLINS Cefdinir and iron may cause
stool to turn red
QUINOLONES
Liver disease - no dose
RIFAMYCINS adjustment necessary
SULFONAMIDES Kidney disease
CrCl < 30 ml/min: adult dose
TETRACYCLINES
is 300 mg once daily;
OPHTHALMIC ANTIBIOTIC TABLE pediatric dose is 7
OTIC ANTIBIOTIC TABLE mg/kg/day (max 300
mg/day) given once daily
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Spectracef®
ANTIBIOTIC CHART
Dosage forms
TOP
ACRONYMS Tablet
CEPHALOSPORINS 200 mg ($$$$)
Cefadroxil (Duricef®) 1st 400 mg ($$$$)
Cephalexin (Keflex®) 1st Discontinued in U.S.
Cefaclor (Ceclor®) 2nd
Cefprozil (Cefzil®) 2nd Dosing
Cefuroxime (Ceftin®) 2nd
Adults and Adolescents (Age 12
Cefdinir (Omnicef®) 3rd
years and older)
Cefditoren (Spectracef®) 3rd
Pneumonia, community-
Cefixime (Suprax®) 3rd
acquired - 400 mg twice a day
Cefpodoxime (Vantin®) 3rd
for 14 days (PI)
Ceftibuten (Cedax®) 3rd Skin infections - 200 mg twice a
Ceftriaxone (Rocephin®) 3rd day for 10 days (PI)
Ceph generations (IV&PO) Strep throat - 200 mg twice a
CLINDAMYCIN (CLEOCIN®) day for 10 days (PI)
FOSFOMYCIN (MONUROL®)
LEFAMULIN (XENLETA®) Other
OXAZOLIDINONES
Cefditoren has been
MACROLIDES discontinued in the U.S.
NITAZOXANIDE (ALINIA®) Cefditoren is a third generation
cephalosporin
NITROFURANTOIN (MACROBID®)
Take with a meal to increase
NITROIMIDAZOLES
absorption
PENICILLINS Drugs that reduce gastric
QUINOLONES acidity (e.g. antacids, H2
blockers, PPIs) decrease
RIFAMYCINS
absorption
SULFONAMIDES Liver disease
TETRACYCLINES Child-Pugh A/B: no dose
OPHTHALMIC ANTIBIOTIC TABLE adjustment necessary
Child-Pugh C: has not been
OTIC ANTIBIOTIC TABLE
studied
Kidney disease
CrCl > 50 ml/min: No dose
adjustment necessary
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OXAZOLIDINONES
Dosing
MACROLIDES
NITAZOXANIDE (ALINIA®) Pediatric (6 months - 12 years)
NITROFURANTOIN (MACROBID®) Sinusitis - 8 mg/kg/day (max
NITROIMIDAZOLES 400 mg/day) given in one or
two divided doses for a
PENICILLINS
minimum of 10 days. Give with
QUINOLONES clindamycin. See AAP sinusitis
RIFAMYCINS recs. (AAP, PI)
Urinary tract infection - 8
SULFONAMIDES
mg/kg/day (max 400 mg/day)
TETRACYCLINES given once daily for 7 - 14 days
OPHTHALMIC ANTIBIOTIC TABLE (CTE)
OTIC ANTIBIOTIC TABLE Urinary tract infection,
prophylaxis - 2 mg/kg/day given
once daily (CTE)
ACRONYMS
Cefixime is a third generation
CEPHALOSPORINS cephalosporin
Cefadroxil (Duricef®) 1st May take without regard to food
Cephalexin (Keflex®) 1st Kidney disease
Cefaclor (Ceclor®) 2nd CrCl ≥ 60 ml/min: no dose
Cefprozil (Cefzil®) 2nd adjustment necessary
Cefuroxime (Ceftin®) 2nd CrCl < 60 ml/min: dose
Cefdinir (Omnicef®) 3rd adjustment recommended;
Cefditoren (Spectracef®) 3rd see Suprax PI [sec 2.3] for
Cefixime (Suprax®) 3rd recommendations
Cefpodoxime (Vantin®) 3rd
Ceftibuten (Cedax®) 3rd
Ceftriaxone (Rocephin®) 3rd
Ceph generations (IV&PO) Cefpodoxime
CLINDAMYCIN (CLEOCIN®) Vantin®
FOSFOMYCIN (MONUROL®)
LEFAMULIN (XENLETA®) Dosage forms
OXAZOLIDINONES Tablet
MACROLIDES 100 mg ($)
NITAZOXANIDE (ALINIA®) 200 mg ($)
NITROFURANTOIN (MACROBID®)
Suspension
NITROIMIDAZOLES
50 mg/5 ml ($)
PENICILLINS 100 mg/5 ml ($)
QUINOLONES
RIFAMYCINS Dosing
SULFONAMIDES
Pediatric (age 2 months through
TETRACYCLINES 12 years)
OPHTHALMIC ANTIBIOTIC TABLE Otitis media - 10 mg/kg/day
(max 400 mg/day) given in 2
OTIC ANTIBIOTIC TABLE
divided doses for 5 - 10 days
(AAP)
Pneumonia, community-
acquired - 10 mg/kg/day (max
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OXAZOLIDINONES
Dosing
MACROLIDES
NITAZOXANIDE (ALINIA®) Pediatric
NITROFURANTOIN (MACROBID®) Otitis media - 9 mg/kg/day
NITROIMIDAZOLES (max 400 mg/day) given once
daily for 10 days (PI)
PENICILLINS
Strep throat - 9 mg/kg/day (max
QUINOLONES 400 mg/day) given once daily
RIFAMYCINS for 10 days (PI)
SULFONAMIDES
Adolescents and Adults (age 12
TETRACYCLINES years and older)
OPHTHALMIC ANTIBIOTIC TABLE Otitis media - 400 mg once
OTIC ANTIBIOTIC TABLE daily for 10 days (PI)
Strep throat - 400 mg once
daily for 10 days (PI)
Other
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NITAZOXANIDE (ALINIA®)
Vial
NITROFURANTOIN (MACROBID®) 250 mg ($)
NITROIMIDAZOLES 500 mg ($)
PENICILLINS 1000 mg ($)
2000 mg ($)
QUINOLONES
RIFAMYCINS Dosing
SULFONAMIDES
Pediatric
TETRACYCLINES
E. coli, enterotoxigenic - 50
OPHTHALMIC ANTIBIOTIC TABLE mg/kg/day IM/IV given once
OTIC ANTIBIOTIC TABLE daily for 3 days (CTE)
Endocarditis prophylaxis - 50
mg/kg (max 1000 mg) IM 30 -
60 minutes before procedure
(AHA)
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NITAZOXANIDE (ALINIA®)
Ceftriaxone is a third
NITROFURANTOIN (MACROBID®) generation cephalosporin
NITROIMIDAZOLES Do not give to neonates ≤ 28
PENICILLINS days old with
hyperbilirubinemia
QUINOLONES
Liver disease - no dose
RIFAMYCINS adjustment necessary
SULFONAMIDES Kidney disease - no dose
adjustment necessary
TETRACYCLINES
Kidney and liver disease
OPHTHALMIC ANTIBIOTIC TABLE (concurrent) - do not exceed 2
OTIC ANTIBIOTIC TABLE grams daily
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ANTIBIOTIC CHART
First generation Second g
TOP
ACRONYMS Cefadroxil (Duricef®) Cefaclor
CEPHALOSPORINS Cephalexin (Keflex®) Cefoxitin
Cefadroxil (Duricef®) 1st Cefazolin (Ancef®) Cefotetan
Cephalexin (Keflex®) 1st Cefprozil
Cefaclor (Ceclor®) 2nd Cefuroxim
Cefprozil (Cefzil®) 2nd
Cefuroxime (Ceftin®) 2nd
Cefdinir (Omnicef®) 3rd
Cefditoren (Spectracef®) 3rd
Cefixime (Suprax®) 3rd
Cefpodoxime (Vantin®) 3rd
Ceftibuten (Cedax®) 3rd
Ceftriaxone (Rocephin®) 3rd
Ceph generations (IV&PO) Clindamycin
CLINDAMYCIN (CLEOCIN®)
Cleocin®
FOSFOMYCIN (MONUROL®)
Dosage forms
LEFAMULIN (XENLETA®)
OXAZOLIDINONES Capsule
75 mg ($)
MACROLIDES
150 mg ($)
NITAZOXANIDE (ALINIA®) 300 mg ($)
NITROFURANTOIN (MACROBID®)
NITROIMIDAZOLES Solution
75 mg/5 ml ($$)
PENICILLINS
QUINOLONES
Vaginal cream
RIFAMYCINS 2%, 40 gm tube ($-$$)
SULFONAMIDES
Vaginal cream (Clindesse®)
TETRACYCLINES
2%, single-dose 5 gm applicator ($$$)
OPHTHALMIC ANTIBIOTIC TABLE
OTIC ANTIBIOTIC TABLE Vaginal suppository (Cleocin®)
100 mg ($$$$)
Comes in carton with 3 suppositories
Topical
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Dosing
ANTIBIOTIC CHART
TOP Pediatric
Cellulitis (MRSA coverage) - 30
ACRONYMS
- 40 mg/kg/day (max 1800
CEPHALOSPORINS
mg/day) given in 3 divided
Cefadroxil (Duricef®) 1st doses for 5 - 10 days (IDSA)
Cephalexin (Keflex®) 1st Endocarditis prophylaxis - 20
Cefaclor (Ceclor®) 2nd mg/kg (max 600 mg) 30 - 60
Cefprozil (Cefzil®) 2nd minutes before procedure
Cefuroxime (Ceftin®) 2nd (penicillin allergic) (AHA)
Cefdinir (Omnicef®) 3rd Impetigo - 20 mg/kg/day (max
Cefditoren (Spectracef®) 3rd 1600 mg/day) given in 3
Cefixime (Suprax®) 3rd divided doses for 7 days (IDSA)
Cefpodoxime (Vantin®) 3rd Otitis media - 30 - 40
Ceftibuten (Cedax®) 3rd mg/kg/day (max 1800 mg/day)
Ceftriaxone (Rocephin®) 3rd given in 3 divided doses for 5 -
Ceph generations (IV&PO) 10 days (AAP)
Sinusitis - 8 - 12 mg/kg/day
CLINDAMYCIN (CLEOCIN®)
divided into 3 or 4 equal doses
FOSFOMYCIN (MONUROL®)
for a minimum of 10 days. Give
LEFAMULIN (XENLETA®) with Cefixime (Suprax®). See
OXAZOLIDINONES AAP sinusitis recs. (AAP, PI)
MACROLIDES Strep throat - 7 mg/kg/dose
(max 300 mg/dose) three times
NITAZOXANIDE (ALINIA®)
daily for 10 days (IDSA)
NITROFURANTOIN (MACROBID®)
NITROIMIDAZOLES Adults
PENICILLINS Bacterial vaginosis
Clindamycin 2% vaginal
QUINOLONES
cream - one full applicator
RIFAMYCINS (5g) intravaginally at bedtime
SULFONAMIDES for 7 days (CDC)
TETRACYCLINES Clindamycin 2% vaginal
cream (Clindesse®) - one
OPHTHALMIC ANTIBIOTIC TABLE
full applicator (5g) once
OTIC ANTIBIOTIC TABLE intravaginally at any time of
the day (PI)
Clindamycin oral - 300 mg
twice a day for 7 days (CDC)
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Clindamycin vaginal
JOIN
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suppository LOGIN
(Cleocin®) - 100
mg intravaginally once at
ANTIBIOTIC CHARTbedtime for 3 days (CDC)
TOP Bite, animal - Clindamycin -
300 mg three times a day +
ACRONYMS
Cefuroxime (Ceftin®) - 500
CEPHALOSPORINS
mg twice a day; OR
Cefadroxil (Duricef®) 1st Levofloxacin (Levaquin®) -
Cephalexin (Keflex®) 1st 750 mg once daily; OR
Cefaclor (Ceclor®) 2nd Sulfamethoxazole-
Cefprozil (Cefzil®) 2nd trimethoprim - 800/160 twice a
Cefuroxime (Ceftin®) 2nd day (IDSA)
Cefdinir (Omnicef®) 3rd Cellulitis (MRSA coverage) -
Cefditoren (Spectracef®) 3rd 300 - 450 mg four times a day
Cefixime (Suprax®) 3rd for 5 - 10 days (IDSA)
Cefpodoxime (Vantin®) 3rd Diabetic foot ulcer (mild) - 300 -
Ceftibuten (Cedax®) 3rd 450 mg four times a day for 7 -
Ceftriaxone (Rocephin®) 3rd 14 days (IDSA)
Ceph generations (IV&PO) Diabetic foot ulcer (moderate) -
Clindamycin 300 - 450 mg four
CLINDAMYCIN (CLEOCIN®)
times a day +
FOSFOMYCIN (MONUROL®)
Ciprofloxacin 500 mg twice a
LEFAMULIN (XENLETA®) day for 7 - 14 days; OR
OXAZOLIDINONES Levofloxacin 750 mg once
MACROLIDES daily for 7 - 14 days (IDSA)
Endocarditis prophylaxis - 600
NITAZOXANIDE (ALINIA®)
mg 30 - 60 minutes before
NITROFURANTOIN (MACROBID®)
procedure (penicillin allergic)
NITROIMIDAZOLES (AHA)
PENICILLINS Hidradenitis suppurativa
Clindamycin 300 mg twice a
QUINOLONES
day + Rifampin 600 mg once
RIFAMYCINS daily for 10 weeks [Based on
SULFONAMIDES PMID 19590173]
TETRACYCLINES Topical clindamycin applied
twice a day (CTE)
OPHTHALMIC ANTIBIOTIC TABLE
Impetigo - 300 - 400 mg four
OTIC ANTIBIOTIC TABLE times a day for 7 days (IDSA)
Pseudofolliculitis barbae -
Benzoyl peroxide + topical
clindamycin applied twice a day
(CTE)
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ACRONYMS
Other
CEPHALOSPORINS
Cefadroxil (Duricef®) 1st May take without regard to food
Cephalexin (Keflex®) 1st Liver disease - dose
Cefaclor (Ceclor®) 2nd adjustment not likely necessary
Cefprozil (Cefzil®) 2nd Kidney disease - no dose
Cefuroxime (Ceftin®) 2nd adjustment necessary
Cefdinir (Omnicef®) 3rd
Cefditoren (Spectracef®) 3rd
Cefixime (Suprax®) 3rd
Cefpodoxime (Vantin®) 3rd
Fosfomycin
Ceftibuten (Cedax®) 3rd
Monurol®
Ceftriaxone (Rocephin®) 3rd
Ceph generations (IV&PO)
Dosage forms
CLINDAMYCIN (CLEOCIN®)
FOSFOMYCIN (MONUROL®) Powder
3 gram packet ($$)
LEFAMULIN (XENLETA®)
OXAZOLIDINONES
Dosing
MACROLIDES
NITAZOXANIDE (ALINIA®) Adults
Urinary tract infection - 3 gram
NITROFURANTOIN (MACROBID®)
packet one time dose (IDSA,
NITROIMIDAZOLES
PI)
PENICILLINS Urinary tract infection,
QUINOLONES prophylaxis - 3 gram packet
every 10 days (CTE)
RIFAMYCINS
SULFONAMIDES Other
TETRACYCLINES
May take without regard to food
OPHTHALMIC ANTIBIOTIC TABLE
Mix packet with 3 - 4 ounces of
OTIC ANTIBIOTIC TABLE water
Kidney disease - clearance is
decreased. Manufacturer
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makes no specific
JOIN
Straight Healthcare NEWSLETTER SUBSCRIBE
recommendation. LOGIN
ANTIBIOTIC CHART
TOP
ACRONYMS Lefamulin
CEPHALOSPORINS Xenleta™
Cefadroxil (Duricef®) 1st
Cephalexin (Keflex®) 1st Dosage forms
Cefaclor (Ceclor®) 2nd
Tablet
Cefprozil (Cefzil®) 2nd
600 mg ($$$$)
Cefuroxime (Ceftin®) 2nd
Cefdinir (Omnicef®) 3rd
Dosing
Cefditoren (Spectracef®) 3rd
Cefixime (Suprax®) 3rd Adults (18 years and older)
Cefpodoxime (Vantin®) 3rd Pneumonia, community-
Ceftibuten (Cedax®) 3rd acquired - 600 mg every 12
Ceftriaxone (Rocephin®) 3rd hours for 5 days (PI)
Ceph generations (IV&PO)
CLINDAMYCIN (CLEOCIN®) Other
FOSFOMYCIN (MONUROL®)
Take at least 1 hour before a
LEFAMULIN (XENLETA®)
meal or 2 hours after a meal.
OXAZOLIDINONES Food decreases absorption.
MACROLIDES Do not use in pregnant women
NITAZOXANIDE (ALINIA®) Lefamulin is a bacterial
ribosomal RNA inhibitor
NITROFURANTOIN (MACROBID®)
Lefamulin is a sensitive
NITROIMIDAZOLES
CYP3A4 substrate and
PENICILLINS inhibitor. Strong and moderate
QUINOLONES CYP3A4 inducers may
decrease the effectiveness of
RIFAMYCINS
lefamulin. Do not take lefamulin
SULFONAMIDES with strong CYP3A4 inhibitors.
TETRACYCLINES Monitor for adverse effects
when taking with moderate
OPHTHALMIC ANTIBIOTIC TABLE
CYP3A4 inhibitors.
OTIC ANTIBIOTIC TABLE
Lefamulin is a P-glycoprotein
substrate. P-glycoprotein
inducers may decrease the
effectiveness of lefamulin. Do
not take with strong P-
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Suspension
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Dosing
ANTIBIOTIC CHART
TOP Pediatric
Cellulitis (MRSA coverage)
ACRONYMS
< 5 years old - 10
CEPHALOSPORINS
mg/kg/dose every 8 hours
Cefadroxil (Duricef®) 1st for 5 - 10 days (IDSA, PI)
Cephalexin (Keflex®) 1st 5 - 11 years old - 10
Cefaclor (Ceclor®) 2nd mg/kg/dose (max 600
Cefprozil (Cefzil®) 2nd mg/dose) twice a day for 5 -
Cefuroxime (Ceftin®) 2nd 10 days (IDSA, PI)
Cefdinir (Omnicef®) 3rd Pneumonia, community-
Cefditoren (Spectracef®) 3rd acquired
Cefixime (Suprax®) 3rd < 12 years old - 30
Cefpodoxime (Vantin®) 3rd mg/kg/day given in 3 divided
Ceftibuten (Cedax®) 3rd doses for 7 - 10 days (IDSA)
Ceftriaxone (Rocephin®) 3rd ≥ 12 years old - 20
Ceph generations (IV&PO) mg/kg/day (max 1200
mg/day) given in 2 divided
CLINDAMYCIN (CLEOCIN®)
doses for 7 - 10 days (IDSA)
FOSFOMYCIN (MONUROL®)
LEFAMULIN (XENLETA®) Adults (12 years and older)
OXAZOLIDINONES Cellulitis (MRSA coverage) -
MACROLIDES 600 mg twice a day for 5 - 10
days (IDSA)
NITAZOXANIDE (ALINIA®)
Diabetic foot ulcer (moderate,
NITROFURANTOIN (MACROBID®)
MRSA coverage) - 400 - 600
NITROIMIDAZOLES mg twice a day for 7 - 14 days
PENICILLINS (IDSA)
Pneumonia, community-
QUINOLONES
acquired - 600 mg twice a day
RIFAMYCINS for 10 - 14 days (PI)
SULFONAMIDES
TETRACYCLINES Other
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ANTIBIOTIC CHART
Studies
TOP
Linezolid susceptibility testing
ACRONYMS
in 2014 [PubMed abstract] -
CEPHALOSPORINS 6,865 Gram-positive pathogens
Cefadroxil (Duricef®) 1st from 36 states collected in
Cephalexin (Keflex®) 1st 2014 were tested for
Cefaclor (Ceclor®) 2nd susceptibility to linezolid.
Cefprozil (Cefzil®) 2nd Linezolid demonstrated
Cefuroxime (Ceftin®) 2nd excellent activity and a
Cefdinir (Omnicef®) 3rd sustained susceptibility rate of
Cefditoren (Spectracef®) 3rd 99.78% overall.
Cefixime (Suprax®) 3rd
Cefpodoxime (Vantin®) 3rd
Ceftibuten (Cedax®) 3rd
Ceftriaxone (Rocephin®) 3rd Tedizolid
Ceph generations (IV&PO)
Sivextro®
CLINDAMYCIN (CLEOCIN®)
FOSFOMYCIN (MONUROL®) Dosage forms
LEFAMULIN (XENLETA®)
Tablet
OXAZOLIDINONES
200 mg ($$$$)
MACROLIDES
NITAZOXANIDE (ALINIA®) Dosing
NITROFURANTOIN (MACROBID®)
Adults and children (12 years and
NITROIMIDAZOLES
older)
PENICILLINS Cellulitis (MRSA coverage) -
QUINOLONES 200 mg once daily for 6 days
(PI)
RIFAMYCINS
SULFONAMIDES Other
TETRACYCLINES
May take without regard to food
OPHTHALMIC ANTIBIOTIC TABLE
For a missed dose, take as
OTIC ANTIBIOTIC TABLE soon as possible anytime up to
8 hours prior to the next
scheduled dose. If less than 8
hours remain before the next
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Azithromycin
Zithromax®
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Dosage forms
JOIN
Straight Healthcare NEWSLETTER SUBSCRIBE LOGIN
Tablet
ANTIBIOTIC CHART
250 mg ($)
500 mg ($)
TOP
600 mg ($)
ACRONYMS
CEPHALOSPORINS Suspension
Cefadroxil (Duricef®) 1st 100 mg/5 ml ($)
Cephalexin (Keflex®) 1st 200 mg/5 ml ($)
Cefaclor (Ceclor®) 2nd
Cefprozil (Cefzil®) 2nd Powder, one packet
Cefuroxime (Ceftin®) 2nd 1000 mg ($)
Cefdinir (Omnicef®) 3rd
Cefditoren (Spectracef®) 3rd Suspension, extended-release (Zmax®)
Cefixime (Suprax®) 3rd 2 grams/bottle ($$$)
Cefpodoxime (Vantin®) 3rd
Ceftibuten (Cedax®) 3rd Ophthalmic
Ceftriaxone (Rocephin®) 3rd See conjunctivitis
Ceph generations (IV&PO)
CLINDAMYCIN (CLEOCIN®) Dosing
FOSFOMYCIN (MONUROL®)
Pediatric (0 - 5 months)
LEFAMULIN (XENLETA®) Bordetella pertussis (treatment
OXAZOLIDINONES or postexposure prophylaxis)
MACROLIDES < 1 month - 10 mg/kg/day
given once daily for 5 days
NITAZOXANIDE (ALINIA®)
(CDC)
NITROFURANTOIN (MACROBID®)
1 - 5 months - 10 mg/kg/day
NITROIMIDAZOLES given once daily for 5 days
PENICILLINS (CDC)
QUINOLONES
Pediatric (6 months to 12 years)
RIFAMYCINS Bordetella pertussis (treatment
SULFONAMIDES or postexposure prophylaxis) -
TETRACYCLINES 10 mg/kg given as a single
dose on day 1, then
OPHTHALMIC ANTIBIOTIC TABLE
5 mg/kg/day (max 500 mg)
OTIC ANTIBIOTIC TABLE given once daily on days 2 - 5
(CDC)
Campylobacter - 10 mg/kg/day
(max 500 mg/day) given once
daily for 3 - 5 days (CTE)
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TETRACYCLINES
Macrolide use during
OPHTHALMIC ANTIBIOTIC TABLE pregnancy and adverse child
OTIC ANTIBIOTIC TABLE outcomes in the UK, BMJ
(2020) [PubMed abstract]
Macrolide use in pregnancy
and risk of birth defects,
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ANTIBIOTIC CHART
TOP
ACRONYMS Clarithromycin
CEPHALOSPORINS Biaxin®
Cefadroxil (Duricef®) 1st
Cephalexin (Keflex®) 1st Dosage forms
Cefaclor (Ceclor®) 2nd
Tablet
Cefprozil (Cefzil®) 2nd
250 mg ($)
Cefuroxime (Ceftin®) 2nd
500 mg ($)
Cefdinir (Omnicef®) 3rd
Cefditoren (Spectracef®) 3rd
Suspension
Cefixime (Suprax®) 3rd
125 mg/5 ml ($)
Cefpodoxime (Vantin®) 3rd
250 mg/5 ml ($$)
Ceftibuten (Cedax®) 3rd
Ceftriaxone (Rocephin®) 3rd
Tablet, extended-release (Biaxin XL®)
Ceph generations (IV&PO)
500 mg ($)
CLINDAMYCIN (CLEOCIN®)
FOSFOMYCIN (MONUROL®) Dosing
LEFAMULIN (XENLETA®)
OXAZOLIDINONES Pediatric (0 - 5 months)
Bordetella pertussis (treatment
MACROLIDES
or postexposure prophylaxis)
NITAZOXANIDE (ALINIA®) < 1 month - Not
NITROFURANTOIN (MACROBID®) recommended. Use
NITROIMIDAZOLES azithromycin. (CDC)
1 - 5 months - 15 mg/kg/day
PENICILLINS
given in 2 divided doses for
QUINOLONES 7 days (CDC)
RIFAMYCINS
Pediatric (≥ 6 months and
SULFONAMIDES
children)
TETRACYCLINES Bordetella pertussis (treatment
OPHTHALMIC ANTIBIOTIC TABLE or postexposure prophylaxis) -
OTIC ANTIBIOTIC TABLE 15 mg/kg/day (max 1000
mg/day) given in 2 divided
doses for 7 days (CDC)
Endocarditis prophylaxis - 15
mg/kg (max 500 mg) 30 - 60
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(CTE)
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Standard-release: 500 mg
ANTIBIOTIC CHARTtwice a day for 14 days (PI)
TOP Extended-release: 1000 mg
once daily for 14 days (PI)
ACRONYMS
Skin infections - 250 mg twice a
CEPHALOSPORINS
day for 7 - 14 days (PI)
Cefadroxil (Duricef®) 1st Strep throat - 250 mg twice a
Cephalexin (Keflex®) 1st day for 10 days (IDSA)
Cefaclor (Ceclor®) 2nd
Cefprozil (Cefzil®) 2nd Other
Cefuroxime (Ceftin®) 2nd
Cefdinir (Omnicef®) 3rd Standard-release tablet and
Cefditoren (Spectracef®) 3rd suspension may be taken
Cefixime (Suprax®) 3rd without regard to food.
Cefpodoxime (Vantin®) 3rd Extended-release tablets
Ceftibuten (Cedax®) 3rd should be taken with food.
Clarithromycin is a CYP3A4
Ceftriaxone (Rocephin®) 3rd
strong inhibitor and is
Ceph generations (IV&PO)
contraindicated with a number
CLINDAMYCIN (CLEOCIN®)
of CYP3A4 sensitive
FOSFOMYCIN (MONUROL®) substrates. See Biaxin PI for
LEFAMULIN (XENLETA®) more.
OXAZOLIDINONES Clarithromycin is not
recommended in patients with
MACROLIDES
heart disease because of a
NITAZOXANIDE (ALINIA®)
potential increased risk of heart
NITROFURANTOIN (MACROBID®) problems or death that can
NITROIMIDAZOLES occur years later
PENICILLINS Clarithromycin is not
recommended in pregnancy
QUINOLONES
Liver disease - no dose
RIFAMYCINS adjustment necessary
SULFONAMIDES Kidney disease
CrCl < 30 ml/min: - reduce
TETRACYCLINES
dose by 50%
OPHTHALMIC ANTIBIOTIC TABLE
OTIC ANTIBIOTIC TABLE Studies
MACROLIDES
Tablet, enteric-coated (PCE®)
NITAZOXANIDE (ALINIA®)
333 mg ($$$$)
NITROFURANTOIN (MACROBID®) 500 mg ($$$$)
NITROIMIDAZOLES
PENICILLINS Ophthalmic
See conjunctivitis
QUINOLONES
RIFAMYCINS Topical
SULFONAMIDES See topical derm meds
TETRACYCLINES
OPHTHALMIC ANTIBIOTIC TABLE Erythromycin ethylsuccinate
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Dosing
ANTIBIOTIC CHART
TOP Pediatric (0 - 5 months)
Bordetella pertussis (treatment
ACRONYMS
or postexposure prophylaxis)
CEPHALOSPORINS
< 1 month: 40 - 50
Cefadroxil (Duricef®) 1st mg/kg/day given in 4 divided
Cephalexin (Keflex®) 1st doses for 14 days. Dosing is
Cefaclor (Ceclor®) 2nd for erythromycin base.
Cefprozil (Cefzil®) 2nd Azithromycin is the preferred
Cefuroxime (Ceftin®) 2nd agent in this age group.
Cefdinir (Omnicef®) 3rd (CDC)
Cefditoren (Spectracef®) 3rd 1 - 5 months: 40 - 50
Cefixime (Suprax®) 3rd mg/kg/day given in 4 divided
Cefpodoxime (Vantin®) 3rd doses for 14 days. Dosing is
Ceftibuten (Cedax®) 3rd for erythromycin base.
Ceftriaxone (Rocephin®) 3rd (CDC)
Ceph generations (IV&PO)
Pediatric (≥ 6 months and
CLINDAMYCIN (CLEOCIN®)
children)
FOSFOMYCIN (MONUROL®)
Bordetella pertussis (treatment
LEFAMULIN (XENLETA®) or postexposure prophylaxis)
OXAZOLIDINONES Erythromycin base:
MACROLIDES 40 - 50 mg/kg/day (max
2000 mg/day) given in 4
NITAZOXANIDE (ALINIA®)
divided doses for 14 days
NITROFURANTOIN (MACROBID®)
(CDC)
NITROIMIDAZOLES Campylobacter
PENICILLINS Erythromycin base - 30
mg/kg/day given in 2 - 4
QUINOLONES
divided doses for 3 - 5 days
RIFAMYCINS (CTE)
SULFONAMIDES Impetigo
TETRACYCLINES Erythromycin ethylsuccinate
- 40 mg/kg/day (max 1600
OPHTHALMIC ANTIBIOTIC TABLE
mg/day) given in 3 - 4
OTIC ANTIBIOTIC TABLE divided doses for 7 days
(IDSA)
Pneumonia, community-
acquired, atypical
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Erythromycin ethylsuccinate
JOIN
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- 40 mg/kg/day LOGIN
1600
mg/day) given in 4 divided
ANTIBIOTIC CHARTdoses for 7 - 10 days (IDSA)
TOP
Adolescents and adults
ACRONYMS
Acne
CEPHALOSPORINS
Erythromycin base: 250 -
Cefadroxil (Duricef®) 1st 500 mg once daily or 250 -
Cephalexin (Keflex®) 1st 500 mg twice a day (AAP)
Cefaclor (Ceclor®) 2nd Bordetella pertussis (treatment
Cefprozil (Cefzil®) 2nd or postexposure prophylaxis)
Cefuroxime (Ceftin®) 2nd Erythromycin base - 500 mg
Cefdinir (Omnicef®) 3rd four times a day for 14 days
Cefditoren (Spectracef®) 3rd (CDC)
Cefixime (Suprax®) 3rd Campylobacter
Cefpodoxime (Vantin®) 3rd Erythromycin base - 500 mg
Ceftibuten (Cedax®) 3rd two to four times a day for 3
Ceftriaxone (Rocephin®) 3rd - 5 days (IDSA/CTE)
Ceph generations (IV&PO) Chlamydia
Erythromycin base - 500 mg
CLINDAMYCIN (CLEOCIN®)
four times a day for 7 days
FOSFOMYCIN (MONUROL®)
(CDC)
LEFAMULIN (XENLETA®) Erythromycin ethylsuccinate
OXAZOLIDINONES - 800 mg four times a day for
MACROLIDES 7 days (CDC)
Impetigo
NITAZOXANIDE (ALINIA®)
Erythromycin base - 250 mg
NITROFURANTOIN (MACROBID®)
four times a day for 7 days
NITROIMIDAZOLES (IDSA)
PENICILLINS Erythromycin ethylsuccinate
- 400 mg four times a day for
QUINOLONES
7 days (IDSA)
RIFAMYCINS Pneumonia, community-
SULFONAMIDES acquired
TETRACYCLINES Erythromycin base - 500 mg
four times a day or 1000 mg
OPHTHALMIC ANTIBIOTIC TABLE
twice a day for 7 - 14 days
OTIC ANTIBIOTIC TABLE (CTE) [2]
Erythromycin ethylsuccinate
- 800 mg four times a day or
1600 mg twice a day for 7 -
14 days
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May take without regard to food
ANTIBIOTIC CHART
400 mg of erythromycin
TOP ethylsuccinate is equivalent to
ACRONYMS 250 mg of erythromycin base or
stearate
CEPHALOSPORINS
Erythromycin is a Moderate
Cefadroxil (Duricef®) 1st
CYP3A4 inhibitor
Cephalexin (Keflex®) 1st Erythromycin is contraindicated
Cefaclor (Ceclor®) 2nd with lovastatin and simvastatin
Cefprozil (Cefzil®) 2nd Liver disease - use caution.
Cefuroxime (Ceftin®) 2nd Manufacturer makes no
Cefdinir (Omnicef®) 3rd specific recommendation.
Cefditoren (Spectracef®) 3rd Kidney disease - erythromycin
Cefixime (Suprax®) 3rd is mostly excreted in the bile.
Cefpodoxime (Vantin®) 3rd Manufacturer makes no
Ceftibuten (Cedax®) 3rd specific recommendation.
Ceftriaxone (Rocephin®) 3rd
Ceph generations (IV&PO) Studies
CLINDAMYCIN (CLEOCIN®)
Macrolide use during
FOSFOMYCIN (MONUROL®)
pregnancy and adverse child
LEFAMULIN (XENLETA®) outcomes in the UK, BMJ
OXAZOLIDINONES (2020) [PubMed abstract]
MACROLIDES Macrolide use in pregnancy
and risk of birth defects,
NITAZOXANIDE (ALINIA®)
Pharmacoepidemiol Drug Saf
NITROFURANTOIN (MACROBID®)
(2015) [PubMed abstract]
NITROIMIDAZOLES
PENICILLINS
QUINOLONES
RIFAMYCINS Fidaxomicin
SULFONAMIDES Dificid®
TETRACYCLINES
Dosage forms
OPHTHALMIC ANTIBIOTIC TABLE
Tablet
OTIC ANTIBIOTIC TABLE
200 mg ($$$$)
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ANTIBIOTIC CHART
Dosing
TOP
Pediatric (≥ 6 months old)
ACRONYMS
Clostridium difficile
CEPHALOSPORINS
Weight 8.8 lbs (4 kg) to 15.3
Cefadroxil (Duricef®) 1st lbs (6.9 kg): 80 mg twice
Cephalexin (Keflex®) 1st daily for 10 days
Cefaclor (Ceclor®) 2nd Weight 15.4 lbs (7 kg) to
Cefprozil (Cefzil®) 2nd 19.7 lbs (8.9 kg): 120 mg
Cefuroxime (Ceftin®) 2nd twice daily for 10 days
Cefdinir (Omnicef®) 3rd Weight 19.8 lbs (9 kg) to
Cefditoren (Spectracef®) 3rd 27.4 lbs (12.4 kg): 160 mg
Cefixime (Suprax®) 3rd twice daily for 10 days
Cefpodoxime (Vantin®) 3rd Weight ≥ 27.5 lbs (12.5 kg):
Ceftibuten (Cedax®) 3rd 200 mg twice daily for 10
Ceftriaxone (Rocephin®) 3rd days (PI)
Ceph generations (IV&PO)
Adults
CLINDAMYCIN (CLEOCIN®)
Clostridium difficile - 200 mg
FOSFOMYCIN (MONUROL®)
twice a day for 10 days
LEFAMULIN (XENLETA®) (IDSA,PI)
OXAZOLIDINONES
MACROLIDES Other
NITAZOXANIDE (ALINIA®)
May take without regard to food
NITROFURANTOIN (MACROBID®) After granules are
NITROIMIDAZOLES reconstituted, they should be
PENICILLINS refrigerated and are good for
up to 12 days
QUINOLONES
Fidaxomicin undergoes minimal
RIFAMYCINS absorption and should not be
SULFONAMIDES used for systemic infections
Liver disease - fidaxomicin
TETRACYCLINES
undergoes minimal absorption.
OPHTHALMIC ANTIBIOTIC TABLE Liver disease should not affect.
OTIC ANTIBIOTIC TABLE Kidney disease - no dose
adjustment necessary
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Straight Healthcare Nitazoxanide
NEWSLETTER SUBSCRIBE LOGIN
Alinia®
ANTIBIOTIC CHART
Dosage forms
TOP
ACRONYMS Tablet
CEPHALOSPORINS 500 mg ($$$$)
Cefadroxil (Duricef®) 1st
Cephalexin (Keflex®) 1st Oral suspension
Cefaclor (Ceclor®) 2nd 100 mg/5 ml ($$$$)
Comes in bottle of 60 ml
Cefprozil (Cefzil®) 2nd
Cefuroxime (Ceftin®) 2nd
Cefdinir (Omnicef®) 3rd Dosing
Cefditoren (Spectracef®) 3rd
Pediatric (1 - 11 years old)
Cefixime (Suprax®) 3rd
Cryptosporidium parvum
Cefpodoxime (Vantin®) 3rd
1 - 3 years: 5 ml (100 mg)
Ceftibuten (Cedax®) 3rd
twice a day with food for 3
Ceftriaxone (Rocephin®) 3rd
days [CDC/PI] ($$$$)
Ceph generations (IV&PO)
4 - 11 years: 10 ml (200 mg)
CLINDAMYCIN (CLEOCIN®) twice a day with food for 3
FOSFOMYCIN (MONUROL®) days [CDC/PI] ($$$$)
LEFAMULIN (XENLETA®) Giardia
OXAZOLIDINONES 1 - 3 years: 5 ml (100 mg)
twice a day with food for 3
MACROLIDES
days [CDC/PI] ($$$$)
NITAZOXANIDE (ALINIA®)
4 - 11 years: 10 ml (200 mg)
NITROFURANTOIN (MACROBID®) twice a day with food for 3
NITROIMIDAZOLES days [CDC/PI] ($$$$)
PENICILLINS
Adolescents and Adults (age 12
QUINOLONES
years and older)
RIFAMYCINS Cryptosporidium parvum - 500
SULFONAMIDES mg twice a day for 3 days
TETRACYCLINES [CDC/PI] ($$$$)
Giardia - 500 mg twice a day
OPHTHALMIC ANTIBIOTIC TABLE
for 3 days [CDC/PI] ($$$$)
OTIC ANTIBIOTIC TABLE
Other
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Nitazoxanide is a highly
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Straight Healthcare NEWSLETTER SUBSCRIBE
protein-bound drug (>LOGIN
99%)
Liver disease - has not been
ANTIBIOTIC CHART
studied. Manufacturer makes
TOP no recommendation.
Kidney disease - has not been
ACRONYMS
studied. Manufacturer makes
CEPHALOSPORINS
no recommendation.
Cefadroxil (Duricef®) 1st
Cephalexin (Keflex®) 1st
Cefaclor (Ceclor®) 2nd
Cefprozil (Cefzil®) 2nd
Cefuroxime (Ceftin®) 2nd Nitrofurantoin
Cefdinir (Omnicef®) 3rd Macrobid®, Macrodantin®,
Cefditoren (Spectracef®) 3rd Furadantin®
Cefixime (Suprax®) 3rd
Cefpodoxime (Vantin®) 3rd Dosage forms
Ceftibuten (Cedax®) 3rd
Macrobid® capsule
Ceftriaxone (Rocephin®) 3rd
Nitrofurantoin monohydrate :
Ceph generations (IV&PO)
Nitrofurantoin macrocrystalline
CLINDAMYCIN (CLEOCIN®) 75 mg : 25 mg ($)
FOSFOMYCIN (MONUROL®)
LEFAMULIN (XENLETA®) Macrodantin® capsule
OXAZOLIDINONES Nitrofurantoin macrocrystalline
25 mg ($)
MACROLIDES
50 mg ($)
NITAZOXANIDE (ALINIA®) 100 mg ($)
NITROFURANTOIN (MACROBID®)
NITROIMIDAZOLES Furadantin® suspension
Nitrofurantoin
PENICILLINS
25 mg/5 ml ($$$$)
QUINOLONES
RIFAMYCINS Dosing
SULFONAMIDES
Pediatric (one month and older)
TETRACYCLINES
Urinary tract infection
OPHTHALMIC ANTIBIOTIC TABLE Macrodantin® and
OTIC ANTIBIOTIC TABLE Furadantin® - 5 - 7
mg/kg/day given in 4 divided
doses for 7 days (PI)
Urinary tract infection,
prophylactic
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Macrodantin® and
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Furadantin® - 1 - 2LOGIN
mg/kg/day given once daily
ANTIBIOTIC CHART(CTE)
TOP
Adults
ACRONYMS
Urinary tract infection
CEPHALOSPORINS
Macrobid® - 100 mg twice a
Cefadroxil (Duricef®) 1st day for 5 days (IDSA)
Cephalexin (Keflex®) 1st Macrodantin® - 50 - 100 mg
Cefaclor (Ceclor®) 2nd 4 times a day for 7 days (PI)
Cefprozil (Cefzil®) 2nd Urinary tract infection,
Cefuroxime (Ceftin®) 2nd prophylaxis
Cefdinir (Omnicef®) 3rd Postcoital - 50 - 100 mg one
Cefditoren (Spectracef®) 3rd time postcoital (Macrobid®
Cefixime (Suprax®) 3rd or Macrodantin®) (CTE)
Cefpodoxime (Vantin®) 3rd Continuous - 50 - 100 mg
Ceftibuten (Cedax®) 3rd once daily (Macrobid® or
Ceftriaxone (Rocephin®) 3rd Macrodantin®) (CTE)
Ceph generations (IV&PO)
Other
CLINDAMYCIN (CLEOCIN®)
FOSFOMYCIN (MONUROL®) Take with food
LEFAMULIN (XENLETA®) Do not take with antacids
OXAZOLIDINONES containing magnesium
Nitrofurantoin has been
MACROLIDES
associated with rare cases of
NITAZOXANIDE (ALINIA®)
interstitial lung disease in
NITROFURANTOIN (MACROBID®) patients who took it for ≥ 6
NITROIMIDAZOLES months
PENICILLINS Kidney disease
CrCl < 60 ml/min: - do not
QUINOLONES
use
RIFAMYCINS
SULFONAMIDES
TETRACYCLINES
OPHTHALMIC ANTIBIOTIC TABLE Metronidazole
OTIC ANTIBIOTIC TABLE Flagyl®, Likmez®, Metrogel®,
Vandazole®, Nuvessa®
Dosage forms
Tablet
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250 mg ($)
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($) LOGIN
ANTIBIOTIC CHART
Tablet, extended-release (Flagyl® ER)
TOP 750 mg ($$$$)
ACRONYMS
Capsule
CEPHALOSPORINS
375 mg ($$)
Cefadroxil (Duricef®) 1st
Cephalexin (Keflex®) 1st
Oral suspension (Likmez®)
Cefaclor (Ceclor®) 2nd
500 mg/5 ml ($$$$)
Cefprozil (Cefzil®) 2nd
Comes in 200 ml bottle
Cefuroxime (Ceftin®) 2nd Store at room temp
Cefdinir (Omnicef®) 3rd
Cefditoren (Spectracef®) 3rd Vaginal gel (Metrogel-vaginal®)
Cefixime (Suprax®) 3rd 0.75% gel ($)
Cefpodoxime (Vantin®) 3rd Comes in 70 g tube
Ceftibuten (Cedax®) 3rd
Ceftriaxone (Rocephin®) 3rd Vaginal gel (Vandazole®)
Ceph generations (IV&PO) 0.75% gel ($)
CLINDAMYCIN (CLEOCIN®) Comes in 70 g tube
FOSFOMYCIN (MONUROL®)
LEFAMULIN (XENLETA®) Vaginal gel (Nuvessa®)
1.3% gel ($$$$)
OXAZOLIDINONES
Comes in single-dose applicator
MACROLIDES
NITAZOXANIDE (ALINIA®) Topical (rosacea)
NITROFURANTOIN (MACROBID®) See topical derm meds
NITROIMIDAZOLES
PENICILLINS Dosing
QUINOLONES Pediatric
RIFAMYCINS Clostridium difficile - 7.5
mg/kg/dose (max 500 mg/dose)
SULFONAMIDES
given 3 - 4 times a day for 10
TETRACYCLINES days (IDSA)
OPHTHALMIC ANTIBIOTIC TABLE Entamoeba histolytica - 35 - 50
OTIC ANTIBIOTIC TABLE mg/kg/day (max 2250 mg/day)
given in 3 divided doses for 10
days (PI)
Giardia - 5 mg/kg/dose (max
250 mg/dose) given 3 times a
day for 7 - 10 days (CTE)
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H. pylori - Metronidazole - 20
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mg/kg/day (max 1000LOGIN
mg/day)
given in 2 divided doses +
ANTIBIOTIC CHART
Amoxicillin - 50 mg/kg/day
TOP (max 2000 mg/day) given in 2
divided doses +
ACRONYMS
Proton Pump Inhibitor (PPI)
CEPHALOSPORINS
(CTE)
Cefadroxil (Duricef®) 1st DURATION: 10 - 14 days
Cephalexin (Keflex®) 1st H. pylori, sequential therapy -
Cefaclor (Ceclor®) 2nd see H. pylori treatment
Cefprozil (Cefzil®) 2nd
Cefuroxime (Ceftin®) 2nd Adults
Cefdinir (Omnicef®) 3rd Bacterial vaginosis
Cefditoren (Spectracef®) 3rd Metronidazole - 500 mg
Cefixime (Suprax®) 3rd twice a day for 7 days (CDC)
Cefpodoxime (Vantin®) 3rd Metronidazole gel 0.75%
Ceftibuten (Cedax®) 3rd (Metrogel-vaginal,
Ceftriaxone (Rocephin®) 3rd Vandazole) - one full
Ceph generations (IV&PO) applicator (5g) intravaginally
once daily for 5 days
CLINDAMYCIN (CLEOCIN®)
(CDC,PI)
FOSFOMYCIN (MONUROL®)
Metronidazole gel 1.3%
LEFAMULIN (XENLETA®) (Nuvessa) - one applicator
OXAZOLIDINONES (5g) intravaginally one time
MACROLIDES (PI)
Metronidazole extended-
NITAZOXANIDE (ALINIA®)
release - 750 mg once daily
NITROFURANTOIN (MACROBID®)
for 7 days (PI)
NITROIMIDAZOLES Bite, animal - Metronidazole -
PENICILLINS 250 - 500 mg three times a day
+
QUINOLONES
Cefuroxime - 500 mg twice a
RIFAMYCINS day; OR
SULFONAMIDES Levofloxacin - 750 mg once
TETRACYCLINES daily; OR
Sulfamethoxazole-
OPHTHALMIC ANTIBIOTIC TABLE
trimethoprim - 800/160 twice a
OTIC ANTIBIOTIC TABLE day (IDSA)
Bite, human - Metronidazole -
250 - 500 mg three times a day
+
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QUINOLONES
Other
RIFAMYCINS
SULFONAMIDES May take standard-release
without regard to food.
TETRACYCLINES
Extended-release should be
OPHTHALMIC ANTIBIOTIC TABLE taken one hour before or 2
OTIC ANTIBIOTIC TABLE hours after meals.
Potential for disulfiram-like
reaction if taken with alcohol.
Do not ingest alcohol during, or
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OXAZOLIDINONES
Dosing
MACROLIDES
NITAZOXANIDE (ALINIA®) Adults and pediatric patients ≥ 12
NITROFURANTOIN (MACROBID®) years old
Bacterial vaginosis - 2 grams
NITROIMIDAZOLES
one time (PI)
PENICILLINS Trichomoniasis - 2 grams one
QUINOLONES time (PI)
RIFAMYCINS
Other
SULFONAMIDES
TETRACYCLINES May take without regard to food
Granules are sprinkled on
OPHTHALMIC ANTIBIOTIC TABLE
applesauce, yogurt, or pudding.
OTIC ANTIBIOTIC TABLE
Mixture should be consumed
within 30 minutes without
chewing.
Granules do not dissolve and
are not meant to be dissolved
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in liquid
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Avoid consumption alcoholic
beverages and preparations
ANTIBIOTIC CHART
containing ethanol or propylene
TOP glycol during treatment and for
at least 2 days after completing
ACRONYMS
therapy
CEPHALOSPORINS
Liver disease - manufacturer
Cefadroxil (Duricef®) 1st makes no specific
Cephalexin (Keflex®) 1st recommendation
Cefaclor (Ceclor®) 2nd Kidney disease - manufacturer
Cefprozil (Cefzil®) 2nd makes no specific
Cefuroxime (Ceftin®) 2nd recommendation
Cefdinir (Omnicef®) 3rd
Cefditoren (Spectracef®) 3rd
Cefixime (Suprax®) 3rd
Cefpodoxime (Vantin®) 3rd
Tinidazole
Ceftibuten (Cedax®) 3rd
Tindamax®
Ceftriaxone (Rocephin®) 3rd
Ceph generations (IV&PO)
Dosage forms
CLINDAMYCIN (CLEOCIN®)
FOSFOMYCIN (MONUROL®) Tablet
LEFAMULIN (XENLETA®) 250 mg ($)
500 mg ($)
OXAZOLIDINONES
MACROLIDES
Dosing
NITAZOXANIDE (ALINIA®)
NITROFURANTOIN (MACROBID®) Pediatric (3 years and older)
Entamoeba histolytica - 50
NITROIMIDAZOLES
mg/kg/day (max 2000 mg/day)
PENICILLINS given once daily for 3 days (PI)
QUINOLONES Giardia - 50 mg/kg (max 2000
mg) given as a one time dose
RIFAMYCINS
(PI)
SULFONAMIDES
TETRACYCLINES Adults
OPHTHALMIC ANTIBIOTIC TABLE Bacterial vaginosis
2000 mg once daily for 2
OTIC ANTIBIOTIC TABLE
days (CDC)
1000 mg once daily for 5
days (CDC)
Entamoeba histolytica - 2000
mg once daily for 3 days (PI)
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ACRONYMS
Other
CEPHALOSPORINS
Cefadroxil (Duricef®) 1st Take with food to minimize
Cephalexin (Keflex®) 1st stomach upset
Cefaclor (Ceclor®) 2nd Tinidazole is a CYP3A4
Cefprozil (Cefzil®) 2nd sensitive substrate
Cefuroxime (Ceftin®) 2nd Potential for disulfiram-like
Cefdinir (Omnicef®) 3rd reaction if taken with alcohol.
Cefditoren (Spectracef®) 3rd Do not ingest alcohol during, or
Cefixime (Suprax®) 3rd for 3 days after stopping
Cefpodoxime (Vantin®) 3rd tinidazole.
Ceftibuten (Cedax®) 3rd Liver disease - use caution.
Manufacturer makes no
Ceftriaxone (Rocephin®) 3rd
specific recommendation.
Ceph generations (IV&PO)
Kidney disease - no dose
CLINDAMYCIN (CLEOCIN®)
adjustment necessary
FOSFOMYCIN (MONUROL®)
LEFAMULIN (XENLETA®)
OXAZOLIDINONES
MACROLIDES Amoxicillin
NITAZOXANIDE (ALINIA®) Amoxil®
NITROFURANTOIN (MACROBID®)
NITROIMIDAZOLES Dosage forms
PENICILLINS Capsule
QUINOLONES 250 mg ($)
500 mg ($)
RIFAMYCINS
SULFONAMIDES Tablet
TETRACYCLINES 500 mg ($)
OPHTHALMIC ANTIBIOTIC TABLE 875 mg ($)
Suspension
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CEPHALOSPORINS
Pediatric
Cefadroxil (Duricef®) 1st Endocarditis prophylaxis - 50
Cephalexin (Keflex®) 1st mg/kg (max 2000 mg) 30 - 60
Cefaclor (Ceclor®) 2nd minutes before procedure
Cefprozil (Cefzil®) 2nd (AHA)
Cefuroxime (Ceftin®) 2nd H. pylori - Amoxicillin - 50
Cefdinir (Omnicef®) 3rd mg/kg/day (max 2000 mg/day)
Cefditoren (Spectracef®) 3rd given in 2 divided doses +
Cefixime (Suprax®) 3rd Proton Pump Inhibitor (PPI) +
Cefpodoxime (Vantin®) 3rd Clarithromycin - 20 mg/kg/day
Ceftibuten (Cedax®) 3rd (max 1000 mg/day) given in 2
Ceftriaxone (Rocephin®) 3rd divided doses; OR
Ceph generations (IV&PO) Metronidazole - 20 mg/kg/day
(max 1000 mg/day) given in 2
CLINDAMYCIN (CLEOCIN®)
divided doses (CTE)
FOSFOMYCIN (MONUROL®)
DURATION: 10 - 14 days
LEFAMULIN (XENLETA®) H. pylori, sequential therapy -
OXAZOLIDINONES see H. pylori treatment
MACROLIDES Otitis media - 80 - 90
mg/kg/day given in 2 divided
NITAZOXANIDE (ALINIA®)
doses for 5 - 10 days (AAP)
NITROFURANTOIN (MACROBID®)
Pneumonia, community-
NITROIMIDAZOLES acquired - 90 mg/kg/day (max
PENICILLINS 4000 mg/day) given in 2
divided doses for 7 - 10 days
QUINOLONES
(IDSA)
RIFAMYCINS Sinusitis
SULFONAMIDES Standard therapy - 45
TETRACYCLINES mg/kg/day given in 2 divided
doses for a minimum of 10
OPHTHALMIC ANTIBIOTIC TABLE
days (AAP)
OTIC ANTIBIOTIC TABLE High-dose therapy - 80 to 90
mg/kg/day (max 4000
mg/day) given in 2 divided
doses for a minimum of 10
days (AAP)
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Dosage forms
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MACROLIDES
Pediatric
NITAZOXANIDE (ALINIA®) Impetigo - 25 mg/kg/day (max
NITROFURANTOIN (MACROBID®) 1750 mg/day) of the amoxicillin
NITROIMIDAZOLES component given in 2 divided
doses for 7 days (IDSA)
PENICILLINS
Otitis media - 90 mg/kg/day of
QUINOLONES amoxicillin, with 6.4 mg/kg/day
RIFAMYCINS of clavulanate [amoxicillin to
clavulanate ratio, 14:1] (max
SULFONAMIDES
4000 mg/day) in 2 divided
TETRACYCLINES doses for 5 - 10 days (AAP)
OPHTHALMIC ANTIBIOTIC TABLE Pneumonia, community-
OTIC ANTIBIOTIC TABLE acquired - 90 mg/kg/day (max
4000 mg/day) given in 2
divided doses for 7 - 10 days
(IDSA)
Sinusitis - 80 - 90 mg/kg/day of
the amoxicillin component with
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ACRONYMS
May take without regard to
CEPHALOSPORINS meals, although taking with
Cefadroxil (Duricef®) 1st food may help reduce
Cephalexin (Keflex®) 1st gastrointestinal upset
Cefaclor (Ceclor®) 2nd Amoxicillin-clavulanate
Cefprozil (Cefzil®) 2nd preparations with a 14:1 ratio of
Cefuroxime (Ceftin®) 2nd amoxicillin-clavulanate may be
Cefdinir (Omnicef®) 3rd less likely to cause diarrhea
Cefditoren (Spectracef®) 3rd than preparations with a lower
Cefixime (Suprax®) 3rd ratio
Cefpodoxime (Vantin®) 3rd Kidney disease
Standard tablet and
Ceftibuten (Cedax®) 3rd
suspension
Ceftriaxone (Rocephin®) 3rd
CrCl < 30 ml/min: do not
Ceph generations (IV&PO)
give 875 mg dose
CLINDAMYCIN (CLEOCIN®)
CrCl 10 - 30 ml/min: 250 -
FOSFOMYCIN (MONUROL®) 500 mg every 12 hours
LEFAMULIN (XENLETA®) CrCl < 10 ml/min: 250 - 500
OXAZOLIDINONES mg every 24 hours
MACROLIDES
NITAZOXANIDE (ALINIA®)
NITROFURANTOIN (MACROBID®)
NITROIMIDAZOLES
Dicloxacillin
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(non-MRSA) - 500 mg
four times a day for 5 - 10 days
ANTIBIOTIC CHART
(IDSA)
TOP Diabetic foot ulcer (mild, non-
ACRONYMS MRSA) - 500 mg four times a
CEPHALOSPORINS day for 7 - 14 days (IDSA)
Impetigo - 250 mg four times a
Cefadroxil (Duricef®) 1st
day for 7 days (IDSA)
Cephalexin (Keflex®) 1st
Cefaclor (Ceclor®) 2nd
Other
Cefprozil (Cefzil®) 2nd
Cefuroxime (Ceftin®) 2nd Should be taken on an empty
Cefdinir (Omnicef®) 3rd stomach at least 1 hour before
Cefditoren (Spectracef®) 3rd and 2 hours after a meal
Cefixime (Suprax®) 3rd Kidney disease - dose
Cefpodoxime (Vantin®) 3rd reduction recommended.
Ceftibuten (Cedax®) 3rd Manufacturer makes no
Ceftriaxone (Rocephin®) 3rd specific recommendation.
Ceph generations (IV&PO)
CLINDAMYCIN (CLEOCIN®)
FOSFOMYCIN (MONUROL®)
LEFAMULIN (XENLETA®) Penicillin G benzathine
OXAZOLIDINONES Bicillin L-A®
MACROLIDES
Dosage forms
NITAZOXANIDE (ALINIA®)
NITROFURANTOIN (MACROBID®) Disposable syringe
NITROIMIDAZOLES 1 ml - 600,000 units ($$)
2 ml - 1,200,000 units ($$$$)
PENICILLINS
4 ml - 2,400,000 units ($$$$)
QUINOLONES
RIFAMYCINS Dosing
SULFONAMIDES
Pediatric
TETRACYCLINES Rheumatic fever prevention
OPHTHALMIC ANTIBIOTIC TABLE ≤ 27 kg: 600,000 units IM
OTIC ANTIBIOTIC TABLE every 4 weeks (AHA/AAP)
> 27 kg: 1,200,000 units IM
every 4 weeks (AHA/AAP)
Strep throat
< 27 kg: 600,000 units IM
single dose (IDSA)
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Other
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TETRACYCLINES
Adults
OPHTHALMIC ANTIBIOTIC TABLE Cellulitis (Streptococcal
OTIC ANTIBIOTIC TABLE infections) - 250 - 500 mg four
times a day for 5 - 10 days
(IDSA)
Pulpitis (toothache) - 500 mg
four times a day for 3 - 7 days
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(ADA)
JOIN
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Rheumatic LOGIN -
fever prevention
250 mg twice daily (AHA)
ANTIBIOTIC CHART
Strep throat - 250 mg four
TOP times a day or 500 mg twice a
day for 10 days (IDSA)
ACRONYMS
CEPHALOSPORINS
Other
Cefadroxil (Duricef®) 1st
Cephalexin (Keflex®) 1st May take without regard to
Cefaclor (Ceclor®) 2nd meals
Cefprozil (Cefzil®) 2nd Kidney disease - drug
Cefuroxime (Ceftin®) 2nd clearance is decreased.
Cefdinir (Omnicef®) 3rd Manufacturer makes no
Cefditoren (Spectracef®) 3rd specific dosage
Cefixime (Suprax®) 3rd recommendation.
Cefpodoxime (Vantin®) 3rd
Ceftibuten (Cedax®) 3rd
Ceftriaxone (Rocephin®) 3rd
Ceph generations (IV&PO) Pivmecillinam
CLINDAMYCIN (CLEOCIN®) Pivya®
FOSFOMYCIN (MONUROL®)
LEFAMULIN (XENLETA®) Dosage forms
OXAZOLIDINONES
Tablet
MACROLIDES 185 mg ($$$$)
NITAZOXANIDE (ALINIA®) Comes in pack of 9 tablets
NITROFURANTOIN (MACROBID®)
Dosing
NITROIMIDAZOLES
PENICILLINS Adults (female)
QUINOLONES Urinary tract infection - 185 mg
three times a day for 3 - 7 days
RIFAMYCINS
(PI)
SULFONAMIDES
TETRACYCLINES Other
OPHTHALMIC ANTIBIOTIC TABLE
May take without regard to
OTIC ANTIBIOTIC TABLE meals
Pivya contains pivalate, an acid
that improves absorption but
also depletes carnitine, a
compound involved in muscle
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SULFONAMIDES
Otic
TETRACYCLINES
See Otitis externa
OPHTHALMIC ANTIBIOTIC TABLE
OTIC ANTIBIOTIC TABLE Dosing
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ANTIBIOTIC CHART
Adults
TOP Bite, human - Ciprofloxacin -
500 - 750 mg twice a day +
ACRONYMS
metronidazole 250 - 500 mg
CEPHALOSPORINS
three times a day (IDSA)
Cefadroxil (Duricef®) 1st Diabetic foot ulcer (moderate) -
Cephalexin (Keflex®) 1st Ciprofloxacin 500 mg twice a
Cefaclor (Ceclor®) 2nd day + clindamycin 300 - 450
Cefprozil (Cefzil®) 2nd mg four times a day for 7 - 14
Cefuroxime (Ceftin®) 2nd days (IDSA)
Cefdinir (Omnicef®) 3rd Diarrhea, bacterial - 500 mg
Cefditoren (Spectracef®) 3rd twice a day for 5 - 7 days (PI)
Cefixime (Suprax®) 3rd Diverticulitis - Ciprofloxacin 500
Cefpodoxime (Vantin®) 3rd mg twice a day + metronidazole
Ceftibuten (Cedax®) 3rd 500 mg three to four times a
Ceftriaxone (Rocephin®) 3rd day for 7 - 14 days (CTE)
Ceph generations (IV&PO) E Coli, enterotoxigenic - 500
mg twice a day or 750 mg once
CLINDAMYCIN (CLEOCIN®)
daily for 1 - 3 days (CTE/IDSA)
FOSFOMYCIN (MONUROL®)
Prostatitis, acute - 500 mg
LEFAMULIN (XENLETA®) twice a day for 2 - 4 weeks
OXAZOLIDINONES (CTE)
MACROLIDES Prostatitis, chronic - 500 mg
twice a day for 4 - 6 weeks
NITAZOXANIDE (ALINIA®)
(CTE, PI)
NITROFURANTOIN (MACROBID®)
Pyelonephritis
NITROIMIDAZOLES Standard-release - 500 mg
PENICILLINS twice a day for 7 days
(IDSA)
QUINOLONES
Extended-release - 1000 mg
RIFAMYCINS once daily for 7 days (IDSA)
SULFONAMIDES NOTE: If community
TETRACYCLINES resistance to
fluoroquinolones is > 10%,
OPHTHALMIC ANTIBIOTIC TABLE
then also give Ceftriaxone
OTIC ANTIBIOTIC TABLE 1000 mg IM one time dose
(IDSA)
Salmonella, nontyphoidal - 500
mg twice a day for 5 - 10 days
(CTE/IDSA)
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ACRONYMS
CEPHALOSPORINS
Cefadroxil (Duricef®) 1st
Cephalexin (Keflex®) 1st Delafloxacin
Cefaclor (Ceclor®) 2nd Baxdela™
Cefprozil (Cefzil®) 2nd
Cefuroxime (Ceftin®) 2nd Dosage forms
Cefdinir (Omnicef®) 3rd
Tablet
Cefditoren (Spectracef®) 3rd
450 mg ($$$$)
Cefixime (Suprax®) 3rd
Cefpodoxime (Vantin®) 3rd
Dosing
Ceftibuten (Cedax®) 3rd
Ceftriaxone (Rocephin®) 3rd Adults
Ceph generations (IV&PO) Pneumonia, community-
CLINDAMYCIN (CLEOCIN®) acquired - 450 mg every 12
FOSFOMYCIN (MONUROL®) hours for 5 - 10 days (PI)
Skin and skin structure
LEFAMULIN (XENLETA®)
infections (including MRSA) -
OXAZOLIDINONES
450 mg every 12 hours for 5 -
MACROLIDES 14 days (PI)
NITAZOXANIDE (ALINIA®)
NITROFURANTOIN (MACROBID®) Other
NITROIMIDAZOLES
May take without regard to food
PENICILLINS Take 2 hours before or 6 hours
QUINOLONES after chelating agents (e.g.
magnesium or aluminum
RIFAMYCINS
antacids, sucralfate,
SULFONAMIDES multivitamins, iron)
TETRACYCLINES Liver disease - no dosage
adjustment necessary
OPHTHALMIC ANTIBIOTIC TABLE
Kidney disease
OTIC ANTIBIOTIC TABLE
CrCl ≥ 15 ml/min: no dose
adjustment necessary for
tablets
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ANTIBIOTIC CHART
TOP
ACRONYMS Gemifloxacin
CEPHALOSPORINS Factive®
Cefadroxil (Duricef®) 1st
Cephalexin (Keflex®) 1st Dosage forms
Cefaclor (Ceclor®) 2nd
Tablet
Cefprozil (Cefzil®) 2nd
320 mg ($$$$)
Cefuroxime (Ceftin®) 2nd
Cefdinir (Omnicef®) 3rd
Dosing
Cefditoren (Spectracef®) 3rd
Cefixime (Suprax®) 3rd Adults
Cefpodoxime (Vantin®) 3rd Gonorrhea (cervical, urethral,
Ceftibuten (Cedax®) 3rd rectal, pharyngeal)
Ceftriaxone (Rocephin®) 3rd Gemifloxacin 320 mg single
Ceph generations (IV&PO) dose + azithromycin 2000
CLINDAMYCIN (CLEOCIN®) mg single dose [Based on
FOSFOMYCIN (MONUROL®) PMID 25031289]
Pneumonia, community-
LEFAMULIN (XENLETA®)
acquired - 320 mg once daily
OXAZOLIDINONES
for 5 - 7 days (IDSA, PI)
MACROLIDES
NITAZOXANIDE (ALINIA®) Other
NITROFURANTOIN (MACROBID®)
May take without regard to food
NITROIMIDAZOLES
Antacids, sucralfate, metal
PENICILLINS cations (e.g. iron), and
QUINOLONES multivitamins may reduce
gemifloxacin absorption.
RIFAMYCINS
Gemifloxacin should be taken 3
SULFONAMIDES hours before or 2 hours after
TETRACYCLINES these medications.
Liver disease - no dose
OPHTHALMIC ANTIBIOTIC TABLE
adjustment necessary
OTIC ANTIBIOTIC TABLE
Kidney disease
CrCl ≤ 40 ml/min: 160 mg
every 24 hours
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Levofloxacin
ANTIBIOTIC CHART
Levaquin®
TOP
ACRONYMS Dosage forms
CEPHALOSPORINS Tablet
Cefadroxil (Duricef®) 1st 250 mg ($)
Cephalexin (Keflex®) 1st 500 mg ($)
Cefaclor (Ceclor®) 2nd 750 mg ($)
Cefprozil (Cefzil®) 2nd
Cefuroxime (Ceftin®) 2nd Solution
Cefdinir (Omnicef®) 3rd 25 mg/ml ($$)
Cefditoren (Spectracef®) 3rd
Cefixime (Suprax®) 3rd Ophthalmic
Cefpodoxime (Vantin®) 3rd See conjunctivitis
Ceftibuten (Cedax®) 3rd
Ceftriaxone (Rocephin®) 3rd Dosing
Ceph generations (IV&PO)
CLINDAMYCIN (CLEOCIN®) Pediatric
Pneumonia, community-
FOSFOMYCIN (MONUROL®)
acquired
LEFAMULIN (XENLETA®)
6 months - 5 years old - 16 -
OXAZOLIDINONES 20 mg/kg/day given in 2
MACROLIDES divided doses for 7 - 10 days
(IDSA)
NITAZOXANIDE (ALINIA®)
5 - 16 years old - 8 - 10
NITROFURANTOIN (MACROBID®)
mg/kg/day (max 750
NITROIMIDAZOLES mg/day) given once daily for
PENICILLINS 7 - 10 days (IDSA)
QUINOLONES Sinusitis - 16 mg/kg/day (max
500 mg/day) given in 2 divided
RIFAMYCINS
doses for a minimum of 10
SULFONAMIDES days (AAP)
TETRACYCLINES
Adults
OPHTHALMIC ANTIBIOTIC TABLE
Bite, animal - Levofloxacin 750
OTIC ANTIBIOTIC TABLE
mg once daily +
clindamycin 300 mg three
times a day; OR
metronidazole 250 - 500 mg
three times a day (IDSA)
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drug-resistant isolates
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Haemophilus LOGIN
influenzae, Haemophilus
ANTIBIOTIC CHART
parainfluenzae, Mycoplasma
TOP pneumoniae, or Chlamydophila
pneumoniae
ACRONYMS cdue to Escherichia coli,
CEPHALOSPORINS
Klebsiella pneumoniae, Proteus
Cefadroxil (Duricef®) 1st mirabilis and pyelonephritis due
Cephalexin (Keflex®) 1st to E. coli, including cases with
Cefaclor (Ceclor®) 2nd concurrent bacteremia
Cefprozil (Cefzil®) 2nd d Enterococcus faecalis,
Cefuroxime (Ceftin®) 2nd Enterococcus cloacae,
Cefdinir (Omnicef®) 3rd Escherichia coli, Klebsiella
Cefditoren (Spectracef®) 3rd pneumoniae, Proteus mirabilis,
Cefixime (Suprax®) 3rd Pseudomonas aeruginosa; and
Cefpodoxime (Vantin®) 3rd for pyelonephritis due to E. coli
Ceftibuten (Cedax®) 3rd
Ceftriaxone (Rocephin®) 3rd Other
Ceph generations (IV&PO)
May take without regard to food
CLINDAMYCIN (CLEOCIN®)
Antacids, sucralfate, metal
FOSFOMYCIN (MONUROL®) cations (e.g. iron), and
LEFAMULIN (XENLETA®) multivitamins may reduce
OXAZOLIDINONES levofloxacin absorption. Do not
take within 2 hours of each
MACROLIDES
other.
NITAZOXANIDE (ALINIA®)
Quinolones have not been
NITROFURANTOIN (MACROBID®) considered first-line agents in
NITROIMIDAZOLES children because of the
PENICILLINS possible risk of adverse effects
on developing cartilage. In
QUINOLONES
studies, these effects appear to
RIFAMYCINS be uncommon. [1]
SULFONAMIDES May cause photosensitivity.
Limit sun exposure and use
TETRACYCLINES
sunscreen.
OPHTHALMIC ANTIBIOTIC TABLE Liver disease - no dose
OTIC ANTIBIOTIC TABLE adjustment necessary
Kidney disease
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Dosing
Adults
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OXAZOLIDINONES
Dosing
MACROLIDES
NITAZOXANIDE (ALINIA®) Adults and children ≥ 12 years old
NITROFURANTOIN (MACROBID®) Traveler's diarrhea from E. Coli
- 200 mg three times a day for
NITROIMIDAZOLES
3 days (PI)
PENICILLINS
QUINOLONES Adults (≥ 18 years old)
Hepatic encephalopathy - 550
RIFAMYCINS
mg two times a day (PI)
SULFONAMIDES
Irritable bowel syndrome (IBS)
TETRACYCLINES with diarrhea - 550 mg three
OPHTHALMIC ANTIBIOTIC TABLE times a day for 14 days.
Patients with recurrence may
OTIC ANTIBIOTIC TABLE
be retreated up to two times
with the same regimen. (PI)
Other
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Dosing
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Doxycycline
Acticlate®, Vibramycin®,
Doryx®, Oracea®
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Doxycycline monohydrate
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Tablet
ANTIBIOTIC CHART
50 mg ($)
75 mg ($)
TOP
100 mg ($)
ACRONYMS 150 mg ($$)
CEPHALOSPORINS
Cefadroxil (Duricef®) 1st Capsule
Cephalexin (Keflex®) 1st 50 mg ($)
Cefaclor (Ceclor®) 2nd 75 mg ($$-$$$)
Cefprozil (Cefzil®) 2nd 100 mg ($)
Cefuroxime (Ceftin®) 2nd 150 mg ($$$-$$$$)
Cefdinir (Omnicef®) 3rd
Cefditoren (Spectracef®) 3rd Capsule (Oracea®)
Cefixime (Suprax®) 3rd 40 mg ($$$$)
Contains 30 mg immediate release and
Cefpodoxime (Vantin®) 3rd
10 mg delayed release
Ceftibuten (Cedax®) 3rd
Ceftriaxone (Rocephin®) 3rd
Suspension
Ceph generations (IV&PO)
25 mg/5 ml ($)
CLINDAMYCIN (CLEOCIN®)
Comes in 60 ml bottle
FOSFOMYCIN (MONUROL®)
LEFAMULIN (XENLETA®)
Doxycycline hyclate
OXAZOLIDINONES
Capsule
MACROLIDES
50 mg ($)
NITAZOXANIDE (ALINIA®) 100 mg ($)
NITROFURANTOIN (MACROBID®)
NITROIMIDAZOLES Tablet
PENICILLINS 20 mg ($)
50 mg ($$$)
QUINOLONES
75 mg ($)
RIFAMYCINS 100 mg ($)
SULFONAMIDES 150 mg ($$$)
TETRACYCLINES
Tablet (Acticlate®)
OPHTHALMIC ANTIBIOTIC TABLE
75 mg ($$$$)
OTIC ANTIBIOTIC TABLE 150 mg ($$$$)
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100 mg ($)
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($) LOGIN
200 mg ($$$$)
ANTIBIOTIC CHART
TOP Tablet, delayed release (Doryx® MPC)
60 mg ($$$$)
ACRONYMS
120 mg ($$$$)
CEPHALOSPORINS
Doryx® MPC 120 mg = 100 mg of
Cefadroxil (Duricef®) 1st standard doxycycline, and 60 mg = 50
Cephalexin (Keflex®) 1st mg
Cefaclor (Ceclor®) 2nd
Cefprozil (Cefzil®) 2nd
Dosing
Cefuroxime (Ceftin®) 2nd
Cefdinir (Omnicef®) 3rd Pediatric (≥ 8 years old)
Cefditoren (Spectracef®) 3rd Pneumonia, community-
Cefixime (Suprax®) 3rd acquired, atypical - 2 - 4
Cefpodoxime (Vantin®) 3rd mg/kg/day given in 2 divided
Ceftibuten (Cedax®) 3rd doses for 7 - 10 days (IDSA)
Ceftriaxone (Rocephin®) 3rd
Ceph generations (IV&PO) Adolescents and adults
CLINDAMYCIN (CLEOCIN®) Acne - 50 - 150 mg once daily
or 50 - 100 mg twice a day
FOSFOMYCIN (MONUROL®)
(AAP)
LEFAMULIN (XENLETA®)
Bite, animal - 100 mg twice a
OXAZOLIDINONES day (IDSA)
MACROLIDES Bite, human - 100 mg twice a
day (IDSA)
NITAZOXANIDE (ALINIA®)
Cellulitis (MRSA coverage) -
NITROFURANTOIN (MACROBID®)
100 mg twice a day 5 - 10 days
NITROIMIDAZOLES (IDSA)
PENICILLINS Chlamydia - 100 mg twice a
QUINOLONES day for 7 days (CDC)
Diabetic foot ulcer (mild, MRSA
RIFAMYCINS
coverage) - 100 mg twice a day
SULFONAMIDES for 7 - 14 days (IDSA)
TETRACYCLINES Epididymitis (likely caused by
chlamydia or gonorrhea) -
OPHTHALMIC ANTIBIOTIC TABLE
Ceftriaxone 500 mg IM (1000
OTIC ANTIBIOTIC TABLE
mg if ≥ 330 lbs) single dose +
Doxycycline 100 mg twice daily
for 10 days (CDC)
Malaria prophylaxis - 100 mg
once daily starting 1 - 2 days
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(CDC)
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Other
ANTIBIOTIC CHART
May be taken without regard to
TOP
food (except Oracea®)
ACRONYMS
Take with full glass of water to
CEPHALOSPORINS reduce risk of esophageal
Cefadroxil (Duricef®) 1st irritation
Cephalexin (Keflex®) 1st Dairy products do not affect
Cefaclor (Ceclor®) 2nd doxycycline absorption
Cefprozil (Cefzil®) 2nd Tetracyclines should not be
Cefuroxime (Ceftin®) 2nd used during the second and
Cefdinir (Omnicef®) 3rd third trimesters of pregnancy,
Cefditoren (Spectracef®) 3rd infancy, and childhood up to 8
Cefixime (Suprax®) 3rd years. All tetracyclines bind
Cefpodoxime (Vantin®) 3rd calcium in tissues, and this can
lead to inhibition of bone
Ceftibuten (Cedax®) 3rd
growth, tooth discoloration
Ceftriaxone (Rocephin®) 3rd
(yellow-gray-brown), and
Ceph generations (IV&PO)
enamel hypoplasia.
CLINDAMYCIN (CLEOCIN®)
Concomitant use of
FOSFOMYCIN (MONUROL®) tetracyclines and isotretinoin
LEFAMULIN (XENLETA®) has been associated with
OXAZOLIDINONES pseudotumor cerebri.
Concurrent use should be
MACROLIDES
avoided.
NITAZOXANIDE (ALINIA®)
May cause photosensitivity.
NITROFURANTOIN (MACROBID®) Limit sun exposure and use
NITROIMIDAZOLES sunscreen.
PENICILLINS Antacids and bismuth
subsalicylate decrease
QUINOLONES
doxycycline bioavailability. Do
RIFAMYCINS not take within 4 hours of each
SULFONAMIDES other.
Kidney disease - no dose
TETRACYCLINES
adjustment necessary
OPHTHALMIC ANTIBIOTIC TABLE
OTIC ANTIBIOTIC TABLE
Minocycline
Minocin®, Dynacin®, Solodyn®,
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Minocycline standard-release (≥
12 years old)
Acne - 50 - 100 mg once daily
or 50 - 100 mg twice a day
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(AAP)
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(MRSA coverage)
100 mg twice a day 5 - 10 days
ANTIBIOTIC CHART
(IDSA)
TOP
Minolira™ (≥ 12 years old)
ACRONYMS
Acne ∼ 1 mg/kg/day (max 135
CEPHALOSPORINS
mg/day) given once daily.
Cefadroxil (Duricef®) 1st Tablets are scored and may be
Cephalexin (Keflex®) 1st split. (PI)
Cefaclor (Ceclor®) 2nd
Cefprozil (Cefzil®) 2nd Solodyn® (≥ 12 years old)
Cefuroxime (Ceftin®) 2nd Acne ∼ 1 mg/kg/day (max 135
Cefdinir (Omnicef®) 3rd mg/day) given once daily (PI)
Cefditoren (Spectracef®) 3rd
Cefixime (Suprax®) 3rd Ximino™ (≥ 12 years old)
Cefpodoxime (Vantin®) 3rd Acne ∼ 1 mg/kg/day (max 135
Ceftibuten (Cedax®) 3rd mg/day) given once daily (PI)
Ceftriaxone (Rocephin®) 3rd
Ceph generations (IV&PO) Other
CLINDAMYCIN (CLEOCIN®)
May be taken without regard to
FOSFOMYCIN (MONUROL®) food
LEFAMULIN (XENLETA®) Dairy products do not affect
OXAZOLIDINONES minocycline absorption
Take with full glass of water to
MACROLIDES
reduce risk of esophageal
NITAZOXANIDE (ALINIA®)
irritation
NITROFURANTOIN (MACROBID®) Tetracyclines should not be
NITROIMIDAZOLES used during the second and
PENICILLINS third trimesters of pregnancy,
infancy, and childhood up to 8
QUINOLONES
years. All tetracyclines bind
RIFAMYCINS calcium in tissues, and this can
SULFONAMIDES lead to inhibition of bone
growth, tooth discoloration
TETRACYCLINES
(yellow-gray-brown), and
OPHTHALMIC ANTIBIOTIC TABLE enamel hypoplasia.
OTIC ANTIBIOTIC TABLE Antacids may decrease
bioavailability of minocycline.
Do not take within 4 hours of
each other.
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PENICILLINS
Dosing
QUINOLONES
Adults
RIFAMYCINS
Cellulitis (MRSA coverage) -
SULFONAMIDES
450 mg once daily for 2 days
TETRACYCLINES followed by 300 mg once daily
OPHTHALMIC ANTIBIOTIC TABLE for a total of 7 - 14 days (PI)
Pneumonia, community-
OTIC ANTIBIOTIC TABLE
acquired - 300 mg twice on day
1 then 300 mg once daily for a
total of 7 - 14 days (PI)
Other
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Dosing
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Children ≥ 9 years old and adults
ANTIBIOTIC CHART
Acne
33 - 54 kg: 60 mg once daily
TOP
55 - 84 kg: 100 mg once
ACRONYMS daily
CEPHALOSPORINS 85 - 136 kg: 150 mg once
Cefadroxil (Duricef®) 1st daily (PI)
Cephalexin (Keflex®) 1st
Cefaclor (Ceclor®) 2nd Other
Cefprozil (Cefzil®) 2nd
May take without regard to food
Cefuroxime (Ceftin®) 2nd
Take with full glass of water to
Cefdinir (Omnicef®) 3rd
reduce risk of esophageal
Cefditoren (Spectracef®) 3rd
irritation
Cefixime (Suprax®) 3rd
Tetracyclines should not be
Cefpodoxime (Vantin®) 3rd
used during the second and
Ceftibuten (Cedax®) 3rd
third trimesters of pregnancy,
Ceftriaxone (Rocephin®) 3rd
infancy, and childhood up to 8
Ceph generations (IV&PO) years. All tetracyclines bind
CLINDAMYCIN (CLEOCIN®) calcium in tissues, and this can
FOSFOMYCIN (MONUROL®) lead to inhibition of bone
LEFAMULIN (XENLETA®) growth, tooth discoloration
(yellow-gray-brown), and
OXAZOLIDINONES
enamel hypoplasia.
MACROLIDES
May cause photosensitivity.
NITAZOXANIDE (ALINIA®) Limit sun exposure and use
NITROFURANTOIN (MACROBID®) sunscreen.
NITROIMIDAZOLES Antacids may decrease
bioavailability of sarecycline.
PENICILLINS
Do not take within 4 hours of
QUINOLONES each other.
RIFAMYCINS Concomitant use of
tetracyclines and isotretinoin
SULFONAMIDES
has been associated with
TETRACYCLINES pseudotumor cerebri.
OPHTHALMIC ANTIBIOTIC TABLE Concurrent use should be
OTIC ANTIBIOTIC TABLE avoided.
Sarecycline is a P-glycoprotein
inhibitor
Liver disease
Child-Pugh A/B: no dose
adjustment necessary
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SULFONAMIDES
Other
TETRACYCLINES
OPHTHALMIC ANTIBIOTIC TABLE Take at least 1 hour before food
OTIC ANTIBIOTIC TABLE or two hours after
Dairy products taken at the
same time as tetracycline may
decrease absorption
Take with full glass of water to
reduce risk of esophageal
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irritation
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Tetracyclines LOGIN
should not be
used during the second and
ANTIBIOTIC CHART
third trimesters of pregnancy,
TOP infancy, and childhood up to 8
years. All tetracyclines bind
ACRONYMS
calcium in tissues, and this can
CEPHALOSPORINS
lead to inhibition of bone
Cefadroxil (Duricef®) 1st growth, tooth discoloration
Cephalexin (Keflex®) 1st (yellow-gray-brown), and
Cefaclor (Ceclor®) 2nd enamel hypoplasia.
Cefprozil (Cefzil®) 2nd Antacids may decrease
Cefuroxime (Ceftin®) 2nd bioavailability of tetracycline.
Cefdinir (Omnicef®) 3rd Do not take within 4 hours of
Cefditoren (Spectracef®) 3rd each other.
Cefixime (Suprax®) 3rd May cause photosensitivity.
Cefpodoxime (Vantin®) 3rd Limit sun exposure and use
Ceftibuten (Cedax®) 3rd sunscreen.
Ceftriaxone (Rocephin®) 3rd Concomitant use of
Ceph generations (IV&PO) tetracyclines and isotretinoin
has been associated with
CLINDAMYCIN (CLEOCIN®)
pseudotumor cerebri.
FOSFOMYCIN (MONUROL®)
Concurrent use should be
LEFAMULIN (XENLETA®) avoided.
OXAZOLIDINONES Liver disease - manufacturer
MACROLIDES makes no specific
recommendation
NITAZOXANIDE (ALINIA®)
Kidney disease - dose
NITROFURANTOIN (MACROBID®)
reduction recommended.
NITROIMIDAZOLES Manufacturer makes no
PENICILLINS specific recommendation.
QUINOLONES
RIFAMYCINS
SULFONAMIDES
PRICE ($) INFO
TETRACYCLINES
OPHTHALMIC ANTIBIOTIC TABLE
OTIC ANTIBIOTIC TABLE $ = 0 - $50
$$ = $51 - $100
$$$ = $101 - $150
$$$$ = > $151
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ANTIBIOTIC CHART
Pricing based on one course of
TOP therapy at standard dosing in
an adult
ACRONYMS
Pricing based on information
CEPHALOSPORINS
from GoodRX.com®
Cefadroxil (Duricef®) 1st Pricing may vary by region and
Cephalexin (Keflex®) 1st availability
Cefaclor (Ceclor®) 2nd
Cefprozil (Cefzil®) 2nd
Cefuroxime (Ceftin®) 2nd
Cefdinir (Omnicef®) 3rd
BIBLIOGRAPHY
Cefditoren (Spectracef®) 3rd
Cefixime (Suprax®) 3rd 1 - PMID 24918220
Cefpodoxime (Vantin®) 3rd 2 - PMID 8666093
Ceftibuten (Cedax®) 3rd 3 - PMID 20456738 Doxy trial in CAP
Ceftriaxone (Rocephin®) 3rd 4 - PMID 9989538 Doxy trial in CAP
Ceph generations (IV&PO)
CLINDAMYCIN (CLEOCIN®)
FOSFOMYCIN (MONUROL®)
LEFAMULIN (XENLETA®)
OXAZOLIDINONES
MACROLIDES
NITAZOXANIDE (ALINIA®)
NITROFURANTOIN (MACROBID®)
NITROIMIDAZOLES
PENICILLINS
QUINOLONES
RIFAMYCINS
SULFONAMIDES
TETRACYCLINES
OPHTHALMIC ANTIBIOTIC TABLE
OTIC ANTIBIOTIC TABLE
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