Novo-Pen G Uses

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Novo-Pen G indications

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Prophylactic: Recurrence of rheumatic fever. Treatment of mild to moderate infections caused by sensitive organisms: Pneumococcal infections of the middle ear; Streptococcal otitis media and sinusitis; Streptococcal pharyngitis caused by Strep pyogenes; mild to moderate pulmonary and periodontal anaerobic infections; gingivostomatitis; early Lyme disease.

Uses of Novo-Pen G in details

Novo-Pen G (also known as benzyl penicillin) is used:

Novo-Pen G description

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A penicillin derivative commonly used in the form of its sodium or potassium salts in the treatment of a variety of infections. It is effective against most gram-positive bacteria and against gram-negative cocci. It has also been used as an experimental convulsant because of its actions on gamma-aminobutyric acid mediated synaptic transmission.

Novo-Pen G interactions

Anticoagulants (oral and heparin)

May increase bleeding risks of anticoagulant by prolonging bleeding time.

Beta-blockers

May potentiate anaphylactic reactions of penicillin.

Chloramphenicol

May cause synergism or antagonism to develop.

Contraceptives, oral

May reduce efficacy of oral contraceptives.

Erythromycin

May cause synergism or antagonism to develop.

Probenecid

Increases penicillin serum concentration.

Tetracyclines

May impair bactericidal effects of Novo-Pen G.

Incompatibility

Aminoglycosides, parenteral

Penicillin may inactivate aminoglycosides in vitro; do not mix in same IV solution. May be used in combination for synergy if administered separately.

Carbohydrate solutions at alkaline pH

Penicillin solutions are rapidly inactivated.

Laboratory Test Interactions

Antiglobulin (Coombs test)

Drug may cause false-positive results.

Urine glucose test

Drug may cause false-positive results with copper sulfate tests (Benedict test, Fehling test, or Clinitest tablets); enzyme-based tests (eg, Clinistix, Tes-tape ) are not affected.

Urine protein determinations

Drug may cause false-positive reactions with sulfosalicylic acid and boiling test, acetic acid test, biuret reaction, and nitric acid test; bromphenol blue test ( Multi-Stix ) is not affected.

Novo-Pen G side effects

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What are the possible side effects of Novo-Pen G?

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Phenoxymethylpenicillin may produce diarrhoea, nausea and heartburn. Allergic reactions which may include exfoliative dermatitis, other skin rashes, interstitial nephritis and vasculitis, may occur.

A generalised sensitivity reaction with urticaria, fever, joint pains and eosinophilia can develop within a few hours to several weeks after starting treatment. Superinfection by resistant species, such as Pseudomonas or Candida, which do not respond to penicillin therapy may occur. A sore mouth and a black hairy tongue have been reported.

Increases in liver enzyme values have been reported. Care should be taken when high doses are given to patients with renal impairment (because of the risk of neurotoxicity) or congestive heart failure.

Renal and haematological systems should be monitored during prolonged and high dose therapy.

Care should be taken when treating patients with syphilis, as the Jarisch-Herxheimer reaction may occur shortly after starting treatment. This reaction, manifesting as fever, chills, headache and reactions at the site of the lesion, can be dangerous in cardiovascular syphilis or where there is a serious risk of increased local damage such as with optic atrophy.

Haemolytic anaemia and leucopenia, prolongation of bleeding time and defective platelet function have been observed. Convulsions and other signs of toxicity to the CNS may occur particularly in patients with renal failure.

Disturbances of blood electrolytes may follow the administrations of large doses of this medicine.

High doses should be used with caution in patients receiving potassium containing medicines or potassium-sparing diuretics.

Novo-Pen G contraindications

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Hypersensitivity to penicillins. Do not treat severe pneumonia, empyema, bacteremia, pericarditis, meningitis, and purulent or septic arthritis with oral Novo-Pen G during acute stage.

Active ingredient matches for Novo-Pen G:

Penicillin G


Unit description / dosage (Manufacturer)Price, USD
Tablet; Oral; Penicillin G Potassium 500, 000 units

List of Novo-Pen G substitutes (brand and generic names):

P.P.F 400000IU Injection (Karnataka Antibiotics & Pharmaceuticals Ltd)$ 0.07
P.P.F 400000 IU INJECTION 1 vial / 1 ML injection each (Karnataka Antibiotics & Pharmaceuticals Ltd)$ 0.07
Injectable; Injection; Penicillin G Procaine 300, 000 units / ml
Injectable; Injection; Penicillin G Procaine 300, 000 units / ml
Pen G 1000000 IU x 1's
Pen G 5000000 IU x 1's
Injectable; Injection; Penicillin G Procaine 300, 000 units / ml
Injectable; Injection; Penicillin G Benzathine 150, 000 units; Penicillin G Procaine 150, 000 units / ml
Powder; Oral; Penicillin G Procaine 1, 000 g / kg
Drug Premix; Oral; Penicillin G Procaine 110 g / kg
200000 IU x 6's (Cipla)$ 0.05
400000 IU x 6's (Cipla)$ 0.09
800000 IU x 4's (Cipla)$ 0.11
PENCIP tab 200000 IU x 6's (Cipla)$ 0.05
PENCIP tab 400000 IU x 6's (Cipla)$ 0.09
PENCIP tab 800000 IU x 4's (Cipla)$ 0.11
Pencip 200000IU Tablet (Cipla)$ 0.01
Pencip 400000IU Tablet (Cipla)$ 0.02
Pencip 800000IU Tablet (Cipla)$ 0.02
PENCIP 200 TABLET 1 strip / 6 tablets each (Cipla Ltd)$ 0.04
PENCIP 400 TABLET 1 strip / 6 tablets each (Cipla Ltd)$ 0.09
PENCIP 800 TABLET 1 strip / 4 tablets each (Cipla Ltd)$ 0.08
Injectable; Injection; Penicillin G Benzathine 150, 000 units; Penicillin G Procaine 150, 000 units / ml
Injectable; Injection; Benzylpenicillin 500 mg
Injectable; Injection; Benzylpenicillin 1 g
Injectable; Injection; Penicillin G Potassium 10 MIU; Penicillin G Sodium
Penicillin gk 20 million unit$ 160.26
Penicillin g na 5 million unit$ 47.91
Bicillin C-R / 1200000 2ml Syringe$ 43.00
Penicillin g k 5 million unit$ 42.18

References

  1. DailyMed. "PENICILLIN G SODIUM: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
  2. PubChem. "penicillin g". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  3. DrugBank. "penicillin g". http://www.drugbank.ca/drugs/DB01053 (accessed September 17, 2018).

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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