Pvf Uses

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What is Pvf?

Penicillins are used to treat infections caused by bacteria. They work by killing the bacteria or preventing their growth.

There are several different kinds of penicillins. Each is used to treat different kinds of infections. One kind of Pvf usually may not be used in place of another. In addition, penicillins are used to treat bacterial infections in many different parts of the body. They are sometimes given with other antibacterial medicines (antibiotics). Some of the penicillins may also be used for other problems as determined by your doctor. However, none of the penicillins will work for colds, flu, or other virus infections.

Penicillins are available only with your doctor's prescription.

Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although these uses are not included in product labeling, penicillins are used in certain patients with the following medical conditions:

Pvf indications

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To reduce the development of drug-resistant bacteria and maintain the effectiveness of Pvf Potassium and other antibacterial drugs, Pvf Potassium should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

Pvf Potassium tablets are indicated in the treatment of mild to moderately severe infections due to Pvf G-sensitive microorganisms. Therapy should be guided by bacteriologic studies (including sensitivity tests) and by clinical response.

NOTE: Severe pneumonia, empyema, bacteremia, pericarditis, meningitis, and arthritis should not be treated with Pvf during the acute stage. Indicated surgical procedures should be performed.

The following infections will usually respond to adequate dosage of Pvf.

Streptococcal Infections (without bacteremia)

Mild-to-moderate infections of the upper respiratory tract, scarlet fever, and mild erysipelas.

NOTE: Streptococci in groups A, C, G, H, L, and M are very sensitive to Pvf. Other groups, including group D (enterococcus), are resistant.

Pneumococcal Infections

Mild to moderately severe infections of the respiratory tract.

Staphylococcal infections – Pvf G-sensitive

Mild infections of the skin and soft tissues.

NOTE: Reports indicate an increasing number of strains of staphylococci resistant to Pvf G, emphasizing the need for culture and sensitivity studies in treating suspected staphylococcal infections.

Fusospirochetosis (Vincent’s gingivitis and pharyngitis)

Mild to moderately severe infections of the oropharynx usually respond to therapy with oral Pvf.

NOTE: Necessary dental care should be accomplished in infections involving the gum tissue.

Medical conditions in which oral Pvf therapy is indicated as prophylaxis: For the prevention of recurrence following rheumatic fever and/or chorea: Prophylaxis with oral Pvf on a continuing basis has proven effective in preventing recurrence of these conditions.

Although no controlled clinical efficacy studies have been conducted, Pvf has been suggested by the American Heart Association and the American Dental Association for use as an oral regimen for prophylaxis against bacterial endocarditis in patients who have congenital heart disease or rheumatic or other acquired valvular heart disease when they undergo dental procedures and surgical procedures of the upper respiratory tract1.

Oral Pvf should not be used in those patients at particularly high risk for endocarditis (e.g., those with prosthetic heart valves or surgically constructed systemic pulmonary shunts). Pvf should not be used as adjunctive prophylaxis for genitourinary instrumentation or surgery, lower-intestinal tract surgery, sigmoidoscopy, and childbirth. Since it may happen that alpha hemolytic streptococci relatively resistant to Pvf may be found when patients are receiving continuous oral Pvf for secondary prevention of rheumatic fever, prophylactic agents other than Pvf may be chosen for these patients and prescribed in addition to their continuous rheumatic fever prophylactic regimen.

NOTE: When selecting antibiotics for the prevention of bacterial endocarditis, the physician or dentist should read the full joint statement of the American Heart Association and the American Dental Association1.

How should I use Pvf?

Use Pvf as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Pvf.

Uses of Pvf in details

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Use: Labeled Indications

Fusospirochetosis (Vincent gingivitis and pharyngitis): Treatment of fusospirochetosis (Vincent gingivitis and pharyngitis), in conjunction with dental care for infections involving gum tissue.

Pneumococcal infections: Treatment of mild to moderately severe pneumococcal respiratory tract infections, including otitis media.

Rheumatic fever and/or chorea prophylaxis: Prophylaxis (chronic, secondary) of rheumatic fever and/or chorea.

Staphylococcal infections (Pvf G-sensitive): Treatment of mild infections of the skin and soft tissues.

Streptococcal infections (without bacteremia): Treatment of mild to moderate streptococcal infections of the upper respiratory tract, scarlet fever, and mild erysipelas.

Off Label Uses

Actinomycosis

Data from a limited number of clinical studies suggest that Pvf potassium may be beneficial for the treatment of actinomycosis after initial surgical intervention and IV therapy with Pvf G (if clinically indicated).

Streptococcus (group A) chronic carrier

Based on the Infectious Diseases Society of America (IDSA) Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis, Pvf potassium given to chronic carriers of group A streptococcal is effective and recommended in the management of this condition.

Pvf description

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A broad-spectrum Pvf antibiotic used orally in the treatment of mild to moderate infections by susceptible gram-positive organisms.

Pvf dosage

The dosage of Pvf should be determined according to the sensitivity of the causative microorganism and the severity of infection, and adjusted to the clinical response of the patient.

The usual dosage recommendations for adults and children 12 years and over are as follows:

Streptococcal Infections

Mild to moderately severe - of the upper respiratory tract and including scarlet fever and erysipelas: 125 to 250 mg (200,000 to 400,000 units) every 6 to 8 hours for 10 days.

Pneumococcal Infections

Mild to moderately severe - of the respiratory tract, including otitis media: 250 to 500 mg (400,000 to 800,000 units) every 6 hours until the patient has been afebrile for at least 2 days.

Staphylococcal Infections

Mild infections of skin and soft tissue (culture and sensitive tests should be performed): 250 to 500 mg (400,000 to 800,000 units) every 6 to 8 hours.

Fusospirochetosis (Vincent’s infection) of the oropharynx. Mild to moderately severe infections: 250 to 500 mg (400,000 to 800,000 units) every 6 to 8 hours.

For the prevention of recurrence following rheumatic fever and/or chorea: 125 mg to 250 mg (200,000 to 400,000 units) twice daily on a continuing basis.

For prophylaxis against bacterial endocarditis1 in patients with congenital heart disease or rheumatic or other acquired valvular heart disease when undergoing dental procedures or surgical procedures of the upper respiratory tract: 2 gram of Pvf (1 gram for children under 60 lbs.) 1 hour before the procedure, and then, 1 gram (500 mg for children under 60 lbs.) 6 hours later.

Pvf interactions

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What other drugs will affect Pvf?

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Amoxicillin may decrease the effectiveness of contraceptives for oral administration.

With the simultaneous use of Pvf Vista Health Care with bactericidal antibiotics (including aminoglycosides, cephalosporins, cycloserine, vancomycin, rifampicin) appears synergies; with bacteriostatic antibiotic (including macrolides, chloramphenicol, lincosamides, tetracyclines, sulphonamide) - antagonism.

Amoxicillin increases the effects of indirect anticoagulants inhibiting intestinal microflora, reduces the synthesis of vitamin K and prothrombin index.

Amoxicillin reduces the effect of drugs, in the process of metabolism that produce PABA.

Probenecid, diuretics, allopurinol, phenylbutazone, NSAIDs decrease the tubular secretion of amoxicillin, which can be accompanied by an increase in its concentration in blood plasma.

Antacids, glucosamine, laxatives, aminoglycosides, slow down and reduce, and ascorbic acid increases the absorption of amoxicillin.

With the combined use of amoxicillin and clavulanic acid pharmacokinetics of both components unchanged.

Pvf side effects

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What are the possible side effects of Pvf?

Applies to Pvf potassium: capsule, powder for solution, powder for suspension, solution, suspension, syrup, tablet, tablet for suspension, tablet chewable, tablet extended release

As well as its needed effects, Pvf potassium may cause unwanted side effects that require medical attention.

Stop taking Pvf potassium and get emergency help immediately if any of the following effects occur:

Less common:

Major Side Effects

If any of the following side effects occur while taking Pvf potassium, check with your doctor immediately:

Rare

Rare - For Pvf G procaine only

Minor Side Effects

Some Pvf potassium side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Your health care professional may be able to help you prevent or reduce these side effects, but do check with them if any of the following side effects continue, or if you are concerned about them:

More common:

Pvf contraindications

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What is the most important information I should know about Pvf?

A history of a previous hypersensitivity reaction to any of the penicillins is a contraindication. Pvf is also contraindicated in infections caused by penicillinase-producing organisms.

Active ingredient matches for Pvf:

Penicillin V in Canada.

Benzathine phenoxymethylpenicillin in Canada.


Unit description / dosage (Manufacturer)Price, USD
Suspension; Oral; Penicillin V Benzathine 250, 000 units / 5 ml
Suspension; Oral; Penicillin V Benzathine 500, 000 units / 5 ml
Tablet; Oral; Penicillin V Potassium 500, 000 units

List of Pvf substitutes (brand and generic names):

Injectable; Injection; Penicillin G Potassium 5, 000, 000 units (Pfizer)
Injectable; Injection; Penicillin G Potassium 20, 000, 000 units (Pfizer)
Tablet; Oral; Penicillin V Potassium 250 mg
Tablet; Oral; Penicillin V Potassium 500 mg
Tablet; Oral; Penicillin V Potassium 500, 000 units
Caplets; Oral; Penicillin V Potassium 1 g (Rafa)
Tablet; Oral; Penicillin V Potassium 500 mg
Syrup; Oral; Penicillin V Potassium 250 mg / 5 ml
Tablet, Film-Coated; Oral; Penicillin V Potassium 1 MIU
Tablet, Film-Coated; Oral; Penicillin V Potassium 1 MIU
Tablet, Film-Coated; Oral; Penicillin V Potassium 1 g (Sandoz)
Tablet; Oral; Penicillin V Potassium 250 mg
Tablet; Oral; Penicillin V Potassium 500 mg
Tablet; Oral; Penicillin V Potassium 250 mg

References

  1. DailyMed. "PENICILLIN V POTASSIUM: 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 v". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  3. DrugBank. "penicillin v". http://www.drugbank.ca/drugs/DB00417 (accessed September 17, 2018).

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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