Dosage of Ticarcillin in details
Ticarcillin Dosage
Applies to the following strengths: 1 g; 3 g; 20 g; 30 g
Usual Adult Dose for:
- Febrile Neutropenia
- Intraabdominal Infection
- Joint Infection
- Osteomyelitis
- Pelvic Inflammatory Disease
- Peritonitis
- Pneumonia
- Pyelonephritis
- Septicemia
- Skin or Soft Tissue Infection
- Urinary Tract Infection
Usual Pediatric Dose for:
- Intraabdominal Infection
- Pneumonia
- Skin or Soft Tissue Infection
- Septicemia
- Urinary Tract Infection
Additional dosage information:
- Renal Dose Adjustments
- Liver Dose Adjustments
- Dose Adjustments
- Dialysis
Usual Adult Dose for Febrile Neutropenia
3 g IV every 4 hours. Therapy should be continued for approximately 14 days, or until more specific therapy may be substituted for a proven infection, or until the patient has been afebrile for 24 hours after the absolute neutrophil count has been greater than 500 cells/mm3.
Ticarcillin should be used in combination with another anti-infective agent, usually an aminoglycoside, for the empiric treatment of febrile patients.
Usual Adult Dose for Intraabdominal Infection
3 g IV every 4 hours, for 7 to 14 days depending on the nature and severity of the infection.
Usual Adult Dose for Joint Infection
3 g IV every 4 hours for up to 3 or 4 weeks, depending on the nature and severity of the infection. Longer therapy, sometimes up to 6 weeks, may be necessary for prosthetic joint infections.
Usual Adult Dose for Osteomyelitis
3 g IV every 4 hours. Therapy should be continued for 4 to 6 weeks. Chronic osteomyelitis may require additional oral antimicrobial therapy, possibly up to 6 months.
Usual Adult Dose for Pelvic Inflammatory Disease
3 g IV every 4 to 6 hours.
Parenteral therapy should continue for 48 hours after clinical improvement is observed, at which time oral therapy may be initiated and continued for a total of 14 days of treatment.
If the patient is not pregnant, appropriate treatment for possible chlamydia infection should be initiated and any sexual partner(s) should be evaluated.
The Centers for Disease Control and Prevention currently recommend cefotetan or cefoxitin plus doxycycline, or clindamycin plus gentamicin for the treatment of pelvic inflammatory disease.
Usual Adult Dose for Peritonitis
3 g IV every 4 hours. Ticarcillin is generally used as part of combination therapy when treating peritonitis. Therapy should be continued for approximately 10 to 14 days.
Intraperitoneal cefazolin plus ceftazidime are recommended for treatment of peritoneal dialysis-associated peritonitis.
Usual Adult Dose for Pneumonia
3 g IV every 4 hours for 21 to 28 days, depending on the nature and severity of the infection.
Usual Adult Dose for Pyelonephritis
3 g IV every 4 to 6 hours for 14 days, depending on the nature and severity of the infection.
Usual Adult Dose for Septicemia
3 g IV every 4 hours for 14 days, depending on the nature and severity of the infection.
Usual Adult Dose for Skin or Soft Tissue Infection
3 g IV every 4 hours for 7 to 10 days, or for 3 days after acute inflammation resolves, depending on the nature and severity of the infection.
Usual Adult Dose for Urinary Tract Infection
Complicated: 3 g IV every 4 to 6 hours for 14 days, depending on the nature and severity of the infection.
Uncomplicated: 1 g IM or IV every 6 hours
Usual Pediatric Dose for Intraabdominal Infection
Neonates:
< 7 days, birthweight < 2000 g: 75 mg/kg IV every 12 hours
< 7 days, birthweight > 2000 g: 75 mg/kg IV every 8 hours
> 7 days, birthweight < 1200 g: 75 mg/kg every 12 hours
> 7 days, birthweight < 2000 g: 75 mg/kg IV every 8 hours
> 7 days, birthweight > 2000 g: 75 mg/kg every 6 hours or 100 mg/kg IV every 8 hours
1 month to 12 years:
< 40 kg: 100 to 300 mg/kg/day IV in equally divided doses every 4 to 6 hours
> 40 kg: Adult dose
Usual Pediatric Dose for Pneumonia
Neonates:
< 7 days, birthweight < 2000 g: 75 mg/kg IV every 12 hours
< 7 days, birthweight > 2000 g: 75 mg/kg IV every 8 hours
> 7 days, birthweight < 1200 g: 75 mg/kg every 12 hours
> 7 days, birthweight < 2000 g: 75 mg/kg IV every 8 hours
> 7 days, birthweight > 2000 g: 75 mg/kg every 6 hours or 100 mg/kg IV every 8 hours
1 month to 12 years:
< 40 kg: 100 to 300 mg/kg/day IV in equally divided doses every 4 to 6 hours
> 40 kg: Adult dose
Usual Pediatric Dose for Skin or Soft Tissue Infection
Neonates:
< 7 days, birthweight < 2000 g: 75 mg/kg IV every 12 hours
< 7 days, birthweight > 2000 g: 75 mg/kg IV every 8 hours
> 7 days, birthweight < 1200 g: 75 mg/kg every 12 hours
> 7 days, birthweight < 2000 g: 75 mg/kg IV every 8 hours
> 7 days, birthweight > 2000 g: 75 mg/kg every 6 hours or 100 mg/kg IV every 8 hours
1 month to 12 years:
< 40 kg: 100 to 300 mg/kg/day IV in equally divided doses every 4 to 6 hours
> 40 kg: Adult dose
Usual Pediatric Dose for Septicemia
Neonates:
< 7 days, birthweight < 2000 g: 75 mg/kg IV every 12 hours
< 7 days, birthweight > 2000 g: 75 mg/kg IV every 8 hours
> 7 days, birthweight < 1200 g: 75 mg/kg every 12 hours
> 7 days, birthweight < 2000 g: 75 mg/kg IV every 8 hours
> 7 days, birthweight > 2000 g: 75 mg/kg every 6 hours or 100 mg/kg IV every 8 hours
1 month to 12 years:
< 40 kg: 200 to 300 mg/kg/day IV in equally divided doses every 4 to 6 hours
> 40 kg: Adult dose
Usual Pediatric Dose for Urinary Tract Infection
Uncomplicated infections:
1 month to 12 years:
< 40 kg: 50 to 100 mg/kg/day IV or IM in equally divided doses every 6 to 8 hours.
> 40 kg: Adult dose.
Complicated infections:
1 month to 12 years:
< 40 kg: 150 to 200 mg/kg/day IV in equally divided doses every 4 to 6 hours.
> 40 kg: Adult dose.
Renal Dose Adjustments
Adults:
CrCl < 10 mL/min: Initial loading dose of 3 g followed by 2 g IV every 12 hours or 1 g IM every 6 hours.
CrCl 10 to 30 mL/min: Initial loading dose of 3 g followed by 2 g IV every 8 hours.
CrCl 30 to 60 mL/min: Initial loading dose of 3 g followed by 2 g IV every 4 hours.
Liver Dose Adjustments
Adults:
Hepatic dysfunction and CrCl < 10 mL/min: 3 g IV once as a loading dose, followed by 2 g IV every 24 hours.
Dose Adjustments
Doses as high as 400 mg/kg/day IV equally divided every 4 to 6 hours have been used to treat acute pulmonary exacerbations of cystic fibrosis.
Dialysis
Adults:
Hemodialysis: 3 g IV once as a loading dose, followed by 2 g IV every 12 hours supplemented with 3 g after each dialysis.
Peritoneal dialysis: 3 g IV every 12 hours
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Medical Disclaimer
More about Ticarcillin
- Ticarcillin Side Effects
- During Pregnancy or Breastfeeding
- Drug Interactions
- Drug class: antipseudomonal penicillins
Professional resources
Related treatment guides
- Bone infection
- Febrile Neutropenia
- Intraabdominal Infection
- Joint Infection
- ... +7 more
What other drugs will affect Ticarcillin?
There may be other drugs that can affect Ticarcillin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Ticarcillin interactions
Probenecid decreases clearance of Ticarcillin. Increased bleeding risk with warfarin, acenocoumarol. Possible increase in ciclosporin, methotrexate levels with concurrent use. Possible contraceptive failure with combined oral contraceptives.
References
- FDA/SPL Indexing Data. "F93UJX4SWT: The UNique Ingredient Identifier (UNII) is an alphanumeric substance identifier from the joint FDA/USP Substance Registration System (SRS).". https://www.fda.gov/ForIndustry/Data... (accessed September 17, 2018).
- MeSH. "Anti-Bacterial Agents". https://www.ncbi.nlm.nih.gov/mesh/68... (accessed September 17, 2018).
- European Chemicals Agency - ECHA. "Ticarcillin: The information provided here is aggregated from the "Notified classification and labelling" from ECHA's C&L Inventory. ". https://echa.europa.eu/information-o... (accessed September 17, 2018).
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Information checked by Dr. Sachin Kumar, MD Pharmacology