Page 91 - MNU-PM502- Pharmaeutical Microbiology Theoritical Book
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Pharm D- Clinical Pharmacy Program        Third Level          Pharmaceutical Microbiology& Antimicrobials (PM 502)



                       1-  Natural penicillin (Penicillinase-sensitive penicillins)
                   Benzylpenicillin                         -  Natural

                       (Penicillin G)                       -  acid sensitive. (parenteral)

                   Phenoxymethylpenicillin                  -  semisynthetic

                       (Penicillin V)                       -  stable in acid (oral)

                   Benzathine benzylpenicillin              -  slowly absorbed into the circulation, after

                       (benzathine penicillin)                  intramuscular injection, and hydrolyzed to
                                                                benzylpenicillin in vivo………….
                                                                prolonged low concentration (over 2-4

                                                                weeks after a single IM dose).
                                                            -  Prophylaxis of rheumatic fever
                   Procaine benzylpenicillin                -  a combination of benzylpenicillin and the

                       (Procaine penicillin)                    local anesthetic agent procaine

                   Spectrum:                                 Gram-positive cocci   Streptococci

                                                                                       Some enterococci
                                                             Gram-negative cocci  Neisseria, Treponema
                                                             Anaerobic bacteria        Clostridia spp.

                                                             Spirochetes               Treponema pallidum







                                           Acid sensitive                          Acid resistant


                                   • Benzylpenicillin (penicillin G)       • Phenoxymethylpenicillin
                                   • Benzathine penicillin                   (Penicillin V)
                                   • Procaine penicillin





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