Benzetacil

Incompatibilities

Powder for solution for injection; Powder for solution for injection and topical application; Powder for solution for intramuscular and subcutaneous administration; Powder for solution for intramuscular injection; Substance-powderPowder for solution for intravenous and intramuscular administration

Benzetacil and solutions that contain metal ions should be administered separately.

Benzetacil should not be administered in the same syringe / giving set as amphotericin B, cimetidine, cytarabine, flucloxacillin, hydroxyzine, methylprednisolone, or promethazine since it is incompatible with these drugs.

In the absence of compatibility studies, this medicinal product must not be mixed with other medicinal products

Benzetacil sodium and solutions that contain metal ions should be administered separately.

Benzetacil sodium should not be administered in the same syringe / giving set as amphotericin B, cimetidine, cytarabine, flucloxacillin, hydroxyzine, methylprednisolone, or promethazine since it is incompatible with these drugs.

In the absence of compatibility studies, this medicinal product must not be mixed with other medicinal products

Preclinical safety data

There are no pre-clinical data of relevance to the prescriber which are additional to that already included in other sections of the SmPC.

Pharmacotherapeutic group

Beta-lactamase sensitive penicillins.

Pharmacokinetic properties

Powder for solution for injection; Powder for solution for injection and topical application; Powder for solution for intramuscular and subcutaneous administration; Powder for solution for intramuscular injection; Substance-powderPowder for solution for intravenous and intramuscular administration

Benzetacil rapidly appears in the blood following intramuscular injection of water-soluble salts and maximum concentrations are usually reached in 15-30 minutes. Peak plasma concentrations of about 12 mcg/ml have been reported after doses of 600 mg with therapeutic plasma concentrations for most susceptible organisms detectable for about 5 hours. Approximately 60% of the dose injected is reversibly bound to plasma protein.

In adults with normal renal function the plasma half-life is about 30 minutes. Most of the dose (60-90%) undergoes renal elimination, 10% by glomerular filtration and 90% by tubular secretion. Tubular secretion is inhibited by probenecid, which is sometimes given to increase plasma penicillin concentrations. Biliary elimination of Benzetacil accounts for only a minor fraction of the dose.

Benzetacil sodium rapidly appears in the blood following intramuscular injection of water-soluble salts and maximum concentrations are usually reached in 15-30 minutes. Peak plasma concentrations of about 12 mcg/ml have been reported after doses of 600 mg with therapeutic plasma concentrations for most susceptible organisms detectable for about 5 hours. Approximately 60% of the dose injected is reversibly bound to plasma protein.

In adults with normal renal function the plasma half-life is about 30 minutes. Most of the dose (60-90%) undergoes renal elimination, 10% by glomerular filtration and 90% by tubular secretion. Tubular secretion is inhibited by probenecid, which is sometimes given to increase plasma penicillin concentrations. Biliary elimination of Benzetacil sodium accounts for only a minor fraction of the dose.

Special precautions for disposal and other handling

After contact with skin, wash immediately with water. In case of contact with eyes, rinse immediately with plenty of water and seek medical advice if discomfort persists.

Any unused medicinal product or waste material should be disposed of in accordance with local requirements.