7/23/2019 Alergije Penicilin

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  Al l drug-al lergies must be specified on medicat ion charts (with the patient ’s react ion)

In TRUE penicil lin allergy* ALL penicillins, cephalosporins and other beta-lactam antibioticsshould be avoided

 Ant ib iotics to be avoided in

penicillin allergy Amoxicil lin (in Co-amoxiclav/Augmentin,Heliclear)

 Ampici ll in (in Co-fluampic il/Magnapen)

Benzylpenicillin/Penicill in G

Flucloxacillin  (in Co-fluampicil/Magnapen) 

Phenoxymethylpenicillin /Penicil lin V

Piperacillin (in Tazocin)

Pivmecillinam

Ticarcillin (in Timentin)

CONTRA-INDICATED

CAUTION 

 Avoid i f serious penici ll inallergy (e.g. anaphylaxis/

angioedema)

Use with caution if non-severe allergy

(e.g. minor rash only)

CONSIDEREDSAFE

 Ant ib iotics to be avoided orused with caution in penicillinallergy

Cephalosporins:Cefaclor , Cefadroxil, Cefalexin,Cefixime, Cefotaxime, Cefpirome,

Cefpodoxime, Cefprozil, Cefradine,Ceftazidime, Ceftriaxone, Cefuroxime 

Other beta-lactam antibiot ics: Aztreonam, Imipenem, Meropenem,Ertapenem 

 Ant ib iot ics safe in penicil linallergy (not a complete list)

 Amikacin MetronidazoleCiprofloxacin NitrofurantoinClarithromycin MinocyclineClindamycin RifampicinColistin Sodium FusidateCo-trimoxazole TeicoplaninDoxycycline TetracyclineErythromycin TobramycinGentamicin TrimethoprimLinezolid Vancomycin

*TRUE penicillin allergy includes anaphylaxis, urticaria or rash immediately after penicillin administration

In cases of INTOLERANCE to penicillin (e.g. gastrointestinal upset) or a rash occurring >72 hours afteradministration, penicillins/related antibiotics should not be withheld unnecessarily in severe infection but

the patient must be monitored closely after administration 

Penicillin Allergy  

 AUSG October 2005