(Penicillin G Benzathine)
For lntramuscular Use Only
Permapen® (Penicillin G Benzathine) Injectable Suspension, a sterile antibacterial agent, is a repository penicillin compound which provides blood levels for long periods following its intramuscular injection. This property is the result of its extremely low solubility in water. Each milliliter contains 600,000 units of penicillin G benzathine; 0.006 grams sodium citrate; 0.003 grams polyvinylpyrrolidone; 0.010 grams lecithin, and 0.003 grams sodium carboxymethylcellulose in an aqueous suspension. Permapen also contains methylparaben 0.09% and propylparaben 0.01% as preservatives.
Intramuscular penicillin G benzathine is indicated in the treatment of infections in both children and adults due to penicillin G-susceptible microorganisms that are susceptible to the low and very prolonged serum levels common to this particular dosage form in the indications listed below. Therapy should be guided by clinical response.
Note: When high sustained serum levels are required, injectable penicillin G either IM or IV should be used.
The following infections will usually respond to adequate dosages of intramuscular penicillin G benzathine:
Upper Respiratory Tract (pharyngitis): streptococci (group A – without bacteremia).
Venereal Infections: Syphilis
Yaws, bejel, and pinta.
Medical Conditions in Which Penicillin G Benzathine Therapy is Indicated As Prophylaxis
Rheumatic fever and/or chorea: Prophylaxis with penicillin G benzathine has proven effective in preventing recurrence of these conditions. It has also been used as follow-up prophylactic therapy for rheumatic heart disease and acute glomerulonephritis.
Media Articles Related to Permapen (Penicillin)
Morning Report: Penicillin Allergy, Levothyroxine, Statins
Source: Medscape Family Medicine Headlines [2016.12.02]
Dr Arefa Cassoobhoy highlights some of this week's most important medical news, including confirming penicillin allergy, overuse of levothyroxine, and final USPSTF recommendations for use of statins.
Medscape Internal Medicine
Upsalite® inhibits bacteria without penicillin
Source: Infectious Diseases / Bacteria / Viruses News From Medical News Today [2016.11.21]
In a study published in ACS Omega, researchers at Uppsala University have shown that the mesoporous magnesium carbonate Upsalite® exerts strong bacteriostatic effect on Staphylococcus...
Many doctors still don't know facts about penicillin allergy
Source: Allergy News From Medical News Today [2016.11.14]
If you think you're allergic to penicillin, but have never been tested, ask for a referral to an allergist to confirm the allergy.
Good drugs for bad bugs: Simple changes to antibiotic treatment of MRSA may help beat the bacteria
Source: MRSA / Drug Resistance News From Medical News Today [2016.11.17]
Microbiologists have identified how MRSA may be more effectively treated by modern-day antibiotics, if old-fashioned penicillin is also used.
Published Studies Related to Permapen (Penicillin)
Penicillin to prevent recurrent leg cellulitis. 
the prevention of recurrent cellulitis... CONCLUSIONS: In patients with recurrent cellulitis of the leg, penicillin was
Treatment of streptococcal pharyngitis with once-daily amoxicillin versus intramuscular benzathine penicillin G in low-resource settings: a randomized controlled trial. [2011.06]
BACKGROUND: Primary prevention of acute rheumatic fever is achieved by proper antibiotic treatment of group A beta -hemolytic streptococcal (GAS) pharyngitis... CONCLUSION: If compliance is a major issue, a single dose of IM BPG may be preferable for treatment of GAS pharyngitis.
Administration of perioperative penicillin reduces postoperative serum amyloid a response in horses being castrated standing. [2010.07]
OBJECTIVES: To compare postoperative inflammatory responses in horses administered perioperative procaine penicillin and those not administered penicillin using acute phase protein serum amyloid A (SAA) as a marker of inflammation. STUDY DESIGN: Randomized clinical trial. ANIMALS: Stallions (n=50) castrated under field conditions... CONCLUSIONS: Perioperative antimicrobial therapy reduced the postoperative SAA response, suggesting that bacteria were present in the surgical wound and contributed to inflammation after castration. Horses with elevated preoperative SAA concentrations developed infectious complications more often than horses with normal preoperative SAA concentrations. CLINICAL RELEVANCE: Administration of antimicrobials may be important in horses being castrated standing under field conditions. Increased SAA concentrations seem to be an indicator of increased surgical risk in horses and may be useful before elective surgery for planning.
A phase III equivalence trial of azithromycin versus benzathine penicillin for treatment of early syphilis. [2010.06.01]
BACKGROUND: Syphilis remains an important source of morbidity worldwide. Long-acting penicillin is the only therapy currently recommended for syphilis in much of the world. Because of hesitation to use penicillin for fear of anaphylaxis, there is a need for an effective, well-tolerated alternative to penicillin for syphilis therapy... CONCLUSIONS: In this trial, the efficacy of azithromycin at a dosage of 2.0 g administered orally was equivalent to that of benzathine penicillin G for the treatment of early syphilis in persons without HIV infection.
Comparison of ampicillin plus gentamicin vs. penicillin plus gentamicin in empiric treatment of neonates at risk of early onset sepsis. [2010.05]
AIM: We aimed to compare the clinical efficacy of ampicillin (AMP) vs. penicillin (PEN) both combined with gentamicin in the empirical treatment of neonates at risk of early onset neonatal sepsis (EOS)... CONCLUSIONS: AMP and PEN combined with gentamicin have similar effectiveness in the empiric treatment of suspected neonatal EOS.
Clinical Trials Related to Permapen (Penicillin)
Penicillin and Metronidazole in Treatment of Peritonsillar Abscess [Completed]
Treatment of peritonsillar abscess varies. To study whether broad spectrum antibiotics are
required in addition to abscess drainage we perform a prospective, double blind,
placebo-controlled, randomised study on 200 adult patients with peritonsillar abscess. 100
patients are given penicillin and metronidazole and 100 patients get penicillin and placebo.
Recovery and recurrence and analyzed.
Evaluation of Skin Testing Reagents for Penicillin Allergy [Completed]
A self- or parent-reported history of penicillin allergy excludes approximately 10% of the
US population from receiving penicillin (Kerr 1994, Kagy, Blaiss 1998, Solensky et al. 2000,
Neugut et al. 2001). Yet approximately 80% of patients labeled as allergic to the
penicillins can safely take these antibiotics without fear of a life-threatening reaction
(Gadde et al. 1993, Macy et al. 1997). The outcomes of this erroneous classification of
patients include unnecessary denial of an effective and well-tolerated class of antibiotics,
which are often the treatment of choice.
The primary aim of skin testing with the Penicillin Skin Test Kit is to identify subjects at
very low risk of developing acute IgE-dependent reactions when given a penicillin or
cross-reacting drug. The negative predictive value (NPV) of skin testing is assessed by oral
challenge with a penicillin.
Penicillin Skin Testing in Patients With History of Allergic Reactions to Betalactams [Completed]
This study aims to compare the readings of skin testing results in patients with suspected
penicillin allergy between in-house penicillin test preparation and commercial available
penicillin testing kit.
Oral Penicillin and Penicillin Levels in Venous Umbilical Cord Blood [Recruiting]
Pregnant,laboring women will receive 2 grams of oral penicillin V before delivery. At the
time of delivery of the infant, umbilical vein cord blood will be obtained from the
umbilical cord. These cord blood samples will be sent for bioassay of penicillin levels.
Azithromycin/Bicillin Syphilis [Completed]
The purpose of this study is to determine if azithromycin, a drug approved for treatment of
other infections, is as effective for syphilis (a sexually transmitted disease) as the
standard treatment. Approximately 600 healthy adults, who are HIV-negative, ages 18 to 55
years of age, with primary, secondary or early latent syphilis, will participate in this
research study. Volunteers will be enrolled in 5 U. S. cities and in Madagascar. Participants
will be chosen randomly (by chance) to receive 1 of 2 study drugs: benzathine penicillin
given (2 shots in the buttocks) or 4 tablets of azithromycin. Subjects who report a history
of a penicillin allergy will be given either 2. 0 g of oral azithromycin or 100 mg
doxycycline taken orally, twice a day for 14 days. Over 2 years, 10 visits will be required.
Procedures will include blood samples, physical exams, and swabs of sores.
PATIENT REVIEWS / RATINGS / COMMENTS
Based on a total of 2 ratings/reviews, Permapen has an overall score of 5.50. The effectiveness score is 6 and the side effect score is 6. The scores are on ten point scale: 10 - best, 1 - worst.
Permapen review by 56 year old female patient
|Overall rating:|| || |
|Effectiveness:|| || Highly Effective|
|Side effects:|| || Extremely Severe Side Effects|
|Condition / reason:|| || tooth infection|
|Dosage & duration:|| || 500mg taken twice a day for the period of 2 days|
|Other conditions:|| || none|
|Other drugs taken:|| || none|
|Benefits:|| || the pain in my tooth started to subside|
|Side effects:|| || I went into shock. My tongue swelled up, my face got very swollen. My heart was racing and I started to sweat something terrible. I was told that I was lucky not to die from taking this medication. |
|Comments:|| || I was rushed to the doctors office and given another drug to counter the effects of the penicillin. I was sick from the whole episode for a very long time. I am never suppose to take penicillin again or any drug that is a derivative of penicillin.|
Permapen review by 20 year old female patient
|Overall rating:|| || |
|Effectiveness:|| || Ineffective|
|Side effects:|| || No Side Effects|
|Condition / reason:|| || Viral Bronchitis|
|Dosage & duration:|| || 250mg taken 3 x day for the period of 10 days|
|Other conditions:|| || None|
|Other drugs taken:|| || none|
|Benefits:|| || Absolutely no benefits, did not seem to get better even in a week. Through research I learned that penicillin does not treat a virus and that a virus must run its course. No idea why my doctor precribed Penicillin. Would rather he had been on the up and up about it instead of precribing a worthless treatment.|
|Side effects:|| || No side effects at all, just took an antibiotic I did not need and do not see any health benefit in that at all|
|Comments:|| || Doctor diagnosed me with Viral Bronchitis after and xray. He then prescribed Penicillin to treat it. Worthless treatment, since Penicillin is totally ineffective to fight a virus.|
Page last updated: 2016-12-02