penicillin G

Brand: Pfizerpen, Bicillin (benzathine formulation)

Prototype Drug
Drug Class: antibiotic
Drug Family: antibiotic
Subclass: natural penicillin / beta-lactam
Organ Systems: infectious-disease

Mechanism of Action

Binds and inhibits PBPs (transpeptidases) on the inner bacterial cell membrane, blocking cross-linking of peptidoglycan strands in the bacterial cell wall; bactericidal; time-dependent killing (efficacy depends on time above MIC).

penicillin-binding proteins (PBPs)transpeptidase

Indications

  • syphilis (drug of choice — benzathine penicillin G IM)
  • streptococcal pharyngitis
  • pneumococcal pneumonia (susceptible strains)
  • meningococcal meningitis
  • infective endocarditis (streptococcal)
  • anthrax
  • neurosyphilis (aqueous penicillin G IV)

Contraindications

  • penicillin allergy (anaphylaxis — cross-reactivity with cephalosporins ~1–2%)

Adverse Effects

Common

  • hypersensitivity reactions (maculopapular rash)
  • diarrhea
  • injection site pain (IM)

Serious

  • anaphylaxis (rare, 0.01–0.05%)
  • Jarisch-Herxheimer reaction (syphilis treatment)
  • neurotoxicity/seizures (high doses in renal failure)
  • interstitial nephritis

Pharmacokinetics (ADME)

Absorption Not absorbed orally (penicillin V is the acid-stable oral form); IM/IV only
Distribution Protein binding ~60%; does not cross intact BBB but crosses inflamed meninges (CSF levels ~5–10% of serum)
Metabolism Minimal hepatic metabolism; partially hydrolyzed to penicilloic acid
Excretion Renal via tubular secretion (probenecid blocks and increases levels); dose reduction needed in severe CKD
Half-life 30–60 minutes (aqueous); benzathine: days to weeks
Onset IV: immediate
Peak IV: end of infusion; IM benzathine: 12–24 hours
Duration IV q4–6h; benzathine IM: 2–4 weeks
Protein Binding 60%
Vd ~0.35 L/kg

Drug Interactions

Drug / Agent Mechanism Severity
probenecid inhibits renal tubular secretion of penicillin, increasing levels and duration moderate
methotrexate penicillins reduce methotrexate renal excretion; methotrexate toxicity risk major
warfarin large doses of penicillin may alter gut flora and reduce vitamin K absorption minor

Nursing Considerations

  1. Obtain allergy history before administration; skin testing should be performed in patients with history of severe penicillin reactions when penicillin is required (e.g., syphilis in pregnancy)
  2. Benzathine penicillin G is only for IM injection — IV administration is fatal; verify formulation and route before administration
  3. Monitor for Jarisch-Herxheimer reaction 2–8 hours after first syphilis treatment dose: fever, chills, myalgia, headache — self-limited; not an allergic reaction
  4. For high-dose IV penicillin G (meningitis, endocarditis): monitor serum sodium (penicillin G sodium contains 1.7 mEq Na/million units) and potassium (penicillin G potassium)

Clinical Pearls

  • Benzathine penicillin G (Bicillin L-A) and benzathine/procaine combination (Bicillin C-R) look identical — Bicillin C-R is NOT appropriate for syphilis treatment; always verify the correct formulation
  • Penicillin remains the drug of choice for syphilis — there is no acceptable alternative for penicillin-allergic pregnant patients with syphilis (desensitization is required)

Safety Profile

Pregnancy generally-safe
Lactation safe
Renal Adjustment Required
Hepatic Adjustment Not required
TDM Not required